outline of the human head and brain and the words Psychiatry grand rounds

0800_ABSMC_PGR: Falling Forever: Psychoanalytic Treatment of a Chronically Psychotic Women_Live

November 17, 2025

Description:

This grand rounds educational activity examines psychoanalytic approaches to the treatment of chronic psychosis, using a complex patient case to illustrate key concepts. Participants will learn to differentiate between psychotic and neurotic anxiety and explore effective strategies for supporting patient progress in therapy. The session will also address how social determinants and implicit bias can influence diagnosis and care. Attendees will gain practical insights to enhance their therapeutic skills when working with individuals experiencing chronic psychosis.

Assembly Bills 1195 & 241- Culturally Appropriate Care which is Free of Implicit Biases:

Learners are strongly encouraged to engage in self-directed learning related to the impact of implicit biases in this clinical area via the references provided below:
SDoH/CLC:
Social Determinants of Health (SDOH)/Cultural or Linguistic Considerations: Anglin, Deidre M., et al. "From womb to neighborhood: a racial analysis of social determinants of psychosis in the United States." American Journal of Psychiatry 178.7 (2021): 599-610.

Implicit Bias Considerations (as it relates to the content): Garb, Howard N. "Race bias and gender bias in the diagnosis of psychological disorders." Clinical Psychology Review

Target Audience

Nurse Practitioner (NP)

Nurse, Registered (RN)

Physicians (MD or DO)

Physician Assistant (PA)

Psychologists

Social Workers

Other Healthcare Professionals

Students of Health Professions

Learning Objectives

After attending this activity, learners will be able to:
1. Describe the treatment objectives in the psychotherapy of a case of chronic psychosis.
2. Discuss the conceptualization of what one is observing in such a case, as described in the psychoanalyst DW Winnicott’s seminal paper, “Fear of Breakdown.”
3. Recognize how the therapist’s use of these ideas enabled the patient to make significant progress over a period of two years.

Course summary

Available credit:

1.50 AMA PRA Category 1 Credit™
Physician Credit
Sutter Health designates this Live activity for a maximum of 1.50 AMA PRA Category 1 Credit™ for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
1.50 Non-Physician Participation Credit
Sutter Health designates this Live activity for a maximum of 1.50 Non-Physician Participation Credit. Non-Physicians should claim only the credit commensurate with the extent of their participation in the activity.
AMA PRA Category 1 Credits HOURS™ Continuing Medical Education is acceptable for meeting the continuing education requirements for Pharmacists, Physician Assistants, Psychologists, Registered Nurses, and Respiratory Care Practitioners. For other disciplines, please check with the regulatory board for your discipline to confirm what type of credits meet the continuing education requirements. Continuing education hours for nurses accredited by ANCC, via Joint Accreditation.
1.50 ANCC
Nursing Credit - American Nurses Credentialing Center (ANCC)
Sutter Health designates this Live activity for a maximum of 1.50 ANCC contact hour(s). Nurses should claim only the credit commensurate with the extent of their participation in the activity.
1.50 ASWB-ACE
Social Work Credit
As a Jointly Accredited Organization, Sutter Health is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.50 continuing education credits.
1.50 CA BRN
Nursing Credit - California Board of Registered Nursing (CA BRN)
This activity is approved for 1.50 contact hour(s) by Sutter Health, which is an approved provider by the California Board of Registered Nursing. (Provider Number 17182). Nurses should claim only the credit commensurate with the extent of their participation in the activity.
1.50 IPCE
This activity was planned by and for the healthcare team, and learners will receive 1.50 Interprofessional Continuing Education (IPCE) credit for learning and change.

Course opens:

11/17/2025

Course expires:

12/17/2025

Event starts:

11/17/2025 - 12:00pm PST

Event ends:

11/17/2025 - 1:30pm PST

Add to calendar:

Rating:

Disclosure of Financial or In-Kind Commercial Support & Conflict of Interest

Jonothon Gross, M.D., a member of the planning committee for this activity, disclosed “Other Securities” in multiple publicly traded pharmaceutical companies, including Pfizer, Novartis, Merck, Johnson & Johnson, Gilead, Eli Lilly, and Novo Nordisk. These were determined to be equivalent to publicly traded stock. Since these financial relationships are not relevant to the content of this educational activity, which focuses on Transcranial Magnetic Stimulation (TMS), a device-based therapy, no mitigation was necessary.

No one else involved in the planning or presentation of this educational activity have any relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. No financial or in-kind commercial support was received to produce or promote this educational activity.

– Provider Designee/Verification: Fozia Ferozali, Ed.D.

Committee Member(s)