There is no greater agony than bearing an untold story inside you.
-Zora Neale Hurston
YEAR 4 | Trimester 1
Developmental Theory and Contemporary Clinical Issues
Fall 2016, Manhattan Institute for Psychoanalysis
To illustrate some of the ways developmental theories are utilized in contemporary practice, this course will examine five areas of great clinical interest: agency and sexuality, eating disorders, substance abuse, suicidality, and trauma. Each topic is presented by a different instructor with expertise in that particular area who will present their approach to the subject and the ways that it is informed by various developmental theories.
Coordinators of the course: Wendy Greenspun, Ph.D. (212) 674-7785, firstname.lastname@example.org, and Steve Kirschner, LCSW, (212) 886-4524, email@example.com
Topic I: Agency and Sexuality in Developmental Context (weeks 1 and 2)
Teacher: Jill Gentile, Ph.D. (212) 505-2628, firstname.lastname@example.org
Location: 26 West 9th St, Suite 10A, New York, NY
Time: 6:30-8 pm
Description: This section of the course will focus on the opening of a space for agency, desire, and relational impact in the context of early development. We will then explore the foreclosure of agency and desire in adult treatment. Finally, we contemplate how the reopening of this space between material and subjective life is vital to reclaiming sexual and personal agency. Candidates are asked to read the assigned articles and the teaching will highlight themes of opening and closing of space between facticity and ‘thingness’ and imagination, as vital to an evolution of agency and intimacy.
Week 1- September 15, 2016—— Readings:
Week 2- Sept 22, 2016 ——- Readings:
Gentile, J. (2013): From Truth or Dare to Show and Tell: Reflections on Childhood Ritual, Play, and the Evolution of Symbolic Life, Psychoanalytic Dialogues, 23:2, 150-169Slavin, J. (2012). The innocence of sexuality. Ch. 3, in Relational Psych=analysis, Vol 4, Ed. L. Aron & A. Harris. NY: Routledge, pp. 45-68.
*Original publication: Psychoanalytic Quarterly, 71, 51-81 (2002).
Topic II: Addiction (weeks 3 and 4)
Teacher: Bart Gardy, LCSW, (212) 447-4478, email@example.com
Location: 280 Madison Ave (@ 40th St), Suite 1201
Time: 6:30-8:00 pm
Description: In psychoanalytic work with substance abusers, powerful forces of denial and dissociation are often at play. These factors make it almost impossible to access patients’ early developmental histories, especially if they are still using. Drawing on attachment and neuropsychoanalytic theories, as well as writings on affect regulation, dissociation and trauma, we will build a working hypothesis about the developmental trends that lead to addiction. Case examples provided by instructor and candidates will be used to illustrate these concepts.
Week #3: Sept. 29,2016: Multiple Self-States / Mentalization—— Readings:
Week # 4: Oct. 6, 2016: Parameters & Enactments——— Readings:
Davies, J.M. & Frawley, M.G. (1994), Dissociation, Treating the Adult Survivor of Childhood Sexual Abuse: A Psychoanalytic Perspective. N.Y.: Basic Books, pp. 62-85.
Palombo, J., Bendicsen, H. K., & Koch, B. J. (2009), Allen N. Schore (1943 -): Publishing Era: 1991 to the Present. Guide to Psychoanalytic Developmental Theories. New York: Springer, pp. 319-333.
Quillman, T. (2012), Neuroscience and Therapist Self-Disclosure: Deepening Right Brain to Right Brain Communication Between Therapist and Patient, Clin. Soc. Wk. J., 40:1-9.
Schore, J.R. and Schore, A.N. (2010), “Clinical Social Work and Regulation Theory: Implications of Neurobiological Models of Attachment.” S. Bennett and J.K. Nelson (Eds.), Adult Attachment in Clinical Social Work, Springer Science & Business Media, pp. 57-75.
Schore, A. N., (2002c), Dysregulation of the Right Brain: A Fundamental Mechanism of Truaumatic Attachment and the Pschopathogenesis of Posttraumatic Stress Disorder. Australian and New Zealand Journal of Psychiatry, 36, pp. 9-30.
Sullivan, H. S. (1953). Malevolence, Hatred, and Isolating Techniques, Chap. 13, The Interpersonal Theory of Psychiatry, N.Y.: W. W. Norton & Co., pp. 203-216.
Topic III: Suicidality (weeks 5 and 6)
Teacher: Caryn Sherman-Meyer, LCSW
Location: 240 Central Park South, #2A
Dates: 10/13/ 16 and 10/20/16
Contact information: firstname.lastname@example.org 212-969-9591
Is an art, like everything else.
I do it exceptionally well.
I do it so if feels like hell.
I do it so it feels real.
I guess you could say I’ve a call.
Description: In this section of the course, we will attempt to understand suicidality and what motivates people to kill themselves. We will review traditional psychoanalytic concepts (the death instinct and negative therapeutic reaction) as well as more contemporary ones (suicidality as a self-regulatory process and the intergenerational transmission of suicide trauma). These classes will be focused on how such processes may lead to an acute or chronic destructive intrapsychic and interpersonal spiral and to a suicidal state. Suicidality and the act of suicide will be differentiated. Finally, the containment and management of suicidality as well as the transference/countertransference challenges of treating suicidal patients will be discussed. Case examples are encouraged.
Week # 5: Oct.13, 2016: Negative self-states and interpersonal configurations– Readings
Week #6: Oct. 20 2016: Destruction, violence, suicide——-Readings
Eigen, M. (1999). Suicide. In Toxic Nourishment. (pp. 13-34). London: Karnac Books.
Gabbard, G. O. (2003). Miscarriages of psychoanalitic treatment with suicidal patients. Int. J. Psycho-Anal., 84: 249-261.
Joseph, B. (1982). Addiction to near-death. Int. J. Psycho-Anal., 63:449-456.
Sadock, B. J. and Sadock, V. A. (2007). Suicide. In Kaplan & Sadock’s Synopsis of Psychiatry: Behavioral Sciences/ Clinical Psychiatry (10th Ed., pp. 897-906). Philadelphia: Lipincott, Williams & Wilkins.
Topic IV: Trauma (weeks 7 and 8)
Teacher: Sandra Green, LCSW, 212-874-0022, email@example.com
Location: 173 W. 78th St., Suite 2A
Time: 6:30-8 pm
Description: Among the earliest psychoanalytic writers on trauma, the work of Sandor Ferenczi remains extremely relevant, indeed central, to our current understanding of both the long-term developmental effects of early trauma on the immature psyche, as well as the subsequently formed interpersonal/relational/personality style of the adult. His prescient emphasis on the therapist’s approach to adult patients with early relational trauma will be underscored in the first week. In the second week, we will read a case and two discussions of that case by prominent contemporary analysts. Class discussion of these papers should facilitate students’ understanding the of theoretical material considered in week one.
Week #7: Oct. 27 2016: ————- Readings:
Week #8: November 03, 2016: ———————–Readings:
Topic V: Eating Disorders (weeks 9 and 10)
Teacher: Heather Ferguson, LCSW, (212) 254-6265, firstname.lastname@example.org
Location: 24 West 9th St, Suite 1G, NYC 10011
Time: 6:30- 8:00 pm
We will explore the role of eating disorder symptomatology from a number of theoretical perspectives with an emphasis on disturbances in the early attachment experience. We will highlight the adaptive self-regulatory dimension of eating disorder behavior while exploring the therapist’s role in intervening.
Week #9- November 10, 2016: ——-Readings:
Week # 10- November 17, 2016:—— Readings:
Sherman-Meyer, C. (2015). What’s Fat Got To Do With It? Losses and Gains in the Analytic Relationship, Psychoanalytic Inquiry. 35: 271-281.
Petrucelli, J. (2008). When a Body Meets a Body. The Impact of Therapist’s Body on Eating-Disorder Patients. In F. S. Anderson, (Ed)., Bodies in Treatment The Unspoken Dimension. NJ: Analytic Press. p. 237-253.
Additional readings for interest:
Bloom, C., Gitter, A., Gutwill, S., Kogel, L., Zaphiropoulos, L. (1994), Eating Problems, A Feminist Psychoanalytic Treatment Model. Basic Books.
Faculty: Debora M. Worth, LCSW