Barbra Zuck Locker Ph. D., ABPP
One West 81 Street
New York, New York 10024
212 579 4789
bzlocker@wiserock.com
Course Outline
Clinical Case Seminar-- Doing the Work: The Experience of Analyst &
Patient
This course is organized in a seminar/ group discussion format that will use case
material and readings to explore the experience of the analyst and the patient in
the treatment situation.
Special attention will be paid to the uniquely interpersonal approach to the
analytic encounter, but the course will primarily be concerned with doing the work
and on the way who we are as people influences how we are as analysts.
Students will be asked to think about their own psychoanalytic participation, and
what they bring to the analytic situation as individuals. Candidates will be
encouraged to consider the analytic relationship in terms of the mutual impact of
analyst and patient, in both conscious and unconscious realms.
Class meetings will be organized around particular aspects of the analyst/patient
relationship, with questions aimed at generating class discussion and the sharing
of experiences. Candidates will be asked to present case material, both clinically
challenging, and rewarding. In addition to assigned theoretical readings, film and
works of fiction will be used where possible to highlight aspects of the
interpersonal.
The syllabus below is not meant as a strict outline, but rather as a suggested
sampling of class discussion topics built around practice issues. Since this is a
seminar, it is expected that there will be flexibility in the organization of topics and
assignments based on the case material presented and the class discussions.
Readings and assignments will be selected from, but not limited to, the attached
references, and distributed in advance. Students are encouraged to come to
each class having thought about their clinical vignette of the week and their real
life vignette of the week.
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Week 1: Getting to Know You: The Initial Encounter
The first session will be an introductory one for the class, and will also begin to
explore the vicissitudes of the initial meeting between patient and therapist.
This will include aspects of the referral process, the telephone encounter, and the
topic of first impressions.
Weeks 2 & 3: Do we meet again? The Initial Encounter Continued
What exactly is a consultation? The detailed inquiry and taking a history.
Of all the gin joints in the world, why did you walk into mine?
Are you the one? How do we determine whether to start a treatment? How do
we decide how often to meet?
When do we talk about the “business” of therapy? Should there be policies?
What about money?
Week 4: The Electronic Analyst and the Wired Patient and Both A slow
speed practice in a high-speed world. Does technology effect the analytic
relationship? Should it? How does it effect the “business plan”?
Weeks 5 & 6: What are we doing anyway, and how do we work together?
What is psychoanalysis? What is therapy? Are we counselors? Is there a
difference? What makes this work, work? Is change possible?
What do we two do now? Is history necessary? What is memory? What is
truth? The intimidation of the dream: Are night dreams more important than day
dreams?
Weeks 7 & 8: What am I supposed to do here?
Is there such a thing as technique? Can I learn it? How does theory inform
technique? Are interpersonal and relational really different? Can someone
explain it to me?
The analyst’s participation in the treatment. What exactly is mutuality?
Authenticity? How about self-disclosure? What about analytic neutrality? The
patient as “co-worker”.
Week 9: Little or no side effects: The Role of Psychopharmacology in
Psychoanalysis.
When is medication helpful? How are we involved? How much do we need to
know…about drugs?
Week 10: I know you! I’ve heard this all before: Assumptions, values and
prejudices.
Treatment biases. The analyst’s judgments. What’s culture got to do with it? The
role of labels and diagnoses. What is Character? The tyranny of the familiar.
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Week 11: I don’t know you at all…you’re freaking me out! The new and the
unfamiliar. Further notes on character and diagnosis.
Week 12: I know how you feel.
What is empathy? What is shared experience? What is pain? Is pain sharable?
Week 13: What’s love got to do with it?
What do we feel for each other? What kind of relationship is this anyway?
This can’t be attraction…it must be countertransference.
Week 14: Stuff happens.
Life emergencies during the treatment. Yours, mine and ours: Are we in this
together?
Week 15: How will I learn to live without you?
Is there termination? How and when? Saying Good-bye.
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*Films:
Bill Cunningham New York
Cinema Paradiso
Crash
Finding Nemo
Lars and the Real Girl
Her
Peggy Sue Got Married
Talk to Her
The King’s Speech
The Visitor
Thirteen Conversations About One Thing
Transamerica
Two For the Road
Zelig
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