109: Deepening the Treatment
Instructors
Lori Pellegrino, M.D.
Allison Lomonaco, M.D.
January 20, 2027 – February 24, 2027
Wednesdays, 7:00 – 8:20 pm
If you are attending class remotely, please click here Passcode: 403660
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:
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).
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.
If you are attending class remotely, please click here Passcode: 403660
Readings for 2026-27 are not yet confirmed.
I. Introduction
CLASS 1: January 20, 2027
REQUIRED READINGS
Schafer, R. (1983). The analytic attitude: an introduction. In The Analytic Attitude (pp.3-13). New York: Basic Books.
Hall, Jane S (1998) Deepening the Treatment, Chapter 1: Setting the Stage – Providing the Structure (an Ongoing Process).
II. Setting up the Frame
CLASS 2: January 27, 2027
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.
Hall, Jane S. (1998, edition 2014). Deepening the Treatment, Chapter 2: The First Meetings: The Consultation Phase. pp 43-64.
III. Being with Patients
CLASS 3: February 3, 2027
REQUIRED READINGS
Davis, D.R. (2015). Moments of Meeting: A Self Psychological Approach. Int. J. Psychoanal. Self Psychol., 10(1):69-79.
Ogden, T. H. (2018). How I Talk With My Patients. Psychoanalytic Quarterly, 87:399-413.
IV. Further Ideas
CLASS 4: February 10, 2027
REQUIRED READINGS
Ehrlich, L.T. (2010). The Analyst’s Ambivalence about Continuing and Deepening an Analysis. J. Amer. Psychoanal. Assn., 58(3):515-532.
Feldman, M. (2013). The Value of Uncertainty. Psychoanalytic Quarterly, 82:51-61.
V. Countertransference/ Enactment and Deepening the Treatment
CLASS 5: February 17, 2027
REQUIRED READINGS
Schwaber, E. A. (1992). Countertransference: The Analyst’s Retreat from the Patient’s Vantage Point. International Journal of Psychoanalysis, 73:349-361.
O’Shaughnessy, E. (2015). Chapter 9 Can a Liar be Psychoanalysed?. Inquiries in Psychoanalysis: Collected papers of Edna O’Shaughnessy, 87:118-132.
SUPPLEMENTAL READINGS
Frank, K. A. (2020). Rethinking Therapeutic Action: Finding Commonalty in Diversity. Psychoanalytic Perspectives, 17:289-317.
Winnicott, D. W. (1975). Chapter XV. Hate in the Countertransference [1947]. Int. Psycho-Anal. Lib., 100:194-203.
VI. Psychotherapy to Psychoanalysis
CLASS 6: February 24, 2027
REQUIRED READINGS
Bassen, C. (1989). Transference-Countertransference Enactment in the Recommendation to Convert Psychotherapy to Psychoanalysis. International Review of Psychoanalysis, 16:79-92.
Waska, R. & Brooks, L. (2008). Is it Psychoanalytic? The Clinical Concept of Analytic Contact. Canadian Journal of Psychoanalysis, 16:151-170.
SUPPLEMENTAL READINGS
Hoffman, L. (2024). Addressing At-the-Moment Defenses against Painful Affects: A Core Mechanism of Change in Psychodynamic Treatment. Psychodynamic Psychiatry, 52(3): 305–326.