MODULE SPECIFICATION TEMPLATE SECTION 1: MODULE SPECIFICATIONS 1. The title of the module Clinical application of psychoanalytic concepts KI904 2. The Department which will be responsible for management of the module KIMHS 3. The Start Date of the Module January 2008 4. The cohort of students (onwards) to which the module will be applicable. September 2007 5. The number of students expected to take the module 20-25 6. Modules to be withdrawn on the introduction of this proposed module and consultation with other relevant Departments and Faculties regarding the withdrawal None 7. The level of the module (eg Certificate [C], Intermediate [I], Honours [H] or Postgraduate [M]) M 8. The number of credits which the module represents 15 (7.5 ECTS) 9. Which term(s) the module is to be taught in (or other teaching pattern) variable 10. Prerequisite and co-requisite modules None 11. The programmes of study to which the module contributes Doctor of Clinical Science (Psychotherapy) 12. The intended subject specific learning outcomes and, as appropriate, their relationship to programme learning outcomes 1. Deepening knowledge and critical understanding of the development of the concept of transference and countertransference in the evolution of psychoanalytic theory and practice (A9,10) 2. Ability to integrate core metapsychological and clinical concepts into clinical practice (B9) 3. Understand and critically evaluate the main psychodynamic clinical concepts, such as the ego defences, transference and countertransference, projective and introjective identification, ‘true’ and ‘false’ self, ‘self-objects’ with reference to your clinical practice (B10) 4. Critical understanding of the concepts of transference and countertransference in relation to clinical practice (B10) 13. The intended generic learning outcomes and, as appropriate, their relationship to programme learning outcomes 1. Ability to take part in clinical case discussion, identifying psychodynamic processes in the therapeutic interaction and developing a clinical formulation consistent with one or more of the schools of psychoanalytic theory with reference to ethical practice (C14, D1) 14. A synopsis of the curriculum This module is intended to broaden and deepen your critical understanding of the core theoretical and clinical concepts of psychoanalysis in the context of their developing clinical practice. Particular attention will be paid to the development concept of transference and countertransference in Freud’s original texts, and later developments in the evolution of these concepts in subsequent theoretical innovations. You will also explore the relation of these concepts to later thinking on the therapeutic alliance and therapeutic interaction. You will have the opportunity to present a classic psychoanalytic text, relating it to your clinical or other experience as appropriate, with respect to ethical considerations. 15. Indicative Reading List TRANSFERENCE Essential Reading Freud, S. (1912A) Standard Edition The Dynamics of Transference Klein, M. (1905) The Origins of Transference Szasz, T. (1963) The Concept of Transference, International Journal of Psychoanalysis 44 : 432 - 443 Sandler, J., Holder, A. et al. (1969) Notes on Some Theoretical and Clinical Aspects of Transference International Journal of Psychoanalysis 50 : 633 - 645 Gill, M. (1979) The Analysis of the Transference Journal of the American Psychoanalytic Association 27 : 263 - 288 Background Reading Klein, M. (1946 - 1963) Envy and Gratitude and other works Bird, B. (1972) Notes on Transference : Universal Phenomenon and Hardest Part of Analysis Journal of the American Psychoanalytic Association 20 : 267-301 NON-TRANSFERENCE Essential Reading Searles, H. The Patient as Therapist to his Analyst : Countertransference edited Peter Giovacchini pp 95 - 151 Background Reading Greenson, R. (1971) The "Real" Relationship Between the Patient and the Psychoanalyst, Reprint in the library New York International Universities Press Countertransference edited Peter Giovacchini pages 95 - 151 COUNTERTRANSFERENCE AND COUNTER-TRANSFERENCE Essential Reading Heimann, P. (1950) On Countertransference International Journal of Psychoanalysis 31 : 81 - 84 Little, M. (1951) Countertransference and the Patient's Response to it International Journal of Psychoanalysis 32 : 32 - 40 Greenson, R. (1960) Empathy and it's Vicissitudes International Journal of Psychoanalysis 41 : 418 424 Bion, W.R. (1967) Notes on Memory and Desire Psychoanalytic Forum 2 : 271 - 280 Background Reading Reicht, A. (1951) on Countertransference International Journal of Psychoanalysis 32 : 25 - 31 Tower, L. Countertransference Journal of the American Psychoanalytic Association 4 : 224 - 255 Racker, H. (1972) The Meanings and Uses of Countertransference Psychoanalytic Quarterly 41 : 487 - 506 Grinberg, L. (1962) On A Specific Aspect of Countertransference Due To The Patient's Projective Identification International Journal of Psychoanalysis 43 : 436 - 440 Kernberg, O. Countertransference Journal of the American Psychoanalytic Association 13 : 38 - 56 Fliess, R. (1942) The Metapsychology of the Analyst Psychoanalytic Quarterly 11 : 211 - 227 Derracker, On The Foundation Of The Interpretation International Journal of Psychoanalysis 42 : 49 54 Beres Arlow, (1974) Fantasy And Identification In Empathy Psychoanalytic Quarterly 43 : 155 - 181 Sandler, J. (1976) Countertransference And Role Responsiveness International Review of Psychoanalysis 3 : 43 - 47 THE THERAPEUTIC/WORKING ALLIANCE AND THE THERAPEUTIC INTERACTION Essential Reading Greenson, R. (1965) The Working Alliance and the Transference Neurosis Psychoanalytic Quarterly 34 : 155 - 181 Langs, R. (1975) Therapeutic Misalliances International Journal of Psychoanalytic Psychotherapy 4 : 77 - 105 Strachey, J. (1934) The Nature of the Therapeutic Action of Psychoanalysis International Journal of Psychoanalysis 15 : 117 - 126 Background Reading Sterber, R. (1934) The Date of the Ego in Analytic Therapy International Journal of Psychoanalysis 15 : 117 - 126 Zetzel, E. (1956) Current Concepts of Transference International Journal of Psychoanalysis 37 : 369 376 Kanzer, M. (1975) The Therapeutic and Working Alliance International Journal of Psychoanalytic Psychotherapy 4 : 48 - 73 Loewald, H. The Therapeutic Action of Psychoanalysis (Abstract by Robert Langs) Reprinted from The Therapeutic Interaction Vol. 1, R. Langs, 218 - 220 Baranger and Baranger, (1966) Insight In The Analytic Situation, Reprint (in library) from Psychoanalysis In The Emericas Ed. Robert E. Lipman, New York International Universities Press Malin, A. and Grotstein, J. (1966) Projective Identification In The Therapeutic Process International Journal of Psychoanalysis 47 : 26 - 31 Segal, H. Melanie Klein's Technique Psychoanalytic Forum 2 : 212 - 225 Kahn, M. (1969) Visiccitudes Of Being, Knowing And Experiencing In The Therapeutic Situation British Journal of Medical Psychology 42 : 383 - 393 Searles, H. (1973) Concerning Therapeutic Symbiosis, Reprint from The Annual of Psychoanalysis (in library) 1 : 247 - 262 THE THERAPEUTIC SETTING Essential Reading Freud, S. Recommendations to Physicians Practising Psychoanalysis standard edition, vol. 12 : 112 120 Winnicott, D. (1956) On Transference International Journal of Psychoanalysis 37 : 386 - 388 Background Reading Eissler, K. The Effect Of The Structure Of The Ego On Psychoanalytic Technique Journal of the American Psychoanalytic Association Vol. 1 : 104 - 143 Bleger, J. (1967) Psychoanalysis Of The Psychoanalytic Frame International Journal of Psychoanalysis 48 : 511 - 519 Modell, A. "The Holding Environment" And The Therapeutic Action Of Psychoanalysis Journal of the American Psychoanalytic Association 24 : 285 - 308 PAPERS FOR SEMINAR DISCUSSION (Available in Library) 1. Psychoanalysis in the Americas edited R, Litman, New York International Universities Press. 2. Beres, D and Arlow, J A 1974 Fantasy and Identification in Empathy. Psychoanalytic Quarterly 43:26-50. 3. Bird, B 1972 Notes on Transference : Universal Phenomenon & Hardest Part of Analysis. Journal of the American Psychoanalytic Association 20:267-301. 4. Bleger, J 1967 Psychoanalysis of the Psychoanalytic Frame. Psychoanalysis Vol.48:511-510. 5. Freud, S 1912A The Dynamics of Transference. Standard edition 12:97-108. 6. Freud, S 1912B Recommendations to Physicians Practising Psychoanalysis. Standard edition 12:111-120. 7. Gill, M 1979 The Analysis of the Transference. Journal of the American Psychoanalytic Association Vol.27:263-288. 8. Greenacre, P 1954 The Role of Transference. Journal of the American Psychoanalytic Association Vol.2:671-684. 9. Greenson, R 1965 The Working Alliance and the Transference Neurosis. Psychoanalytic Quarterly 34:155-181. 10. Greenson, R 1972 Beyond Transference and Interpretation. Psychoanalysis 53:213-217. 11. Kanzer, M 1975 The Therapeutic and Working Alliances:An Assessment. International Journal of Psychoanalytic Psychotherapy 4:48-68. 12. Langs, R 1975A Therapeutic Misalliances. Psychotherapy 4:77-105. 13. Langs, R 1978D Interventions in the Bi-Personal Field in Technique in Transition by R Langs. New York. Jason Aronson. 14. Langs, R 1978S The Adaptational/Interactional Dimension of Counter-Transference in Technique in Transition by R Langs. New York. Jason Aronson. 15. Little, M 1951 Countertransference and the Patient's Response to it. International Journal of Psychoanalysis 32:32-40. 16. Little, M 1957 R- The Analyst's Total Response to His Patients' Needs. International Journal of Psychoanalysis 38:240-254. 17. Racker, H 1957 The Meanings and Uses of Countertransferance. Psychoanalytic Quarterly 26:303-357. International Journal of International Journal of International Journal of Psychoanalytic 18. Searles, H 1973 Concerning Therapeutic Symbiosis. The Annual of Psychoanalysis 1:247262. 19. Searles, H 1975 The Patient as Therapist to His Analyst in Tactics and Techniques of Psychoanalytic Therapy, Vol.2 - Countertransferance edited P Giovacchini, New York, Jason Aronson. 20. Segal, H 1967 Melanie Klein's Technique. Psychoanalytic Forum 2:197-211. 21. Sterbar, 1934 The Face of the Ego in Analytic Therapy. Psychoanalysis Vol.15:117-126. 22. Strachey, J 1934 The Nature of the Therapeutic Action of Psychoanalysis. International Journal of Psychoanalysis Vol.15:127-159 reprinted in International Journal of Psychoanalysis Vol.50:1969, 275-292. 23. Szasz, T 1963 The Concept of Transference. International Journal of Psychoanalysis 44:432443. 24. Zetzel, E 1956 Current Concepts of Transference in International Journal of Psychoanalysis 37:369-376. International Journal of TRANSFERENCE AND COUNTERTRANSFERENCE Sigmund Freud Standard Edition, Page Numbers in Brackets 1901 "The Psychotherapy of Hysteria" (302) 1905 "A Case of Hysteria" (116 - 120) (Dora) 1910 "Future Prospects of Psycho-Analysis" (144 - 145) 1910 "Five Lectures on Psycho-Analysis" (51) 1912 "The Dynamics of Transference" (98) 1920 "Beyond the Pleasure Principle" (21 - 23) 1923 "Two Encyclopaedia Articles" (247) 1925 "An Autobiographical Study" (26 - 27, 42) 1926 "The Question of Lay Analysis" (224 - 228) 1926 "Psycho-Analysis" (261) 1940 "An Outline of Psycho-Analysis" (174 - 177) Melanie Klein Key Paper 1952 "The Origins of Transference" in J. Mitchell ed. (1983) THE TECHNIQUES OF PSYCHOTHERAPY Brown, D. and Pedder, J. Introduction to Psychotherapy, Tavistock Publications Ltd. Balint, M. Primary Love and Psychoanalytic Technique, Tavistock Publications Ltd. Freud, A. The Ego and The Mechanisms of Defence, Hogarth Press Freud, S. Freud's Psychoanalytic Procedure SE7 (1904) Five Lectures on Psychoanalysis SE11 (1909A) The Handling of Dream Interpretation SE12 (1911) The Dynamics of Transference SE12 (1912) On Beginning the Treatment SE12 (1913) Remembering, Repeating and Working Through SE12 (1914) Observations on Transference Love SE12 (1915) Analysis Terminable and Interminable SE23 (1937) Glover, E. The Technique of Psychoanalysis, International Universities Press Greenson, R. The Technique and Practice of Psychoanalysis, Hogarth Press Sandler, J., Dare, C. and Holder, A. The Patient and The Analyst: The Basis of the Psychoanalytic Process, Alan and Unwin Searles, H. Collected Papers on Schizophrenia, Hogarth Press Searles, H. Countertransference, RUP Sharpe, E.F. Dream Analysis, Hogarth Press Winnicott, D.W. The Maturational Processes and the Facilitating Environment, Hogarth Press Winnicott, D.W. Playing and Reality, Tavistock REFERENCES FOR TRANSFERENCE AND THE KLEINIAN TRADITION Melanie Klein, 1952 "The Origins of Transference" pages 48 - 56 Donald Meltzer, 1968 "The Psychoanalytic Process" Wilfred Bion, 1959 "Attacks on Linking" International Journal of Psychoanalysis vol. 40 pages 308 315 Irma Brennan-Pick, 1985 "Working Through in the Countertransference" International Journal of Psychoanalysis vol. 66 pages 157 - 166 M. Gittleson, 1952 "The Emotional Position of the Analyst in the Psychoanalytic Situation" International Journal of Psychoanalysis" vol. 33 pages 1 - 10 Betty Joseph, 1985 "Transference, The Total Situation" International Journal of Psychoanalysis vol. 66 pages 447 - 454 Melanie Klein, 1952 "On Observing the Behaviour of Young Infants" Margaret Little, 1951 "Countertransference and the Patient's Response to it" International Journal of Psychoanalysis vol. 32 pages 32 - 40 Herbert Rosenfeld, 1987 "Impasse and Interpretation" Herbert Rosenfeld, 1987 "Psychotic States" Hogarth pages 63 - 103 16. Learning and Teaching Methods, including the nature and number of contact hours and the total study hours which will be expected of students, and how these relate to achievement of the intended learning outcomes Teaching and learning will take place in seminars (15 hours) in the form of presentations based on classic and contemporary texts, amplified by reference to appropriate clinical case examples. This will be supplemented by 135 hours of clinical practice, reflection and writing up for presentations. The style of the seminar will be active participation, and you will have the opportunity for both presentation and clinical discussion. 17. Assessment methods and how these relate to testing achievement of the intended learning outcomes Your capacity to engage actively in clinical discussion, making use of your own experience and responding to that of others and to integrate your theoretical understanding with clinical events will be assessed by the seminar leader in a report at the end of term. Your knowledge and critical understanding of relevant clinical concepts will be assessed in your clinical dissertations. 18. Implications for learning resources, including staff, library, IT and space The module will be taught by existing staff, library resources are provided from the existing budget, and no additional IT resources are required. 19. A statement confirming that, as far as can be reasonably anticipated, the curriculum, learning and teaching methods and forms of assessment do not present any non-justifiable disadvantage to students with disabilities As far as can be reasonably anticipated, the curriculum, learning and teaching methods and forms of assessment do not present any non-justifiable disadvantage to students with disabilities apart from those with severe hearing and speech disabilities. SECTION 2: MODULE IS PART OF A PROGRAMME OF STUDY IN A UNIVERSITY DEPARTMENT Statement by the Director of Learning and Teaching: "I confirm I have been consulted on the above module proposal and have given advice on the correct procedures and required content of module proposals" ................................................................ .............................................. Director of Learning and Teaching Date ………………………………………………… Print Name Statement by the Head of Department: "I confirm that the Department has approved the introduction of the module and, where the module is proposed by Departmental staff, will be responsible for its resourcing" ................................................................. .............................................. Head of Department Date ……………………………………………………. Print Name SECTION 3: MODULE IS PART OF A PROGRAMME IN AN ASSOCIATE COLLEGE (Where the module is proposed by an Associate College) Statement by the Nominated Officer of the College: "I confirm that the College has approved the introduction of the module and will be responsible for its resourcing" ................................................................. .............................................. Nominated Responsible Officer of the Associate Date College …………………………………………………. Print Name ………………………………………………….. Post ……………………………………………………. Associate College