109: Deepening the Treatment

Course Description

Instructors

Lori Pellegrino, M.D.
Allison Lomonaco, M.D.

January 15, 2025 – February 26, 2025
Wednesdays, 7:00 – 8:20 pm

No class: 2/5

Course Description

The majority of patients for whom analysis would be the treatment of choice come to treatment seeking once or twice a week face to face psychotherapy. The purpose of this course is to provide the candidate with a frame of reference for deepening the treatment of such patients so that they develop over time from psychotherapy patients to analysands. Specific techniques for fostering the patient’s accessibility to psychoanalysis will be illustrated by class discussion of process notes from the practices of the instructors and the candidates.

Educational Objectives

Upon completion of this course, participants will be able to:

1) Distinguish the ways in which an exploratory, or “deep” therapy differs from a supportive therapy. Using clinical examples, illustrate the ways the therapist works to engage the patient, create the frame, and address resistances to deepening an understanding of the problems in living which led to treatment.
2) Specify how the unconscious, as a deeper level of the mind, is manifest in the patient’s presentation of material and the relationship to the therapist. Topics include the use of transference/countertransference, dreams, fantasies, memories, and free association to connect the patient’s past to present difficulties.

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).

Schedule of Classes & Course Readings

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 NOT YET CONFIRMED.

I. Introduction

CLASS 1: April 3, 2024
REQUIRED READINGS

Schafer, R. (1983). The analytic attitude: an introduction. In The Analytic Attitude (pp.3-13). New York: Basic Books.

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II. Setting up the Frame

CLASS 2: April 10, 2024
REQUIRED READINGS

Jacobs, T.J. (2001). Reflections on the Goals of Psychoanalysis, the Psychoanalytic Process, and the Process of Change. Psychoanal Q., 70(1):149-181.

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Hall, Jane S. (1998, edition 2014). Deepening the Treatment, Chapter 2: The First Meetings: The Consultation Phase. pp 43-64.

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III. Being with Patients

CLASS 3: April 17, 2024
REQUIRED READINGS

Davis, D.R. (2015). Moments of Meeting: A Self Psychological Approach. Int. J. Psychoanal. Self Psychol., 10(1):69-79.

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Ogden, T. H. (2018). How I Talk With My Patients. Psychoanalytic Quarterly, 87:399-413.

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IV. Further Ideas

CLASS 4: April 24, 2024
REQUIRED READINGS

Ehrlich, L.T. (2010). The Analyst’s Ambivalence about Continuing and Deepening an Analysis. J. Amer. Psychoanal. Assn., 58(3):515-532.

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Feldman, M. (2013). The Value of Uncertainty. Psychoanalytic Quarterly, 82:51-61.

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V. Countertransference/ Enactment and Deepening the Treatment

CLASS 5: May 1, 2024
REQUIRED READINGS

Schwaber, E. A. (1992). Countertransference: The Analyst’s Retreat from the Patient’s Vantage Point. International Journal of Psychoanalysis, 73:349-361.

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O’Shaughnessy, E. (2015). Chapter 9 Can a Liar be Psychoanalysed?. Inquiries in Psychoanalysis: Collected papers of Edna O’Shaughnessy, 87:118-132.

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SUPPLEMENTAL READINGS

Frank, K. A. (2020). Rethinking Therapeutic Action: Finding Commonalty in Diversity. Psychoanalytic Perspectives, 17:289-317.

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Winnicott, D. W. (1975). Chapter XV. Hate in the Countertransference [1947]. Int. Psycho-Anal. Lib., 100:194-203.

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VI. Psychotherapy to Psychoanalysis

CLASS 6: May 8, 2024
REQUIRED READINGS

Bassen, C. (1989). Transference-Countertransference Enactment in the Recommendation to Convert Psychotherapy to Psychoanalysis. International Review of Psychoanalysis, 16:79-92.

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Waska, R. & Brooks, L. (2008). Is it Psychoanalytic? The Clinical Concept of Analytic Contact. Canadian Journal of Psychoanalysis, 16:151-170.

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