Clinical Observation/Three-Level-Model

A 3LM group10-14 psychoanalysts explore a Clinical Material with a brief history and detailed sessions from the opening, middle and end or recent phases of a long-term psychoanalysis. Participants have found that remarkable dialogues occur among analysts from different psychoanalytic cultures, and that surprising consensus on change in the patient and process can be reached through constructive discussion and debate, in working on the detailed session material guided by the 3LM.

The line-numbered Clinical Material is typed and sent to the participants. Group discussion is facilitated by an experienced Moderator and Reporter. The participant/analysts back up each comment/observation, by reading lines of the session verbatim, to show supporting evidence.

Margaret Ann Fitzpatrick Hanly PhD, FIPA, CRPO

Margaret Ann Fitzpatrick Hanly, PhD is a training and supervising psychoanalyst in the Canadian Institute of Psychoanalysis, in private practice in Toronto, Canada. She is Past-President of the Canadian Psychoanalytic Society and Associate Director of the Toronto Institute of Psychoanalysis, member of the International Psychoanalytic Association Committee on Clinical Observation, past Chair of the North American Working Party Steering Committee. Margaret Ann Fitzpatrick Hanly is on the Executive Editorial Board of the Psychoanalytic Quarterly, and on the editorial Boards of the International Journal of Psychoanalysis and Canadian Journal of Psychoanalysis. Among her publications are “Keats’s Oral Imagination: ‘Tis not through envy’” (Psychoanalytic Quarterly, 1986); “Sado-masochism in Charlotte Bronte’s Jane Eyre: ‘A Ridge of Lighted Heath’” (International Journal of Psychoanalysis, 1993); Editor, Essential Papers on Masochism (New York University Press, 1995); “Narrative, Now and Then: A Critical Realist Approach” (International Journal of Psychoanalysis, 1996); “Creativity and oedipal fantasy in Austen’s Emma” (International Journal of Psychoanalysis, 2003) “Masochistic Character and Psychic Change in Austen’s Mansfield Park”, (International Journal of Psychoanalysis, 2005); “Object Loss, renewed Mourning and Psychic Change in Jane Austen’s Persuasion”, (International Journal of Psychoanalysis, 2007); “Aesthetic Ambiguity and Sibling Jealousy in Austen’s Pride and Prejudice” (Psychoanalytic Quarterly, 2009); Chapter III “A Traumatized Patient in Analysis: Observing Patients’ Transformations” in Time for Change: Tracking Transformations in Psychoanalyses: The Three-Level Model (Karnac Press, 2014).

Kristine Klement, PhD, RP, FIPA, CRPO

Kristine Klement is a psychoanalyst and psychotherapist in private practice in Toronto. She is faculty in the School of Gender, Sexuality, and Women’s Studies at York University, and the Toronto Psychoanalytic Society & Institute. She has written on psychoanalytic supervision, the aesthetic and political histories of hysteria, psychoanalysis and #MeToo, and intersectional feminist pedagogy.