Extension Course: Shame and Conflict in Practice

Course Description

Instructor

Ian Buckingham, M.D.

April 9 – 30, 2026
Thursdays, 8:30 – 10:00 pm

Pay $210 fee and Register here!

Please note registration will close on April 9 at 2 pm.

6 Contact Hours. 6 CME/CE credits offered. See details below.

Course Description

Clinical practice requires an approach to dealing with the affects that arise in treatment. The course examines the development of theories of affects and their application in clinical work with particular attention to the affect of shame. Clinical material will be provided by the participants and supplemented when necessary with clinical examples provided by the instructor. This course is open to clinicians of all levels of experience.

Dr. Ian Buckingham was formerly President of NYPSI and Director of NYPSI’s Psychodynamic Psychotherapy Program. He is also on the faculty of NYPSI and NYU Medical Center.

Educational Objectives: Upon completion of this activity, participants should be able to:

  1. Describe the meanings of shame as phenomena and action.
  2. Describe and critically evaluate the role of affect in compromise formation.
  3. Evaluate the particular roles of shame in symptom formation and identify psychotherapeutic strategies for working with patients with shame as a particular problem.

Continuing Education Information

Psychologists
New York Psychoanalytic Society & Institute is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY – 0073.
New York Psychoanalytic Society & Institute is approved by the American Psychological Association (APA) to sponsor continuing education programs for psychologists. New York Psychoanalytic Society & Institute maintains responsibility for this program and its content.
DISCLOSURE: None of the planners or presenters of this CE program has any relevant financial relationships to disclose.

Social Workers

New York Psychoanalytic Society & Institute is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0317.


Physicians
ACCME Accreditation Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of American Psychoanalytic Association and New York Psychoanalytic Society & Institute. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians.
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AMA Credit Designation Statement
The American Psychoanalytic Association designates this live activity for a maximum of [6] AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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Disclosure Statement
The APsA CE Committee has reviewed the materials for accredited continuing education and has determined that this activity is not related to the product line of ineligible companies and therefore, the activity meets the exception outlined in Standard 3: ACCME’s identification, mitigation and disclosure of relevant financial relationship. This activity does not have any known commercial support.

Cancellation Policy: Full refund will be granted only if registrant cancels prior to course. Please contact the Administrative Director at

Schedule of Classes & Course Readings

These articles are protected under relevant copyright regulations. They are available in the New York Psychoanalytic Society & Institute Electronic Reserve for your convenience, and for your personal use.

READINGS ARE CONFIRMED.

I. Shame as an Affect

CLASS 1: April 9, 2026

Freud mentioned Shame in a number of writings which are briefly summarized by Wurmser. A more recent account of affects as understood in Conflict Theory is provided by Brenner in The Mind in Conflict.

REQUIRED READINGS

Brenner, C. (1982). The Mind in Conflict. New York: International Universities Press. (Read Chapters 3 – 5)

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Wurmser, L. (1981). The Mask of Shame. United Kingdom: Johns Hopkins University Press. (Read pp. 146-148)

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SUPPLEMENTAL READINGS

Freud, S. (1905). Three Essays on the Theory of Sexuality (1905). The Standard Edition of the Complete Psychological Works of Sigmund Freud, Volume VII (1901-1905): A Case of Hysteria, Three Essays on Sexuality and Other Works, 123-246.

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II. The Calamities of Childhood, The Superego and Modern Conflict Theory

CLASS 2: April 16, 2026

Shame and Guilt are fundamental affects in aspects of mental life related to conscience and morality. Their relation to conflict is described by Brenner in The Mind in Conflict. A later paper outlines a view of Modern Conflict Theory.

REQUIRED READINGS

Brenner, C. (1982). The Mind in Conflict. New York: International Universities Press. (Read Chapters 6-8)

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Brenner, C. (2008). Aspects of Psychoanalytic Theory: Drives, Defense, and the Pleasure-Unpleasure Principle. Psychoanal Q., 77(3):707-717.

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SUPPLEMENTAL READINGS

Brenner, C. (1998). Beyond the Ego and the Id Revisited. J. Clin. Psychoanal., 7(1):165-180.

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Brenner, C. (2002). Conflict, Compromise Formation, and Structural Theory. Psychoanal Q., 71(3):397-417.

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III. Alternative Theories of Shame

CLASS 3: April 23, 2026

Alternative theories of Shame have been expounded by proponents of Self-Psychology and by followers of Melanie Klein. Some writings on these theories will be explored.

REQUIRED READINGS

Morrison, A.P. (1983). Shame, Ideal Self, and Narcissism. Contemp. Psychoanal., 19:295-318.

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Steiner, J. (2015). Seeing and Being Seen: Shame in the Clinical Situation. Int. J. Psycho-Anal., 96(6):1589-1601.

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IV. Shame and Conflict

CLASS 4: April 30, 2026

Papers by Rothstein are employed as the launching pad for a discussion of the roles of Shame and Guilt in current Conflict Theory.

REQUIRED READINGS

Rothstein, A.M. (1994). Shame and the Superego: Clinical and Theoretical Considerations. Psychoanal. St. Child, 49:263-277.

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SUPPLEMENTAL READINGS

Carr, E.M. (1999). Wounded But Still Walking: One Man’s Effort to Move Out of Shame. Psychoanal. Inq., 19(3):289-308.

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Rothstein, A. (1999). Shame Conceived from the Perspective of Compromise Formation Theory. Psychoanal. Inq., 19(3):332-346.

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ADDITIONAL SUPPLEMENTAL READINGS FOR THE COURSE

Weiss, H. (2015). Introduction: The Role of Shame in Psychoanalytic Theory and Practice. Int. J. Psycho-Anal., 96(6):1585-1588

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Wille, R. (2014). The Shame of Existing: An Extreme form of Shame1. Int. J. Psycho-Anal., 95(4):695-717

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Wurmser, L. (2015). Mortal Wound, Shame, and Tragic Search: Reflections on Tragic Experience and Tragic Conflicts in History, Literature, and Psychotherapy. Psychoanal. Inq., 35(1):13-39

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Schiller, B. (2021) Siblings, sex, and shame: The film Shame (2011). International Journal of Psychoanalysis 102:603-616

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Lansky, M. R. (2019) “England Hath Long Been Mad”: Declamatory Outcry and Prescient Dream in Richard III. Psychoanalytic Quarterly 88:377-404

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Kilborne, B. (2019) On Dreams, Imaginative Knowing and Not Knowing: Appearance, Identity, and Shame. American Journal of Psychoanalysis 79:1-16

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