Argosy University,Chicago COURSE SYLLABUS PP8040 Psychoanalytic Theory and Therapy Spring, 2010 Faculty Information Faculty name: Kathy P. Goggin, Psy.D. Campus: Chicago Office hours: T 3-3:30pm, W 10:00-11:30 & by appt. Contact information: Phone: 312-777-7687; 312.899.8188 private voicemail kgoggin@argosy.edu NOTE TO STUDENTS: Many articles are now available full text through the PEP database, see Bibliography. The majority of the rest of the readings in the Bibliography are book chapters from books that are on reserve in our library. Hence, I am NOT requesting a packet for this course; the cost of copyright for the book chapters is in some instances rather expensive, so I am assuming you would rather copy these yourself and save money rather than have to buy a packet. Required TEXTS appear on page 5 of this syllabus.Also note: I will be adding/revising just a few of the readings, and any additions will be available from PEP, but please anticicpate some minor changes to the readings. Course Description: This course will present major concepts of psychoanalytic theory of personality and psychotherapy derived from classical, communicative, relational and self psychology approaches. Emphasis will be on solid mastery of concepts and developing a multi-layered, rich perspective of understanding human persons, and of understanding that unique human relationship known as the psychotherapeutic interaction, from a psychoanalytic point of view so as to promote healing. There will be discussion of issues relevant to evidence based practice. The course will include a focus on the process of psychotherapy; the ability to listen to clients’ communications for latent, unconscious content; the ability to listen to therapists’ communications for latent, unconscious content; interpretation and validation; classical and totalistic views of transference and countertransference. There will be an emphasis throughout on the cultural contexts within which these psychoanalytic approaches and concepts were developed and which affect how they are applied. Reading materials: There are four required texts. In addition, many materials are on reserve in the library. Many articles are available online, especially through PEP database, and have been placed on electronic reserve for your convenience (see bibliography for specific items.) Texts: Freud and Man’s Soul Bruno Bettelheim,Vintage Books, ISBN 0-394-71036-3 Inside Out and Outside In Berzoff, Flanagan, & Hertz (1996) Jason Aronson, Inc. Northvale, NJ ISBN 1-56821-777-3 Learning from the Patient Patrick Casement (1991) Guilford Press, New York ISBN 0-89862-157-7 (pbk) Psychoanalytic Psychotherapy Nancy McWilliams (2004) Guilford Press 1 ISBN 1-59385-009-3 Highly recommended: Psychodynamic Diagnostic Manual, published by Alliance of Psychoanalytic Organizations, www.pdm1.org ISBN 0-9767758-2-4 (paper) Packet Articles: Given the ready availability of many required readings through electronic reserve or general reserve in our library, THERE IS NO PACKET FOR THIS COURSE THIS TERM. See Bibliography for listing of items that are available through PEP and other databases that are on electronic reserve for the course. Specific course objectives: To provide students with a solid and multi-faceted awareness of the major schools of psychoanalytic thought as applied to personality and the practice of psychotherapy. (Foundations of Scientific Psychology) To ready students to use psychoanalytic approaches in clinical settings and interactions. (Competence in Relationships, Intervention) To promote the effective application of theoretical constructs to an understanding of client history and personality, and to the nuances of the therapeutic interaction. (Competence in Assessment, Intervention and Relationship) To promote the consistent and effective use of documentation in clinical case formulations and in analyses of therapeutic interactions, without reliance on jargon. (Competence in Assessment and Foundations of Scientific Psychology) To promote the ability to integrate information from various sources (i.e., client history, present behavior, behavior in the therapeutic interaction) to arrive at clinical formulations which have richness and depth and humanity. (Competence in Assessment, Intervention, and Relationship) To promote the consistent awareness of and inclusion of issues related to culture, class, race, gender, sexual orientation, and disability in clinical case formulations and therapeutic intervention. (Competence in Assessment, Intevention, Relationship and Diversity) To promote critical thinking and evaluation of literature regarding psychoanalytic theory and technique, including evidence based approach (Foundations of Scientific Psychology, Competence in Intervention) Course expectations of students and professor: to attend all classes; to have thoughtfully prepared for class, including having read all assigned materials and reflected upon their content, importance, and meaning; to employ critical thinking skills; to participate meaningfully in class discussions; to maintain a respectful attitude towards differing points of view and individual differences. From Dr. Goggin: All students are expected to conduct themselves in keeping with standards of human respect and dignity, as well as the Ethical Standards of Psychologists as published by the American Psychological Association. Dishonesty, deceit or disrespect in any fashion is not in keeping 2 with human dignity, personal integrity or professional ethical standards. If any such behavior is discovered, appropriate referral to the Student Professional Development Committee will result. Course evaluation of students: Evaluation of students will be made based on several class assignments, class participation, and a mid-term and final take-home exam. In addition, student comportment and professional behavior will be considered. Reading assignments: Due weeks 2, 3, 5, 6, 8 or 11. You may select to “opt out” of one of these weeks/assignments over the course of the term. Students will turn in typed summaries of 2 articles assigned for that week’s reading. Summaries are limited to one-page in length for each article, and must present a thoughtful summary of the article; glib, superficial work will be downgraded accordingly. These summaries are worth 2 points each, and will be graded by the teaching assistant. Any assignments which are of poor quality will automatically be reviewed by me. Homework assignments: One graded homework assignment is due week 4. It is designed to help you to practice applying your learning to clinical material, which in turn will help prepare you for your midterm and final exams. The assignment is worth 10 points, and must be typed. Additional details will be supplied in class. This assignment will be reviewed by me. In addition, there will be one ungraded assignment, due week 10, which asks you to look at countertransference elements/role-responsiveness in yourself. Further details will be provided. Mid-term exam: Due week 7. The mid-term exam will ask you to apply drive theory, ego psychology and object relations principles to clinical case material that you will be working on from the beginning of the course. In addition to providing a formulation of the case from these 3 perspectives, you will also provide a formulation of what you expect the client’s transference to be, what countertransference reactions you might also expect in yourself, including relevant diversity issues and concerns. Further details will be supplied with the exam. Final exam: The final exam will provide students with an opportunity to analyze an actual patienttherapist interaction, employing all relevant concepts and theories presented in the course. Further details will be provided with the exam. Due week 13. PLEASE KEEP AN EXTRA COPY OF YOUR EXAM; we will have a class discussion regarding your work during our last class, week 14. EXAMS SHOULD NEVER BE SHARED WITH OTHERS AT ANY TIME. ALL EXAMS MAY BE ASSESSED THROUGH TURN-IT-IN. Grading Criteria: 3 Grading Requirements Reading assignments (2pts each) Homework assignment Mid-term take home exam Final take-home exam Grading Scale 20 pts. 10 pts. 30 pts. 40 pts. 100 pts. A 93-100% A- 90-92% B+ 88-89% B 83-87% B- 80-82% C+ 78-79% C 73-77% C- 70-72% D+ 68-69% D 63-67% D- 60-62% F 59% or below Please note that at the graduate level, a grade of B represents the expected level of performance and mastery of course material. A grade of A represents performance and mastery of the material which demonstrate exceptional depth and quality of understanding, exceptional application of that understanding to clinical material, and exceptional written articulation of that understanding. Following is an attempt to operationalize* expected versus exceptional levels of performance. “A” work, of exceptional quality: -comprehensive knowledge of relevant theory and concepts -capacity to apply relevant concepts to available data in a rigorous and thoughtful manner -clear integration of relevant theory and clinical data that recognizes the complexity and nuance of human behavior and communication -clear capacity to observe relations between different realms of data: history and current behavior, current behavior and therapy relationship, and intrapsychic and interactional phenomena -consistent documentation (use of clinical data) that supports hypotheses, case formulations, and symbolic interpretation -presentation which is articulate, without undue, cliched reliance on jargon; which demonstrates a direct and superior grasp of implications of data beyond manifest meanings -writing which is coherent, articulate, and professionally presented; which evokes a sense of the person about whom it is written “B” work, of expected quality: -adequate yet basic application of course concepts and methods to clinical case analysis -adequate documentation of hypotheses, formulations and symbolic interpretation with little or no use of multiple sources of clinical data to support analysis -writing is clear, understandable and presentable, but of limited evocative quality -work that is sufficient but lacking in richness, depth and integration 4 “C” work, below expected level: -course concepts are not sufficiently employed in clinical analysis, or are applied in superficial, inappropriate or irrelevant ways -documentation of hypotheses, formulations and symbolic interpretation is weak or absent -little or no demonstration of integration, of seeing relationships between past and present information and/or behavior; little or no demonstration of the capacity to identify the actual clinical manifestations or implications of a particular theoretical construct. -poor written presentation -- typos, spelling and grammar errors, excessive use of Jargon, meaning obscured by poor written articulation of ideas * I am indebted to Dr. Marc Lubin for the original articulation of these criteria in previous syllabi for this course Course evaluation of professor and teaching assistant: Students will anonymously evaluate teaching assistant and professor at mid-term and at the end of the course. In addition, any and all questions and comments are welcome at any time, and are encouraged. Feedback is especially important if a student feels that learning needs are not being met 5 COURSE SCHEDULE Week Week 1 Week 2 Topics Introduction; Cultural considerations; Classical models – Drive and Structural; Discussion of empirical validity of psychoanalytic concepts: the unconscious Readings Bettelheim, Freud and Man’s Soul Berzoff, et al, Chapters 1, 2 & 3 The 4 Psychologies -- Overview. Focus on Ego Psychology: dynamics,compromise formation; defense; analysis of resistance. Berzoff, et al, Chapter 4 Pine, “The 4 Psychologies of Psychoanalysis” Assignments Westen, D (1999) The Scientific Status of Unconscious Processes. Journal of The American Psychoanalytic Association, 47: 10611106 Available from PEP Reading assignment due. “The 4 Psychologies in Clinical Work” Brenner,“Compromise Formations” Schafer, “The Analysis of Resistance” Week 3 Focus on Object Relations Theory Berzoff, et al, Chapter 6 Sandler, J “Countertransference and RoleResponsiveness” Sandler & Sandler, “On the Development of Object Relations and Affects” 6 Reading assignment due Recommend: St. Clair, Object Relations and Self Psychology Week 4 Introduction to Treatment Issues; Cultural variables in treatment. Empirical issues & efficacy of psychoanalysis and psychoanalytic therapy Freud, “Recommendations to Physicians Practicing Psychoanalysis” Homework assignment due (Drive, Dynamics, Object Relations) Strachey, J “The Nature of the Therapeutic Action of Psychoanalysis” Kernberg, O “Countertransference” Altman, N “Race, Culture and Social Class” Week 5 Object Relations (British Influence); Holding and Containment. Review of Course Content Leichsenring & Rabung (2008) Effectiveness of LongTerm psychodynamic Psychotherapy: A meta-analysis. Journal of the American Medical Association, v. 300, # 13 Availabe on electronic reserve Khan, M “Vicissitudes of Being, Knowing and Experiencing in the Therapeutic Situation” Casement, P “Key Dynamics of Containment” 7 Mid-term exam distributed Reading assignment due “Analytic Holding Under Pressure” McWilliams, N Chapters 1, 2, 3 Schafer, R “Resisting and Empathizing” Week 6 Review and study session in support of mid-term preparation. Review of therapeutic process. Casement, P “Listening from an Interactional Viewpoint….” Chap. 5 Spence, Dahl & Jones (1993) Impact of Interpretation on Associative Freedom, Journal of Consulting & Clinical Psychology, 61(3), 395-402 Available on PEP Reading assignment due. Doidge, N (1997) Empirical Evidence for the Efficacy of Psychoanalytic Psychotherapies and Psychoanalysis: An overview. Psychoanalytic Inquiry, 178: 102-150. Available from PEP Week 7 Communicative listening, I – The therapeutic frame and analytic listening Langs, “Listening and Formulating” “The Ground Rules or Frame of Psychotherapy” “Safeguarding the Therapeutic Experience” Casement, P “The Search for Space: An Issue of Boundaries” 8 MID-TERM EXAM DUE, 12:30 pm McWilliams, N Chapter 5 Week 8 Communicative listening, II – Validating Analytic Intepretations Langs, “Intervening and Validating” Reading assignment due Casement, “Processes of Search and Discovery in Therapeutic Experience” Smith, “The Technique of Communicative Psychotherapy” “Two Communicative Sessions” McWilliams, N Chapter 6 Week 9 Self Psychology, I Berzoff, et al, Chapter 7 Roland, A “How Universal is the Psychoanalytic Self?” Wolf, E “Self Object Relations Disorders: Disorders of the Self” “Principles of treatment” Week 10 Self Psychology, II - Transference and Countertransference Wolf, E “The Therapeutic Process” “Selfobject Transferences” “Countertransference Issues” 9 Ungraded assignment due Week 11 The Relational Orientation Aron, “ The Relational Orientation: an Introduction” “Relational Theory and its Boundaries: One and Two Person Psychologies” Final exam distributed Reading assignment due McWilliams, N Chapter 12 Week 12 Review in preparation for final exam. Ethics in psychoanalysis. Reading on ethics will be assigned before class. Week 13 Introductory issues in consultation and supervision Week 14 Class discussion of final exam – BRING COPY OF EXAM TO CLASS Week RESERVED FOR USE IN THE EVENT A CLASS NEEDS TO 15 BE RESCHEDULED. FINAL EXAM DUE AT 12:30PM, NO EXCEPTIONS! You should assume that you will NEED to be available to attend class on this date unless specifically told by the professor that this will not be necessasry. PP8040 PSYCHOANALYTIC ELECTRONIC RESERVE – DR. GOGGIN COURSE PACKET BIBLIOGRAPHY PLEASE NOTE: ITEMS BELOW IN ITALICS ARE BOOK CHAPTERS WHICH YOU MUST COPY YOURSELF FROM LIBRARY RESERVE…THERE IS NO PACKET FOR THIS COURSE. THE OTHER ITEMS ARE AVAILABLE ON ELECTRONIC RESERVE 1. Altman, N (1995) “Race, Culture, and Social Class,” in The Analyst in the Inner City: Race, Class, and Culture through a Psychoanalytic Lens, The Analytic Press, New Jersey, pp. 74 - 118. ISBN 0-88163-173-6, 45 pages 10 2. Anisfeld, L “The therapist’s disability as an adaptive context,” in Raney, J (ed), Listening & Interpreting: The challenges of the works of Robert Langs, Jason Aronson, New York pp. 37-53. 3. Aron, L (1996), “The Relational Orientation: an Introduction,” in A Meeting of Minds: Mutuality in Psychoanalysis, The Analytic Press, Hillsdale, NJ, pp. 1-30. ISBN 0-88163-159-0, 30 pages 4. Ibid, “Relational Theory and its Boundaries: one and two person psychologies,” pp. 31-64. 34 pages 5. Brenner, C (1982) “Compromise Formations,” in The Mind in Conflict, International Universities Press, Inc., Connecticut, pp.109 - 119. ISBN 08236-3365-9, 11 pages 6. Doidge, N (1997) Empirical Evidence for the Efficacy of Psychoanalytic Psychotherapies and Psychoanalysis: An overview. Psychoanalytic Inquiry, 178: 102-150. Available from PEP 7. Freud, S (1912) “Recommendations to physicians practicing psychoanalysis,” in Strachey, J., ed. and trans., The Standard Edition of the Complete Psychological Works of Sigmund Freud, v. 12, pp. 111-120, The Institute of Psychoanalysis, The Hogarth Press, Ltd. and (for U.S. rights) Basic Books, Inc. Available from PEP 8. Khan, M (1969) “Vicissitudes of Being, Knowing and Experiencing in the Therapeutic Situation,” British Journal of Medical Psychology, v. 42, pp. 383-393. ISSN 0007-1129, 11 pages Kernberg, O (1965) “Countertransference,” in Journal of the American Psychoanalytic Association, v. 13, pp. 38 - 56. Available from PEP 9. 10. Langs, R (1988) “Listening and Formulating,” in A Primer of Psychotherapy, Gardner Press, New York, pp. 48 - 79. ISBN 0-89876-142-5, 32 pages 11. Ibid, “ Intervening and Validating,” pp. 80 - 100. 12. Ibid, “The Ground Rules or Frame of Psychotherapy,” pp. 134 - 156. 13. Ibid, “Safeguarding the Therapeutic Experience,” pp. 221 - 227. 21 pages 23 pages 7 pages 14. Pine, F (1990) “The Four Psychologies of Psychoanalysis,” in Drive, Ego, Object, and Self, A Synthesis for Clinical Work, Basic Books, pp. 22 - 41. ISBN 0-465-01722-3, 20 pages 15. Ibid, “The Four Psychologies in Clinical Work,” pp. 42 - 54. 11 23 pages 16. Roland, A (1996) “How Universal is the Psychoanalytic Self?” in Cultural Pluralism and Psychoanalysis: The Asian and North American Experience, Routledge, New York, pp. 3 - 21. ISBN 0-415-91478-7, 19 pages 17. Sandler, J & Sandler, A-M (1978) “On the Development of Object Relations and Affects,” International Journal of Psychoanalysis, v. 59, pp. 285 - 296. Available from PEP 18. Sandler, J (1976) “Countertransference and Role-Responsiveness,” in International Review of Psychoanalysis, v. 3, pp. 43 - 47. ISSN 0306-2644, 5 pages 19. Schafer, R (1983) “Resisting and Empathizing,” in The Analytic Attitude, Basic Books, New York, pp. 66 - 81. ISBN 0-465-00267-6, 16 pages 20. Ibid, “The Analysis of Resisting,” pp. 162 - 182. 21 pages 21. Smith, DL (1991) “The Technique of Communicative Psychotherapy,” in Hidden Conversations: An Introduction to Communicative Psychoanalysis, Tavistock/Routledge, London and New York, pp. 192-218 ISBN 0-415-04263-1, 27 pages 22. Ibid, “Two Communicative Sessions,” pp. 219 - 236. 18 pages 23. Spence, Dahl & Jones (1993) Impact of Interpretation on Associative Freedom, Journal of Consulting & Clinical Psychology, 61(3), 395-402 Available in EBSCO PsycArticles 24. Strachey, J (1934), “The Nature of the Therapeutic Action of Psychoanalysis,” International Journal of Psychoanalysis, v. 15, pp. 117-126. Available from PEP 25. Westen, D (1999) The Scientific Status of Unconscious Processes. Journal of The American Psychoanalytic Association, 47: 1061-1106 Available from PEP 26. Wolf, E (1988) “Self Object Relations Disorders: Disorders of the Self,” in Treating the Self Elements of Clinical Self Psychology, The Guilford Press, New York, pp. 65 - 76. ISBN 0-89862-717-6, 12 pages 27. Ibid, “Principles [of treatment],” pp. 94 - 101. 8 pages 28. Ibid, “The Therapeutic Process,” pp. 102 - 123. 22 pages 29. Ibid, “Selfobject Transferences,” pp. 124 - 135. 12 pages 30. Ibid, “ Countertransference Issues,” pp. 136 - 145. 10 pages 31. Leichsenring & Rabung (2008) Effectiveness of Long-term Psychodynamic Psychotherapy: A meta-analysis. Journal of the American Medical Association, v. 300, no. 13, 1551-1565. Available on electronic reserve 15 pages 12 Disability statement: It is the policy of Argosy University,Chicago to make reasonable accommodations for qualified students with disabilities, in accordance with the Americans with Disabilities Act (ADA.) If a student with disabilities needs accommodations to complete the instructor’s course requirements, the student must notify the Director of Student Services. Procedure for documenting student disability and the development of reasonable accommodation will be provided to students upon request. Students will be notified by the Director of Students Services when each request for accommodation is approved or denied in writing via a designated form. It is the student’s responsibility to present the form (at his or her discretion) to the instructor in order to receive the requested accommodations in class. In an effort to protect student privacy, Student Services will not discuss the accommodation needs of any student with instructors. Academic dishonesty/plagiarism statement: The University seeks to foster a spirit of honesty and integrity. Any work submitted by a student must represent original work produced by that student. Any sources used by a student must be documented through normal scholarly references and citations, and the extent to which any sources have been used must be apparent to the reader. The University further considers resubmission of a work produced for one course in a subsequent course or the submission of work done partially or entirely by another to be academic dishonesty. It is the student’s responsibility to seek clarification from the course instructor about how much help may be received in completing an assignment or exam or project and what sources may be used. Students found guilty of academic dishonesty or plagiarism shall be subject to disciplinary action up to and including dismissal from the University. The University does make use of software which can detect plagiarism. 13