Tragic Dilemma Between Shame and Guilt: Chekhov’s “The Death Of A Civil Servant” and Poe’s “The Tel-Tale Heart” | 5/5/2018


Class size is limited. Registration closes on Thursday, May 3, 2018.

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SKU: 18-0505/VonRaffay Category:


Valérie Rubinstein von Raffay, Ph.D.

May 5, 2018
10:00 a.m. – 12:00 p.m.

Course will be held in the LAISPS classroom
12011 San Vicente Blvd., Suite 520
Los Angeles, CA  90049

This Course is Approved for 2 CE/CME’s

Elizabeth E. Berlese, Ph.D.
Extension Program Chair


The duality and dialectic of shame and guilt, when taken to an extreme, can lead to a sense of fragmentation and annihilation.  To escape from feelings of weakness and humiliation in a more fragile ego passive suffering can turn into an abuse of power and sense of triumph, with the potential for destruction of the self or the other.  Drawing from clinical work and the stories of Chekhov and Poe, we examine some of the ways in which the capacity to tolerate shame and guilt can lead to a greater sense of integration and transformation.


Upon completion of this activity participants should be able to:

  • Differentiate between the concepts of shame and guilt.
  • Discuss Wurmser’s dialectic concept of shame and guilt, in which the two affects oscillate rapidly.  
  • Give two clinical examples of how the dialectic of shame and guilt is manifest in current clinical disorders.
  • Explain how the capacity to tolerate shame and guilt can lead to a greater sense of integration and transformation.


Important Disclosure: None of the planners or presenters of this CME/CE program has any relevant financial relationship to disclose.

Accreditation and Credit Designation Statement

Accreditation Statement: LAISPS is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical
edu cation for physicians. LAISPS takes responsibility for the content, quality and scientific integrity of this CME activity.

Physicians: LAISPS designates this educational activity for a maximum of 4 AMA PRA Category 1 Credits. Physicians should only claim credit
commensurate with the extent of their participation in the activity. This credit may also be applied to the CMA Certificate in Continuing Medical
Psychologists: LAISPS is approved by the American Psychological Association to sponsor continuing education for psychologists. LAISPS
maintains responsibility for this program and its content.
Social Workers and Marriage and Family Therapists: LAISPS is approved by the Board of Behavioral Sciences to grant continuing education
credit to those holding LCSW and MFT licenses. (Provider #PCE311) This activity is designated for 2 credit hours.

Please Note:

  • Participants must complete an online evaluation within 2 weeks of completing this CE/CME activity in order to receive credit.
  • According to APA guidelines, CE credit can only be awarded to psychologists for full attendance

Additional information