407: Technique VI: Termination

Course Description

Instructor

Adele Tutter, M.D., Ph.D.

May 8 – June 26, 2023
Mondays, 7:00 – 8:25 pm

No class: 5/29, 6/19

Co-requisites

Candidates must have or have had at least two cases in supervised psychoanalysis to be eligible for upper level courses.

Course Description

The overall organizing theme of this course will be issues of technique as they relate to termination. The aim of the course is to familiarize you with the various factors that need to be considered regarding the process of termination of an analytic treatment and the wide ranging opinions about these issues in the literature. The course will begin with a review of the concepts of the goals of an analytic experience—insight vs. change, conflict resolution vs. deficit repair that affect the assessment of when the goals have been reached. There will be some review of the research on the termination phase and its characteristics, Various aspects of the technical handling of termination—setting the date, the analyst’s stance, “weaning” will be considered. There will be a class on countertransference reactions. The last class will consider an example of an alternative model of termination.

The sessions will be conducted as a study group. Reading assignments will be kept short so that everyone will have read the readings and be prepared with comments and questions to discuss. Each week one candidate will be asked to prepare some case material relevant to that week.

Educational Objectives:

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

  1. describe theoretical and technical issues around the ending of analytic treatment.
  2. listen for and respond to material relating to ending treatment in process notes.

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 ARE CONFIRMED.

I. Introduction

CLASS 1: May 17, 2021
REQUIRED READINGS

Freud, S. (1937). Analysis Terminable and Interminable, Standard Edition, vol.23, pp.211-253.

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Arlow, J. A New Look at Freud’s Analysis Terminable and Interminable, in On Freud’s Analysis Terminable and Interminable, J. Sander, editor, Yale University Press.

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II. Treatment Goals-Life Goals

CLASS 2: May 24, 2021
REQUIRED READINGS

Ernst Ticho (1972) Termination of Psychoanalysis—Treatment goals, Life Goals, Psychoanalytic Quarterly,vol, 41,pp.315-333.

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Bergman, Martin. (2001) Life Goals and Psychoanalytic Goals From An Historical Perspective, Psychoanalytic Quarterly, 70/1, pp.15-32.

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Easton, J. (2004). Life Changes, Analytic Changes Revisited: Current Perspectives on their Relationship. Journal of the American Psychoanalytic Association, 52:1025-1040.

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III. The Termination Phase

CLASS 3: June 7, 2021
REQUIRED READINGS

Gilman, RD (1982). The Termination Phase in Psychoanalytic Practice: A Survey of 48 Completed Cases, Psychoanalytic Inquiry, (2):463-472.

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Blum, H.P. (1989). The Concept of Termination and the Evolution of Psychoanalytic Thought, JAPA, (37): 275-295.

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Abend, S. (1988). Unconscious Fantasies and Issues of Termination, in Fanatasy Myth and Reality, IUP, pp. 149-165.

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IV. Technique

CLASS 4: June 14, 2021
REQUIRED READINGS

Reich, A. (1950). The Termination of Analysis, International Journal of Psychoanalysis, 31:179-183.

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Robbins, W.S. (1975). Termination: Problems and Techniques. JAPA, 23:166-176.

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Firestein, S.K. (1982). Termination of Psychoanalysis: Theoretical Clinical and Pedagogic Considerations, Psychoanalytic Inquiry, 2:473-497.

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Loewald, H. (1988). Termination Analyzable and Unanalyzable, PSC, vol. 43:155-166.

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Firestein, S.K (1978). ln Termination of psychoanalysis, NY, IUP,Substantive Conclusions, pp.203-215.

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V. Countertransference

CLASS 5: June 21, 2021
REQUIRED READINGS

Levenson, L. (1998). Superego Defense and Termination, JAPA, .46:847-866.

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Orgel, Shelley. (2000). Letting Go, Some Thoughts on Termination, JAPA, 48:719-738.

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Novick, J. (1997). Termination, Conceivable and Inconceivable, Psychoanalytic Psychology, 13:145-159.

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VI. An Alternate Model of Termination

CLASS 6: June 28, 2021
REQUIRED READINGS

Mendenhall, S. (2009). From Termination to Evolution of a Relationship: A New Understanding, Psychoanalytic Inquiry, 29:117-135.

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SUPPLEMENTAL READINGS

Lafarge, L. (2019). Termination and repetition: The dissolution of the frame. Int. J. Psycho-Anal., 100(6):1270-1285.

Lussana, S. (2018). Termination of a psychoanalysis: Some notes on theory, technique, and clinical material. Int. J. Psycho-Anal., 99(3):603-626.

Schachter, J. Kächele, H. (2013). An Alternative Conception of Termination and Follow-up. Psychoanal. Rev., 100(3):423-452.