Appalachian Psychoanalytic Society
a local chapter of the Society for Psychoanalysis and Psychoanalytic Psychology (SPPP)
of the American Psychological Association
presents a
Saturday Morning Seminar
with
Joyce Cartor, PhD,
Leticia Flores, PhD,
and
Andrew Stewart, PhD,
with clinical case presentations by
Caroline Burkholder, RD, LPC/MHSP(T), CEDS
on
Rupture and Repair: A Live Supervision Panel Discussion
Saturday, December 12, 2026
8:30am - 12:10pm
3 CE credits available.
University of Tennessee Medical Center
Morrison Education and Conference Center
1924 Alcoa Highway
Knoxville, TN 37920
Description of Program
In this interactive, intermediate-level presentation, Caroline Burkholder, LPC/MHSP(T), an early-career clinician, will present several challenging cases, with particular attention to mistakes, moments of uncertainty, and therapeutic ruptures. A panel of three senior clinicians, each with different theoretical tilts, will provide live supervision, offering unique conceptualizations and guidance on how they may have understood and intervened in each case. Participants will have the opportunity to observe a dynamic discussion highlighting how different psychodynamic frameworks can inform the same clinical material, while modeling the collaborative process of clinical supervision.
The panel of supervisors will address the limitations of evidence on their perspectives as well as the risks associated with them.
AI was not used in any capacity to create the content of this presentation.
Live Supervisors
Joyce M. Cartor, PhD, has been a Clinical Psychologist in private practice in Knoxville since 1987 after completing the UT (Knoxville) Clinical Psychology training program and an internship at the Medical University of South Carolina. She has previously taught undergraduate psychology courses at Maryville College, Pellissippi State Community College and the University of Tennessee, and has supervised at UT’s Psychology Training Clinic. She was a founding member of APS and is currently its Past-President.
Leticia Flores, PhD, is a Clinical Professor in the Department of Psychology and the Director for the UT Psychological Clinic. Dr. Flores received her doctorate in Clinical Psychology at UT Southwestern Medical Center at Dallas, and completed a 2-year post-doctoral fellowship at the University of Washington in Seattle. Dr. Flores has taught courses in psychodynamic psychotherapy, ethics and multicultural issues in psychology, and has supervised graduate students in training clinics for over 20 years. Dr. Flores is a past President of the Association of Psychology Training Clinics (APTC); and a member of the American Psychological Association’s Society for the Psychology of Sexual Orientation and Gender Diversity (Div 44); the World Professional Association for Transgender Health (WPATH); the National Register for Health Service Providers in Psychology; and Knoxville’s Appalachian Psychoanalytic Society and the Knoxville Area Psychological Association.
Andrew Stewart, PhD, earned a BA in psychology from California State University, Northridge in 1985. He continued at CSUN for an MA in Community-Clinical Psychology in 1989, where he researched the social class and racial aspects of stereotyping. He earned a PhD in Psychology in 1995 from University of Tennessee, Knoxville. He completed an internship with Howard University Hospital, then a postdoctoral residency with the DC Mental Health Commission, and a postdoctoral fellowship in Adolescent Inpatient Psychiatry at Harbor-UCLA Medical Center.
Case Presenter
Caroline Burkholder, RD, LPC/MHSP(T), CEDS, is a registered dietitian and psychotherapist in private practice in Knoxville since 2023. She received her BA from Sewanee: University of the South in Political Science, her Master of Science in Nutrition Health Science from Georgia State University, and her Master of Arts in Counseling from Wake Forest University.
Schedule
This program, when attended in its entirety, is available for 3 continuing education credits.
8:30am Registration*
8:55am Welcome and Introduction*
9:00am Clinical Case I and Live Supervision.
10:30am Break*
10:40am Clinical Case II and Live Supervision.
12:10pm Complete Evaluations and Adjourn*
*CE credit is based on learning time and does not include these portions of the program.
Learning Objectives
After attending this intermediate-level program in full, participants will be able to:
1. Analyze complex therapeutic challenges, including ruptures, impasses, enactments, and boundary dilemmas, using psychoanalytic theory to formulate clinically appropriate interventions.
2. Distinguish three psychoanalytic conceptualizations of the same complex clinical material and use those conceptualizations to inform therapeutic interventions.
3. Evaluate clinical missteps and therapeutic difficulties through a psychoanalytic lens to identify alternative interventions and opportunities for refinement of clinical practice.
Participants
This program is open to all APS members and other interested mental health professionals who may not be members. It is not limited to individuals practicing in a predominately psychoanalytic mode. The material will be appropriate for clinicians with intermediate levels of experience and knowledge.
Registration Fees and Policies
BY December 7, 2026:
Professional Members and Scholar Members: $45
Non-members: $60
Early-Career Professional Members: $35
Graduate Student Members: Free.
AFTER December 7, 2026:
Professional Members and Scholar Members: $60
Non-members: $75
Early-Career Professional Members: $50.
Graduate Student Members: Free
Registration will close on December 11, 2026. Although walk-ins will be accepted, please register online at www.aps-tn.wildapricot.org in advance to assure adequate food and seating.
If you prefer to pay by check, please print the Program Registration form, and mail with your payment to:
Marisa Whitley, PhD
APS Treasurer
100 Forest Court
Knoxville, TN 37919.
Refunds honored with written/electronic notice at least 48 hours before date of program. Contact Marisa Whitley, PhD.
Contact the APS President Jenna Gilmore, PhD to negotiate fees, if needed.
Facility is accessible to persons who are physically challenged. If participants have special needs, we will attempt to accommodate them. Please address requests, questions, concerns and any complaints to Jenna Gilmore, PhD.
APS Membership
Eligible professionals can join APS or renew their membership for the 2026-2027 program year for $120. Scholars can join/renew for $80 and Early-Career Professionals can join/renew for $65. Graduate students may join or renew for $25.
American Psychological Association Approval Statement
The Society for Psychoanalysis and Psychoanalytic Psychology (SPPP) is approved by the American Psychological Association to sponsor continuing education for psychologists. SPPP maintains responsibility for this program and its content.
Continuing Education
This program, when attended in its entirety, is available for 3 continuing education credits. With full attendance (sign-in at start of program) and completion of a program Evaluation and Learning Assessment, a certificate will be issued. Psychologists will have their participation registered through SPPP. Partial credit is not available for partial attendance.
APS and SPPP are committed to conducting all activities in conformity with the American Psychological Association’s Ethical Principles for Psychologists. APS and SPPP are also committed to accessibility and non-discrimination in continuing education activities. Participants are asked to be aware of the need for privacy and confidentiality throughout the program. If program content becomes stressful, participants are encouraged to process these feelings during discussion periods. If there are grievances/complaints with the program, please contact APS President Jenna Gilmore, PhD. Please see SPPP’s Grievance policy on the APS website's Continuing Education Programs tab.
Selected References
Anderson, T. (2026) Post-Mutuality Ethic: Presence, Witnessing, and the Ethics of Non-Relation in Relational Psychoanalysis. Psychoanalysis, Self and Context 21:214-230.
Avital, S. (2026) A Qualitative Exploration of Psychoanalytically Oriented Psychotherapists' Subjectivity in Relation to Money Matters and the Implications Thereof on the Analytic Process. British Journal of Psychotherapy 42:76-99.
Bernstein, B. (2026) “What the Hell was That?”: On Non-Directive Play Therapy with Adolescents. Journal of Infant, Child, and Adolescent Psychotherapy 25:31-48.
Corbella V. Enactment: A necessary conceptual review. Int J Psychoanal. 2021 Feb;102(1):51-67. doi: 10.1080/00207578.2020.1796490. Epub 2020 Sep 4. PMID: 33952014.
Ingvardsen, Vemmelund L, Spaanheden, Moeslund AS, Steen, Høgenhaug S, & Østergård OK. (2026). Testing the alliance rupture repair model on two cases with successful and unsuccessful rupture repair: a task analytic validation study. Psychother Res., 12:1-17. doi: 10.1080/10503307.2026.2642109. Epub ahead of print. PMID: 41814859
Levenson, H., Gay, V., and Binder, J. L. (2023). Introduction and Overview of Deliberate Practice and Psychodynamic Therapy. In Deliberate Practice in Psychodynamic Psychotherapy (pp. 3–23). American Psychological Association. http://www.jstor.org.utk.idm.oclc.org/stable/j.ctv2v55m92.5
The Core Competencies in Psychoanalysis (2024). The American Board of Psychoanalysis.
Watkins, C.E. Jr. (2026). Integrating Developmental Understanding into Psychoanalytic Supervision: Siloed No More. Am J Psychoanalysis, 86(1):115-121. doi: 10.1057/s11231-025-09545-2. PMID: 41663596.
Watkins, C.E. (2019). Convergence, commonality, and context in psychoanalytic supervision. The Scandinavian Psychoanalytic Review, 42(1-2), 3-19.
Yerushalmi H. (2023). On the Search for Singularity in Supervision. Psychoanalytic Review, 110(2):195-218. doi: 10.1521/prev.2023.110.2.195. PMID: 37260306.
Contact
If participants have special needs, we will attempt to accommodate them. Please address requests, questions, concerns and any complaints to the APS President Jenna Gilmore, PhD.
There is no commercial support for this program nor are there any relationships between SPPP, APS, presenters, program content, research, grants or other funding sources that could reasonably be construed as conflicts of interest. During the program, the validity/utility of the content and risks/limitations of the approaches discussed will be addressed.