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Facing the Pain: Clinical Experience and the Development of Psychoanalytic Knowledge Analyst and patient alike face psychic pain in the clinical experience. How do such encounters in the consulting room inform the ways we develop psychoanalytic theory, and on a more fundamental level, the very groundwork of our knowledge? In addition, cultural and societal factors—such as the global economic crisis, political repression and upheaval—influence our patients and ourselves and affect our clinical work. This Congress will focus on how the psychoanalytic process is gradually transformed from the analyst’s initial and inchoate conceptualizations to more coherent and polished theories that can be communicated and possibly investigated by empirical methods. We have chosen to examine this process through the lens of three major topics that are prevalent in clinical practice today: 1. Depression in its many facets with its diverse underlying dynamics. 2. Disturbances of affect regulation which span a wide spectrum of disorders, such as those involving character formation, attentional deficits and what are broadly referred to as developmental disturbances. 3. Disruptions in the process of symbolization that are often prevalent in patients with psychosomatic symptomatology, societal and personal trauma, sexual dysfunctions and in disturbances of thinking. Each morning a Major Panel will revolve around a clinical paper that will consider one of these topics in depth. This presentation will be followed by two discussion papers. Post-panel discussion groups will be offered for further dialogue and reflection. Afternoon panels will include empirical research investigations on the highlighted topics; other panels will reflect the profound shifts on the socio-political landscape that have been shaped by historical events as well as by the current economic downturn. These discussions will seek to address the ways in which psychoanalytic practice impacts and is impacted by such changes. We aim to have a Congress where we can meet one other and reflect and discuss in an open and friendly atmosphere new dimensions of our clinical theory and practice, expanding what we know in our ongoing endeavour to deepen and extend our psychoanalytic understanding.