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Please click on the links below to see detailed information about our offerings for 2008 - 2009:
All programs are at the
Current Lectures and Seminars 2008 - 2009: Psychoanalytic Forum
Sponsored by
the Baltimore
Washington Society for Psychoanalysis
Saturdays 5:00 - 6:30 p.m.
For programs at the
Center, please join us for refreshments from:
4:30 - 5:00 p.m.
Saturday, September 20, 2008
“Interpersonal Psychoanalysis: Therapeutic Action and the
Analyst’s Emotional Preparation for Practice”
Sandra Buechler, Ph.D.
Overview
Relying on Interpersonal Psychoanalysis and emotion theory, Sandra
Buechler, Ph.D., focuses on emotional experience to understand the nature of
therapeutic action in the clinical setting. She suggests that through an
active empathic engagement with the patient and an awareness of the healing
potential inherent in each of our fundamental emotions, the clinician can
make a substantial difference in patients’ lives. At this Forum, Dr.
Buechler will discuss the process of the analyst’s emotional preparation for
a sustained career of clinical work, based on her book Making a
Difference in Patients’ Lives: Emotional Experience in the Therapeutic
Setting. Following her description,
Cindy Mendelson, Ph.D., a recent graduate of
the New York Freudian Society Psychoanalytic Training Institute,
and Curtis Bristol, M.D.,
a seasoned analyst with the
Sandra
Buechler, Ph.D., is Training and Supervising Analyst at the William Alanson
White Institute in
Participants are encouraged to read Chapter 9 of Dr. Buechler’s
book in preparation for this Forum. For a copy of the chapter, contact
program co-chair, Beverly Betz, M.S.W., at 410-464-9756 or email
bbetzmsw@comcast.net.
Educational Goals
This
Psychoanalytic Forum is intended for mental health professionals, either
graduates or in training, who use psychoanalytic therapy as a treatment
modality. At the conclusion of this Forum:
1.
Participants should be able to identify similarities and difference s
between the nature of therapeutic action in the interpersonal and ego
psychological models.
2.
Participants should apply the principles of the
analyst’s emotional preparation to their own clinical experiences to assess
the relevance of the principles for their practices.
Saturday, December 6, 2008
Lewis B. Hill Award Presentation
“Whose Termination Is It Anyway? Can Analysis be
Forced to End?”
Thomas
Dr. Hoffman will
present a detailed description and process notes from the closing phase of a
four-year analysis of a man with obsessive-compulsive personality,
emphasizing the analyst’s countertransference, especially during enactments
characteristic of this period. Alterations and variations in analytic
technique and the demands for practical courses of action within and outside
of the treatment are also examined. The issue of “forced” versus “natural”
terminations illustrates a model of termination as a necessarily
co-constructed component of analysis.
Dr. Hoffman’s paper on this subject has recently been accepted for
publication in the Journal of the
Saturday, February 7, 2009
“Pre-Termination: Getting Ready to Say Goodbye."
Kerry Kelly Novick and Jack Novick, PhD.
Jack Novick, Ph.D., and Kerry Kelly Novick are child,
adolescent and adult psychoanalysts on the faculties of the Michigan
Psychoanalytic Institute, the Michigan Psychoanalytic Council, and many
other training centers, where they are variously Adult and Child Training
and Supervising Analysts. They trained with Anna Freud in
Recommended
Bergmann, Martin
(1997), Termination
Craige, Heather.
(2002). Mourning Analysis
Jack Novick and
Kerry Kelly Novick “Good Goodbyes
Saturday, April 18, 2009
Forum. Fifth Annual Paul Gray Visiting Scholar
Weekend
“Technique and Freedom in Psychoanalysis.”
Jonathan Lear, PhD.
What
is psychoanalysis aiming for? Jonathan Lear argues that freedom is the goal
or “final cause” of psychoanalysis. But what do we mean by freedom?
Different clinical techniques can be understood in terms of different
conceptions of freedom that they facilitate. Dr. Lear will give a careful
examination of three different ways one might approach a single clinical
moment, with perspectives inspired by Paul Gray, Hans Loewald, and the
contemporary Kleinians.
Harold Wylie, M.D., Teaching, Training, and Supervising Analyst at the
Baltimore Washington Institute for Psychoanalysis, will moderate an audience
discussion.
Sunday, April 19, 2009
9:30 am.-12:00 noon. By subscription.
Continental Breakfast: 9:30 a.m.–10:00a.m
Colloquium: 10:00 a.m.–12:00 p.m.
Colloquium. Fifth Annual Paul Gray Visiting Scholar Weekend
Radical Hope: Ethics in the Face of Cultural Devastation
Jonathan Lear, PhD.
An
open discussion with Dr. Lear
The
colloquium will offer a round table setting to promote an open discussion
with Dr. Lear. Attendees are asked to read Dr. Lear’s paper “Working Through
the End of Civilization,” which will be sent by e-mail at the time of
registration.
Dr.
Lear will discuss his personal experience with the Crow Nation and how
psychoanalysis informs his philosophical and ethical insights into the
dilemma of a people faced with the end of their way of life, the death of
their culture.
Rachel Ritvo, M.D., member, Baltimore Washington Institute for
Psychoanalysis, will moderate.
Registration for the colloquium is required.
Registration fee is $50.
Please register by Friday, April 10.
Make
checks payable to the
Late
registration will be accepted on a space available basis.
Refunds will be given for cancellations made no later than one week prior to
the program.
Jonathan Lear is the John U. Nef Distinguished Service Professor at the
Committee on Social Thought and in the Department of Philosophy at the
Continuing Education
There will be a $30.00 charge ($20 per hour for 1.5 hours) for non-member
participants who wish to receive a CEU/
This activity has been planned and implemented in
accordance with the Essential Areas and Policies of the Accreditation
Council for Continuing Medical Education (ACCME) through the joint
sponsorship of the American Psychoanalytic Association and the Baltimore
Washington Society for Psychoanalysis, Inc. The American
Psychoanalytic Association is accredited by the ACCME to provide continuing
medical education for physicians and takes responsibility for the content,
quality, and scientific integrity of this
This Program is directed towards: Members,
Corresponding Members, Affiliate Members, Candidates,
Psychoanalytic and Psychodynamic Studies
of the Baltimore Washington
Institute for Psychoanalysis
Tuesday March 3,10,17,24,31, 2009
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7:30-9:30 p.m.
“An Overview of
Psychoanalytic Business and Organizational
Thomas Hoffman, M.D.
This series provides psychoanalysts and psychoanalytically
oriented therapists an introduction to consulting to businesses and
organizations in the private and public sector. The course reviews the
development of this field from Freud’s nascent thinking about group
psychology, to the work of Klein, Bion, and later object-relations
theorists, to modern day thinking of representatives from ego, self and
relational psychologies and from the business world. Historical and present
day case material is used to illustrate the utility of this approach and to
lend texture to introductory readings in the field. Consideration is given
to the technical and practical considerations of beginning a practice and
carrying out a consultancy.
Tuition
$300.00
$150.00 for full time students and residents
Registration deadline: Feb. 10, 2009
Refunds will be
given for cancellations not later than one week prior to
A
registration form for this seminar may be obtained by clicking
here
CEUs and CMEs are available for mental health professionals. By
participating in this course, practicing psychotherapists will learn about
group psychology, consultation methods, psychodynamics in modern
organizations, ego psychology, object relations theory and self psychology
tools; and, consultation as a practice.
This activity has been planned and implemented in
accordance with the Essential Areas and Policies of the Accreditation
Council for Continuing Medical Education (ACCME) through the joint
sponsorship of the American Psychoanalytic Association and the Baltimore
Washington Institute for Psychoanalysis. The American Psychoanalytic
Association is accredited by the ACCME to provide continuing medical
education for physicians and takes responsibility for the content, quality,
and scientific integrity of this CME activity.
The American Psychoanalytic Association designates this educational activity for a maximum of 1 credit hour per hours in category 1 credit towards the AMA Physician’s Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.
Disclosure information is on record indicating that participating faculty members have no significant financial relationships to disclose.
The Institute is recognized by the Maryland
Board of Social Work Examiners as a sponsor of continuing education
activities. The Institute is recognized by the Maryland Board of Examiners
of Psychologists as a sponsor of continuing education activities.
Julia and Thomas Saltz Annual Child Seminar/Workshop
February 28th, 2009
9:00 to 4:00 p.m.
"When a Parent Goes to War"
What
happens to those at home when a soldier is deployed? At this
seminar/workshop, learn the effects of waiting, enduring the uncertainties,
and re-integrating an injured soldier back into family life. Case
presentations and clinical material will illustrate the difficulties
children and parents face. We will explore new directions for managing and
enhancing treatment.
Therapists can expect to learn how spouses and children cope with long
separations and reunions. We will discuss how to help families to make the
decisions that will be needed to cope with their children’s thoughts and
reactions from the deployment through the return of an injured parent.
Different models of support and models of community response and
preparedness will be discussed.
8:45 - 9:15 am
Registration
9:15 - 9:30 am
Welcome and Introduction
9:30 - 10:30 am
"The Children and Families of Combat Injured Service Members
Stephen J. Cozza, M.D.
10:30 - 10:50 am
Coffee Break
10:50 - 11:50 am
"Combat Trauma: An Intergenerational Perspective in the Case of a
Five-Year-Old Child of Soldiers
11:50 - 1:00 pm
Lunch
1:00 - 2:00 pm
"Another View of Johnny Q
2:00 - 3:00 pm
"The Impact of Waiting and Not Knowing: When a Parent is Deployed
3:00 - 3:10 pm
Coffee Break
3:10 - 4:00 pm
A Response to Ms. Leiner
Stephen J. Cozza, M.D.,
Vivian Eskin, Ph.D.,
Barbara Leiner, L.C.S.W.-C,
and Samuel E. Rubin, M.D.
SPEAKERS:
Stephen J. Cozza, M.D.
Dr.
Cozza is Professor of Psychiatry at the
Vivian Eskin, Ph.D.
Dr.
Eskin is a Training Analyst at the New York Freudian Society and is a fellow
at the Anni Bergman Parent-Infant Program in
Barbara Leiner, L.C.S.W.-C
Ms.
Leiner is a staff member at the Walter Reed Army Medical Center Child and
Adolescent Psychiatry Service where she is a clinician treating military
families, and a
faculty
member teaching and supervising child psychiatry and social work fellows.
She treats families of active duty, deployed, and injured service members,
and has written
and
lectured on intergenerational transmission of war and combat trauma.
Samuel E. Rubin, M.D.
Dr.
Rubin held the Carl Adatto Chair in Psychotherapy and Psychoanalysis at
Seminar/Workshop Fee:
Refunds
will be given for cancellations not later than one week prior to the program.
Pre-registration by Feb. 20, 2009 $90
On-Site Registration $110
Residents and Students* $45
*Indicates student
enrolled in a degree-granting program.
To obtain a registr
Directions
Sheraton
Washington North
From I-95, Exit 29B (RT 212) onto Powder Mill Road, West toward Calverton.
Left at
first
Phone
301.937.4422.
For
further information call the Baltimore Washington Institute: 301.470.3635 or
410.792.8060.
Child Analysis
Seminar/Workshop Committee
Laurie S. Orgel, M.D., Chair
Paula G. Atkeson, D.S.W.
Silvia M.V. Bell, Ph.D.
Joseph S. Bierman, M.D.
S. Kalman Kolansky, M.D.
Barry J. Landau, M.D.
Robert A. Lessey, M.D.
Aimée R. Nover, D.S.W.
Charles E. Parks, Ph.D.
Rachel Z. Ritvo, M.D.
Maria Graciela Steiger,
M.D
This
program is made possible through the generous gift of the Julia and Thomas
Saltz Fund to the
This educational
activity is designed for mental health professionals and other professionals
who work with children and adolescents. By participating in this program,
mental health professionals are able to receive
CMEs or CEUs.
This activity has been planned and implemented in
accordance with the Essential Areas and Policies of the Accreditation
Council for Continuing Medical Education (ACCME) through the joint
sponsorship of The American Psychoanalytic Association and the Baltimore
Washington Institute for Psychoanalysis, Inc. The American Psychoanalytic
Association is accredited by the ACCME to provide continuing medical
education for physicians and takes responsibility for the content, quality,
and scientific integrity of this CME activity.
Close-Ups: Psychoanalysts
Look at Film
Baltimore
Probing Hearts & Minds Through Cinema
Join us
for this psychologically perceptive film series, chosen to stir the emotions
and curiosity of the discussants. Look through the lens of psychoanalysis
for a richer appreciation of each film, and gain psychological insight into
the evocative images and sounds projected on the screen.
Limbo (1999) Rated R –
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Director: John Sayles
Discussant: Robert Lessey, M.D.
Friday,
April 10, 7:30pm
From
this beautifully filmed Alaskan adventure comes the line, “This must be
Limbo — it’s too cold for hell.” Director John Sayles plunges us into an
uncertain borderland between civilization and wilderness, between adulthood
and childhood, between good and evil, between oblivion and salvation.
Choosing a breathtakingly spectacular and dangerous external natural world
as both backdrop and metaphor for his characters’ internal fight for
survival, he portrays a treacherous crevasse separating hope and trust from
suspicion and despair, revealing secrets of their frozen or submerged past.
Earlier relationships and experiences have left them wounded and scarred,
but they must find a way to trust again, or die.
Joshua (2007) Rated R –
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Director: George Ratliff
Discussant: Leon Levin, M.D.
Friday,
April 24, 7:30pm
A
mother’s second postpartum depression unravels a seemingly successful
Lars and the Real Girl (2007) Rated R –
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Director: Craig Gilespie
Discussant: Noreen Honeycutt, Ph.D.
Friday,
May 1, 7:30pm
Having
lost his mother at birth and raised by a mourning and distant father, Lars
develops a style of living his life as an observer at a distance. Stimulated
and frightened by the pregnancy of his sister-in-law, Lars reacts with his
own “delivery” of a life-size doll. He is helped by a doctor to use the doll
to work through deep and painful conflicts. Mother figures in the form of a
blanket, his family, and the caring doctor, along with the unconditional
support of a community, allow Lars to move toward love and “realness.”
Saraband (2003) Rated R –
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Director: Ingmar Bergman
Discussant: Bruce Sklarew, M.D.
Friday,
May 15, 7:30pm
Saraband
is the 30-year sequel to the 1972 film Scenes from a Marriage, with Liv
Ullmann as Marianne. In his nineties, Ingmar Bergman creates his last film,
and it is clearly autobiographical. The theme of loss and unresolved
mourning is central, revolving around the continued emotional presence of a
dead wife and mother. The characters (and Bergman) struggle with sado-masochism,
competitiveness, fatherhood, and impending death. Bergman presents an
unusual and stately structure of ten duets between the four characters in
the film.
Ticket Prices
Advance purchase:
General admission for series: $50; for individual tickets, $14.
Museum members: $45 for series; $12 for individual tickets.
Students: $20 for series; $6 for individual tickets.
At door:
General admission for series: $55; for individual tickets, $15.
Museum members: $50 for series; $14 for individual tickets.
Students: $24 for series; $7 for individual tickets.
Refunds will be given for cancellations made no later than one week
prior to the program.
Tickets may be purchased in advance or at each screening.
For advance tickets, click
here.
Print and return the completed form with payment
(make check payable to BWIP) by Wednesday, April 1, 2009:
Baltimore Washington Institute
Advance ticket purchases will be held at the door.
The door will open at 6:30pm prior to each screening.
For further information, call 410.792.8060 or 301.470.3635.
Programs for the Association for Psychoanalytic Thought (APT)
A stimulating forum for clinicians to expand their
knowledge
and experience of current psychoanalytic thought.
All programs are at the
9:00 a.m. breakfast and registration
9:30 - 12:30 meeting
Sundays
October
“’Manic-Depression’ to “Bipolar NOS,’ a
Hundred Years of Mood Disorders”
Francis Mondimore, M.D.
November
“One, Two, Buckle My Shoe, and Other Tasks of Development.”
First session of three-session course.
Laurie Orgel,
MD.
Open only to APT Members. For information about joining APT click here.
Course continues on
January 25, and March 8, 2009.
December
“Juvenile Bipolar
Rachel Ritvo, MD
January
25,
2009
“One, Two, Buckle My Shoe, and Other Tasks of Development.”
Second session of three-session course.
Laurie Orgel,
MD.
Open only to APT Members.
Course continues on
March 8, 2009.
February
“Pitfalls in the Psychoanalytic Treatment of a Paranoid Character.”
James Kleiger, PsyD.
March 8, 2009
“One, Two, Buckle My Shoe, and Other Tasks of Development.”
Third session of three-session course.
Laurie Orgel,
MD.
Open only to APT Members.
April 26, 2009
“Telephone Psychotherapy of a Woman with a History of Childhood Sexual Abuse”
Gerald P. Perman, M.D.
May
“The Psychological
Impact of the Spanish Civil War as Depicted in the Film Butterfly (La Lengua
de las Mariposas).
William Wimmer, MD.
The Baltimore Washington
Institute for Psychoanalysis and Pastoral
Counseling Services of Maryland*
Psychoanalytic Case Conference
Grace United Methodist Church
5407 North Charles Street
9:00-9:30
Continental Breakfast
9:30-11:00 Presentation and Discussion
September 26, 2008
“To
Trust or Not to Trust: Creating a Therapeutic
Lauren Scott, LCSW-C.
October 24, 2008
Lynn Friedman, Ph.D.
November 21, 2008
“The Second Skin…..An Analytic Process with a Schizoid Individual"
James Kleiger, PsyD.
January 23, 2009
“Theory and Practice of Psychoanalytic Executive Consultation
Thomas Hoffman, M.D
February 27, 2009
“Culture and the Construction of Defense, Conflict and Compromise in the Female Psyche.”Paula Ellman, PhD.
“Use of Self
Joanna Macht, L.C.S.W.-C
May 15, 2009
Topic:TBA
Barbara Young, M.D.
Registration:
Registration is by sign-in on the day of the case conference.
Purposes of the Case Conference:
To enhance interest in advancements in modern clinical theory and technique
To better integrate clinical experience through dialogue with colleagues
To develop a clinical community and network
Contact Persons:
Dr. Noreen
Honeycutt
410-466-4918
Dr. Peter
Smith
410-433-8861, Ext. 125
Continuing Education Accreditation
*For those who wish CEU/CME certificates from the Baltimore Washington Center for Psychoanalysis, there will be a $15.00 charge for participants who are not dues-paying members of the Baltimore Washington Center for Psychoanalysis. Center members receive CEU/CME certificates free of charge. Continuing education credit certificates from the Center will only be available at the time of each Psychoanalytic Case Conference. Checks should be made payable to the Baltimore Washington Institute for Psychoanalysis and brought to the Case Conference.
The Baltimore Washington Institute for Psychoanalysis, Inc., is recognized by the Maryland Board of Examiners of Psychologists as a sponsor of continuing education activities. The Institute is recognized by the Maryland Board of Social Work Examiners as a sponsor of continuing education activities. 1.5 credit hours are offered for each conference.
This
activity has been planned and implemented in accordance with the Essentials
Areas and Policies of the Accreditation Council for Continuing Medical
Education (ACCME) through the join sponsorship of The American
Psychoanalytic Association and the Baltimore Washington Institute for
Psychoanalysis, Inc. The
American Psychoanalytic Association is accredited by the ACCME to provide
continuing medical education for physicians and takes responsibility for the
content, quality, and scientific integrity of this CME activity.
The
American Psychoanalytic Association designates this educational activity for
a maximum of 1.5 hours in category 1 credit towards the AMA Physician’s
Recognition Award. Each physician should claim only those hours of credit that
he/she actually spent in the educational activity.
PCSM has been certified by the Maryland Board of Social Work Examiners as a provider of continuing education units (CEUs). The Board designates each conference in this series for 1.5 hours in Category 1 for Social Workers.
PCSM has applied to the National Board of Certified Counselors for authorization to provide CEUs for this activity. PCSM designates each conference in this series for 1.5 contact hours for NBCC, and 1.5 hours in Category 1 for Maryland Professional Counselors, pending approval from the respective boards.Psychodynamic Case Conference: Joint Meeting with
This case conference is FREE. All mental health professionals are welcome.
RSVP to Judy Devito at 410-992-4258 or exec@marylandpsychology.org.
CE credits available
September 12, 2008
2:00-3:30 p.m.
“The Gendered Body: Conflict and Implications.”
Cindy Mendelson, PhD.
November 21, 2008
2:00-3:30 p.m.
“Applying Psychoanalytic Thinking in Organizational Consulting.”
Thomas Hoffman, M.D.
January 9, 2009
2:00-3:30 p.m.
James Kleiger, Psy.D.
February 13, 2009
2:00-3:30 p.m.
"A Case of Dyslexithymia"
Judith Sheagren, Ph.D.
March 13, 2009
2:00-3:30 p.m.
"A Child Analytic Case"
Laurie Orgel, M.D.
April10, 2009
2:00-3:30 p.m.
“Re-analysis with a Geriatric Patient”Dr. John Hayes
For more information on
the MPA, call 301-596-3999 or 410-995-0499, or see
www.marylandpsychology.org.
Sunday October 19, 2008
2:00 pm to 5:00 pm
”Affect Dysregulation, Toxic Shame, and the Use of the Analyst’s Body.”
This annual symposium is presented as a forum for members
of the mental health community to compare and contrast the approach of
differing schools of psychoanalytic theory.
Representatives from each of the five training institutes in the Washington
Metropolitan area will discuss their understanding of the patient's inner
world, the analytic relationship and the use of technique.
Case Presentation:
Janet Dante, M.A., M.S.W., LCSW-C
5th year Candidate
The
Discussants:
Noreen Honeycutt, Ph. D.
Training and Supervising Analyst
Baltimore Washington Center for Psychoanalysis
Larry Ballon, M.D.
Faculty, Psychoanalytic Training Program
Institute of Contemporary Psychotherapy and Psychoanalysis
Sharon Dennett, L.C.S.W., F.I.P.A.
Teaching, Supervising and Personal Analyst
International Institute for Psychoanalytic Training
Jane Hall, L.C.S.W., F.I.P.A.
Teaching Training and Supervising Analyst
New York Freudian Society
Donald Ross, M.D.
Supervising and Training Analyst
Washington Center for Psychoanalysis
Location: Baltimore Washington Center for
Psychoanalysis
14900 Sweitzer Lane, Suite. 102
Laurel, MD 20707
The Joint Institutes Candidates Committee is an Ad Hoc Committee of psychoanalytic candidates from the five Washington metropolitan area Psychoanalytic Training Programs: Baltimore Washington Center for Psychoanalysis, Institute for Contemporary Psychotherapy and Psychoanalysis, International Institute for Psychoanalytic Training, New York Freudian Society and Washington Psychoanalytic Institute. Our purpose is to promote professional collegiality and to enhance dialogue about psychoanalysis among the four area training institutes and within the community.
Symposium Committee:
Baltimore Washington Center for Psychoanalysis:
Joanna Lhulier, Psy.D., Chair
Institute for Contemporary Psychotherapy and Psychoanalysis:
Kathy Beck, M.S.W.
Linda Kanefield, Ph.D.
International Institute for Psychoanalytic
Training:
Caroline M. Sehon, M.D.
Lynn Stormon, Ph.D.
New York Freudian Society:
Rosalie Mandelbaum, L.C.S.W.
Debra Neuman, Ph.D.
Washington Psychoanalytic Institute and Society:
Lindsay Benedict Brancato, Psy.D., Treasurer
To register, please make
a check payable to
"JICC"
and send along with the following
information to:
Joint Institute Candidates' Committee
c/o Lindsay Benedict Brancato,
5480 Wisconsin Ave. Ste. 204
Chevy Chase , MD 20815
Name:
Address:
Business Phone:
Home Phone:
Discipline:
Institute Affiliation:
E-Mail Address:
Please remit $50 per person. ($55 Walk-in registration)
Full-time students (with ID) and Candidates - $20. ($25 Walk-in registration).
Intended audience: This program is intended for mental health
professionals interested in psychoanalysis and psychoanalytic psychotherapy,
from disciplines including psychology, psychiatry, social work, counseling,
and nursing.
Educational objectives:
(1) To illustrate the early phase of psychoanalytic treatment with a
patient in the borderline spectrum.
(2) To compare and contrast theoretical perspectives to case material, as seen by senior analysts representing the five local institutes.
This activity has been planned and implemented in
accordance with the Essential Areas and Policies of the Accreditation
Council for Continuing Medical Education (ACCME) through the joint
sponsorship of the American Psychoanalytic Association and the Baltimore
Washington Society for Psychoanalysis, Inc. The American
Psychoanalytic Association is accredited by the ACCME to provide continuing
medical education for physicians and takes responsibility for the content,
quality, and scientific integrity of this
Seventh Annual Julia & Thomas Saltz Grand
Rounds
at Children’s
November 5, 2008
"Listening to Patients --
Some Thoughts on Technique in Child Psychotherapy and Psychoanalysis
Kal Kolansky, M.D.
S. Kalman Kolansky M.D.
is Board Certified in Psychiatry and Child Psychiatry and is a Graduate
Adult and Child Psychoanalyst and a Teaching Analyst in the
Baltimore-Washington Psychoanalytic Institute. He is Coordinator of Child
Psychiatry Training in the Residency Training Program at St. Elizabeth's
Hospital in
This paper explores the use of close process work on defense in
dynamically oriented child psychotherapy and psychoanalysis and contrasts
this with the propensity of modern child psychiatry to define children's
emotional problems by identification and treatment of symptoms. Dr. Kolansky
believes that this symptom emphasis, especially with conflict-based
emotional problems treated exclusively by medication or cognitive behavioral
therapy, under pressure from managed-care and " big Pharm," interferes with
a child or adult patient’s understanding of, and gaining control of the way
their mind works. In other words
it interferes with Mentalization as described by Peter Fonagay.
Through presentation of process notes illustrating his moment by
moment psychoanalytic work with a latency age girl Dr. Kolansky illustrates
that close process defense analysis, as developed by the late Dr. Paul Gray
of the Baltimore-Washington Institute in his work with adults, can be
usefully applied in working with children.
The Saltz Grand Rounds is developed in collaboration with the
The 16th Annual Consortium for Psychoanalytic Research
February 1, 2009
The Effect of Suicide on
Clinicians: A Research Perspective
The suicide of a patient is a
traumatic event in the life of a psychotherapist, and is often not talked
about or studied for complicated reasons such as shame, stigma or fear of
litigation. This silence is remarkable since research suggests that up to
50% of clinicians will lose a patient to suicide in the course of their
career. Dr. Tillman has spent the past decade studying the effects of
patient suicide on clinicians using qualitative research methodology.
Dr. Tillman will present data from a study in which she interviewed
psychotherapists who have had a patient commit suicide. Eight themes common
to this experience emerged from these data and help to outline the
predictable responses of clinicians to such an event. Understanding the
acute and long-term consequences of patient suicide on professional identity
and ongoing clinical practice will be reviewed.
Participants will learn about qualitative research methodology and the
existing literature on the impact of suicide on clinicians, and will have
the opportunity to review their own experience and attitudes toward working
with suicidal patients and responding to colleagues who have had a patient
commit suicide. Understanding the potential effect of having a patient
commit suicide may help the clinician anticipate the difficulties associated
with this painful professional experience.
At the conclusion of this presentation participants will be able to: (1) evaluate the evidence base on the effect of patient suicide on clinicians; (2) demonstrate an understanding of basic qualitative research methodology: (3) practice consciousness of countertransference responses elicited by suicidal patients.
The conference will be held at