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Curriculum for Training in Adult Psychoanalysis ------------------------------------------------------------------------------- Students taking the full complement of courses during any year may receive 50 Category I Continuing Medical Education credits for that year from the American Medical Association. However, candidates utilizing this mode of acquiring CME credits cannot utilize any other mode. FIRST YEAR COURSES Students entering the Institute will matriculate in these courses. PSYCHOANALYTIC THEORY COURSES 100. INTRODUCTION TO PSYCHOANALYSIS Richard Weiss, M.D. This course will identify the various, characteristic ways in which psychoanalysts have theorized about: Development, Mental Organization, Psychopathology and Treatment. Longstanding controversies will be identified as they have recurred in varying forms throughout the history of psychoanalysis. The course is not organized as an introduction to the various psychoanalytic schools of thought but rather to the issues around which they have organized. 101. EARLY THEORIES OF SYMPTOM FORMATION: STUDIES ON HYSTERIA Edith McNutt, M.D. Studies on Hysteria, along with other early papers, will be used to demonstrate Freud’s introduction and development of fundamental clinical and theoretical concepts and the evolution of his early theory of symptom formation. Dr. Naemi Stilman will assist Dr. McNutt. 102. DREAM ANALYSIS AND THE DEVELOPMENT OF THE TOPOGRAPHIC MODEL OF THE MIND Margaret M. Gilmore, M.D. This course proceeds along an historical continuum to examine the clinical data from which Freud developed the topographic model of the mind, as presented in The Interpretation of Dreams. We will begin with an exploration of Freud’s early model of neurotic symptom formation, as derived from his work with Hysteria. We will then proceed to uncover Freud’s understanding of the place of screen memories and dreams in psychic functioning. We will study the role of memory, psychological conflict, forgetting, and censorship in the formation of dreams. We will deal with such concepts as the unpleasure principle, regression, and the primary and secondary processes of mental functioning. These concepts will be related to current themes in the analytic literature. Dr. Adele Tutter will assist Dr. Gilmore. 103. THE DEVELOPMENT OF FREUD'S THEORY OF THE INSTINCTUAL DRIVES AND THE EGO: 1905-1920 Mervyn M. Peskin, M.D. Starting with the “Three Essays” and concluding with “Beyond the Pleasure Principle,” the course will study the development of Freud’s theory of the Instinctual Drives as elements of innate motivation, critically affecting the vicissitudes of early development and the genesis of conflict and compromise in the mind. The role played by drives in the development of object relationships and in narcissism will be examined. Problems inherent in Freud’s replacing the duality of libidinal vs. self preservative instincts with that of life vs. death and the accompanying abandonment of the powerful Darwinian connection, will be discussed. Lastly, difficulties that arose in regard to the topographic theory, which led to the development of the ego concept, will be examined. The relevance of this material to current studies of brain/mind will be touched on. Dr. Ian Buckingham will assist Dr. Peskin. CLINICAL TRACK 104. INTRODUCTION TO PSYCHOANALYTIC LISTENING Alan Zients, M.D. This course provides participants with an opportunity for presenting and discussing clinical cases. Utilizing material from patients in psychotherapy, each student will prepare a brief clinical summary in addition to process notes from several hours. The complex relationship between theoretical belief and what is focused upon when listening to the patient will be delineated. An emphasis will be placed on the various modes of psychoanalytic listening and how these might or might not differ from listening to patients in psychotherapy. Students will become more familiar with how their classmates listen to and conceptualize clinical material. PSYCHOANALYTIC TECHNIQUE 105. PSYCHOANALYTIC TECHNIQUE I: ASSESSMENT AND BASIC CONCEPTS Albert M. Sax, M.D. In preparation for beginning the first analytic case, students will read and discuss some of the literature on indications and assessment of analyzability. Analytic attitude, the analytic situation, and analytic listening will also be discussed along with ideas about transference. During the course each student will meet individually with preceptors to discuss cases (either from the Treatment Center or private) which will then be presented for discussion in class. Techniques of consultation, diagnostic evaluation, and conversion from psychotherapy to psychoanalysis will also be discussed. Dr. Christian Maetzener will assist Dr. Sax. 106. PSYCHOANALYTIC TECHNIQUE II: BASIC CONCEPTS; BEGINNING PHASE Herbert M. Wyman, M.D. This course will for most students lead up to the beginning of the first analytic case. It aims to develop in the student a solid grasp of the essential principles of psychoanalytic technique, with special reference to the initial phases of analysis. Technical literature from Freud to the present will be reviewed, with an emphasis on basic papers of clinical content. Topics to be considered include: the Analytic Situation; Transference; Countertransference; Interpretation; Beginning the Analysis; Conversion from Psychotherapy; Special Problems of the Student Situation; Early Phase Difficulties such as Acting out, Silence, Use of Medication, Technical Clichés; Basic Aspects of Abstinence vs. Self-Disclosure; The Analytic Instrument; Introduction to Dream Analysis. Clinical case material will be used throughout as provided by the instructor, the students, and the case records of the Hartmann Supervisory Seminars. Dr. Carmela Perri will assist Dr. Wyman. CHILD DEVELOPMENT TRACK 107A. INFANCY AND EARLY CHILDHOOD Wendy Olesker, Ph.D. Clinical and observational data are used to examine normal and pathological development and functioning in children from a number of perspectives: the basic core, object relations, the self, gender identity, superego precursors, psychic structure formation, psycho-sexual development. Emphasis is given to the complex role of identification and internalization in development; to the emergence of intrapsychic conflict; and to the factors that hamper satisfactory resolution of conflict. Emphasis will also be given to oedipal phase conflicts, with case presentations demonstrating normal and pathological conflict resolution. Dr. Alexander Kalogerakis will assist Dr. Olesker. 107B. LATENCY AND PRE-ADOLESCENCE Anna Balas, M.D. This course will focus on the psychoanalytic understanding of development from the resolution of the Oedipus Complex to puberty. We will study ego development, character formation and the elaboration of defensive structure based upon the increasing complexity of ego function and the crystallization of the super-ego. The similarities and differences in development during latency in boys and girls will be discussed. A major goal will be to demonstrate how the developmental issues of latency appear clinically in the analyses of both adults and children. Dr. Mary Sickles will assist Dr. Balas. 107C. ADOLESCENCE Sally D. Clement, Ph.D. The goal of this course is to broaden your knowledge of the psychoanalytic understanding of adolescent development. Following a review of the papers that shaped the early psychoanalytic understanding of adolescent development, we will examine several concepts that are key to a current analytic understanding of the adolescent period: identification and identity, separation from parents and the movement toward adulthood and adult sexuality, the consolidation of the superego and the ego ideal, and the defensive use of action in adolescence. In our final two meetings, we will focus on the transition from late adolescence to young adulthood and on manifestations of adolescent conflict in adulthood. During three of our meetings, child analytic colleagues will join us to illustrate our theoretical discussion with clinical presentations. 108. WRITING DESCRIPTIONS OF PSYCHOANALYTIC PROCESS I Carmela Perri, Ph.D. This course is the introduction to the Writing sequence. Candidates will complete short clinical or non-clinical writing samples. The initial focus of the clinical writing exercises will be on descriptions of countertransference experiences. 109. PSYCHOANALYSIS AND NEUROSCIENCE Mark Solms, Ph.D. The aim of this course is to acquaint candidates with the historical, conceptual, and scientific relationship between psychoanalysis and neuroscience. In 2008-2009, fourth year candidates will also take this course. SECOND YEAR COURSES One case in supervised psychoanalysis is required to be eligible for second year courses. PSYCHOANALYTIC THEORY 201. FREUD'S CASE HISTORIES Richard M. Gottlieb, M.D. Freud’s major case histories: “Dora,” “Little Hans,” “The Rat Man,” and “The Wolf-Man” will be read and discussed in their several contexts. These case reports will be situated within the evolution of psychoanalytic thought, as examples of its scientific and polemical writing, as among its documents of discovery, as literature, and as fundamental to a literacy in psychoanalysis. Dr. David Pollens will assist Dr. Gottlieb. 202. FREUD'S FINAL MODEL: PSYCHOANALYTIC THEORY FROM 1923-1939 Arnold Rothstein, M.D. Freud’s final model of the mind, as communicated in The Ego and the Id and Inhibitions, Symptoms and Anxiety, is the main focus of the course. Additional readings from Freud, Anna Freud and W. Reich which stress the evolution of a more complex conception of defense are considered. These writings herald the development of ego psychology with its emphases on the analysis of defense and character. Dr. Robert Smith will assist Dr. Rothstein. 203. THE DEVELOPMENT OF FREUD'S THEORY OF THE INSTINCTUAL DRIVES AND THE EGO: 1905-1920 Mervyn Peskin, M.D. Ian Buckingham, M.D. See Course 103. 204. EVOLUTION OF THE STRUCTURAL THEORY:1939 - PRESENT Leon Balter, M.D. This course considers current clinical and theoretical developments in the structural theory. Particular emphasis will be given to psychoanalysis as a general psychology and to contemporary problems in the theory of the superego. Dr. Eric Weitzner will assist Dr. Balter. 205. THE ROLE OF THE OBJECT IN PSYCHOANALYTIC THEORY David Milrod, M.D. This course will focus on the role of “the object” and “the self” in psychoanalytic theory. Pertinent readings will underscore the implicit and explicit importance of the object in the early history of psychoanalytic theory. The gradual and parallel development of the object and the self, and their psychic representations, will be discussed. This will lead to a study of identification processes and of object relations. The special identification involved in superego formation will be explored. In connection with all of these elements, cathectic and decathectic processes will be studied, including the unique deployment of cathexes in the Oedipal phase, and threats of extreme decathexis of the object or the self in cases of severe psychopathology. Dr. Brian Aslami will assist Dr. Milrod. CLINICAL TRACK 206A. CONTINUOUS CASE SEMINAR IA Theodore J. Jacobs, M.D. The seminar will introduce students to clinical psychoanalytic work by means of ongoing process notes from a beginning case, presented weekly. Based on knowledge gained in courses #105 and #106, and on their own clinical experience, students will have the opportunity to actively discuss the clinical situation as it unfolds. Topics will include modes of analytic listening, the formulation and timing of analytic interventions, as well as problems of the initial phase of analysis. 206B. CONTINUOUS CASE SEMINAR IB Sherwood Waldron, Jr. M.D. Recordings from an analysis conducted by a senior analyst many years ago will illustrate the establishment of treatment in the early phase, the complexity of the middle phase as various threads of transference and countertransference become fully visible and partially analyzed, and finally the alteration in patient functioning both within the analysis and outside as the analysis draws to its conclusion. The case studied provides a platform for the discussion of the role of transference, and further provides an opportunity to consider the evolution of technique over the past generation. PSYCHOANALYTIC TECHNIQUE 207. PSYCHOANALYTIC TECHNIQUE III: BASIC CONCEPTS AND MIDDLE PHASES Frances Cohen, M.D. This course will address core topics in clinical theory and technique -- Transference, Countertransference, Therapeutic Alliance, Neutrality, Interpretation, Reconstruction, Resistance, and Insight. The readings and discussions will take up beginning and middle phases and use clinical material from the students’ cases and cases provided by other analysts. Dr. Gilda Sherwin will assist Dr. Cohen. CHILD DEVELOPMENT SEQUENCE 208. INTRODUCTION TO CHILD PSYCHOANALYSIS Ruth K. Karush, M.D. This course is an introduction to child psychoanalysis from historical, theoretical, technical and clinical perspectives. There will be a consideration of how child analysis informs the work of the adult analyst. The contributions of Anna Freud, Berta Bornstein, Melanie Klein, and D.W. Winnicott will be studied and the special techniques of working with children including the centrality of play will be explored. Clinical cases will be reviewed both to clarify the theoretical points and to show the child analyst at work. Dr. Daniel Prezant will assist Dr. Karush. WRITING SEQUENCE 209. WRITING DESCRIPTIONS OF PSYCHOANALYTIC PROCESS II Deborah Barchat, Ph.D. In this course, candidates will be asked to write descriptions of analytic process. This may include: the observation and interpretation of a resistance and the patient’s response; the interpretation of transference; transference/countertransference interactions. THIRD YEAR COURSES Two cases in supervised psychoanalysis are required to be eligible for third year courses. PSYCHOANALYTIC THEORY 301. CONTROVERSIES AND THE FATE OF THE OBJECT IN POST FREUDIAN THEORIES Francis Baudry, M.D. The aim of the course is to provide students with a methodology to assess the relevance and value of theories at variance with the classical point of view. We will try to answer such questions as: what problems are the new theories trying to remedy and how successful are they? Klein and her followers, Bion, Winnicott, Loewald, Andre Green and some French Psychosomaticists presented by Dr. Christine Anzieu-Premmereur will be among the authors studied. Mr. M. Nasir Ilahi will present some case material and also introduce the work of some contemporary Kleinians. Dr. Sarah Paul will assist Dr. Baudry. 302. EVOLUTION OF THE THEORY OF NARCISSISM Henry Nunberg, M.D. This course places the theory of narcissism into the context of overall psychoanalytic theory. It begins with the introduction into psychoanalytic theory by Freud of primary narcissism, and proceeds through the period of the “Two Principles” through “On Narcissism,” through the place of narcissism in structural theory. Early description of the narcissistic personality provides a background for consideration of Ferenczi’s efforts to treat difficult patients. We consider in turn Balint, derived from Ferenczi, and Winnicott, and proceed to consider Jacobson’s pivotal role, and continue with more recent authors. Class discussion will attempt a critical assessment of the many approaches to the topic. Dr. Josephine Wright will assist Dr. Nunberg. CLINICAL TRACK 303. CONTINUOUS CASE CONFERENCE II (Alternate Adult/Child Cases) (Adult) Ronda Shaw, M.D. (Child) Steven Wein, M.D. In this continuous case conference, a child case presentation will alternate with an adult case presentation. Discussion of the analytical material of the cases will emphasize clinical theory and technique. *Combined with Course 405 for the 2008-2009 year. 304. ETHICS IN CLINICAL PRACTICE Robert S. Grayson, M.D. The course will start with a brief review of some general principles. What do we mean by ethical and unethical? In practice, how do we determine whether troublesome actions are unethical, illegal, incompetent, or some combination of these? The concept of boundary violations and boundary crossings will be emphasized. Confidentiality will be considered as an important ethical issue. We will utilize the case-study method -- some cases garnered from the literature and some from situations that the candidates have encountered in their own practices or observed in others. TECHNIQUE TRACK 305. PSYCHOANALYTIC TECHNIQUE IV: Problems in Later Phases & Termination;Ego Psychology and Technique Antonio Beltramini, M.D. This course continues the chronological progression of the Technique Track by focusing on problems of the later phases of analysis. Topics will include: The Very Long Analysis; Chronic and Severe Depressions; Severe Character Pathologies; The Stalemated or Interminable Analysis. A special section on the impact of Ego Psychology on technique will trace the history of defense analysis from pressure to compromise formation and will study the contributions of Kris and Fenichel. The clinical case material will be provided by the instructor and the students. Dr. Michele Press will assist Dr. Beltramini. PSYCHOPATHOLOGY TRACK 306A. THE NEUROSIS Peter B. Dunn, M.D. This course will introduce the Psychopathology Track with an overview of psychoanalytic diagnosis. We will review the newly issued Psychodynamic Diagnostic Manual, contrasting the psychoanalytic nosology of the PDM with the psychiatric nosology of the DSM-IV. The specific focus on the neurosis will include a review of the phenomenology and psychodynamics of the major neurotic character styles and the classical neurotic symptoms. The seminal literature on the hysterical, obsessional, and masochistic character neurosis will be reviewed in light of current psychoanalytic conceptions of these disorders. This course will be open to fourth year students. Dr. Richard Brent will assist Dr. Dunn. 306B. BORDERLINE CONDITIONS AND PARANOIA Irene Cairo, M.D. The course will consider the main clinical aspects of borderline conditions and paranoid states, highlighting their differentiation. To that end we start from an understanding of early mental organization and describe its pathological deviations as they are relevant to our subject. Departing from Freud we will consider major theoretical approaches to these conditions, mainly through papers by Klein, Rosenfeld, Segal, and Bion. We will also refer to Fonagy, Kernberg, Gabbard, and other contemporary authors. Clinical material will be used throughout the course. 306C. DEPRESSIVE STATES Jean Roiphe, M.D. This course will critically examine clinical and theoretical aspects of depression including the classical perspectives of Abraham, Freud, and Rado, Klein’s theory of a depressive position, Jacobson’s structural/developmental view, and Brenner’s theory of depressive signal affect. A psychoanalytic and neurobiological perspective on affect theory will be introduced along with some examination of the nature of moods. Other topics include aspects of depressive predisposition and special technical problems in the treatment of depression such as transference issues and the combined use of medication and psychoanalysis. Clinical material will be used throughout the course to illustrate concepts. Dr. Daria Colombo will assist Dr. Roiphe. RESEARCH TRACK 307. EMPIRICAL APPROACHES TO PSYCHOANALYTIC THINKING Leon Hoffman, M.D. Following a “critical thinking” model, this course will address current controversies about the place of psychoanalysis among the sciences. Is it sui generis, one of the biological sciences, or is it a non-scientific intellectual endeavor? Usual scientific methods generate “public” raw data which can be scrutinized and re-evaluated by others in the field. How does one reconcile this scientific requirement with the case history method (i.e., inferences based on essentially “private” data)? In what way are recordings of sessions useful? What are the differences between the case history approach and the single-case research design method? What is the value for psychoanalysis and the mental health field of laboratory studies which evaluate (confirming or disconfirming) basic psychoanalytic concepts? We will discuss these questions as well as the current status in psychoanalysis of outcome research, process research, single-case design studies, and the implications for psychoanalysis of the “Empirically Supported Treatment” controversy. Dr. Jane Algus will assist Dr. Hoffman. WRITING SEQUENCE 308. WRITING DESCRIPTIONS OF PSYCHOANALYTIC PROCESS III Richard Gottlieb, M.D. The ability to communicate clearly in writing about psychoanalytic clinical work is indispensable though not easily acquired. How can we best understand, frame, and describe the events that take place in the course of an analysis - in writing? This course will serve as an introduction to clinical authoring. Candidates will be required both to read (from selected literature) and to write (from their own experiences) about clinical psychoanalytic work. The course is, in part, a practicum, during which candidates will produce their own narratives of clinical process for discussion by the class and instructor. FOURTH YEAR COURSES Two cases in supervised psychoanalysis are required to be eligible for fourth year courses. PSYCHOANALYTIC THEORY 401. PSYCHOANALYTIC PRINICIPLES Eslee Samberg, M.D. Underlying all levels of psychoanalytic thought are some basic organizing principles about the way the mind works. Such principles include unconscious mental activity, conflict and compromise, multiple function, and defense. These principles will be examined through the study of transference and how its conceptualization has changed over time. The relationship of theoretical to clinical principles such as neutrality, abstinence and the free associative method will also be considered. Readings will include Freud’s papers on transference, several contemporary commentaries on Freud’s transference love paper and other papers that highlight some current controversies in the field. Dr. Lincoln Hess will assist Dr. Samberg. 402. RELATIONAL PSYCHOANALYSIS AND INTERSUBJECTIVITY Carl Kleban, M.D. Selected readings from current psychoanalytic literature will be studied with the intent to familiarize students with the wide range of theoretical views represented in contemporary theoretical debates. The emphasis will be on the trend toward relational and intersubjective theories in American psychoanalysis. Recent contributions dealing with the effects of neuroscience on analytic theory will also be considered. Dr. Susan Jaffe will assist Dr. Kleban. CLINICAL TRACK 403. DREAMS IN CLINICAL PRACTICE Edward Nersessian, M.D. A seminar on the theory and technique of dream interpretations with regard to the specific requirements of clinical psychoanalysis. Dr. Douglas Van der Heide will assist Dr. Nersessian. 404. ASSESSMENT OF ANALYZABILITY John F. Crow, M.D. This seminar will use analytic case material presented by invited graduates, faculty, and students to explore complex issues surrounding analyzability and its assessment. The course is designed for advanced candidates whose substantial analytic experience enables a more sophisticated examination of this important but often inadequately considered phase of psychoanalytic practice. Dr. Richard Lacy will assist Dr. Crow. 405. CONTINUOUS CASE CONFERENCE III (Alternate Adult/Child Cases) (Adult ) Ronda R. Shaw, M.D. (Child) Steven J. Wein, M.D. In this continuous case conference, a child case presentation will alternate with an adult case presentation. Discussion of the analytical material of the cases will emphasize clinical theory and technique. *Combined with Course 303 for the 2008-2009 year. PSYCHOANALYTIC TECHNIQUE TRACK 406. TECHNIQUE V: TERMINATION* Robert Lupi, M.D. This course will examine the termination phase of psychoanalysis. It will begin with an exploration of various views of the goals of analysis as a conceptual basis for the discussion of determining when the analytic process is approaching the termination phase. Some of the issues to be covered, through the use of clinical vignettes and selected readings, are differentiating between interruption and termination, obstacles to termination, various technical innovations aimed at surmounting the obstacles, and techniques of initiating and managing the termination phase. *Also open to post fourth year students. 408. APPLICATION OF PSYCHOANALYTIC TECHNIQUE VI Manuel Furer, M.D. Variations and similarities of contemporary technique will be explored. Familiarity with alternative theories is expected. Exponents of different approaches to technique will be invited to participate in discussions of the candidates’ cases. These include contemporary relationists, self psychologists, contemporary Kleinians, and close process attention. Dr. Renee Welner will assist Dr. Furer. GENDER, PHANTASY, AND SEXUALITY TRACK 408A. GENDER Helene Keable, M.D. Freud’s theoretical concepts of female and male gender identity and sexuality are reviewed and recent clinical, theoretical and research contributions are studied, with an emphasis on revised views of female development and the impact of such changes on understanding analytic data. Current elaborations of male development are also explored. Dr. Robert Penzer will assist Dr. Keable. 408B. UNIVERSAL PHANTASIES Salvatore Lomonaco, M.D Universal themes that arise over the course of development and influence the nature and function of phantasies will be studied. These will include Pre-Oedipal, Oedipal-derived phantasies, and themes of Death and Immortality. Dreams will be used as a basis for understanding the structure and meaning of phantasies. Themes of childhood and screen memories are used to approach phantasies as “early history.” The kinship to myths will be explored as well as the use of myths as vehicles for universal phantasies. Finally, the role of phantasies-myths in shaping the personality will be studied. Clinical material will be used throughout the course. 408C. SEXUALITY AND PERVERSIONS Edward S. Hartmann, M.D. Henry C. Mallard, M.D. The range of sexual inhibitions and disorders of genital functioning (and the regressive adaptations and defensive alignments central to perverse enactments, structure and character) are addressed through a review of the literature and via clinical illustration. WRITING SEQUENCE 409. WRITING DESCRIPTIONS OF PSYCHOANALYTIC PROCESS IV Kathy Berkman, M.D. The purpose of the class is to translate an understanding of analytic process into writing in the form of a case report. The written material will be refined over the length of the course with the help of all of the participants in the course. POST FOURTH YEAR COURSES All fifth year students will be required to attend the monthly Intake Committee of the Treatment Center and to complete one intake of a prospective Treatment Center patient. All sixth year students will be required to attend the monthly Affiliated Staff Conference at which psychoanalytic treatments are presented and discussed by graduate members of the Institute. In the event that a candidate is eligible for graduation during their fifth or sixth year, these requirements will be automatically suspended. Any candidate interested in taking an elective offered by the Columbia or NYU programs will still be free to do so. All students and members are welcome to attend courses and seminars in child and adolescent analysis whether or not they intend to specialize in child analysis. -------------------------------------------------------------------------------- Copyright © 2008 The New York Psychoanalytic Society and Institute • info@nypsa.org |
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