412: Ethics in Clinical Practice II
Instructors
Stephanie Brandt, M.D.
March 6 – March 20, 2023
Mondays, 8:35 – 10:00 pm
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 will extend and expand on material from Ethics in Clinical Practice I. We will review the American Psychoanalytic Association’s code of ethics, and aspects of the codes of the multiple professions that can lead to psychoanalytic training. Topics to be covered in detail include: (1) boundary violations vs crossings, in adult and child analysis, and how they are handled in ethics committee complaints and at NYPSI; (2) confidentiality and its limits, including the legal aspects of reporting; (3) the difference between a technical and an ethical dilemma; (4) the ethical problems involved in working outside one’s direct area of competence; (5) the impaired clinician and the Psychoanalyst Assistance Committee at NYPSI; (6) ethical dilemmas that derive from systemic problems in our world impinging on both patient and analyst. Students will be assigned reading for discussion and will also be expected to discuss their own clinical experience as it relates to these subjects and others of interest to the group. Third and fourth year students combined.
Educational Objectives
Upon completion of this course, participants should be able to:
- Discuss and provide clinical examples to illustrate the ethical principles underlying psychoanalytic practice
- Discuss and provide clinical examples to illustrate common ethical dilemmas that arise in practice such as breaches of confidentiality, how to understand and deal with boundary violations, various legal obligations regarding reporting and professional standards, and responses to external events and systemic influences on the treatment setting.
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.
READINGS ARE CONFIRMED.
I. Review of APsaA Code and Boundary Violations
CLASS 1: March 6, 2023
REQUIRED READINGS
American Psychoanalytic Association (2008). Principles and Standards of Ethics for Psychoanalysts.
Celenza, A. Gabbard, G.O. (2003). Analysts Who Commit Sexual Boundary Violations: A Lost Cause?. J. Amer. Psychoanal. Assn., 51(2):617-636.
Gabbard, G.O. Hobday, G.S. (2012). A Psychoanalytic Perspective on Ethics, Self-Deception and the Corrupt Physician. Brit. J. Psychother., 28(2):235-248.
Slochower, J. (2017). Don’t Tell Anyone. Psychoanal. Psychol., 34(2):195-200.
II. Ethics and External Reality – Part I (Psychoanalytic Theories About Hatred and Prejudice, Racism and Xenophobia)
CLASS 2: March 13, 2023
REQUIRED READINGS
Volkan, V. Fowler, J. (2009). Large-Group Narcissism and Political Leaders with Narcissistic Personality Organization. Psychiatric Annals, 39: 214-223.
Read one of the following:
Gay, V.P. (2018). Atrocity Fantasies and Atrocity Allegations. Int. J. Appl. Psychoanal. Stud., 15(4):253-263.
Oliner, M.M. (1996). External Reality: The Elusive Dimension Of Psychoanalysis, Psychoanal Q., 65:267-300.
Moss, D. (2021). On Having Whiteness. Journal of the American Psychoanalytic Association, 69:355-371.
III. Ethics and External Reality – Part II (Misogyny and Gender/Sexual Preferences)
CLASS 3: March 20, 2023
REQUIRED READINGS
Brandt, S. (2020). Editor’s Introduction to the Special Issue: Interdisciplinary Perspectives on Domestic Violence and Coercive Control. Int. J. Appl. Psychoanal. Stud., 17(3):211-214.
Brandt, S. Rudden, M. (2020). A Psychoanalytic Perspective on Victims of Domestic Violence and Coercive Control. Int. J. Appl. Psychoanal. Stud., 17(3):215-231.
Lament, C. (2015). A Misuse of Bion’s “Reverie-ing Mother” Another Weapon in the War against Women as Waged in the Consulting Room. Psychoanal. St. Child, 69:59-82.
Read one of the following:
Galatzer-Levy, R.M. (2015). Women and Children Last: Reflections on the History of Child Psychoanalysis. Psychoanal. St. Child, 69:108-145.
Young-Bruehl, E. (2009). Childism—Prejudice Against Children. Contemp. Psychoanal., 45(2):251-265.