THE TRAINING AND RESEARCH INSTITUTE FOR SELF PSYCHOLOGY

1996/1997 CONTINUING EDUCATION SERIES

TRISP Home Page | Self Psychology Page


SELF PSYCHOLOGY IN THE LATE 90'S:

BOLD AND CREATIVE APPLICATIONS

SATURDAYS 10AM TO 12 NOON

AT THE TRINITY SCHOOL

91ST STREET AND COLUMBUS AVENUE

NEW YORK CITY

Since Heinz Kohut introduced the theoretical and technical advances that so dramatically changed analytic practice, self psychology has undergone considerable transformation. Recently, for example, the blending of self psychology and the theory of intersubjectivity has greatly enhanced the effectiveness of the therapeutic relationship. The goal of the 1996-1997 TRISP Continuing Education Series is three-fold:

to explain the basics of self psychology and intersubjectivity

to introduce exciting, cutting-edge developments in the clinical application of self-psychological theory

to present significant contributions by leading clinicians to the field as a whole.

The Series covers a wide range of fascinating topics including the psychoanalytic treatment of multiple personality disorder, psychic deadness, dissociation, gender, menopause, psychosis, addictions, dreams, "self-supervision," mother-daughter relations, Ferenczi's pioneering use of empathy, and the work of Eugene O'Neill. Attend all nineteen lectures and workshops at a substantial discount and let seasoned and creative experts help you enrich your work.

1. September 21, 1996

Self Psychology and Intersubjectivity: A Primer

Peter Zimmermann, PhD

In this lecture, Dr. Zimmermann provides a comprehensive overview of the central theoretical concepts of self psychology and the theory of intersubjectivity as well as clinical guidelines that derive from them.

2. October 12, 1996

The Theory and Practice of

Clinical Empathy

Arnold Rachman, PhD, FAGPA

The clinical use of empathy was introduced by Sandor Ferenczi in 1928 when

he developed his humanistic method to deal successfully with difficult cases. Subsequent analytic and therapeutic inquiry advanced the theoretical and clinical basis for empathic understanding as a fundamental part of the analytic process. This lecture traces these developments to focus on Kohut's use of empathy as fundamental to a self-psychological analysis. Clinical examples of the use of empathy will be introduced by Dr. Rachman and participants to explore issues in applying the theory to clinical practice.

3. October 26, 1996

Narcissism, The Family, and Madness:

A Self-Psychological Study of the Plays of Eugene O'Neill

Maria T. Miliora, PhD, MSW, LICSW

This workshop presents a self-psychological exploration of three of Eugene O'Neill's plays, Dynamo(1928), Mourning Becomes Electra(1931), and Long Day's Journey into Night (1941). All three plays involve characters with narcissistic personality disorders, a disturbed family context, and madness. Long Day's Journey Into Night, an explicitly autobiographical play, is used to exemplify O'Neill's subjective experience within his family. The other two plays are used to illustrate narcissistic themes, especially as regards selfobject functions (or lack thereof), narcissistic rage, and violence that were expressed later in Long Days Journey. The three plays illustrate family contexts that failed to provide a sustaining selfobject milieu and the possible consequences of such failures.

4. November 2, 1996

The Successful Psychoanalysis of a

Patient with Dissociative Identity Disorder

and Munchausen's Syndrome by Proxy

Richard P. Kluft, MD

A young physician sought psychoanalysis for difficulties in relationships and paralyzing depression in the aftermath of rejection. After four-and-a-half years of classical analysis she spontaneously dissociated into an alternate personality. This presentation outlines the process of the analysis, indicating the emergence and resolution of the dissociative processes, with attention to their manifestations in the transference and the dream materials. The vicissitudes of managing the severe symptoms and behaviors associated with

a complex and chronic dissociative disorder within the format of a classical psychoanalysis is reviewed. Several subtypes of dissociative identity disorder and the psychoanalytic resolution of Munchausen's Syndrome by proxy are discussed.

5. November 9, 1996

The Supervision Process: A "Self-Supervision"

Developmental Model For Psychotherapists

Conrad Lecomte, PhD

Annette Richard, MPS

How do we become "good enough" psychotherapists? If healing is an art, how do we become artists? Can a Salieri be transformed into a Mozart? Applying a self-psychological approach to the supervisory situation, the workshop presenters discuss learning and change processes at work in developing our optimal response-ability as psychotherapists. They also explore how change can be facilitated in the supervisory situation when viewed as a triadic intersubjective process. Drawing from their experience as trainers of graduate students in Counseling Psychology and as trainers of supervisors, they present their approach to "self-supervision" training for therapists. Clinical material illustrates the presentation.

6. November 23, 1996

Gender as Intersubjective Practice:

Femininity as Meaningful Continuity or Premature Disruption?

Susan Pangerl, Ph.D.

Discussant: Jan Crawford, CSW

Within self-psychological circles the complexities of gender relations and especially mother-daughter dynamics have remained remarkably unexplored. Certain aspects of mother-daughter relationships will be explored through clinical vignettes and the theoretical lenses of feminist, self-psychological, and intersubjective approaches.

7. December 7, 1996

Psychic Deadness

Michael Eigen, PhD

Some form of psychic deadness is increasing in clinical work. It varies from mild self-numbing and intermittent blankness, to vast, horrific and persistent self-obliteration. Psychic deadness may overlap with a sense of meaninglessness and futility, but is by no means so confined. Deadness can take on a life of its own, gather momentum, and poison a life, whether or not the latter is felt to be meaningful. In this seminar Michael Eigen will explore aspects of psychic deadness and the therapist's responses and alternatives. In addition to individual case practice, psychic deadness will be related to broader aspects of cultural life and religious experience.

8. December 14, 1996

Sex, Lies, and Videotape

Charles B. Strozier, PhD

Discussant: Arnold Rachman, PHD, FAGPA

This workshop investigates the theory of sexuality in self psychology, including reflections from a biography of Heinz Kohut. What does it really mean, as Kohut maintained he had done, to jettison drive theory and reformulate psychoanalysis as a depth psychology? What was Kohut's theory of "perversion"? Is there anything about his own experience that can help us understand these changes at the level of theory? And, finally, are Kohut's ideas about sexuality of enduring clinical significance?

9. January 11, 1997

Megalomania and the Self-Psychological Treatment of the Addicted Patient

Richard B. Ulman, PhD

Harry Paul, PhD

As originally conceived by Freud in the Schreber case, megalomania (that is, illusions of being god-like) was central to Freud's thinking on narcissism. In contrast, Kohut, in formulating his self-psychological theory of narcissism, subsumed megalomania as part of archaic grandiosity and omnipotence. Based on their continuing work in analyzing a wide variety of addicts, Ulman and Paul have rediscovered the centrality of megalomania(that is, fantasies of magical control over things and activities in the environment) to understanding and treating narcissistic disorders. Through the presentation of two full-length treatment case histories (the cases of "Mary" and "Travis", respectively an eating disordered patient and drug-sex addict), Ulman and Paul illustrate how an empathic attunement to fantasies of megalomaniacal control is crucial to a self-psychological analysis of the addicted patient.

10. January 18, 1997

The Influence of Irish-American Ethnicity of

the Therapist and Patient on the Twinship Selfobject Transference: A Self-Psychological Treatment

Patricia Murphy, MSW

Doris Brothers, PhD, Discussant

Monica McGoldric reported that Irish people tend to be resistant to therapy and have difficulty expressing inner feelings despite their articulateness in other areas. Ms. Murphy found that treatment progressed with four Irish-American women she saw for a year or more after a twinship selfobject transference developed. The twinship selfobject transference was strengthened when both therapist and patient were of the same Irish-American culture. In this workshop, particular episodes from sessions that explicate the transference/countertransference are explored.

11. January 25, 1997

How Cohesive is the Cohesive Self?

Jan Crawford, CSW

Kohut considered self cohesion an attainment and goal of the mature self. In this workshop Jan Crawford examines what self cohesion is, when it is experienced, and, in fact, whether self cohesion is the final stage in becoming fully human.

12. February 8, 1997

Through The Dark Light - The Self- Psychological Treatment of a Florid Psychosis

Patricia Simko, JD, PhD

The treatment of Ann, a woman whose self-structure cracked during the course of treatment, was guided by a self-psychological understanding. The voices and visual hallucinations were viewed as attempts to attain safety after trusted caregivers had betrayed her, as well as the concretizations of the horror of the betrayal. The psychotic break came to be seen and understood as a needed externalization of a life-long psychosis, suffered in silent isolation. Over time Ann emerged from the darkness into the light. Self-psychological theories of psychosis are reviewed.

13. February 15, 1997

Understanding Human Beings: Beyond DSM IV

Nancy McWilliams, PhD

Psychoanalytically oriented practitioners are not particularly helped by thinking in the limited terms of the DSM-IV. These diagnoses do not help the psychoanalytically informed therapist to derive an empathic understanding of the patient nor does this offer the therapist a helpful treatment stance to the patient. In contrast, psychoanalytic diagnostic conventions, although subject to misuse, contain implications for a deep appreciation of and therapeutic connection with the person seeking help. Dr. McWilliams reviews major personality diagnoses on two axes: developmental preoccupation and character type, integrating classical, relational, and self emphases as well as concepts from affect theory and control-mastery theory.

14. March 15, 1997

When More Is Not Enough-Working With the Primary Defect in Self Psychology

Patricia Simko, JD, PhD

Kohut introduced the concept of the compensatory structure, and often emphasized his preference for working in analysis on the compensatory line of development. On occasion, he explicitly warned against the activation of aspects of the primary defect, for fear of "permanent psychological dysfunction." Is it always advisable to avoid such work? Does the fact of being a female analyst influence the issue? This workshop looks at the issues arising in the intersubjective field when the analytic relationship heads toward the primary defect. Case examples will be discussed.

15. April 5, 1997

Understanding the "Bi" Ways of

Self-Experience: Dissociation, Alter Ego

Selfobject Experience and Gender

Doris Brothers, PhD

It has recently been proposed that pathological processes are activated in the development of gender as rigidly masculine or feminine, such as the disavowal of "gender-incongruent" aspects of self-experience. This workshop examines the disavowal of aspects of self-as-gendered in light of Dr. Brothers' understanding of alter ego selfobject experience as a dissociative process related to trauma. A brief clinical vignette of a man who found his masculine- and feminine- identified qualities embodied in his therapist is presented.

16. April 19, 1997 Rescheduled to June 7 - See #20 below

Reality and Transference in the Self-Psychologically Oriented Therapeutic Relationship

Esther Menaker, PhD

In the therapeutic relationship, the tendency to repeat old patterns of relating, to project old emotions onto the person of the therapist, often prevails. This is the well-known phenomenon of the transference. However, the task of restructuring the patient's self calls upon the therapist not merely to analyze the transference in the unrealistic hope that insight alone will cure the patient, but to provide within the reality of the relationship the opportunity for positive mirroring as well as to be an object for a modicum of idealization. The patient's transference reactions often collide with and contradict the reality of the nature of the therapist's personality. In this workshop, Dr. Menaker delineates the problem of two seemingly opposing technical necessities and suggests possible ways of overcoming this dilemma. Some case illustrations help to clarify the issues.

17. April 26, 1997 (10am-1pm)

Dissociation, Trauma, and the Multiplicity

of Self-Experience

Doris Brothers, PhD

Maria T. Miliora, PhD, MSW, LICSW

Patricia Simko, JD, PHD

Richard B. Ulman, PhD

Recent investigations suggest that dissociation is not merely a symptom of self-fragmentation, but a fundamental mode of mental organization. The four presenters in this workshop have all employed self-psychological theory in their efforts to understand and treat dissociative disorders and all regard the illusion of unitary and cohesive selfhood as an achievement that is vulnerable to traumatic disruption.

Doris Brothers challenges the traditional psychoanalytic notion that repression and dissociation involve different psychological processes. Maria Miliora explores the tendency toward psychosomatic illness among individuals who dissociate affect following childhood traumas. Patricia Simko considers the possibility that dissociated material surrounding trauma emerges in dreams. Richard Ulman focuses on archaic narcissistic fantasy as a basis for understanding the dissociative process by means of which trauma survivors become addicts. All four make extensive use of illustrative clinical material.

18. May 10, 1997

Dreams, the Understanding-

Explaining Sequence, and the

Facilitation of Curative Process

Martin S. Livingston, PhD

Dreams can play a significant role in facilitating the curative process. This workshop is not about the interpretation of particular dreams. It is about the use of self-psychological theory to guide the analyst's choices in responding to a patient's presentation of dream material. Specifically, Dr. Livingston demonstrates how Kohut's discovery of the self-state dream aides in the search for an "optimal responsiveness" that enhances the treatment process. Using extensive clinical material, he applies Kohut's two phases of interpretive activity (the "understanding-explaining sequence") to dreams as a means of furthering the curative process.

19. May 17, 1997

Menopause, The Cultural Thwarting of

Female Power: A Self -Psychological Look

at the Climacteric

Donna Lynn Fellenberg, LCSW, NCPsyA

In the immediate future, more and more female "baby boomers" will enter the perimenopausal or menopausal stage of life.

In our culture women "suffer" as a result of the pathologizing of this stage. How can we as self-psychologically informed analysts help our patients to move through this time in their lives with grace and joy? Ms. Fellenberg will explore the cultural norms vs. the developmental norms of menopause and will discuss a feminist/self-psychological approach to menopause and perimenopause using case material.

20. June 7, 1997 (was April 19)

Reality and Transference in the Self-Psychologically Oriented Therapeutic Relationship

Esther Menaker, PhD

In the therapeutic relationship, the tendency to repeat old patterns of relating, to project old emotions onto the person of the therapist, often prevails. This is the well-known phenomenon of the transference. However, the task of restructuring the patient's self calls upon the therapist not merely to analyze the transference in the unrealistic hope that insight alone will cure the patient, but to provide within the reality of the relationship the opportunity for positive mirroring as well as to be an object for a modicum of idealization. The patient's transference reactions often collide with and contradict the reality of the nature of the therapist's personality. In this workshop, Dr. Menaker delineates the problem of two seemingly opposing technical necessities and suggests possible ways of overcoming this dilemma. Some case illustrations help to clarify the issues.

Faculty of the 1996/1997 TRISP Continuing Education Series

Doris Brothers PhD is a founding member, member of the Board of Trustees, and senior faculty member of TRISP. She is an author and co-author of presentations and publications including The Shattered Self: A Psychoanalytic Study of Trauma (The Analytic Press, 1988) and Falling Backwards: An Exploration of Trust and Self Experience (Norton, 1995). Private practice, New York City.

Jan Crawford, CSW is a graduate and faculty member of TRISP. She has presented papers at national meetings in self psychology and presented in other TRISP workshop series. Private practice, New York City.

Michael Eigen, PhD, is Associate Clinical Professor in Psychology and supervisor, New York University Postdoctoral Program in Psycho-therapy and Psychoanalysis; Control/training analyst, faculty and senior member, National Psychological Association for Psychoanalysis. Author, The Psychotic Core, Coming Through the Whirlwind, The Electrified Tightrope, Reshaping the Self, and Psychic Deadness. Private practice, New York City and Brooklyn.

Donna Lynn Fellenberg, LCSW, NCPsyA is a clinical social worker, a certified psychoanalyst, and on the faculty of TRISP. She specializes in eating disorders and women's issues. Private practice, Verona, New Jersey.

Richard Kluft, MD is a psychiatrist and psychoanalyst. He is the Director of the Dissociative Disorders Program at The Institute of Pennsylvania Hospital; Clinical Professor of Psychiatry at the Temple University School of Medicine; Faculty of the Philadelphia Psycho-analytic Institute; and Editor-in-Chief of Dissociation. Private practice, Philadelphia, PA.

Conrad Lecomte, PhD is Full Professor of Psychology at Université de Montreal. He is offering specialized training for supervisors in Canada and in Europe. Private practice, Montreal.

Martin S. Livingston, PhD is on the faculty of TRISP, NYISP and Postgraduate Center for Mental Health. He is the author of Near and Far: Closeness and Distance in Psychotherapy and editor of Issues in Group Therapy and Co-Chair of the Association for Psychoanalytic Self Psychology. Private practice, New York City.

Nancy McWilliams, PhD Faculty, Graduate School of Applied and Professional Psychology, Rutgers University; Senior Analyst, Institute for Psychoanalysis and Psychotherapy of New Jersey and National Psychological Association for Psychoanalysis. Author of Understanding Personality Structure in the Clinical Process (Guilford, 1994). Private practice and supervision, Flemington, New Jersey.

Esther Menaker, PhD is on the Faculty and is a supervisor at TRISP; Clinical Professor at the New York University Postdoctoral Program in Psycho-analysis and Psychotherapy. Author, The Freedom to Inquire (Jason Aronson Press, 1995) Separation, Will and Creativity: The Wisdom of Otto Rank (Jason Aronson, 1996). Private practice, New York City.

Maria T. Miliora, PhD, MSW, LICSW is a professor at Suffolk University in Boston. She is on the faculty of the Boston Institute for Psychotherapy and TRISP. Private practice, Boston, MA.

Patricia Murphy, CSW received her degree in Clinical Social Work from New York University in 1989 and graduated TRISP in June, 1996. She is a Certified Alcohol Counselor and has worked with elderly substance abusers in recovery at St. Luke's Comprehensive Treat-ment Program since 1990. Private practice of individuals and groups, New York City.

Susan Pangerl, PhD is senior clinical staff member, supervisor, and faculty member of the Center for Religion and Psychotherapy in Chicago. She is a Unitarian-Universalist minister, and a Fellow with the American Association Of Pastoral Counselors.

Harry Paul, PhD is a founding member, Vice-President of the Board of Trustees, and senior faculty member of TRISP. Dr. Paul has authored and co-authored a number of articles on intersubjectivity and addiction and is co-author of Narcissus in Wonderland: The Self Psychology of Addiction and Its Treatment (forthcoming, Jason Aronson). Private practice New York City and Peekskill, New York.

Arnold Rachman, PhD, FAGPA, Clinical Professor of Psychology at the Derner Institute; Associate Professor of Psychiatry, New York University; Training and Supervising Analyst, Postgraduate Institute for Mental Health; Supervisor, New York University Postdoctoral program in Psychoanalysis. Private practice of individual and groups, New York City.

Annette Richard, MPS is an Adjunct Professor of Psychology at Université de Montreal and is also offering training for supervisors in Canada and in Europe. Private practice, Montreal.

Patricia Simko, JD, PhD is a graduate and faculty member of TRISP. Private practice, New York City.

Charles B. Strozier, PhD is a practicing psychoanalyst and senior faculty member of TRISP, as well as professor of history at John Jay College and the Graduate Center, CUNY. He is currently writing a biography of Heinz Kohut. Private practice, New York City.

Richard B. Ulman, PhD is a founding member, President of the Board of Trustees, and senior faculty member of TRISP. Dr. Ulman is an author and co-author of publications including The Shattered Self: A Psychoanalytic Study of Trauma (The Analytic Press, 1988) and Narcissus in Wonderland: The Self Psychology of Addiction and Its Treatment ( Jason Aronson, forthcoming). Private practice, Croton-on-Hudson and New York City.

Peter B. Zimmermann, PhD is a founding member, member of the Board of Directors, and senior faculty member of TRISP. He is senior member, faculty member, supervisor and training analyst of NPAP. Dr. Zimmermann is an author and co-author of presentations and publications including "On the problem of Truth in the Psychoanalytic Context" (book manuscript) and "The Case of Ms. M" in Psychoanalysis Today: A Case Book (Charles C. Thomas, 1991). Private practice, New York City.

Registration Fees: $30 per workshop

$25 per workshop for 3 or more sessions

$250 to register for the entire series of 19 workshops

To register: call TRISP at 212-663-3508

THE TRAINING AND RESEARCH INSTITUTE FOR SELF PSYCHOLOGY

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