Course 305: Technique IV: Problems In Later Phases
Instructors
Antonio U. Beltramini, M.D.
Michele Press, M.D.
September 11 – December 11, 2024
Wednesdays, 8:40 – 10:00 pm
No class: 10/2, 11/27
Co-requisites
Candidates must have or have had at least two cases in supervised psychoanalysis to be eligible for upper level courses.
Course Description
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.
Course Objectives
After attending this course, participants should be able to:
- discuss and apply current techniques in modern ego psychology, such as contemporary conflict theory, in clinical psychoanalytic work with difficult cases.
- describe, select and apply modifications to technique with those who have chronic and severe depressions, narcissistic and borderline personalities, and psychosomatic disorders.
Evaluation Method
Each student’s participation in class discussion and his or her demonstration of understanding of the course objectives and reading material is assessed in a written evaluation by the instructor(s).
Continuing Education
15 contact hours/credits for course 305 in its entirety.
Physicians:
New York Psychoanalytic Society & Institute is approved by the American Psychological Association (APA) to sponsor continuing education programs for psychologists. New York Psychoanalytic Society & Institute maintains responsibility for these programs and their content.
Social Workers:
New York Psychoanalytic Society & Institute is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW – 0317.
These articles are protected under relevant copyright regulations. They are available in the New York Psychoanalytic Society & Institute Electronic Reserve for your convenience, and for your personal use.
READINGS ARE CONFIRMED.
I. The Evolution of Defense Analysis: Pressure to Compromise Formation
CLASS 1: September 11, 2024
REQUIRED READINGS
Freud, S. (1895) The Pressure Method S.E. 2: 267-272; 278-283 (The Abreaction Era)
Freud, S. (1917) Resistance and Repression. Lecture 17. S.E. 16: 286-294. (The Topographical Era)
Freud, S. (1925) Resistance and Anticathexis. S.E. 20: 157-160. (The Structural Era)
Freud, A. (1936) The Ego’s Defensive Operations Considered as An Object of Analysis. Ch. 3 pp. 30-34. In The Ego and the Mechanisms of Defense. New York, NY: IUP (Compromise Formation)
Brenner, C. (1976) Defense Analysis Ch. 3. pp. 59-78. In: Psychoanalytic Technique and Psychic Conflict. New York: NY (Compromise Formation)
II. Impact of Ego Psychology on Technique
CLASS 2: September 18, 2024
REQUIRED READINGS
Hartmann, H. (1951) Technical Implications of Ego Psychology. Psychoanal. Q. 20:31
Greenacre, P. (1970) Notes on the Influence and Contribution of Ego Psychology to the Practice of Psychoanalysis. Ch. 40 pp. 776-806. Emotional Growth Vol. II New York, NY: IUP.
III. Ego Psychology & Technique: Contributions of Otto Fenichel
CLASS 3: September 25, 2024
REQUIRED READINGS
Fenichel, O. (1941) Problems of Psychoanalytic Technique Trans: D. Brunswick. New York, NY: Psychoanalytic Quarterly Press. Ch. III: Dynamics and Economics of Interpretation and Ch. IV: Structural Aspects of Interpretation (or other choices by Instructor)
IV. Ego Psychology & Technique: Contributions of Ernst Kris
CLASS 4: October 9, 2024
REQUIRED READINGS
Kris, E. (1951) Ego Psychology and Interpretation in Psychoanalytic Therapy. Ch. 12, pp.237-251. In: Selected Papers. New York, NY: IUP.
Kris, E. (1951) The Development of Ego Psychology. Ch. 18. pp. 375-389. In Selected Papers. New York, NY: IUP.
V. Chronic and Severe Depressions
CLASS 5: October 16, 2024
REQUIRED READINGS
Jacobson, E. (1971) Transference Problems in the Psychoanalytic Treatment of Severely Depressive Patients. Ch. 12. pp. 284-301. In: Depression: Comparative Studies of Normal Neurotic and Psychotic Conditions. New York, NY: IUP.
Weinberger, J. (1964) A triad of Silence: Silence, Masochism and Depression. Int. J. Psychoanal. 45: 304-309.
VI. Regressions: Severe Disturbances
CLASS 6: October 23, 2024
REQUIRED READINGS
Calder, K. (rep.) 1956 panel. Technical Aspects of Regression During Psychoanalysis. JAPA 6: 552-559.
Boyer, L.B. (1989) Countertransference and Technique with Regressed Patients. Int. J. Psychoanal.70: 701-713.
Reed, G (2009) An Empty Mirror: reflections on nonrepresentation. Psa Quarterly 78: 1-26
VII. Narcissism and Technique
CLASS 7: October 30, 2024
REQUIRED READINGS
Kernberg, O.F. (1974) Contrasting Views on Treatment of Narcissistic Personality. JAPA 22: 255-267.
Sprueill, V. (1974) Theories of the Treatment of Narcissistic Personality. JAPA 22: 266-278.
Orgel, S. (1977) A Form of Acting Out in the Narcissistic Transference. Psychoanal. Q. 46: 684-685.
VIII. Borderline Personalities
CLASS 8: November 6, 2024
REQUIRED READINGS
Abend, Porder, Willick (1983) Transference and Technique, Chapter 7 in Borderline Patients: Psychoanalytic Perspectives. New York, NY, pp. 174-205.
Gabbard, G.O. (1989) On “Doing Nothing” in the Treatment of the Refractory Borderline Patient. Int. J. Psychoanal. 70: pp. 527-534.
IX. Psychosomatic Reactions/Negative Therapeutic Reactions
CLASS 9: November 13, 2024
REQUIRED READINGS
Asch, S.S. (1976) Varieties of Negative Therapeutic Reaction. JAPA 24: 363-407.
Sperling, M. (1967) Transference Neurosis in Patients with Psychosomatic Disorders. Psychoanal. Q. 36: 342-355.
Wilson, C.P. (1968) Psychosomatic Asthma and Acting Out. Int. J. Psychoanal. 49:330-333.
X. The Very Long (but Ongoing) Analysis
CLASS 10: November 20, 2024
REQUIRED READINGS
Adatto, C. (1995) The “Interminable” Analysis – Excerpts. pp. 139-148. J. Clin. Psychoanal. 4(2)
Willick, M. (1995) Obsessive Compulsive Disorder or Narcissistic Solution in an Obsessive Man? A Nineteen year Analysis in Progress. pp.149-168. J. Clin. Psychoanal. 4(2)
Solomon, J. (1995) A Clinical Study of the Effect of the Introduction of Medication on the Psychoanalytic Process in an Analysis of Long Duration. pp.169-184. J. Clin. Psychoanal. 4(2)
XI. The Stalemated or Interminable Analysis
CLASS 11: December 4, 2024
REQUIRED READINGS
Freud, S. (1937). Analysis Terminable and Interminable. S.E. 23: 209-254.
Arlow, J. (1987) Perspectives on Freud’s “Analysis Terminable and Interminable” after Fifty Years. pp. 73-88 in Educational Monographs No. 1. London: International Psychoanal. Asssoc.
Horowitz, M. H. (1987). Some Notes on Insight and its Failures. Psychoanalytic Quarterly, 56:177-196.
Rose, G. (1974). Some Misuses of Analysis as a Way of Life. Int. Rev. Psychoanal. 1(4) pp.509-515.
XII. Comparative Issues in Technique
CLASS 12: December 11, 2024
REQUIRED READINGS
Abend, Sander (2005) Analysing Intrapsychic Conflict: Compromise Formation as an Organizing Priniciple. Psychoanal. Q. 74:5-25.
Ferro, Antonino. (2006) Trauma, Reverie and the Field. Psychoanal. Q. 75:1045-1056.
SUPPLEMENTAL READINGS
Greenberg, J. (2018). Otherness and the Analysis of Action. Psychoanal Q., 87(2):287-302.
Hoglend, P. (2018). Insight into Insight in Psychotherapy. Am J Psychiatry; 175(10):923-924.
Jennissen, S., Huber, J., Ehrenthal, J.C. et al. (2018). Association Between Insight and Outcome of Psychotherapy: Systematic Review and Meta-Analysis. Am J Psychiatry, 175(10):961-969.