Brown

Psychodynamic Psychotherapy Program

Psychotherapy Division of the Columbia Psychoanalytic Center

Syllabus

2015-16

Introduction and Formulation

Anna Schwartz and Holly Schneier

09/21/15

Psychodynamic formulation

09/28/15

New candidates dinner- no class

10/05/15

Psychodynamic formulation

10/12/15

Columbus Day- no class

Beginning the Treatment

Sonia Kulchucky and Judit Lendvay

10/19/15

Beginning the treatment-practical considerations

10/26/15

Beginning the treatment-psychodynamic aspects

Models of the Mind

Rebecca Chaplan

11/02/15

Modern ego psychology

11/09/15

Object relations theory

11/16/15

Self psychology

Relational Perspectives

Susan Vaughan and Alison Brown

11/23/15

Relational perspectives

11/30/15

Relational perspectives

Transference and Countertransference

David Lindy and Dionne Powell

12/07/15

Transference

12/14/15

Transference II

12/21/15 Winter break, no class

12/28/15 Winter break, no class

01/04/16

Countertransference I: Diagnostic use of the self

01/11/16

Countertransference II: Restraint and self-disclosure

01/18/16

MLK Day- no class

The supportive-expressive continuum

Andreas Kraebber 01/25/16

Supportive interventions: what, why and when

02/01/16

Support vs. interpretation

Short-term Dynamic Psychotherapy

Alan Barasch 02/08/16

SDTP 1

02/15/16

Presidents Day- no class

02/22/16

STDP 2

02/29/16 (Leap Year!)

STDP 3

03/07/16

STDP 4

TFP Transference-focused psychotherapy (TFP)

Peter Bookstein and Sonia Kulchycky

03/14/16

TFP

03/21/16

TFP

03/28/16

TFP

Deepening the process I

Chris Allegra and David Gutman

04/04/16

Unconscious fantasy

04/11/16

Enactments

04/18/16

Dreams

04/25/16

Spring break- no class

Deepening the process II

Aneil Shirke

05/02/16

Resistance

05/09/16

Working through

05/16/16

Stalemates and impasses

05/23/16

Termination planned and unplanned

Schwartz and Schneier

06/06/16

Wrap-up

Psychodynamic Psychotherapy Program

Psychotherapy Division of the Columbia Psychoanalytic Center

Syllabus

2015-16

Introduction and Formulation -

Anna Schwartz and Holly Schneier

09/21/15

Psychodynamic formulation

09/28/15

New candidates dinner- no class

10/05/15

Psychodynamic formulation

Class I: 9/21

Perry S, Cooper A, Michels R. The Psychodynamic Formulation: Its Purpose, Structure, and

Clinical Application. Am J Psychiatry 144:5, May 1987

Cabaniss D, Cherry S, Douglas C, Graver R, Schwartz A. Psychodynamic Formulation. Wiley-

Blackwell, 2013. Chapters 1-3, pp. 1-15.

Class II: 10/5

Cabaniss et al, Introductions to Parts 2, 3 and 4, and "Putting It Together- A Psychodynamic

Formulation"-- pp. 17-21, 75-79, 135-141, 201-206.

Beginning the Treatment

Sonia Kulchucky and Judit Lendvay

10/19/15

Beginning the treatment-practical considerations

Gabbard, Long Term Psychodynamic Psychotherapy: A Basic Text, chapter 3: The Nuts and

Bolts of Psychotherapy: Getting Started

Optional:

Schlesinger, H. Chapter 8, “From listening to interpretation” in The Texture of Treatment

Schafer: The Analytic Attitude Chapter 1 and Chapter 2 (only until page 28)

10/26/15

Beginning the treatment-psychodynamic aspects

Cabaniss et al, “Developing a therapeutic alliance”, chapter 9 (pp. 84-90-98) in Handbook of

dynamic therapy for higher level personality pathology.

Models of the Mind –

11/2, 11/9 and 11/16

Readings for this segment are taken from: Mitchell, Stephen A. and Black, Margaret J.,

Freud and Beyond, A History of Modern Psychoanalytic Thought, Basic Books

I recommend that you buy the book—(it costs about $12 new on Amazon). I think you will enjoy

it and will also want to read other chapters I haven’t assigned. I’ve also given you short excerpts

from Auchincloss and Samberg, Psychoanalytic Terms and Concepts, Yale University

Press. The optional readings for the second two classes are good examples of how the different

models are put to use clinically. The Pine paper is not optional, but something to think about

over the course of all three classes—I listed it for the 21st but we will probably discuss it on the

4th

.

11/2/15 Modern ego psychology

Mitchell and Black, Freud and Beyond, A History of Modern Psychoanalytic Thought, Basic

Books, chapter 2

Auchincloss and Samberg, Psychoanalytic Terms and Concepts, Yale University Press, “Ego”

pp. 69-72

Pine, F. (1988). The Four Psychologies of Psychoanalysis and their Place in Clinical Work. J.

Amer. Psychoanal. Assn., 36:571-596

11/9//15 Object relations theory

Mitchell and Black, Freud and Beyond, A History of Modern Psychoanalytic Thought, Basic

Books, chapter 4

Auchincloss and Samberg, Psychoanalytic Terms and Concepts, Yale University Press. “Object

Relations Theory” pp. 175-178

Optional:

LaFarge, L. (2000). Interpretation and Containment. Int. J. Psycho-Anal., 81:67-84

11/16/15 Self psychology

Mitchell and Black, Freud and Beyond, A History of Modern Psychoanalytic Thought, Basic

Books, chapter 6

Auchincloss and Samberg, Psychoanalytic Terms and Concepts, Yale University Press. “Self,

Self in Self Psychology, Self Psychology and Selfobject” pp.231-240

Optional:

Kohut, H. (1972). Thoughts on Narcissism and Narcissistic Rage. Psychoanal. St. Child, 27:360-

400

Relational Perspectives

Susan Vaughan and Alison Brown

11/23/15

:

Required:

Introduction, Chapter's 1 and 2 from Stephen Mitchell's Hope and Dread in Psychoanalysis...

Suggested:

Aron, Lewis (1996). The relational orientation: an introduction. In, A meeting of minds: mutuality in psychoanalysis( pp. 1-30). Harris, A. (2011). The Relational Tradition: Landscape and Canon. JAPA, 59:701.

11/30/15:

Required:

Greenberg, J. (2001). The Analyst's Participation: A New Look. J. Amer. Psychoanal. Assn.,

49:359-381.

Spezzano, C. (1995). "Classical" versus "contemporary" theory - the differences that matter clinically. Contemporary Psychoanalysis, 31:20.

Transference and Countertransference

David Lindy and Dionne Powell

For the next four classes we will view a brief segment from the HBO series In Treatment. This

30 minute documentary from 2009, only briefly available to the public, provides segments from

season 2, along with interviews of real therapists and patients. If not familiar with the series you

may want to review season 2 although not necessary or a requirement. In addition we have

assigned the Stephen Grosz book that we'll excerpt throughout the course. This book should be a

part of every therapist’s library as Grosz with intimacy and vulnerability (and minimal

psychobabble) places the reader within the therapist’s mind for all our benefit. Our task as

psychodynamic psychotherapist's Grosz describes:

At one time or another, most of us have felt trapped by things we find ourselves thinking or

doing, caught by our own impulses or foolish choices; ensnared in some unhappiness or fear;

imprisoned by our own history. We feel unable to go forward and yet we believe that there must

be a way. ‘I want to change, but not if it means changing,’ a patient once said to me in complete

innocence. Because my work is about helping people to change, this book is about change. And

because change and loss are deeply connected - there cannot be change without loss - loss

haunts this book. (Preface)

The transference-countertransference exchange leads to change within our patients and

frequently within our selves.

12/7/15 Transference

Freud, S: Remembering, Repeating and Working-Through. SE XII: 146-156 (1914)

Freud, S: The Dynamics of Transference. SE XII: 97-108 (1912).

Auchincloss, EL & Samberg E.: Psychoanalytic Terms & Concepts. Transference Yale

University Press, (2012) 266-270.

Grosz, S.: The Examined Life: How we Lose and Find Ourselves. Norton & Co., 2013, 1-10, 67-

70, 81-85, 151-157.

12/14/15 Transference II

Joseph, Betty, Transference: The Total Situation, 1985, IJP 66:447-454.

Cooper, A. Changes in Psychoanalytic Ideas: Transference Interpretation.JAPA, 35:77-98 (1987)

Cabaniss D., et al, Psychodynamic Psychotherapy: A Clinical Manual. Wiley-Blackwell. (2011)

Transference, 217-232

Grosz, S.: The Examined Life: How we Lose and Find Ourselves. Norton & Co., 2013, 39-43,

86-90, 146-150

01/04/16 Countertransference I

Freud, S. (1915) Observations of Transference Love SE XII, (1911-1913), 157-171.

Sandler, J: Countertransference and Role-Responsiveness. International Review of

Psychoanalysis, 3: 43-47 (1976)

Auchincloss, EL & Samberg E.: Psychoanalytic Terms & Concepts. Countertransference. Yale

University Press. (2012). 47-49.

Grosz, S.: The Examined Life: How we Lose and Find Ourselves. Norton & Co., (2013), 44-54,

63-66, 91-95.

01/11/16 Countertransference II Kernberg, O: Notes on Countertransference. JAPA, 13:38-56 (1965).

Renik, O: Playing One's Cards Face up in Analysis: An Approach to the Problem of Self-

Disclosure. Psychoanalytic Quarterly 68: 529-539 (1999).

Gabbard, G: Sexual Excitement and Countertransference Love in the Analyst. JAPA 42:1083-

1106, (1994).

Cabaniss D., et al, Psychodynamic Psychotherapy: A Clinical Manual. Wiley-Blackwell. (2011),

Chapter 22 Countertransference, 233-241.

Grosz, S.: The Examined Life: How we Lose and Find Ourselves. Norton & Co., (2013), 101-

108, 109-116, 167-178..

The supportive-expressive continuum

Andreas Kraebber

01/25/16

Supportive interventions: what, why and when

Lawrence Rockland, "Supportive Therapy: A Psychodynamic Approach," Basic Books, NY,

1989

Chapter 5: Goals, Strategies, Techniques, p. 77 - 99

Chapter 6: Transference, p. 100 - 112

Chapter 7: Countertransference, p. 113-125

02/01/16

Support vs. interpretation

Chapter 11: Supportive Therapy in Practice: Narcissistic Personality with Paranoid Trends, p.

183-192 (only)

Chapter 13: Mechanisms of Therapeutic Action, p. 237-252

Chapter 14: Choosing the Appropriate Supportive-Exploratory Mix, p. 253-273

Short-term Dynamic Psychotherapy

Alan Barasch

02/08/16

SDTP 1

02/15/16

Presidents Day- no class

02/22/16

STDP 2

02/29/16 (Leap Year!)

STDP 3

03/07/16

STDP 4

Please read BOTH of the first two papers before the first seminar. (Thank you.)

We will discuss the Lombardo case in detail

February 8 and 22nd

An Outline of Brief Psychodynamic Therapy

A Case Example of BDP

History of contributors to brief dynamic therapy

Goals of the treatment

Opening phase: selection, focus, the offer

Middle phase: deepening of focus, handling of transference

End phase: focus and transference in the context of the time limit

Case Example: We will begin a detailed discussion of the Lombardo case example beginning in

the first seminar and continuing in the second seminar.

Reading:

Marmor, J: Short Term Dynamic Psychotherapy. Am J Psychiatry 136:149-155, 1979

Lombardo, I: Case Presentation. Grand Rounds, PI, 6/4/1999 (unpublished manuscript)

February 29

The concept of Corrective Emotional Experience

BDP from the Relational Point of View

Franz Alexander and the corrective emotional experience; the therapist’s role in actively

disconfirming the patient’s pathological relationship expectations and providing a new

experience

Hans Strupp’s “cyclic maladaptive pattern”: the patient’s active role in causing a repetitive

interpersonal pattern

We will discuss Alexander’s “Case A” and Strupp’s case example, which I call “Just a very

ordinary life”

Reading:

Alexander, F: “Demonstration of flexibility” and the “principle of corrective emotional

experience”, Psychoanalytic Therapy (New York, 1946) 54-70.

Strupp, H: “Clinical illustration of the assessment process and the development of a focus”,

Psychotherapy in a New Key (Basic Books, 1984) 110-34.

March 7

Time and Termination in brief psychotherapy

BDP from the Existential Point of View

James Mann’s time limited therapy, the existential approach in psychiatry, the importance of

limits, loss, and finiteness. The centrality of self image and separation themes in the focus, time

and termination in brief therapy.

We will discuss the Case of Rose pages 185-204.

Reading:

Messer, S and Warren, CS: Chapter 4, An integrative model: Mann, Models of Brief

Psychodynamic Therapy (Guilford Press, 1995) 175-213.

Schafer, R: The Termination of Brief Psychoanalytic Psychotherapy. Int J Psychoanalytic

Psychotherapy 2,2,135-148,1973

TFP Transference-focused psychotherapy (TFP)

Peter Bookstein and Sonia Kulchycky

3/14/16

Clarkin, et al. Psychotherapy for the borderline personality: focusing on object relations

2006. Chapters 1 & 2

3/21/16

Clarkin, et al. Psychotherapy for the borderline personality: focusing on object relations,

2006. Chapter 4 & 6

3/28//16

Caligor, et al. The interpretive process in the psychoanalytic psychotherapy of

Borderline Personality pathology. JAPA, 2009, 57, 271-301.

Deepening the process I

Chris Allegra and David Gutman

04/04/16: Dreams

The readings for the class are all excerpts from The Interpretation of Dreams:

S.E. Vol. IV: pp 96 - 121, pp. 134 - 146, pp. 255 - 264

S.E. Vol. V: pp 509 - 511

04/11/16 Unconscious fantasy

1) Arlow, J.A. (1969). Unconscious Fantasy and Disturbances of Conscious Experience.

Psychoanal Q., 38:1-27.

2) Cabaniss: Unconscious Conflict and Defense Chapter 23

Note for the class: Please read through the Cabaniss chapter first - it lays out the basic principles

of unconscious fantasy in a straightforward way.

Also, please note that the Arlow paper, a real classic, was written in 1969 from an ego

psychological perspective.

Things have changed a great deal since 1969, so keep that historic perspective in mind. It's still a

great read.

04/18/16 Enactments

Roughton, R. (1993): "Useful Aspects of Acting Out: Repetition, Enactment, and Actualization

JAPA, 41:443-472

Chused, J. (1991): "The Evocative Power of Enactments", JAPA, 39:615-639.

04/25/16

Spring break- no class

Deepening the process II

Aneil Shirke

05/2/16 Working through

Freud, S., (1914). Selection from “Remembering, repeating and working-through (Further

recommendations on the technique of psycho-analysis” Standard Edition, vol 12, pp 155-156.

Greenson, R. (1967). The Technique and Practice of Psychoanalysis, vol. 1, pp. 315-316.

Fromm-Reichman, F. (1950). Principles of Intensive Psychotherapy, pp. 140-145.

05/9/16 Resistance

Schlesinger, H., (2003). The Texture of Treatment, pp. 81-101. (Note: if you were in the course

last year, please skim this article to refresh yourself and concentrate on the other readings)

Greenson, R. (1967). The Technique and Practice of Psychoanalysis, pp. 121-122 and 59-71.

Sandler, J., Dare, C., Holder, A. (1973). The Patient and the Analyst, pp. 74-76.

05/16/16 Stalemates and Impasses

Freud, S. (1937). Analysis Terminable and Interminable, Standard Edition, vol. 23, pp 217-219.

Schlesinger, H., (2005). Endings and Beginnings, pp. 151-170.

05/23/16 Termination, planned and unplanned

Schlesinger, H., (2005). Endings and Beginnings, pp. 89-93.

Glick, R.A. (1987). “Forced Terminations”, J. Amer. Acad. Psychoanal., 15: 449-463.

Schwartz and Schneier (may be revised)

06/06/16

Wrap-up

Grosz, S.: The Examined Life: How we Lose and Find Ourselves. Norton & Co., 2013, 44-54,

109-117, 146-150.