Brown Psychodynamic Psychotherapy Program Psychotherapy Division of the Columbia Psychoanalytic Center Syllabus

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1 Brown Psychodynamic Psychotherapy Program Psychotherapy Division of the Columbia Psychoanalytic Center Syllabus Introduction and Formulation Anna Schwartz and Holly Schneier 09/21/15 Psychodynamic formulation 09/28/15 New candidates dinner- no class 10/05/15 Psychodynamic formulation 10/12/15 Columbus Day- no class Beginning the Treatment Sonia Kulchucky and Judit Lendvay 10/19/15 Beginning the treatment-practical considerations 10/26/15 Beginning the treatment-psychodynamic aspects Models of the Mind Rebecca Chaplan 11/02/15 Modern ego psychology 11/09/15 Object relations theory 11/16/15 Self psychology Relational Perspectives Susan Vaughan and Alison Brown 11/23/15 Relational perspectives 11/30/15 Relational perspectives

2 Transference and Countertransference David Lindy and Dionne Powell 12/07/15 Transference 12/14/15 Transference II 12/21/15 Winter break, no class 12/28/15 Winter break, no class 01/04/16 Countertransference I: Diagnostic use of the self 01/11/16 Countertransference II: Restraint and self-disclosure 01/18/16 MLK Day- no class The supportive-expressive continuum Andreas Kraebber 01/25/16 Supportive interventions: what, why and when 02/01/16 Support vs. interpretation Short-term Dynamic Psychotherapy Alan Barasch 02/08/16 SDTP 1 02/15/16 Presidents Day- no class 02/22/16 STDP 2 02/29/16 (Leap Year!) STDP 3 03/07/16 STDP 4 TFP Transference-focused psychotherapy (TFP) Peter Bookstein and Sonia Kulchycky 03/14/16 TFP 03/21/16

3 TFP 03/28/16 TFP Deepening the process I Chris Allegra and David Gutman 04/04/16 Unconscious fantasy 04/11/16 Enactments 04/18/16 Dreams 04/25/16 Spring break- no class Deepening the process II Aneil Shirke 05/02/16 Resistance 05/09/16 Working through 05/16/16 Stalemates and impasses 05/23/16 Termination planned and unplanned Schwartz and Schneier 06/06/16 Wrap-up

4 Psychodynamic Psychotherapy Program Psychotherapy Division of the Columbia Psychoanalytic Center Syllabus Introduction and Formulation - Anna Schwartz and Holly Schneier 09/21/15 Psychodynamic formulation 09/28/15 New candidates dinner- no class 10/05/15 Psychodynamic formulation Class I: 9/21 Perry S, Cooper A, Michels R. The Psychodynamic Formulation: Its Purpose, Structure, and Clinical Application. Am J Psychiatry 144:5, May 1987 Cabaniss D, Cherry S, Douglas C, Graver R, Schwartz A. Psychodynamic Formulation. Wiley- Blackwell, Chapters 1-3, pp Class II: 10/5 Cabaniss et al, Introductions to Parts 2, 3 and 4, and "Putting It Together- A Psychodynamic Formulation"-- pp , 75-79, , Beginning the Treatment Sonia Kulchucky and Judit Lendvay 10/19/15 Beginning the treatment-practical considerations Gabbard, Long Term Psychodynamic Psychotherapy: A Basic Text, chapter 3: The Nuts and Bolts of Psychotherapy: Getting Started Optional: Schlesinger, H. Chapter 8, From listening to interpretation in The Texture of Treatment Schafer: The Analytic Attitude Chapter 1 and Chapter 2 (only until page 28)

5 10/26/15 Beginning the treatment-psychodynamic aspects Cabaniss et al, Developing a therapeutic alliance, chapter 9 (pp ) in Handbook of dynamic therapy for higher level personality pathology. Models of the Mind 11/2, 11/9 and 11/16 Readings for this segment are taken from: Mitchell, Stephen A. and Black, Margaret J., Freud and Beyond, A History of Modern Psychoanalytic Thought, Basic Books I recommend that you buy the book (it costs about $12 new on Amazon). I think you will enjoy it and will also want to read other chapters I haven t assigned. I ve also given you short excerpts from Auchincloss and Samberg, Psychoanalytic Terms and Concepts, Yale University Press. The optional readings for the second two classes are good examples of how the different models are put to use clinically. The Pine paper is not optional, but something to think about over the course of all three classes I listed it for the 21 st but we will probably discuss it on the 4 th. 11/2/15 Modern ego psychology Mitchell and Black, Freud and Beyond, A History of Modern Psychoanalytic Thought, Basic Books, chapter 2 Auchincloss and Samberg, Psychoanalytic Terms and Concepts, Yale University Press, Ego pp Pine, F. (1988). The Four Psychologies of Psychoanalysis and their Place in Clinical Work. J. Amer. Psychoanal. Assn., 36: /9//15 Object relations theory Mitchell and Black, Freud and Beyond, A History of Modern Psychoanalytic Thought, Basic Books, chapter 4 Auchincloss and Samberg, Psychoanalytic Terms and Concepts, Yale University Press. Object Relations Theory pp Optional: LaFarge, L. (2000). Interpretation and Containment. Int. J. Psycho-Anal., 81:67-84

6 11/16/15 Self psychology Mitchell and Black, Freud and Beyond, A History of Modern Psychoanalytic Thought, Basic Books, chapter 6 Auchincloss and Samberg, Psychoanalytic Terms and Concepts, Yale University Press. Self, Self in Self Psychology, Self Psychology and Selfobject pp Optional: Kohut, H. (1972). Thoughts on Narcissism and Narcissistic Rage. Psychoanal. St. Child, 27: Relational Perspectives Susan Vaughan and Alison Brown 11/23/15 : Required: Introduction, Chapter's 1 and 2 from Stephen Mitchell's Hope and Dread in Psychoanalysis... Suggested: Aron, Lewis (1996). The relational orientation: an introduction. In, A meeting of minds: mutuality in psychoanalysis( pp. 1-30). Harris, A. (2011). The Relational Tradition: Landscape and Canon. JAPA, 59: /30/15: Required: Greenberg, J. (2001). The Analyst's Participation: A New Look. J. Amer. Psychoanal. Assn., 49: Spezzano, C. (1995). "Classical" versus "contemporary" theory - the differences that matter clinically. Contemporary Psychoanalysis, 31:20. Transference and Countertransference David Lindy and Dionne Powell For the next four classes we will view a brief segment from the HBO series In Treatment. This 30 minute documentary from 2009, only briefly available to the public, provides segments from season 2, along with interviews of real therapists and patients. If not familiar with the series you may want to review season 2 although not necessary or a requirement. In addition we have

7 assigned the Stephen Grosz book that we'll excerpt throughout the course. This book should be a part of every therapist s library as Grosz with intimacy and vulnerability (and minimal psychobabble) places the reader within the therapist s mind for all our benefit. Our task as psychodynamic psychotherapist's Grosz describes: At one time or another, most of us have felt trapped by things we find ourselves thinking or doing, caught by our own impulses or foolish choices; ensnared in some unhappiness or fear; imprisoned by our own history. We feel unable to go forward and yet we believe that there must be a way. I want to change, but not if it means changing, a patient once said to me in complete innocence. Because my work is about helping people to change, this book is about change. And because change and loss are deeply connected - there cannot be change without loss - loss haunts this book. (Preface) The transference-countertransference exchange leads to change within our patients and frequently within our selves. 12/7/15 Transference Freud, S: Remembering, Repeating and Working-Through. SE XII: (1914) Freud, S: The Dynamics of Transference. SE XII: (1912). Auchincloss, EL & Samberg E.: Psychoanalytic Terms & Concepts. Transference Yale University Press, (2012) Grosz, S.: The Examined Life: How we Lose and Find Ourselves. Norton & Co., 2013, 1-10, 67-70, 81-85, /14/15 Transference II Joseph, Betty, Transference: The Total Situation, 1985, IJP 66: Cooper, A. Changes in Psychoanalytic Ideas: Transference Interpretation.JAPA, 35:77-98 (1987) Cabaniss D., et al, Psychodynamic Psychotherapy: A Clinical Manual. Wiley-Blackwell. (2011) Transference, Grosz, S.: The Examined Life: How we Lose and Find Ourselves. Norton & Co., 2013, 39-43, 86-90, /04/16 Countertransference I Freud, S. (1915) Observations of Transference Love SE XII, ( ), Sandler, J: Countertransference and Role-Responsiveness. International Review of Psychoanalysis, 3: (1976)

8 Auchincloss, EL & Samberg E.: Psychoanalytic Terms & Concepts. Countertransference. Yale University Press. (2012) Grosz, S.: The Examined Life: How we Lose and Find Ourselves. Norton & Co., (2013), 44-54, 63-66, /11/16 Countertransference II Kernberg, O: Notes on Countertransference. JAPA, 13:38-56 (1965). Renik, O: Playing One's Cards Face up in Analysis: An Approach to the Problem of Self- Disclosure. Psychoanalytic Quarterly 68: (1999). Gabbard, G: Sexual Excitement and Countertransference Love in the Analyst. JAPA 42: , (1994). Cabaniss D., et al, Psychodynamic Psychotherapy: A Clinical Manual. Wiley-Blackwell. (2011), Chapter 22 Countertransference, Grosz, S.: The Examined Life: How we Lose and Find Ourselves. Norton & Co., (2013), , , The supportive-expressive continuum Andreas Kraebber 01/25/16 Supportive interventions: what, why and when Lawrence Rockland, "Supportive Therapy: A Psychodynamic Approach," Basic Books, NY, 1989 Chapter 5: Goals, Strategies, Techniques, p Chapter 6: Transference, p Chapter 7: Countertransference, p

9 02/01/16 Support vs. interpretation Chapter 11: Supportive Therapy in Practice: Narcissistic Personality with Paranoid Trends, p (only) Chapter 13: Mechanisms of Therapeutic Action, p Chapter 14: Choosing the Appropriate Supportive-Exploratory Mix, p Short-term Dynamic Psychotherapy Alan Barasch 02/08/16 SDTP 1 02/15/16 Presidents Day- no class 02/22/16 STDP 2 02/29/16 (Leap Year!) STDP 3 03/07/16 STDP 4 Please read BOTH of the first two papers before the first seminar. (Thank you.) We will discuss the Lombardo case in detail February 8 and 22nd An Outline of Brief Psychodynamic Therapy A Case Example of BDP History of contributors to brief dynamic therapy Goals of the treatment Opening phase: selection, focus, the offer Middle phase: deepening of focus, handling of transference End phase: focus and transference in the context of the time limit

10 Case Example: We will begin a detailed discussion of the Lombardo case example beginning in the first seminar and continuing in the second seminar. Reading: Marmor, J: Short Term Dynamic Psychotherapy. Am J Psychiatry 136: , 1979 Lombardo, I: Case Presentation. Grand Rounds, PI, 6/4/1999 (unpublished manuscript) February 29 The concept of Corrective Emotional Experience BDP from the Relational Point of View Franz Alexander and the corrective emotional experience; the therapist s role in actively disconfirming the patient s pathological relationship expectations and providing a new experience Hans Strupp s cyclic maladaptive pattern : the patient s active role in causing a repetitive interpersonal pattern We will discuss Alexander s Case A and Strupp s case example, which I call Just a very ordinary life Reading: Alexander, F: Demonstration of flexibility and the principle of corrective emotional experience, Psychoanalytic Therapy (New York, 1946) Strupp, H: Clinical illustration of the assessment process and the development of a focus, Psychotherapy in a New Key (Basic Books, 1984)

11 March 7 Time and Termination in brief psychotherapy BDP from the Existential Point of View James Mann s time limited therapy, the existential approach in psychiatry, the importance of limits, loss, and finiteness. The centrality of self image and separation themes in the focus, time and termination in brief therapy. We will discuss the Case of Rose pages Reading: Messer, S and Warren, CS: Chapter 4, An integrative model: Mann, Models of Brief Psychodynamic Therapy (Guilford Press, 1995) Schafer, R: The Termination of Brief Psychoanalytic Psychotherapy. Int J Psychoanalytic Psychotherapy 2,2, ,1973 TFP Transference-focused psychotherapy (TFP) Peter Bookstein and Sonia Kulchycky 3/14/16 Clarkin, et al. Psychotherapy for the borderline personality: focusing on object relations Chapters 1 & 2 3/21/16 Clarkin, et al. Psychotherapy for the borderline personality: focusing on object relations, Chapter 4 & 6 3/28//16 Caligor, et al. The interpretive process in the psychoanalytic psychotherapy of Borderline Personality pathology. JAPA, 2009, 57, Deepening the process I Chris Allegra and David Gutman 04/04/16: Dreams The readings for the class are all excerpts from The Interpretation of Dreams: S.E. Vol. IV: pp , pp , pp S.E. Vol. V: pp

12 04/11/16 Unconscious fantasy 1) Arlow, J.A. (1969). Unconscious Fantasy and Disturbances of Conscious Experience. Psychoanal Q., 38: ) Cabaniss: Unconscious Conflict and Defense Chapter 23 Note for the class: Please read through the Cabaniss chapter first - it lays out the basic principles of unconscious fantasy in a straightforward way. Also, please note that the Arlow paper, a real classic, was written in 1969 from an ego psychological perspective. Things have changed a great deal since 1969, so keep that historic perspective in mind. It's still a great read. 04/18/16 Enactments Roughton, R. (1993): "Useful Aspects of Acting Out: Repetition, Enactment, and Actualization JAPA, 41: Chused, J. (1991): "The Evocative Power of Enactments", JAPA, 39: /25/16 Spring break- no class Deepening the process II Aneil Shirke 05/2/16 Working through Freud, S., (1914). Selection from Remembering, repeating and working-through (Further recommendations on the technique of psycho-analysis Standard Edition, vol 12, pp Greenson, R. (1967). The Technique and Practice of Psychoanalysis, vol. 1, pp Fromm-Reichman, F. (1950). Principles of Intensive Psychotherapy, pp /9/16 Resistance Schlesinger, H., (2003). The Texture of Treatment, pp (Note: if you were in the course last year, please skim this article to refresh yourself and concentrate on the other readings) Greenson, R. (1967). The Technique and Practice of Psychoanalysis, pp and

13 Sandler, J., Dare, C., Holder, A. (1973). The Patient and the Analyst, pp /16/16 Stalemates and Impasses Freud, S. (1937). Analysis Terminable and Interminable, Standard Edition, vol. 23, pp Schlesinger, H., (2005). Endings and Beginnings, pp /23/16 Termination, planned and unplanned Schlesinger, H., (2005). Endings and Beginnings, pp Glick, R.A. (1987). Forced Terminations, J. Amer. Acad. Psychoanal., 15: Schwartz and Schneier (may be revised) 06/06/16 Wrap-up Grosz, S.: The Examined Life: How we Lose and Find Ourselves. Norton & Co., 2013, 44-54, ,

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