PSYCHOANALYST Quarterly Magazine of the American Psychoanalytic Association

the FALL 2012 AMERICAN Volume 46, No. 3 PSYCHOANALYST Quarterly Magazine of The American Psychoanalytic Association Flying Doctors Bring Hope, INSIDE TAP… Help, and Healing Chicago Meeting Mali A. Mann Highlights ....... 6–10 A trip to Mexico can be a vacation for After a bumpy ride with mariachi music most people; for The Flying Doctors (Los blaring from the speakers, we arrive at the The Death of Desire .... 11 Medicos Volodores), it is a mission of mercy. orphanage to the shouts of greeting by the We go as a team in a small aircraft loaded children who live there. There were 19 chil- with physicians, translators, volunteers, med- dren when I first visited them in 1993. The Special Section icine, and supplies on weekend trips to pro- number has now grown to 35, ranging in age on The Values of vide medical and psychiatric services. Trips from a few weeks to 14 years. Psychoanalysis ... 12–15 typically depart from Northern California The children at the orphanage are cared for on a Thursday morning and return on Sun- by a young married couple who themselves day evening. We clear Mexican customs in were orphans. They are devoting their lives to APsaA Elections ... 16 –20 Ensenada or Mexicali, and our return trip the care of these unfortunate unwanted chil- stops on the U.S. side of the border for cus- dren. Some of the children are orphaned Patient Bill of Rights .... 24 toms and fuel for our airplanes. because their parents are dead. Others were abandoned when their parents had no money THE ORPHANAGE AND THE ORPHANS to feed another hungry child or to buy medi- The orphanage I visit on a regular basis is cine for a sick baby. Some parents located approximately 12 miles south of think their children are better Chapultepec, the airport serving Ensenada, fed and cared for in the and can be reached by the local microbus. orphanage. They are con- We wait at the side of the road until the cerned about their chil- small vehicle comes along, flag it down, and dren’s survival only in tell the driver where we need to go. This the physical rather time he was very cooperative, for one of his than the psychological daughters received dental care during our sense, the result of last visit. abject poverty. There’s a makeshift clinic nearby, about 100 meters from the orphan- Mali A. Mann, M.D., is training and age, that the Flying Doctors supervising analyst at the San Francisco established in a small church. Center for Psychoanalysis. She is also an Our organization has no religious associate child and adolescent supervisor affiliation but sometimes uses the facilities of and adjunct associate professor of psychiatry churches, unions, farmers’ associations, or and behavioral science at Stanford University community organizations to see patients. Medical Center. Continued on page 28 THE AMERICAN PSYCHOANALYST • Volume 46, No. 3 • Fall 2012 1 CONTENTS: Fall 2012 THE AMERICAN PSYCHOANALYTIC ASSOCIATION President: Robert L. Pyles 3 Republic or Monarchy? Bob Pyles President-Elect: Mark Smaller Secretary: Beth J. Seelig Treasurer: William A. Myerson Crisis in Governance: Who Sets Educational Policies 5 Executive Director: Dean K. Stein of APsaA Institutes? Colleen L. Carney and Lee I. Ascherman Chicago Meeting Highlights 6 THE AMERICAN PSYCHOANALYST Magazine of the 8 Executive Council Meeting Highlights American Psychoanalytic Association Editor 11 Film: The Death of Desire Janis Chester The Diving Bell and the Butterfly Special Section Editor Robert Winer and Bruce H. Sklarew, Film Column Editor Michael Slevin Editorial Board SPECIAL SECTION Brenda Bauer, Vera J. Camden, The Values of Psychoanalysis Leslie Cummins, Phillip S. Freeman, Maxine Fenton Gann, Noreen Honeycutt, Sheri Butler Hunt, Laura Jensen, 12 Values of Psychoanalysis: Introduction Michael Slevin Navah Kaplan, Nadine Levinson, A. Michele Morgan, Julie Jaffee Nagel, Marie Rudden, Hinda Simon, Vaia Tsolas, Shared Values of Tibetan Buddhism and Psychoanalysis 13 Dean K. Stein, ex officio Robert A. Paul Photographer Mervin Stewart 14 Freud, Lacan, and the Psychoanalytic Value of the Open Jamieson Webster Manuscript and Production Editors Michael and Helene Wolff, Technology Management Communications 15 Truthfulness: The Fundamental Value of Psychoanalysis Jonathan Lear The American Psychoanalyst is published quarterly. Subscriptions are provided automatically to members of The American Psychoanalytic Asso- APsaA Elections: Campaign Statements 16 ciation. For non-members, domestic and Cana- dian subscription rates are $36 for individuals and Letters to the Editor $80 for institutions. Outside the U.S. and Canada, 20 rates are $56 for individuals and $100 for institutions. To subscribe to The American Psychoanalyst, 21 COPE: Psychoanalysis and Neuroscience visit http://www.apsa.org/TAPSUB, or write TAP Charles P. Fisher and Richard J. Kessler Subscriptions, The American Psychoanalytic Association, 309 East 49th Street, New York, New York 10017; call 212-752-0450 x18 or 23 Poetry: From the Unconscious Sheri Butler Hunt e-mail [email protected]. Copyright © 2012 The American Psychoanalytic 24 Politics and Public Policy: The Case for Patient Privacy Association. All rights reserved. No part of this Bill of Rights Graham Lindley Spruiell publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means without the written permission of The 26 Response to “A Case of Matricide” American Psychoanalytic Association, 309 East 49th Street, New York, New York 10017. 27 Cases from the Frenkel Files: Stabilizing a Suicidal Patient Before Incarceration: ISSN 1052-7958 What Does Law Require? John C. West The American Psychoanalytic Association does not hold itself responsible for statements made in The American Psychoanalyst by contributors or Upcoming Meetings 31 advertisers. Unless otherwise stated, material in The American Psychoanalyst does not reflect the endorsement, official attitude, or position of The Correspondence and letters to the editor should be sent to TAP editor, American Psychoanalytic Association or The Janis Chester, at [email protected]. American Psychoanalyst. 2 THE AMERICAN PSYCHOANALYST • Volume 46, No. 3 • Fall 2012 FROM THE PRESIDENT humanizing changes, nonetheless it remains Republic or Monarchy? an internal examination by the same body Bob Pyles that is doing the educating, a clear conflict of interest. Our proposal called for certification When asked by a passing lady at the my knowledge, to be automatically awarded at the time of Constitutional Convention in 1787, “What there has never training analyst appointment. Subsequent dis- have we got, Mr. Franklin, a Republic or a Mon- been a serious cussion has made it clear that a more accept- archy?” Franklin uttered those now famous attempt to con- able solution would be to move certification words, “A Republic, Madam, if you can keep it.” sider the train- to an external body, similar to the Accredita- I am honored to address my friends and ing analyst issue tion Council for Psychoanalytic Education colleagues in my first column as your presi- in such a way as (ACPE), which credentials institutes. dent. It comes at a particularly crucial to examine its moment in our Association. It seems that we advantages and ORGANIZATIONAL NEUROSIS are at a major crossroads. disadvantages, As with any good neurosis or character dis- Bob Pyles The recent meetings of our Association in and perhaps to order, the point of origin of all of this difficulty Chicago produced vigorous debate and con- consider alternatives. goes back to issues from our organizational troversy in both the Executive Council (our It is certainly true that from time to time childhood. The first institute, the Berlin Insti- board of directors) and the Board on Profes- BOPS has discussed the TA issue (e.g., the tute founded in 1920, was organized along sional Standards (BOPS). At the heart of the Project for Innovation in Psychoanalytic Edu- the lines of the German educational system debate was a proposal that has come to be cation [PIPE]) and has made improvements, with a heavy emphasis on the “Herr Profes- known as the PPP Proposal. This is a series of such as separating the training analyst function sor” hierarchical pattern. This model for the suggestions put forth by Rick Perlman, presi- from the supervising analyst function. Most formation of institutes and societies was dent of the Institute for Psychoanalytic Train- significantly, reinforcing the essentially clinical imported almost unchanged by the founders ing and Research (IPTAR), Warren Procci, our nature of training analyses some years ago, of our four original societies, New York, Bos- immediate past-president, and me. The crux education and analysis were separated by ton, Baltimore Washington, and Chicago. of the proposal was aimed at reorganizing creating a non-reporting “firewall” between From the founding of the American Psy- the way we select training analysts and the the two. However, a discussion that goes to choanalytic Association in 1911, and for many way we carry out our certification. the basic premise of the system itself, to my years thereafter, only physicians could receive These two issues, training analyst selection knowledge, has never occurred. Our intention psychoanalytic training. This was in stark con- and certification, have been the two peren- was to remedy this oversight. trast to Europe where, from the beginning, nial flashpoints for internecine conflict in our When the PPP Proposal was introduced candidates from a variety of disciplines Association for some 30 years. This seem- online in September 2011, some reacted to received training. This is also in contradistinc- ingly endless argument has preoccupied us it as though the Apocalypse had arrived, tion to Freud’s suspicion of physicians as enormously and drained our individual and while others felt that a new dawn had come. being rather poorly equipped to become organizational energies, hindering us from We attempted to make it clear that it was psychoanalysts.

Load more