Working Clinically with Overwhelm: The Cost and Growth-Inducing Possibilities of Undoing the Self

Speaker: Avgi Saketopoulou, PsyD

This presentation begins with a summary of the theory of overwhelm, a way of conceptualizing working with intensity and excitation that is not about guarding the self (not about emotional regulation, not about protecting the ego from the drives) but which explores what becomes possible when one reaches the limit of what is bearable in oneself, when one follows the exigency of the unconscious. For the clinician, working with overwhelm is both a challenge and an art form: it requires us, as therapists, to make ourselves permeable to our patients in ways that make us exquisitely vulnerable and to take true risks the results of which cannot be guaranteed ahead of time.

To illustrate the difficulty, but also the extraordinary possibilities of such work, work that rends the self to allow something new to emerge, Avgi Saketopoulou, PsyD, will discuss the analysis of a Jewish patient whose encounter with the Palestinian genocide raised considerable anxieties and revived questions of identity, trauma, and intergenerational transmission. The clinical work–and the presentation–raise questions of ethics, of rethinking questions of intergenerational transmission and the debts it incurs, and the relation of the political to the psychic.