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410 Psychoanalytic Process: Initiating, Deepening the Analytic Process, Termination – 7 seminars

Seminar Leaders: C. Lunney, MD and D. Traub-Werner, MD

Course Description

Initiating an analysis is complex and multi-layered. The patient population has changed. The seminar will focus on recommending psychoanalysis and establishing a working alliance with the Unrepresented States of Mind.

Course Objectives

At the end of this course, candidates should be able to:

  1. Diagnose unrepresented states of mind.
  2. Conceptualize diverse presentations in unrepresented states of mind.
  3. Conduct a successful initial psychoanalytic interview with patients that present with unrepresented states of mind.
  4. Initiate psychoanalysis and establish a working alliance with unrepresented states of mind.
  5. Learn how to use countertransference in unrepresented states of mind.
  6. Learn how to interpret in unrepresented states of mind.

Seminar 1: Initiating Psychoanalysis with Difficult Patients

Required Reading

Howard Levine, Gail Reed and Dominique Scarfone (2013). Unrepresented States and The Construction of Meaning. Published by Routledge, New York and Oxford (2018).

  • Chapter 1: Introduction: From a Universe of Presence to a Universe of Absences (pp 3-17).
  • Chapter 2: An Empty Mirror: Reflections on Nonrepresentation (pp 18-41).

Complementary Reading

Sandler, J. Dare, C. Holder A. (1973). “The Clinical Situation” (pp. 21-26) in The Patient and The Analyst. International University Press. (There is a 2011 updated edition printed by Karnac ISBN-13: 978-0823640317).

Brenner, C. (1979). Working Alliance, Therapeutic Alliance, And Transference. Journal of American Psychoanalytic Association, 27S(Supplement):137-157.

Etchegoyen, R.H. (1999). “The psychoanalytic interview: development” (pp. 50–59); in The Fundamentals of Psychoanalytic Technique. London: Karnac Books.

Ehrlich, L.T. (2013). Analysis Begins in the Analyst’s Mind: Conceptual and Technical Considerations on Recommending Analysis. Journal of American Psychoanalytic Association, 61(6):1077-1107.

Reith, B. (2011). The specific dynamics of initial interviews: Switching the level or opening a meaningful space. European Federation of Psychoanalysis: Bulletin 64(Suppl.):57-80 (will make available).

Seminar 2: Working with Difficult Patients

Required Reading

Howard Levine, Gail Reed and Dominique Scarfone (2013). Unrepresented States and The Construction of Meaning. Published by Routledge, New York and Oxford (2018).

  • Chapter 3: The Colourless Canvas: Representation, Therapeutic Action and the Creation of Mind (pp 42-71).

Complementary Reading

Sandler, J. Dare, C. Holder A. (1973). “The Treatment Alliance” (pp. 27-36) in The Patient and The Analyst. International University Press. (There is a 2011 updated edition printed by Karnac ISBN-13: 978-0823640317).

Meissner, W.W., S.J. (1992). The Concept of the Therapeutic Alliance. Journal of American Psychoanalytic Association, 40:1059-1087.

Etchegoyen, R.H. (1999). “The initial stage” (pp. 605–613); in The Fundamentals of Psychoanalytic Technique. London: Karnac Books.

Bernard Reith, (2018) Beginning Psychoanalysis: On the Process of Initiating Psychoanalysis. London: Karnac. Chapter 5: Facing the storm and creating psychoanalytic space: the vicissitudes of the analytic couple in first interviews (pp. 62-87).

Rothstein, A. (1998) On Beginning with a Reluctant Patient. In On Beginning an Analysis Ed. Jacobs T. and Rothstein, A. IUP Press pp. 153-162.

II Mid phase: Analytic Process, Therapeutic Action and Deepening the analytic process

Seminar 3

Analytic Process and Therapeutic Action

Required Reading

Nacht, S. (1962). The curative factors in psychoanalysis. Part II. International Journal of Psychoanalysis, 43(4-5), 206-211.

Weinshel, E. M. (1984). Some observations on the psychoanalytic process. Psychoanalytic Quarterly, 53, 63-92.

Arlow, J.A. and Brenner, C. (1990). The psychoanalytic process. Psychoanalytic Quarterly, 59, 678-692.

Seminar 4

Deepening the analytic process

Required Reading

Killingmo, B. (1989). Conflict and deficit: Implications for technique. International Journal of Psychoanalysis, 70, 65-79.

Ehrlich, L.T. (2010). The analyst’s ambivalence about continuing and deepening an analysis. Journal of American Psychoanalytic Association, 58, 515-532.

III Termination

Seminar 5

Termination major papers

Required Reading

Freud, S. (1937). Analysis terminable and interminable. In The Standard Edition of the Complete Psychological Works of Sigmund Freud Vol. 23 (pp. 210-253).

Balint, M. (1950). On the termination of analysis. International Journal of Psychoanalysis, 31, 196-199.

Buxbaum, E. (1950). Technique of terminating analysis. International Journal of Psychoanalysis, 31,184-190.

Klein, M. (1950). On the criteria for the termination of an analysis. International Journal of Psychoanalysis, 31, 78-80; 204.

Reich, A. (1950). On the termination of analysis. International Journal of Psychoanalysis, 31, 179-183.

Seminar 6

Contemporary Concepts of Termination

Required Reading

Ticho, E. (1972). Termination in psychoanalysis: treatment goals, life goals. Psychoanalytic Quarterly, 41, 315-333.

Gabbard, G. (2009). What is “good enough” termination? Journal of American Psychoanalytic Association, 57, 575-594.

Seminar 7

Post-termination Contact

Required Reading

Schachter, J. et al. (1997). Clinical experience with psychoanalytic post-termination meetings. International Journal of Psychoanalysis, 78, 1183-1198.

Kantrowitz, J. (1990).   Follow-up of psychoanalysis five to ten years after termination: Part II: Development of the self-analytic function. Journal of American Psychoanalytic Association, 38(3), 637-678.

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