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IC Theory Syllabus PSYCHOANALYTIC PSYCHOTHERAPY STUDY CENTER OF NORTH CAROLINA CURRICULUM FOR FALL 2005 INTRODUCTION TO PSYCHOANALYTIC PRINCIPLES Theory Course Coordinator: Harold Kudler, M.D. Dodson Conference Room, Fourth Floor White Zone, Duke University Medical Center, South Theory Course Objectives: To promote the understanding of psychoanalysis and psychoanalytic psychotherapy by introducing: theoretical and practical contexts for psychoanalytic concepts principles of psychoanalytic listening and formulation theories of psychoanalytic intervention an integrated approach to descriptive and psychoanalytic concepts of mental disorder Texts: Bruch, Hilda (1974) Learning Psychotherapy: Rationale and Ground Rules. Harvard University Press, Cambridge, MA (available in hardcover or paperback). Sullivan, Harry Stack (1970) The Psychiatric Interview. WW Norton & Co., New York (paperback). Gabbard, Glenn O. (2005) Psychodynamic Psychiatry in Clinical Practice: Fourth Edition. American Psychiatric Press, Washington, DC (Not needed until midway in the course. A group discount is possible). DATE SUBJECT September 12 The Beginnings of a Psychoanalytic Treatment: We begin our discussion of psychoanalytic psychotherapy by considering how a psychotherapy begins. What are the indications for treatment? What qualities should patient and therapist bring to this encounter? What is going to make this a “psychoanalytic psychotherapy”? Reading: Bruch, Preface, Chapter 1 (pp. vii-18) September 19 [Double Session - Mr. Meyer] September 26 [Note that Dr. Kudler will teach the during the 8 pm- 9:30 pm slot this evening] A Brief Introduction to Psychoanalytic Theory: A summary of psychoanalytic concepts of health and illness, individual and social development. As little jargon as humanly possible but a chance to develop shared vocabulary and some basic concepts. Reading: Bruch, Chapter 2 (pp. 19-38) October 3 No Meeting (Rosh Hashanah) October 10 [Double Session- Dr. Kudler] Psychoanalysis Beyond the Couch: Applying psychoanalytic principles in work with the patient's family, the hospital staff, and in the context of treatment with psychoactive medications. Reading: Bruch, Chapter 3 (pp. 39-56) The Therapeutic Relationship: Understanding the many levels of communication in a psychoanalytic psychotherapy: verbal, nonverbal, transferential and countertransferential. Distinguishing and developing the “real relationship”. Reading: Bruch, Chapter 4 (pp. 57-81) October 17 Listening and Speaking: What is it that the therapist needs to do? Issues of style and content, feelings and ideas. How does theory get operationalized as therapy? Reading: Bruch, Chapter 5 (pp. 82-100) October 24 Career-Long Learning and Development: The uses of supervision, continuing education, and self-directed study. A consideration of supervision as therapy and therapy as supervision. A review of available programs for developing therapeutic skill. Reading: Bruch, Chapters 6 and 8 (pp. 101-117, 143-150) October 31 [Tentative- will depend on class decision about whether to meet on Halloween] The Course of Treatment: An overview of the phases of a psychoanalytic treatment including the beginnings of transference, indications of progress, working through, and termination. This session will include time to recapitulate and reflect on Bruch's perspective. Reading: Bruch, Chapter 7 (pp. 118-142) November 7 [Double Session - Dr. Kudler] The Interpersonal Field: Over the next few weeks, we will follow Sullivan's exploration of the psychotherapeutic process as it begins with expectations, shared information, and an evolving relationship between patient and therapist. Reading: Sullivan, Preface, Introduction and Chapter 1 (pp. vii-25) Developing a Frame: The theory behind technique in structuring and developing a psychotherapeutic interview. Reading: Sullivan, Chapters 2, 3, and 4 (pp. 26-88) November 14 [Double Session - Mr. Meyer] November 21 The Interview as a Process: An approach to understanding what it is that the therapist needs to know about the patient and how the therapist comes to know it. Reading: Sullivan, Chapters 5 & 6 (pp. 89-129) November 28 Building on the Assessment: At the close of the initial assessment, both patient and therapist have a lot more information about what brought the patient to seek treatment. They may also have new ideas about each other. What now? Reading: Sullivan, Chapters 9, 10, & Conclusion (pp. 198-230) December 5 Basic Principles of Dynamic Psychotherapy: Understanding what is meant by dynamic psychiatry”. When is it appropriate to apply a dynamic perspective to psychiatric problems? Reading: Gabbard, Introduction, Chapter 1 (pp. xv-28) HOLIDAY BREAK (We are tentatively scheduled to restart on January 9) |
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