San Francisco Center for Psychoanalysis




The Dialogues in Contemporary Psychoanalysis Program aims to foster meaningful discussion on major current trends in psychoanalysis — involving clinical practice, as well as psychoanalytic theory applied to topics such as politics, history, aesthetics, literature, film, gender, and development. Leading contributors present original work that is discussed by experts in that particular area. This program is intended for clinicians and others interested in psychoanalytic thinking.

DIALOGUES is excited to present a conversation between two eminent psychoanalysts — Robert Grossmark, Ph.D., and Riccardo Lombardi, M.D. 

In their respective clinical practices — a place of continuing creative discovery for each — Dr. Grossmark and Dr. Lombardi work with patients suffering from severe primitive disturbances, approaching these patients from quite different positions.


In this program, each analyst will present a case vignette. As part of their presentations, Dr. Grossmark will describe how he “companions” his patients through a flow of enactments to work through their painful psychotic states. Dr. Lombardi will describe his way of working through primitive emotions by fostering body-mind integration in difficult patients.  


Robert Grossmark works with individuals, couples, and groups, and teaches and supervises at the NYU Postdoctoral Program in Psychoanalysis in New York. Riccardo Lombardi is a psychiatrist, child and adolescent psychoanalyst, and Training and Supervising Analyst at the Italian Psychoanalytic Society in Rome.

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Suggested Readings:


Grossmark, R. (2018). Everything happens at once: The emergence of symmetric enactment. In The unobtrusive relational analyst: Explorations in psychoanalytic companioning (pp. 106—124)London: Routledge.


Lombardi, R. (2016). Through the eye of the needle: The unfolding of the unconscious body. In Formless infinity: Clinical explorations of Matte Blanco and Bion(pp. 62—87). London: Routledge. (Also in the Journal of the American Psychoanalytic Society, 2009, 57: 61—94.)