From My Desk

When patterns repeat themselves this reliably, yet fall outside accepted frameworks, it is not the patients who feel wrong, it is the framework. That same question would later become painfully personal.

We know that true healing requires more than just intellectual insight. It requires a profound, often "catastrophic," change in the core organization of the Self. But how do we break the hold of a script that has been running since childhood?

I’m honored to be speaking at the 46th Annual International Conference of the International Association for Psychoanalytic Self Psychology (IAPSP) this October in Pasadena, CA. My presentation, “Altered States & Altered States: A Reverie,” will explore evolving perspectives on consciousness and psychoanalysis. 🗓️ Thursday, October 16, 2025 ⏱️ 4:15 PM PT 📍 Pasadena, California

A clinical presentation of why we fight the very change we seek. Saturday, June 7th 10:45 AM The New School for Social Research Room A510, Lang/Johnson Hall 66 West 12th Street, New York, NY Join Douglas and Julie Sahlein, LCSW, in this unique application of Bionian principles to a complex case.