PSYCHOANALYTIC THOUGHT and THERAPY Bringing Contemporary Psychoanalysis to Northeast Ohio 2 PSYCHOANALYTIC THOUGHT AND THERAPY HANDBOOK The core of Cleveland Psychoanalytic Center’s mission is to promote the development and use of psychoanalytic thought for the benefit of the community. Psychoanalytic thought emanates from the theoretical base of contemporary psychoanalysis and all contemporary relational psychotherapies. Psychoanalytic Thought and Therapy is a program developed to deepen the students’ understanding of psychoanalytic theory and the psychoanalytic psychotherapies that have branched from psychoanalysis. Psychoanalytic Thought and Therapy is sponsored by the Cleveland Psychoanalytic Center. The Center is an approved Institute of the American Psychoanalytic Association. 3 Why Study Psychoanalysis or Psychoanalytic Psychotherapy? To enhance your clinical skills by understanding unconscious motivation and the deeper working of the mind. To increase self-awareness, emotional depth, and empathy facilitating identification of the hidden meanings behind repetitive self defeating behaviors that cause emotional pain in relationships and work. To broaden and deepen your knowledge of the human mind and the body-mind interactions. To apply analytic principles to diverse communities and social problems. To add a psychoanalytic perspective to your research. To advance your academic career and to incorporate psychoanalytic theory into your work. To benefit from a personal analysis or psychoanalytic therapy when appropriate. To participate in an extraordinary educational experience which will challenge critical thinking on how the tenets of 4 contemporary psychoanalytic theory informs societal norms and cultural mandates in contemporary American society. Educational Philosophy The Cleveland Psychoanalytic Center believes in integrating learning and practice by exploring the many connections among the prevailing paradigms: modern ego psychology, self psychology, object relations, and relational. We see these as complementary ways of understanding the complexity of the human mind and relationships in illness and in health. Recent discoveries in the neurosciences are becoming integrated with psychoanalytic theories and providing more complex ways of understanding mental events and mind-body interactions. We support the combined study of human developmental theory from infancy to old age, psychoanalytic theory, and technique. Each participant brings his/her own unique experience to this endeavor and thereby enhances the growth of all involved. 5 The structure of the program The Psychoanalytic Psychotherapy Track (PT) has three years didactic curriculum with an optional fourth year. This program is for practicing clinicians in mental health. There is an “Early Admission” program available for students in mental health who do not yet have time to participate in all aspects of the program or who do not have the qualifications but who wish to begin. Academicians who have an interest in psychoanalytic thought and other non-clinicians are encouraged to discuss options available for them. All the students of the Cleveland Psychoanalytic Center, whether choosing to study psychoanalysis, psychoanalytic psychotherapy, or for deepening scholarship, will take the entire first year together. 6 Eligibility Psychoanalytic Thought and Psychotherapy is for postgraduate mental health clinicians. Those with clinical experience will need a current license and professional liability insurance. Non-clinical applicants will be considered on an individual basis. Those who have an academic background but lack clinical licensure and experience are encouraged to discuss programs that can lead to full clinical or research training. Please inquire if you are interested. Psychoanalytic Thought and Psychotherapy Outline - Three years of study of psychoanalytic psychotherapy in weekly seminars (96 – 99 hours per year) with an optional fourth year. Certificates will be granted at the end of the third year. Those who take a fourth year will be granted a certificate for four years. Continuing Education credit is available each year. 7 - Supervision/ consultation on at least three psychotherapy treatments. - While an individual experience of a personal analysis or of a personal psychotherapy is not required, it is highly recommended. - Note: The members of the Cleveland Psychoanalytic Center recognize that graduate students in mental health and Psychiatry residents may not expect to be living in Cleveland for more than two years. The faculty will design a two year curriculum if there is interest. Please contact us. The Early Admissions Program This Early Admissions Program is for those who are interested in becoming psychoanalytic psychotherapists or psychoanalysts, but are not yet ready to commit and for those who are not yet eligible to train. Examples are those who are in medical residency, psychology graduate school, or social work 8 school. These students may apply to study with the students in Psychotherapy Thought and Therapy and candidates in Psychoanalysis on a part-time or full time basis until eligible for a clinical license. Those who wish to matriculate in psychoanalytic psychotherapy should contact Kay Q McKenzie, M.D and those who plan to study psychoanalysis should contact Laura Steinberg, M.D., to discuss how to proceed. Mentors Every student in the Psychoanalytic Thought and Therapy Program should select a mentor within the first few weeks of matriculation. There is a list of mentors available. The mentors serve without charge. The student may wish to choose their mentor as their first supervisor with whom they will then negotiate a fee for supervision. 9 Psychoanalytic Thought and Therapy Program Shared first year The entire first year is shared by those who plan to study psychotherapy, those who plan to study psychoanalysis, those who take this year to decide which track they choose to study, early admission students, and those who study psychoanalysis for other reasons, such as research or academic pursuits. The first year The first semester, Psychoanalytic Imagination, is an introduction to ways of experiencing the creativity of unconscious processes and unconscious meanings. It is an interdisciplinary course that will examine psychoanalytic process as expressed in the consulting room and through cultural artifacts (film, narrative, poetry and sculpture). Throughout the course we will be attentive to the role of the body and of language in expressing unconscious fantasy through metaphor and metonymy. Works of art and literature 10 will be read alongside classic and contemporary texts of psychoanalysis (Freud, Klein, Winnicott, Lacan, Ferro). In Fall 2014, we will examine psychoanalysis as a literary and artistic medium in its own right. In addition to studying classic texts of Freudian psychoanalysis and those of object relations and field theorists, we will explore the representation of psychoanalysis in the modern imagination. We will look, for example, at how post-war American film portrays the rehabilitation of the hysteric through the patient-doctor relationship, and how the “confessional” school of American poets uses the therapeutic session as a basis for poetry. We will also examine contemporary memoirs of madness, analyze the short stories of A.M. Holmes, and evaluate the Freudian “family romance” in film, TV (The Soprano), and graphic narrative (Allison Bechdel). What we hope to accomplish from this work is an appreciation of psychoanalysis as an influential and intriguing model (and modeler) of human consciousness, as we test its validity across various periods and genres. 11 Psychoanalytic Imagination is a three hour class that will be held on a weekday evening. The second semester will consist of two (one and one-half hour) classes on the same weekday evening that Psychoanalytic Imagination was held. One of these classes will focus on work with patients using the students’ own case reports. It will emphasize writing skills, assessment, and technique. A student will present a case report to the class. The first week, the class will focus on how well the clinical process of the treatment is presented. Writing skills are the basis of clarifying the understanding of the process between therapist and patient, the formulation of interventions, and the impact of the intervention. This case report returns the following week and is then discussed to emphasize assessment of the patient, case formulation and clinical process. The third week, the class will discuss a paper from the psychoanalytic or psychotherapy literature relevant to the diagnostic considerations and treatment consideration. In the fourth and final week, the case 12 report returns rewritten to incorporate a clearer presentation of clinical process and for further discussion of the clinical issues raised by the report. The second class will introduce contemporary psychoanalytic theory. This includes theory basic to psychoanalytic thought and research papers on the efficacy and effectiveness of psychoanalysis and psychoanalytic psychotherapy. The evidence based approaches to psychoanalysis and psychoanalytic psychotherapy come from the specific therapies studies: studies: mentalization based therapies (MBT), transference focused psychotherapy, short term manual based, and neuropsychoanalysis. The second year The second year, the class will spend one semester on Theory of Human Development. The second semester will offer Object Relations theory. The second class, the case focused class, consists of “Writing about Clinical Process,” Diagnostic Assessment,and reading literature that deepens understanding of the structure of the patient, therapeutic action, and studies 13 particular psychotherapy methods. The first and second year will have covered many of aspects essential to psychodynamic psychotherapy, such as establishing safety, building a working alliance, setting the frame and keeping boundaries, educating the patient about treatment process, hearing the hidden meanings of the patient’s own metaphors, and listening to the transference. These concepts will be further explored in the case material and literature. Each seminar will present specific concepts of psychotherapeutic treatment of specific character disorders (those who show neurotic level difficulties and those with difficulties from earlier levels of development), and/or treatment of symptoms keeping the whole person in mind, and the impact of “fit” between therapist and patient The third year and fourth years The third year and fourth years will offer seminars on topics in psychotherapy. Each seminar will be from six to ten weeks long. At the end of the third year, a certificate for the program will be given to those who wish to leave at that time. There will be a fourth year offered, if there is sufficient demand, which 14 will continue the study of the topic-oriented and case oriented exploration of the use of psychoanalytic psychotherapy. The class will have input into which aspects of psychotherapy they wish to study. There will also be an option to join the PTP candidates for the courses on their schedule. During these two years, the psychotherapy students who prefer a course offered in the psychoanalysis training program may join the students the class offered in the psychoanalytic track. Faculty Courses are taught by the faculty of the Cleveland Psychoanalytic Center, Hanna Perkins Center, and invited guests with diverse professional backgrounds. Candidates hear from and present clinical work to visiting scholars in specially designed workshops. 15 Supervision/Consultation Students who work full time will be expected to have a minimum of three supervised psychotherapy patients to graduate. Students who work part-time will be expected to have two patients to graduate. The patients should be in a minimum of once weekly treatment. Although it is not required, experience with one or more patients in twice (or more) sessions per week is encouraged. For graduation, at least 30 hours of supervision/consultation per year is required. Some students will require a supervisor who has a supervisory license in his or her field of licensure. These supervisors will be noted on the list of available supervisors. 16 Tuition and Fees Psychoanalytic Thought and Therapy Tuition: $3000.00 per year ($ 1500.000 per semester). This includes the administrative fee and continuing education credits. Arrangements can be made to pay in installments upon request. The tuition for Psychoanalytic Imagination, the first semester of the first year, is $1300.00. The tuition for psychoanalytic psychotherapy students who are still in graduate school or residency will be $1500.00 per year ($750.00 per semester). This includes the administrative fee and continuing education fees. The fee for Psychoanalytic Imagination for graduate students and residents is $350.00. Supervisory/Consultation fee: Arranged between supervisor and student with a $40.00 minimum. 17 Application Process You may visit the Center’s website at www.psychoanalysiscleveland.org to download an application form. We encourage you to contact the Admissions Committee to schedule an appointment to discuss your plans, questions and to arrange an appointment to interview for acceptance. Contact: Kay Q. McKenzie, M.D. Co-Chair: Psychoanalytic Thought and Therapy Phone: 216-691-9420 kqm@earthlink.net or Carl F. Rak, Ph.D., LPCC-S Co-Chair: Psychoanalytic Thought and Therapy Phone: 216-228-0010 c.rak@csuohio.edu 18 Classes begin in September Admissions are decided on a rolling basis. Early applications are strongly recommended. Richard Lightbody, M.D. Chair, Education Committee Phone: 216-371-1268 lbody@roadrunner.com The Cleveland Psychoanalytic Center 2460 Fairmount Boulevard Suite 312 Cleveland Heights Ohio 44106 Debbie Morse, Administrative Coordinator dmorsecpc@sbcglobal.net www.psychoanalysiscleveland.org find us on facebook and twitter Phone 216-229-5959 Fax 216-229-7321 19 ACCREDITATION This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the American Psychoanalytic Association and the Cleveland Psychoanalytic Center. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians. The American Psychoanalytic Association designates this Live Activity for a maximum of _____ AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters of this CME program have any relevant financial relationships to disclose. The State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board has designated The Cleveland Psychoanalytic Center as Approved Provider RCS109510. This event provides one credit per hour of Continuing Professional Education to counselors and social workers only. The Cleveland Psychoanalytic Center is approved by the Ohio Psychological Association-MCE Program to offer continuing education for psychologists. The Cleveland Psychoanalytic Center as Approved Provider 14PO-341019020, maintains responsibility for the program. This event provides one credit per hour of Continuing Professional Education to psychologists. - 20