MISSING IN ACTION: The Analyst's Intersubjective Collision with Unsymbolized Thought and Unrepresented Mental States
This is a virtual event, accessible online. Access instructions will be provided after registration.


Course Overview: 

In response to participants from “Locating Unrepresented Thought” in Spring 2017, we’re elaborating on the interrelationship between intersubjectivity, unrepresented states, and unsymbolized thought and offering more clinical examples of the extended use of the analyst’s mind. We will talk about a relational, intersubjective view whereby thoughts are made from the interactions between subjects. We draw from Ferenczi’s semiotics theory (Aron and Harris, 1997), delineating the progression of symbolization from action to thought: when the capacity for thought is disrupted, the internal object is present as an unsymbolized object in an unrepresented state. The analytic collision with the unsymbolized is then taken up by Ferenczi (1932) and Botella and Botella (2005). We will discuss their emphasis on the importance of making an extended use of the analyst’s mind, such as “working as a double.”


Course Objectives: 

At the end of this course participants will be able to:

  • In their work with their patients, participants will be able to apply intersubjective theory to concepts of unrepresented and unsymbolized thought.
  • Participants will analyze and implement a greater use of the analyst's mind in "working as a double" in the clinical setting.
  • Participants will be able to describe a nonsymbolic object by learning to differentiate symbolization (word-thoughts) from introjection of objects, and apply these concepts in their clinical work.


Empirical Reference: 

  • Fonagy, P. (2015). The effectiveness of psychodynamic psychotherapies: an update. World Psychiatry14, 137–150.
  • Ortigo, K. M, D. Westen, J. A. DeFife, et al. (2013). Attachment, Social Cognition, and Posttraumatic Stress Symptoms in a Traumatized, Urban Population: Evidence for the Mediating Role of Object Relations.  Journal of Traumatic Stress26(3), 361–368. doi: 10.1002/jts.21815.



Rose Gupta, Psy.D., LCSW, is a psychoanalyst and consultant in San Francisco and a member of PINC. Since 2007, she has presented papers on trauma, unrepresented states, and nonsymbolic objects at IPA, IARPP, IPFE, Division 39 of APA. Her latest paper, “Finding Frankenstein,” was presented at the 2018 Sandor Ferenczi Conference in Florence, Italy.

Mali A. Mann, M.D., is a child and adult psychoanalyst and psychiatrist who practices in Palo Alto and San Francisco. Dr. Mann is SFCP faculty, training and supervising analyst, and a clinical professor at Stanford, where she teaches medical ethics. She is also the Chair of IPA’s Inter-committee on Child Abuse. Her most recent book, Psychoanalytic Aspects of Assisted Reproductive Technology, received several awards.


Target Audience & Level: 

This course is for psychologists, psychiatrists, psychoanalysts, licensed clinical social workers, licensed marriage, family, child counselors, school and mental health counselors with moderate to extensive clinical experience.


Education Committee

Shannon Rogers, MFT, Chair

Stephanie Chen, Ph.D.
Julia Conant, Psy.D.
Morgan Lloyd, LCSW
Cameron Murphey, MFTi
Anna Zozulinsky, MS

Continuing Education

Production Date:


Price: $300.00