the FALL/WINTER 2004 AMERICAN Volume 38, No. 4 PSYCHOANALYST Quarterly Newsletter of The American Psychoanalytic Association

Enthusiasm Runs High at First INSIDE TAP... Annual Psychoanalytic Research Winter Meeting ...... 4 Training Program in New Haven Geriatric Rachel Z. Ritvo and Linda Mayes . . . . . 10 Recognizing the need to accelerate the program offered intensive training in empiri- Katzenbach Partners . . . 16 development of serious empirical psychoana- cal approaches to psychoanalytic research lytic research, the Anna Freud Centre reached through faculty presentations of ongoing re- Publishing in the across the Atlantic to collaborate with the search, one-on-one consultations with faculty Yale Child Study Center and the Western on the fellow’s project, and fellow presentations Trade Book Market . . 18 New England Psychoanalytic Institute and of their work in progress for discussion by Society to mount the first annual New Haven the entire group. Proposed Psychoanalytic Research Training Program Faculty members were Sidney Blatt, Elizabeth State Regulations . . . . 21 (NH-RTP) April 20-24. Thirteen nascent Brett, John Clarkin, Peter Fonagy, Stuart Hauser, researchers from the U.S. and the U.K. came as Shmuel Shulman, Mary Target, Robert Wadlinger, APsaA Fellows . . . . 24–26 “fellows” to consult with a faculty of psycho- and Linda Mayes. analytic research scholars on issues of study The fellows’ design and implementation. career experiences Modeled on the successful summer ranged from senior Research Training Programme at University practicing analysts College London, now in its 10th year under to child the sponsorship of the International Psy- fellows just com- choanalytical Association, the New Haven pleting their training. The fellows, inter- ested in psychody- Rachel Z. Ritvo, M.D., assistant clinical namic perspectives, professor of psychiatry at George Washington brought their curi- University Medical School, is a board certified osity, creativity, and child and adolescent psychiatrist on the faculty eagerness to learn of the Baltimore Washington Center for the how-to’s of Psychoanalysis and is in private practice. research to sustain Linda Mayes, M.D., Arnold Gesell Professor them through the four-day marathon of of Child Psychiatry, Pediatrics, and Child consultations, presentations, dinner meet- in the Yale Child Study Center ings, and lectures. The topics of their and chairman of the directorial team of the research projects reflected a remarkable Anna Freud Centre, London, is also a faculty diversity of interests and the reach of member of the Western New England Institute psychoanalysis. (See sidebar, page 9.) for Psychoanalysis. Continued on page 8

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 1 CONTENTS: Fall/Winter 2004 THE AMERICAN PSYCHOANALYTIC ASSOCIATION President: Jon Meyer 3 Strategic Planning—Part Two Jon Meyer President-Elect: K. Lynne Moritz Secretary: Prudence Gourguechon 4 January 2005 Meeting Offers Wide World of Theory and Practice Treasurer: Warren Procci Kathryn J. Zerbe Executive Director: Dean K. Stein 5 Abandonment, Divorce, or Separation: The Fate of BOPS’s Functions in the Reorganization of APsaA Eric J. Nuetzel THE AMERICAN PSYCHOANALYST Newsletter of the 6 How to Dine Fine Solo—Just Like New Yorkers Do Dorothy M. Jeffries American Psychoanalytic Association Editor 7 Privately Owned Public Spaces: Indoor Parks for Light Bites Michael Slevin Dorothy M. Jeffries Member, Council of Editors of Psychoanalytic Journals Geriatric Psychoanalysis: New Insights from Old Patients 10 National Editor John R. Whipple Prudence Gourguechon Poetry: From the Unconscious Sheri Hunt Editorial Board 12 Thomas Bartlett, Brenda Bauer, A Site Visit to Forge a Vision of a Psychoanalytic Center Vera J. Camden, Maxine Fenton Gann, 13 Sheri Hunt, Jack Miller, Richard Lightbody and Sydney Arkowitz A. Michele Morgan, Caryle Perlman, Marie Rudden, Hinda Simon, 14 The Strategic Planning Survey: Putting Shoulder to Wheel Gittelle Sones, Julie Tepper, Michael Slevin Jane Walvoord, Robert S. White, Dean K. Stein, ex officio Reorganization Task Force Focuses on Governance Options 15 William D. Jeffrey, Consultant Stephanie Smith Paul Mosher, Consultant Michael and Helene Wolff, 16 Katzenbach Partners: Catalyst for Change for APsaA Michael Slevin Technology Management Communications, Manuscript and Production Editors 17 Science and Psychoanalysis: Is That My Hand? Mervin Stewart, Photo Editor Tracking the Sense of Self-Ownership Robert Michels The American Psychoanalyst is published quar- Psychoanalysts Publishing in the Trade Book Market terly. Subscriptions are provided automatically 18 to members of The American Psychoanalytic Dorothy M. Jeffries Association. For non-members, domestic and Canadian subscription rates are $32.50 for indi- 20 The Association Responds to the Regulations of the New York viduals and $75 for institutions. Outside the U.S. State Licensing Law and Canada, rates are $52.50 for individuals and $95 for institutions. To subscribe to The American Proposed Regulations for New York State License Withdrawn Psychoanalyst, visit http://store.yahoo.com/ 21 americanpsych/subscriptions.html, or write TAP for Revision Fredric T. Perlman Subscriptions, The American Psychoanalytic Association, 309 East 49th Street, New York, 22 Politics and Public Policy: The Perfect Storm Robert Pyles New York 10017; call 212-752-0450 x18 or e-mail [email protected]. APsaA’s Excellent New Fellows for 2004-2005 24 Copyright © 2004 The American Psychoanalytic Letters to the Editor Association. All rights reserved. No part of this 27 publication may be reproduced, stored in a Jacob A. Arlow, M.D., 1912-2004 retrieval system, or transmitted in any form or by 28 any means without the written permission of The American Psychoanalytic Association, 309 East 29 Bird’s-Eye View of Psychotherapy Training Reveals 49th Street, New York, New York 10017. Broad Differences Mae E. Kastor ISSN 1052-7958 30 Welcome to the New World of Psychoanalysis Steven J. Wein The American Psychoanalytic Association does 31 APsaA Members Weigh in on Time and Place of National Meetings not hold itself responsible for statements made in Dean K. Stein The American Psychoanalyst by contributors or advertisers. Unless otherwise stated, material in Membership: Send Us Your E-mail Address and Sign on The American Psychoanalyst does not reflect 32 the endorsement, official attitude, or position of to the Benefits Debra Steinke The American Psychoanalytic Association or The American Psychoanalyst. 32 TechNotes: PDF—Portable Document Format Paul W. Mosher

2 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 FROM THE PRESIDENT

right takes thought and time and we want to Strategic Planning—Part Two do it right. I look forward to receiving your Jon Meyer ideas, compiling, and collating them. I am sure you will be thoughtful and creative. Our profession FACTS OF LIFE I am sure you realize that priority setting does not provide In my first TAP column, I laid out the “facts of and strategic planning is essential for our many opportuni- life” confronting our profession: future. At the January meeting we will have a ties for collabo- 1. Industrialization of mental health care chance to meet together and explore where rative dialogue. devalues psychoanalysis and denies psy- we are in the process, and at the Friday morn- Establishing and chodynamic treatments. ing Meeting of Members, I will deliver a status nurturing the 2. The educational marketplace is competitive. report. The Meeting of Members is usually psychoanalytic 3. The psychoanalytically minded seeking thought of as a dull business meeting.Thanks frame requires recognition and affiliation have choices. to the richness and variety of the issues we hours alone with These facts are our challenges. face, this “state of the union” will be anything Jon Meyer patients, assisting We need to do everything in our power to but bureaucratic and dull. in private self-exploration. We dedicate our- increase access to psychoanalysis and psycho- An open discussion forum will follow (its selves to that task because we have daily evi- dynamic psychotherapy at all income levels. We time and location will be in an invitation dence of the effectiveness and transformative need to reach the audiences who will respond included with your registration materials).The value of psychoanalytic understanding. positively to the messages of psychoanalysis, open forum will follow up on my state of Recently, I met with other analysts about psychotherapy, and APsaA. We must encour- the union and be a chance for you to join the clinical issues, technique, and theory. While age new members through enhanced, attrac- Executive Committee, Steering Committee, we did not always agree on smaller points, tive membership and association. We need and me in frank, honest dialogue about prior- there were common threads: respect for to push for educational standards that recog- ities and planning for organizational objec- human complexity and the mind’s capacities, nize, acknowledge, and encourage diversity, tives. Any comments or questions can be the power of the unconscious, and the unique- creating different entry points and welcoming addressed directly to me and to the leadership. ness of the psychoanalytic relationship. Colle- different pathways to psychoanalysis. We need I know your schedule is busy, but please drop gial exploration of clinical issues was a reminder an articulated message and mission of valued, in for as much or as little time as you can. I am of the fullness of psychoanalytic practice. I left committed, and effective service that donors eager to talk with you about the future direc- this meeting having reaffirmed my belief in can embrace in national fundraising. tion for psychoanalysis. the indispensable psychoanalytic understand- ing of the human condition. Busy psychoanalytic lives leave us with too …I propose that we dedicate a portion of our Winter Meeting little time for the renewal that comes with to an open dialogue about the challenges facing our profession. sharing experiences and values. Furthermore, our professional commitments to personal understanding, privacy, and introspection do We are strong financially and blessed in As ApsaA approaches its second century, not always prepare us to translate from our human resources, but in a universe of chal- now, more than ever, we need to learn to offices into the forum of public opinion. For lenges we must ensure that our actions to engage a mindful public in an open discourse that reason, I propose that we dedicate a realize those objectives are focused, efficient, about who we are and what we do. In order to portion of our Winter Meeting to an open and effective.Toward that end, we have under- do that, we need to come out of our offices dialogue about the challenges facing our taken a planning process to determine our with its necessary mindset and speak for our- profession. This suggestion is in line with organizational priorities and develop a strate- selves.We don’t want to forget what we know; the objective of my presidency to provide gic plan. we just want to think about it and use it dif- APsaA’s membership with an opportunity ferently.We can’t proceed to articulate what we to share an experience of renewal and reaf- PRIORITY SURVEY know about psychoanalysis and its importance firmation. I hope to do so by helping us unite A first step, planning for the polling of all for the public, purchasers of insurance benefits, in dedication to an empowered organiza- members, affiliates, associates, society and insti- academics, or government until we talk through tional mission. tute administrators, and staff is underway. I our own ideas. It is essential that we meet hope that by the time you read this article we and talk about the profession’s paramount will have completed and circulated our ques- issues. I believe that conversation will be not Jon Meyer, M.D., is president of the American tionnaires on priorities for psychoanalysis and only necessary and useful but also renewing. Psychoanalytic Association. APsaA. I do realize, however, that to do things Continued on page 27

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 3 WINTER MEETING

These featured offerings will be comple- January 2005 Meeting Offers mented by a considerable array of workshops and discussion groups. As in past years, there Wide World of Theory and Practice will be special courses on ethics and on media Kathryn J. Zerbe training for the psychoanalyst. We encourage students from all mental The program of the Winter 2005 Meeting, “Tchaikovsky: Music and Melancholy.” And a health disciplines to come and to take part in January 19-23, is filled with opportunities to two-session film workshop will pay homage to the entire program, and to be aware that learn more about the latest research findings the work of Ingmar Bergman. there are special courses, discussions, and in psychoanalysis and psychoanalytic therapies, social events arranged with them particularly to enhance clinical practice and to improve GENOMICS in mind. patient care through attendance at psychoan- Given the desire of most clinicians to also The Program Committee is hopeful that alytic courses, workshops, or special symposia. know more about how recent discoveries of this diverse series of events will appeal to a It is an opportunity to talk with colleagues at genomics and the brain will influence our wide audience of clinicians, researchers, and all levels and from the full range of theoretical work,Bruce Wexler, a professor of psychiatry educators and inspire new ideas for work- persuasions extant in the field today. from Yale and an expert in functional magnetic shops, discussion groups, and panels for future In keeping with the organization’s com- resonance imaging (fMRI), has been invited. meetings. mitment to bringing analytic ideas to the He will present a special seminar on “Neuro- wider world, Lord John Alderdice, Speaker of plasticity over the Life Span: How People Can the Northern Ireland Assembly and a psy- and Can’t Change,” which will be chaired by chiatrist, will be with us again for a symposium Elizabeth Lloyd Mayer. A special panel on Contacting the titled, “Understanding Terrorism and What “Gene-Environment Interactions: Develop- We Can Do About It.” The University Forum, mental and Psychotherapeutic Implications” National Office which was developed to encourage dialogue will include Regina Pally, Glen Gabbard, and between academia and psychoanalysis, will Stephen Suomi. The American be chaired by Kim Leary. Forum speakers The Meet-the-Author segment will feature Psychoanalytic Association Thomas Keenan, director of the Human Antonio Ferro, speaking about his recently 309 East 49th Street Rights Project and associate professor of translated book, In the Analyst’s Consulting comparative literature at Bard College, and Room. New York, NY 10017 psychoanalyst Donald Moss will discuss “An The plenary address by Newell Fischer on Phone: 212-752-0450 Academic-Psychoanalytic Exchange on Terror the topic of “A Fear of Trying,” and a plenary Fax: 212-593-0571 and Torture.” Other events featuring psy- presentation by Arnold Richards on “The Cre- E-mail: [email protected] choanalysis and the community include help- ation and Social Transmission of Psychoanalytic World Wide Web Site: http://apsa.org/ ing children to cope with their fears of terror Knowledge,” plus panels on masculinity and sparked by nightly newscasts and world failed analyses promise engaging glimpses National Office events, learning about resilience in Bosnian into the contemporary consulting room and Voice Mail Extensions youth after the war, and applying analytic psychoanalytic classroom. ideas to aid international relations. Alo Allik x18 Applied psychoanalysis will also take center CHILDREN AND ADULTS Chris Broughton x19 stage by offerings that address the arts. Richard Two-day workshops and panels will tackle Brian Canty x17 Kogan, a psychoanalytically-trained psychiatrist some of the special issues of children, par- Debra L. Eder x21 and concert pianist, will meld the spoken word ticularly those with biological and develop- Sherkima Edwards x15 with music in his psychobiographical study of mental disorders. Other two-day workshops Tina Faison x23 will deal specifically with process and tech- Carolyn Gatto x20 Kathryn J. Zerbe, M.D., is professor of nique issues unique to adult analyses and Dottie Jeffries x29 psychiatry and obstetrics and gynecology, vice psychodynamic psychotherapies. The In- Danise Malqui x28 chair for psychotherapy, director of Outpatient Depth segment, “Art, Culture, and Politics: Nerissa Steele x16 Services, Department of Psychiatry, director The Power of the Picture Book and the Inner Dean K. Stein x30 of behavioral medicine, Center for Women’s World of the Child,” will be chaired by Judith Health, Oregon Health Sciences University; Kantrowitz, and Sheldon Roth will chair an Debbie Steinke x26 and training and supervising analyst, Oregon Interdisciplinary Seminar on “Dreams and Their Lyvett Velazquez x12 Psychoanalytic Institute. Use in Psychotherapy.”

4 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 FROM THE BOPS CHAIR

The American Board of Professional Psychology Abandonment, Divorce, or Separation: (ABPP) currently has a certification exam for psychoanalytic psychologists. The Fate of BOPS’s Functions in the These entities (and any new ones) are unlikely to adopt the standards of our Associ- Reorganization of APsaA ation. Much of value would be lost to our Eric J. Nuetzel institutes and to our profession if we were to abandon the regulatory functions of the BOPS. The American Psychoanalytic Association has between BOPS’s We have a strong psychoanalytic educational embarked on a process of transformation.The regulatory func- system. Our principles and standards, our Task Force on Reorganization was appointed tions and its sup- accreditation process, and certification proce- and endorsed by the membership last spring, portive functions, dure provide the structure, quality control, and and began its work in June.The group has the as there is now. accountability for that educational system. responsibility of recommending changes in our Regardless of BOPS, or the regulatory functions of the structure and governance, which the member- the fate of the BOPS, could be externalized from the Asso- ship will have to approve by a two-thirds major- supportive func- ciation by becoming an independent corpo- ity.This task force is a group representative of tions of the BOPS ration or corporations.This new corporation our membership, and I am optimistic about its in a reorganized (or corporations) would represent both those Eric J. Nuetzel chances for success. In this column, I will out- APsaA, it is essen- institutes willing to receive accreditation at a line the functions of the Board on Profes- tial for the regulatory functions of the BOPS to level approximating our current standards and sional Standards (BOPS) and explore options function independently of the membership organ- graduates seeking certification at those stan- for their fate in the reorganization of APsaA. ization. Standard setting, accrediting, and certifying dards. These institutes, their graduates, and bodies of most professions are completely exter- their members would bear the costs. If we REGULATORY AND SUPPORTIVE nal to and independent from the membership were inventing the entire structure for the FUNCTIONS organizations of those professions, because this is first time, this model might be optimal. Viewed broadly, the role of the BOPS is to considered essential to ensure the integrity of the Given our culture, structure, and traditions, set standards and oversee the educational accreditation and certification processes.There there are disadvantages to this course of functioning of psychoanalytic training programs is an inherent conflict in our current structural action. First, we would need to create an infra- (adult and child) in the Association’s institutes. arrangement, which places these regulatory func- structure paralleling our National Office; financ- BOPS functions can be divided into two major tions within the same corporate structure as our ing this would be a formidable challenge. categories: First, the regulatory functions (stan- membership organization. Although this struc- Second, the Association would lose the creative dard setting, accrediting, and certifying), and tural arrangement has led to creative tension, it tension that exists by having our educational second, the supportive functions (research has been the source of chronic strife within our system structurally within our membership and development for all aspects of psychoan- Association relating to BOPS’s autonomy. organization, an aspect of our Association that alytic education and certification). many of our members value. The supportive functions of the BOPS, those PROS AND CONS OF OPTIONS Athird alternative, structural separation within committees and task forces that serve as think We could abandon the regulatory functions a newly reorganized APsaA, may be our best tanks for psychoanalytic education and certifi- of the BOPS, hoping that other groups outside option.This would require the creation of a sub- cation, could theoretically remain within the the Association will perform these functions for sidiary corporation or corporations within APsaA membership organization in a reorganized us.The Accreditation Council for Psychoanalytic for the BOPS, or for the BOPS’s regulatory func- APsaA. Indeed, many professional membership Education (ACPE) is currently developing an tions. Structural separation would safeguard the organizations have committees devoted to edu- accreditation process for psychoanalytic insti- functional independence of regulatory functions cation and training as part of their activities. tutes, using the standards adopted by the necessary for the integrity of those processes. However, the supportive functions of the BOPS Psychoanalytic Consortium. These standards The creative tension between educational inter- ideally should remain structurally related to the require a personal analysis (3 to 5 times per ests and membership interests could then con- regulatory functions of the BOPS, because the week for a minimum of 300 hours), a minimum tinue to enrich our Association. Any subsidiary supportive functions inform revisions in the of 2 supervised psychoanalytic cases (3 to 5 entity would have the opportunity to develop a regulatory functions. In a reorganized APsaA, times per week for a minimum of 2 years), at sound financial plan to support its activities. there should be a functioning relationship least 150 hours of supervision, and a didactic Structural separation would preserve precious curriculum with a minimum of 300 hours.The assets, as our Association continues to evolve. At Eric J. Nuetzel, M.D., is chair of the Board ACPE might develop a certification process this point in our history, structural separation is on Professional Standards. for psychoanalysts but has not yet done so. preferable to abandonment or divorce.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 5 NYC DINING

For a sophisticated dining experience at How to Dine Fine Solo— the other end of the spectrum, head to the fourth floor and to the Center’s bar collection, Just Like New Yorkers Do including some of ’s swankiest new Dorothy M. Jeffries restaurateurs. Your choices include: Per Se, Bar Masa, Café Grey, and Stone Rose Lounge. So for the last two evenings during the Tw o Boots (cornmeal-dusted, crispy bottom Winter Meeting, you’ve dined with your col- pizzas), and Masa Sushi. And for rave New SOME OTHER SUGGESTIONS AROUND leagues (whom you LOVE dearly), and you’re Yo rk desserts (still on the dining concourse MIDTOWN NEAR THE WALDORF feeling like you need some time out on your level), you won’t know which to pick: Junior’s, Avra-Estiatorio, 141 East 48th Street between own—alone. Or you’ve come to the meeting a Brooklyn legend famous for its cheesecake; Lexington and Third Avenues alone—and want to make the most of the or Little Pie Company, New York’s noted An exceptional Greek fish restaurant with an town even though your colleagues aren’t pie patisserie. intimate bar area that includes small tables as along this time. well as bar seating. Don’t despair. New York is a city full of sin- gles, who attend concerts alone, museums P.J. Clarke’s, 915 at alone, and who even dine alone, frequently— In the mood for a legendary hamburger? and love doing so. In January, New York This landmark saloon has a bar that welcomes restaurateurs would rather give a single per- the single diner. son a table than have a table be empty, so don’t think of dining out alone as limited Le Pain Quotidien, 833 , only to bar seating. And you’ll experience between 63rd and 64th Streets firsthand how single diners are welcome in Belgian farmhouse style patisserie and café the Big Apple. with communal tables. With a 7:30 a.m. open- Here’s a handful of suggestions of dining ing for breakfast, the evening closing is at 7:00 possibilities—all welcoming the single patron. p.m., so go early if you go for supper.

AT , Maloney and Porcelli, 37 East , JUST BLOCKS FROM THE WALDORF between Madison and Park Avenues Grand Central Oyster Bar and Restau- Perfect seating for the solo diner is available rant,“below sea level in Grand Central,” on at “The Chef’s Counter,” which looks into the the lower level of the newly renovated ter- busy kitchen minal. The Oyster Bar, with its immense white ceiling and cavernous architecture Paper Moon Milano, 39 East 58th Street evokes the essence of old New York. On between Madison and Park Avenues the balcony level, don’t miss Cipriani Dolci Wonderful pizza as well as reliable Northern that specializes in Northern Italian cuisine Italian dishes. or Michael Jordan’s The Steak House NYC, AT THE TIME WARNER CENTER complete with a gift shop (yes, you are still in If you want to combine some shopping Solera, 216 East between Second New York, not Chicago). with dining all under one roof, head over to and Third Avenues Located on the East Balcony overlooking to the new Time Warner Featuring tantalizing tapas. A bit pricey, but the Main Concourse is Métrazur,a stylish Center where you’ll discover a variety of where else in Midtown can you be Iberian? American brasserie—a perfect stop for a light dining choices. For a casual meal, head down- snack or a leisurely meal. stairs to Whole Foods, the largest super- Vong,200 East at Third Avenue in the Grand Central Terminal also has many market in Manhattan, with a roomy café that “Lipstick Building” (so called by New Yorkers) casual restaurants located on the dining features a vast array of freshly prepared foods Highly inventive French-Thai cuisine. concourse level that are like cafés (com- at what may be the city’s largest food bar plete with table seating) such as Café Spice, with a variety of ethnic cuisines as well as DOWNTOWN American fare. Union Square Café, 21 East 16th Street At Border’s Books, you’ll find Dean and between and Union Square West Dorothy M. Jeffries is director of public affairs Deluca’s café—a perfect spot for a salad, a Where “seats at the bar always assure a for the American Psychoanalytic Association. sandwich and/or coffee and dessert. great meal” (so says Zagat).

6 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 PRIVATE-PUBLIC SPACES

Privately Owned Public Spaces: Indoor Parks for Light Bites Dorothy M. Jeffries

With a premium on public space in Mid- 575 Fifth Avenue Pedestrian town, New York’s zoning laws require certain Space, between 46th and 47th developers to deed a percentage of their Streets space for a public environment. In the New Complete with seating, land- Yo rk world, these are known as “privately scaping, and fountains. owned public spaces,” and are both indoor (covered) and outdoor. For the sake of the Sony Center Pedestrian Space, Winter Meeting, here are a number of indoor 550 between 55th and 56th spaces features landscaped terraces, a waterfall, (covered) public environments to enjoy near Streets and a variety of seating styles. A connecting the Waldorf, when you’re hankering for a bit A multistory space with trees, seating, and passageway leads to: more elbowroom or a change of scenery. a choice of food services, including Starbuck’s. A real oasis from Midtown and uplifting on Pedestrian Space, The Altria Multistory Pedestrian Space, 120 gray winter days. between 56th and 57th Streets at (near Grand Noted for its tall bamboo tree stands and its Central Terminal) Covered Pedestrian Space, 725 indoor sculpture garden, 590 is a respite from Seating, food service, and an art gallery that Fifth Avenue between 56th and 57th Streets the bustle of its counterpart in Trump Tower. is under the aegis of the Whitney Museum of A commercially exuberant environment, There’s ample seating and several choices in American Art. this grandfather of privately owned public food service.

John S. Kafka, M.D., is co-chair with Groen of the East European Subcommittee of IPA’s New Groups Committee. Continued on page

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 7 PSYCHOANALYTIC RESEARCH TRAINING PROGRAM

Training Program Other fellows the added focus and context provided for the Continued from page 1 were just be- research projects. The fellows benefited from ginning their immersion in the culture of research, its rigor GROUP PROGRESS careers. Laura and precision of thought, as well as by being Clinicians brought questions from their daily Lomax-Bream, alerted to the common mistakes made by work with patients. For example, Judith Schiff- an assistant pro- beginning (and experienced) researchers. man, a member of the faculty of the child fessor at the Uni- psychotherapy program of the Chicago Insti- versity of Texas at tute, works with mothers and fathers with Houston, works genetic forms of cancer. Devastated by the with other devel- Linda Mayes diagnosis, they also face the dilemma of how opmentalists on much to tell their children about their own a psychoeducational intervention study de- risk for cancer later in their lives. How does signed to enhance high-risk mothers’ under- knowing impact a child’s adjustment to a standing of their children’s developmental parent’s illness, are there differences accord- needs. Lomax-Bream came to the seminar ing to a child’s developmental age and indi- with a question about how the mothers’ own vidual character, and how does even a basic parenting and early attachment relationships understanding of one’s own later vulnerability influenced their ability to respond to the inter- shape a child’s emerging sense of self? Through vention. She was encouraged to explore her Susan Bers is studying young adults with eating disorders. her Genetics for Children Project, Schiffman existing data in different ways to facilitate hopes to better understand these basic con- understanding why it was that some mothers The collaboration with the Western New cerns and also to inform standards of clinical seemed to respond more positively than others England Psychoanalytic Institute and Society practice with children of adults with cancer. to the same intervention. and with Yale led to a welcoming environment for the participants. Society members, many of whom were Child Study Center faculty, The fellows were astonished at how far their projects, some only dropped in on the presentations by fellows barely sketched out, could progress in the course of listening to and faculty. One evening the fellows heard from the presentations and discussions from fellows and faculty. the faculty in a seminar about longitudinal

In her consultation with various members of The fellows were astonished at how far the faculty, she blended her clinical insights their projects, some only barely sketched out, with a thoughtful research design that sharp- could progress in the course of listening to the ened her focus on children’s emerging self- presentations and discussions from fellows image, such as in instances of breast cancer in and faculty.The discussions were richly educa- mothers of adolescent girls. tive for the entire group as the experienced researchers on the faculty debated with one another, critiqued the study designs, and offered references from their broad knowledge of the analytic research literature. Zina Steinberg is studying parents of preterm infants.

ATMOSPHERE OF TRUST perspectives on attachment and, on another The program generated a healthy trust evening, Peter Fonagy presented the Muriel among the participants that allowed fellows to Gardiner lecture, entitled “Mentalization focused ask even the most naïve questions. The fact therapy: old wine in new bottles or renewed that fellows and faculty were present in nearly hope for psychoanalysis?” The opportunities equal numbers appeared to be a prime factor for the members and candidates of the West- in creating this critical atmosphere of trust.The ern New England to join sessions and experi- intensity of the program contributed to a sense ence the excitement of research put the New of being on retreat, further serving to unify the Haven Research Training Program at the grass-

Projects integrate statistics with the study group. The clinical experience of the fellows roots of psychoanalysis in America. of individual lives. was respected and valued by the researchers for Continued on page 9

8 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 PSYCHOANALYTIC RESEARCH TRAINING PROGRAM

Fellows and Their Projects at the First New Haven Psychoanalytic Research Seminar

Marianna Baykina Lubbock,TX Psychoanalytic perspectives on plagiarism

Susan Bers New Haven, CT Inner experience of young adults with eating disorders

Jorge Cassab White Plains, NY Therapist-patient rating method to study psychotherapeutic process in a psychodynamic psychotherapy of borderline patients

Norma Cofresi Cleveland, OH Teaching psychodynamic research methods in a child analysis program

Filipa de Castro Colchester, UK Negative projections among parents on infants predict later behavioral problems

Michael Groat Albany, NY Understanding the applicability of attachment perspectives in transference configurations with seriously disturbed adults

Susanne Hoerz White Plains, NY Development and validation of the “Structured Interview of Organization”

Justine Larson Cambridge, MA Predictors of psychosocial competence in young adults

Laura Lomax-Bream Houston,TX Attachment configuration as predictor of mother-child relationships in an early reading intervention program

Rachel Ritvo Washington, DC Studying the practice and prevalence of child psychoanalysis in the U.S.

Gerald Ronning Minneapolis, MN Relationship between adolescent narrative competence and severity of externalizing behavior

Judith Schiffman Chicago, IL Communication between parents and children about genetic based malignancies

Zina Steinberg New York, NY Parental reflective functioning and adjustment to the stressors of giving birth to a preterm infant

The 26 applications received for this first year Muriel Gardiner Program in Psychoanalysis of the NH-RTP demonstrated that interest and the Humanities. Funds are actively being in learning to do quality empirical research sought to continue the program. runs high in the psychoanalytic community in The 2005 program will be held March 15-19. the . Only 13 applicants could be This first cohort of NH-RTP fellows and accommodated in the April program. Positions subsequent fellows will be invited to join the in the London program during the summer of growing cohort of fellows from the summer 2004 and an additional NH-RTP session this London program for yearly reunions in London fall were offered to those who could not be in in March. There are also plans for a yearly the first program.The first NH-RTP program reunion event for New Haven fellows at the was funded by the American Psychoanalytic APsaA Winter Meeting. Anyone interested in Association, the American Psychoanalytic Foun- applying for the March 2005 program may dation, Division 39 (Psychoanalysis) of the contact Linda Mayes ([email protected]) American Psychological Association, and the for further information.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 9 GERIATRIC PSYCHOANALYSIS

reactions that place the physician in the role Geriatric Psychoanalysis: of an idealized savior or a “young whipper- snapper” are quite common in the elders as New Insights from Old Patients well as in their caregivers. Use of the analyst for John R. Whipple mirroring functions initially contains intense affect, yet gradually the work When I was first introduced transforms into understanding to Freud, I became fascinated by conflict and working through. his psychosexual developmental The more elders are displaced theory, in which the complexity from their roles in the community, of our minds was rooted in the the greater the attachment con- growth of our bodies. Gradually, flicts they experience. Disrup- this interest led me into an ap- tions in attachment first described preciation of aging as a vector by Bowlby in infants or children for change and senescence as are strikingly similar to those in a unique developmental stage. the older adults in long-term Application of psychoanalytic care. Bringing this information concepts to the maturational to the nursing home’s attention development of the elderly has allows for significant shifts in informed my practice and stim- these communities.Typically, the ulated my future research. nursing assistants are not famil-

While many people may think Management Photo courtesy of Word iar with psychological concepts. of geriatric psychiatry as aligned Enhancing their natural talents solely with biologically based psychiatric inter- dependency on others underlie many of my with an increased awareness of the develop- ventions, approaching issues of senescence as patients’ struggles, yet their reactions to these mental struggles of the elders allows for inter- a developmental phase opens up the field to conflicts are unique, causing as much dysfunc- generational bonding that transcends the psychoanalytic work. I see elderly patients in tion as any good neurosis. institutional setting. my office as well as in long-term care set- In general, maintaining self-integrity in the Displays of positive affection, empathy for tings. I have patients in independent apart- face of these losses is a major treatment another’s plight, and tolerance of anger are ments, assisted living, and nursing home care. objective. I find my interventions vary de- modeled with the staff as well as the elders. I also consult on a specialty unit for elders with pending on the level of assistance required for Role playing interpersonal interactions and dementia. Consequently, the developmental the elder. Within my office, my patients fre- communications foster the caregivers’ envi- challenges are very different even amongst quently utilize psychoanalytic psychotherapy ronment and stimulate their own creativity. the elderly cohort. with good success, and the literature docu- Once these efforts prove fruitful, nursing home Losses are prevalent of course, yet the nature ments psychoanalysis conducted well over administrators begin to address management of the loss varies. Old anxieties are reawakened, retirement age. aspects that contribute to insecure or chaotic but new obstacles are the most confounding. Loss of purpose, loss of independence, loss of body integrity, loss of loved ones, and loss of Loss of purpose, loss of independence, reason are all seen during the elder years. loss of body integrity, loss of loved ones, and Executive functions and abstract thinking can give way to primary process, paranoia, and loss of reason are all seen during the elder years. hallucinatory experiences. Conscious or uncon- scious fears of annihilation as well as increased SAVIOR OR WHIPPERSNAPPER attachments. I hope to pursue further research John R. Whipple, M.D., is a senior candidate In the long-term care setting, my work into these dynamics and their impact on ego and associate faculty at the Greater Kansas can include individual psychotherapy, family functioning in the elderly. Identifying char- City Psychoanalytic Institute. He works therapeutic interventions or even milieu acteristics that promote resiliency and main- in Lawrence, Kansas as a psychoanalyst in management. Issues of providing a “holding tain mentalization through senescence could private practice. His current research and environment,” co-construction of meaning enhance our work with the elderly as well as writing focus on maturational development and attention to transference manifestations the young. and the tasks of aging. inform my work in every role.Transference Continued on page 11

10 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 booklist New books by members

In 2003 and 2004, members of APsaA wrote or edited the following books.

Daniel W. Badal, Treating Chronic Gilbert J. Rose, Between Couch and Depression—Psychotherapy and Piano: Psychoanalysis, Music,Art and Medication. Jason Aronson, New York. Neuroscience. Brunner-Routledge, New York and London. Celia Brickman, Aboriginal Populations in the Mind: Race and Primitivity in Jeffrey D. Roth, Group Psychotherapy

Photo courtesy of Word Management Photo courtesy of Word Psychoanalysis. Columbia University and Recovery from Addiction: Carrying the Press, New York. Message. Haworth Press, Binghamton, NY. PERSONAL IMPACT I have noticed a change in my psychoanalytic work with younger adults through my work William N. Goldstein and Samuel Gail Saltz, Becoming Real: Defeating with the elders.The role of reminiscence, the T. Goldberg, Using the Transference the Stories We Tell Ourselves That Hold collapse of time perspective, and the neurotic in Psychotherapy. Jason Aronson, Us Back. Penguin Putnam, New York. ruminations of younger adults now take on New York. different implications.The mutative function Vamik D.Volkan. Blind Trust: Large of working with the elders is something I can Judith M. Hughes, From Obstacle to Ally: Groups and Their Leaders in Times of appreciate because of my psychoanalytic edu- cation. I am transformed through the dialectic The Evolution of Psychoanalytic Practice. Crises and Terror. Pitchstone Publishing, interactions with each relationship. My coun- Brunner-Routledge, New York. Charlottesville,VA. tertransference reactions to the sights, sounds, smells, and emotions I confront with the elders Otto Kernberg, Aggressivity, Vamik D.Volkan, Das infantile allow me to explore my functioning. Narcissism and Self-destructiveness psychotische Selbst und seine weitere When visiting with a demented patient, I in the Psychotherapeutic Relationship: Entwicklung:Verstandnis und Behandlung can feel inadequate as a therapist since lan- guage may be lost. I will start to feel restless or New Developments in the schizophrener und anderer schwieriger ponder my next inquiry.There is no yesterday and Psychotherapy of Severe Personality Patienten.Vandenhoeck & Ruprecht, or tomorrow for us. My internal search for a Disorders. Press, Göttingen, Germany. point of reference is gone. Many times, I simply New Haven. want to leave. My own neurotic ruminations Vamik D.Volkan, Kusursuz Kadinin may fill the silence. Meanwhile, the elder is Otto Kernberg, Contemporary Pesinde: Bir Psikoanalizin Oykusu. simply taking it all in. She’ll scan the hallway, Controversies in Psychoanalytic Theory, Okuyan Us, Istanbul,Turkey. look at my face or down at the floor. She becomes the mirror and I see myself in middle Techniques, and Their Applications. age. Sometimes I can tune in to her serenity. Yale University Press, New Haven. Jerome A. Winer, James William I will focus on her face or her wrinkles or the Anderson, and Christine Kieffer, ed., look in her eye. I wonder about the inter-sub- Robert Langs, Fundamentals of Adaptive Psychoanalysis and Women (The Annual jective world after words, and I time my glances Psychotherapy and Counselling. Palgrave- of Psychoanalysis,Volume XXXII). to meet her gaze. Our game of “peek-a-boo” Macmillan, London and New York. Analytic Press, Hillsdale, NJ. establishes a connection if even for the moment and like the joy of holding a newborn baby, I want to visit again and again.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 11 From the Unconscious Sheri Hunt poetry Just as a monk in lotus position doesn’t will enlightenment or a dreamer LIGHT doesn’t will a dream—a poet doesn’t will a poem. The morning when I first notice A woman once told me that her small son would dangle his fishing rod the leaves starting to color, off the end of his bed by the hour. He must have been a poet. Fishing in early orange, and back-lit, the air.Waiting for that sudden tug.That flash of excitement. Something I think how rapture doesn’t out of nothing. vanish, merely fades into the background, waits for those Jane O. Wayne moments between moments. “One Hand on the Pen, One in the Dream” Night Errands: How Poets Use Dreams I think this and the door opens, the street takes on its glistening look, Bay fog lifting, patches of sun My only exception with the quote above is that psychoanalysts know on sycamore—yellow sea. that the “nothing” from which dreams and poems proceed is more akin to I am in again, and swimming. what Alice Jones has touched upon in her poem,“Cliff.” It is from the edge of the known world that dreams and poems are created; the intermixing of our conscious and our unconscious experiences, where defenses wear thin and what seems overly reified and solid becomes more fluid and creative under the influence of unconscious processes. CLIFF Alice Jones’s books from Alice James Books are The Knot, which won the To b uild my house on the edge Beatrice Hawley Award in 1992, and Isthmus. Others include Anatomy,a letterpress of the known world—and keep chapbook, and Extreme Directions (The fifty-four moves of Tai Chi Sword). Jones seeing. Not my old adobe walls. Not has been awarded fellowships from the Bread Loaf Writers Conference and the my knowledge of mortar joints or National Endowment for the Arts. Her newest book, Gorgeous Mourning,won the cinder block.The landscape alters, 2001 Robert H. Winner Award from the Poetry Society of America. Jones’s poems one day I see through history, have appeared in Ploughshares, Colorado Review, Poetry,The Harvard Review, Denver an old face without its clothes, oh Quarterly, and Best American Poetry of 1994. She is a co-editor of Apogee Press me again, and I’m off and running (www.apogeepress.com) and a psychoanalyst on the faculty of the San Francisco down a path that did not exist Psychoanalytic Institute. until I walked there. Not forgotten,

just uncreated, until today when we were talking.

—Alice Jones Sheri Hunt, M.D., is a candidate at the Seattle Psychoanalytic Society and Institute in both the adult and child training programs. A published poet and member of TAP’s editorial board, she welcomes readers’ comments and suggestions at [email protected].

12 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 COMMITTEE ON SOCIETIES AND CENTERS

A Site Visit to Forge a Vision of a Psychoanalytic Center Richard Lightbody and Sydney Arkowitz

The Commit- of enacting new bylaws. Then they stopped: tee on Societies As long as we are reorganizing, they thought, and Centers why not include all segments of the community, (CoSC) made its not just the institute? The vision of a new inaugural site visit organization—with transparency, inclusiveness, in February 2004 efficiency, and community members—seemed to New Orleans. better served by a comprehensive makeover. whose workloads dramatically increased in the This was our first Consultation from CoSC was requested to 90s. Like New Orleans, there had been reluc- opportunity to help get the process moving again. tance to change and a sense of being stuck.This travel, though we was reversed in a thorough strategic planning Richard Lightbody had envisioned PREPARATION process and reorganization as a center. such missions and already had funds budgeted. We prepared in two ways. The second CoSC team member, Sydney Our site visits differ entirely from those of our First, CoSC convened a panel discussion Arkowitz (Tucson), contributed a broad sum- colleagues on APsaA’s Committee on Insti- on the subject of “Psychoanalytic Centers” at mation of the New York panel, emphasizing tutes (COI), in that we do not provide accred- our regular Friday committee meeting at the unique aspects of each community. Port- itation. CoSC works by invitation; its calendar ApsaA’s 2004 Winter Meeting. Guests from land’s center started as a community-led is dictated not by the internal demands of places with varieties of structure were invited: foundation; Philadelphia carefully reversed an APsaA but by local situations and leaders. New Orleans, Portland, the Los Angeles Psy- old split in combining two entire psychoana- After thorough preparation, two members choanalytic Institute (LAPSI), and New York. lytic organizations; New York had a bifurcation of CoSC made a weekend consultation trip We also had some information from Philadel- between society and institute but a central- to address a significant organizational chal- phia. A summary of the panel was prepared ized and unified board. Arkowitz concluded lenge: How to help the New Orleans group and distributed to New Orleans as well as our with insightful reference to APsaA’s parallel become a “Psychoanalytic Center.” There was own committee and participants. effort to re-define itself. already a strong preliminary consensus and a Second, the New Orleans psychoanalysts precisely identified problem: a failure to get sent background papers: membership lists, MISSION ACCOMPLISHED past the sticking point in restructuring. This the 2001 COI Site Visit Report, 2003 strategic The Saturday morning program got down to article will describe how we helped New planning documents, and bylaws of current details. It was striking that individuals of all Orleans reorganize. and proposed analytic organizations. It made levels of membership actively participated. New Orleans Psychoanalytic Institute pres- solid reading for the visiting team, who, by the Among those present were a few senior ana- ident Ted Reveley extended the initial invitation time they landed in New Orleans, had a work- lysts, candidates who felt under-appreciated, in December 2003, having heard that Richard ing sense of the community, its history, its and central figures who felt stymied in previ- Lightbody (Cleveland) in particular and CoSC resources, and some of its immediate problems. ous efforts to change. We noted that several in general had experience with the center important leaders had absented themselves, concept.The New Orleans Psychoanalytic Insti- SHARING EXPERIENCE apparently because of illness or a diplomatic tute (N.O.P.I.) had undertaken a careful stra- The New Orleans community responded sense that younger analysts needed to cre- tegic planning process, and was on the verge beautifully to the visit. Led by John Stocks ate an analytic world in their own vision. (society president) and Reveley, about 25 Understanding of both the problems and the Richard Lightbody, M.D., was recently members of the community attended a work- capacities of all involved was enhanced and elected councilor-at-large for 2004-2008. shop on Friday evening, and a follow-up Sat- harnessed for action in a short period of time. He is chair of the Committee on Societies urday morning. At Reveley’s suggestion, the last hour focused and Centers. Sydney Arkowitz, Ph.D., is CoSC chair Lightbody began by reporting in on what New Orleans could do in the imme- associate director of the Southwest Center for detail on Cleveland’s experience in renewal diate future. A newly appointed faculty mem- Psychoanalytic Studies, director of education and reorganization. Like New Orleans, the ber helped us along by asking concretely, there, and a member of APsaA’s Task Force Cleveland Psychoanalytic Institute had pro- “Exactly what specific action steps would on Psychotherapy and of the Committee vided the original structure since the 60s, with CoSC recommend in their case?” on Societies and Centers. society and foundation as later developments, Continued on page 14

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 13 SURVEY

Gretchen Anderson, a management con- The Strategic Planning Survey: sultant with Katzenbach Partners who has strategic planning experience, is working with Putting Shoulder to Wheel APsaA on the project. While consensus is the Michael Slevin goal, Anderson said in an e-mail communica- tion, “as with any organization of similar size The Executive Committee of the American and complexity,” it is an ideal. Different survey Psychoanalytic Association is sending out a designs, including Liekert Scale questions, are survey to the full complement of participants being considered.There will, however, be room in the Association to assay the direction and for written responses. priorities of the organization for the next five The strategic planning survey and initiative to ten years. is a part of several recent efforts of the APsaA “Nobody’s going to put their shoulder to to assess its challenges, its mission, its structure, the wheel to anything they haven’t been asked and its priorities. Beth Seelig, secretary of the about or involved with,” APsaA president Jon Board on Professional Standards, said that Meyer said. He also pointed out that there there is real “time pressure” now and “an must be decisions as well about what not to organizational mandate to go forward.” do. “There is no strategic plan without some The Task Force on Reorganization has a pain,” he said. mandate to create a proposal for new gov- The actual construction of a strategic plan, a ernance.The immediate goal of the strategic keystone of Meyer’s presidency, will follow.The planning process, however, is to gain a sense of tentative timeline, agreed on at a joint meeting meeting of the steering and coordinating com- the organization’s priorities for future evolu- of the Executive Committee, Steering Com- mittees in April, will be held in time for plan dis- tion.There are external challenges the organ- mittee, and Coordinating Committee in New tribution by summer.The membership will be ization must face as part of that agenda to Yo rk in October, anticipates that the survey involved in implementation both directly as help APsaA remain the preeminent profes- results will be compiled and discussed in Janu- individuals and through APsaA’s existing struc- sional association for psychoanalysts through ary. Planning sessions, including a second joint ture of committees, societies, and institutes. the 21st century.

A Site Visit organizational model. As we heard, the group budgeted in advance for consultation trips. Continued from page 13 seems to have risen to its challenges. The We welcome your interest and invite you to New Orleans psychoanalytic community has talk with us. CoSC chair Lightbody invites calls That final hour was a condensed discus- successfully moved its preliminary work through at 216-371-1268. sion of how a center might be formed. By subcommittees; it is trying to the time the meeting adjourned, specific time set a date of incorporation for frames were established, analysts were assigned their New Orleans Psychoan- to teams, leaders were identified.There was a alytic Center.We will follow-up sense of movement, of rapport, of pleasure, again in January 2005 to see if even of exhilaration. late snags develop. The visiting team wrote a detailed sum- Several other groups mary of the on-site consultation, which remains nationally have asked for dis- available for review by others. cussion of the center model, and about the strategic plan- FOLLOW-UP ning process. CoSC followed-up four months later, at its CoSC is ready to help local regular June 2004 meeting. A senior analyst and organizations in any way. We a CoSC representative from New Orleans re- can consult at APsaA national sponded to our invitation for an hour on the meetings or in visits to differ- agenda.This was partly to see if further problems ent locales. We can adapt our had arisen in New Orleans that we could help agenda to suit any local ques- with, and partly to further our own learning tion you want to bring to our about the vicissitudes of transition to a different committee meeting. We are

14 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 REORGANIZATION TASK FORCE

New work groups were formed to gather Reorganization Task Force Focuses facts and further explore the following topics: a new mission statement, board composition on Governance Options models, relationship with psychoanalysts out- Stephanie Smith side APsaA, society representation, BOPS, and our relationship with the wider community. The Reorganization Task Force, under The white paper The task force emphasized the impor- a mandate from the membership, held its structure facilitated tance of communicating with the member- first retreat on October 1-3, at the APsaA lively, open discus- ship in a continuous and reciprocal manner National Office in New York. Dean K. Stein, sion and an evo- throughout the process. In addition to the APsaA executive director, and Gretchen lution of thinking mandated reports, minutes will be published Anderson, a management consultant with that ultimately following each meeting and TAP will con- Katzenbach Partners in New York joined us. enabled the tinue to cover our work.The task force con- Niko Canner, also with Katzenbach Partners, committee siders membership participation a vital part facilitated part of the meeting. to focus on of the process and has begun to discuss During the summer, the task force members several possible forums in which members can offer prepared for the retreat by reviewing past possible gover- ideas and react to our ideas. The task force initiatives and New York State law. The task nance models. We began will plan time for an open meeting with the force members also divided into work groups to explore and fill in pictures of membership at all APsaA January and June to prepare 16 “white papers” on a wide vari- each model (for example, possible Board struc- meetings. ety of topics derived from the task force’s tures, the implications of BOPS being internal Our next meeting will take place on Friday mandate. The topics included the structure or external in relation to APsaA, modes of rep- and Saturday afternoons at the APsaA Winter of the Board of Directors, officers’ roles, the resentation, and routes of influence). Meeting. Executive Committee, other committees, the Executive Council and Board on Professional Standards, and membership.The work groups’ papers examined these topics, explored pos- Membership Bylaw sible options, raised questions pro and con, and provided information and comparison with Passed Overwhelmingly other professional organizations.The ultimate authority of the Board of Directors was rec- The bylaw amendment vesting matters involving membership in the Executive ognized in all our work. Council passed by an overwhelming majority in mail balloting this fall. Of the one-third With the white papers providing the base of the membership voting, 87 percent cast ballots in favor of the amendment. and structure for the retreat, we worked from President Jon Meyer, in a written communication to the membership, said the vote the “bottom up.” We focused on each topic, “reflects our hopes for an expanded, enhanced, and enlightened membership policy.” each aspect of the organization as a part, The new membership committee of Council will have ten members, eight to rather than following a progression from prin- be elected from its own ranks.To implement the new bylaw, Meyer has asked the ciples to structures, believing that this encour- nominating committee to submit 16 names for an election to be held at Council’s ages creative thinking, allows for original January meeting.The president and the secretary of APsaA will also serve on solutions, and avoids being bound by precon- the committee. ceptions. We wanted to immerse ourselves in The bylaw was initiated by former president Newell Fischer in the spring of 2004 the actual functioning of APsaA and the pos- as part of a plan to address an anticipated membership crisis in psychoanalysis. sible new arrangements. In addition to administering the routine business of admission to membership, the new Council committee is to develop criteria for direct election to active membership of those who do not meet APsaA’s usual requirements for attaining membership, i.e., Stephanie Smith, M.A., L.I.C.S.W., is being a candidate, graduating from an APsaA-approved training institute, or being an vice-chair of the Reorganization Task Force. At the Boston Psychoanalytic Society and IPA member.The bylaw amendment charges the Council with submitting proposed Institute, she is faculty, vice-chair of the Child new criteria for membership in the form of a bylaw amendment, which, to go into Analysis Committee, an associate supervising effect, must be voted on by the membership and passed by a two-thirds majority. child and adolescent psychoanalyst and —Michael Slevin secretary for the society.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 15 KATZENBACH PARTNERS

planning with people and organizations.They Katzenbach Partners: pay especial attention to the culture and the history of their clients, and have a reputation Catalyst for Change for APsaA for developing longer-term relationships using Michael Slevin fewer consultants than is common in the field, according to a profile of the firm in the May/ Katzenbach Partners, a management con- unique, are a kind of crystallization of what we June 2004 issue of Consulting Magazine. sultant group based in New York, is working see in other kinds of organizations.” She asked, Canner told that magazine,“We engage with with the American Psychoanalytic Association “How do we think about change? What hap- clients over longer periods of time with smaller on its strategic planning and reorganization pens to people internally, what happens in the teams that help drive change at a more natu- efforts. Kerry Sulkowicz, an APsaA member outside world; how permeable do we want ral pace.” At the same time, he and Anderson and management consultant, whose firm, the our boundaries to be to that outside world?” have made clear that part of their job is to help Boswell Group, once was a part of Katzenbach, Psychoanalysis, she said,“is science, art, faith, keep the work focused and on track. recommended the firm. by its nature an extraordinary cross-discipli- John Rowe, CEO of Aetna and former CEO Niko Canner, one of the founders of the six- nary” endeavor. It is a way of talking about of Mount Sinai Medical Center in New York year-old consulting group, initially worked pro “intangibles,” as are “organizational design issues: City, has used Katzenbach Partners in both of bono on an analysis of the organizational You can’t put your finger on it.” Her doctoral his positions. In an interview, he told Consult- needs of APsaA, making widely praised pre- work on a generation of American women ing Magazine,“This is a very highly intellectual sentations at the APsaA meetings in New poets who converged on Greenwich Village in group, and I would describe it as a very-high- Yo rk in January 2004. His associate, Gretchen the 1920s similarly worked with issues of intan- protein content….They produce ideas and sim- Anderson, has been working with APsaA pres- gibles, she said. She looked at issues of why ple, straightforward approaches.” They “dedicate ident, Jon Meyer, on a strategic planning process Greenwich Village and why this group of women themselves in such a way,” he said,“that if you for APsaA that Meyer says is “desperately poets in this particular publishing market. were witnessing them working you wouldn’t needed.” She and Canner are also working as Katzenbach Partners is a rapidly expanding know that they were not Aetna employees.” consultants to the Reorganization Task Force in firm of about 100 employees. It is a firm that As Sulkowicz commented,Anderson “truly is a relationship that is still being defined. seeks to combine the sometimes disparate neutral.” Katzenbach Partners will help facilitate Anderson says both she and Canner have management consultant concerns of strategic the direction APsaA chooses to go. been drawn to APsaA work because of the “passion” members have for the organization. She said that it has been important for her to The Committee on Scientific Activities work with an “organization with such a long announces history that is attentive to its history.That is dif- ferent from corporations.” She said that over The Second Annual the long term, she and Canner hope that their “work will help people.” They are invested, she Scientific Paper Prize Competition said, in psychoanalysis. Although neither has been in analysis, both The winning author will receive an award of $500 have a long interest in the field. As TAP Papers by North American authors (whether or not members of the American reported in early 2004, Canner stated to APsaA Psychoanalytic Association) are eligible for the prize. Papers that are published or that on a personal level, the idea that there was accepted for publication by peer reviewed journals between October 1, 2003 and a way of listening that produced meaning and October 1, 2004 will be eligible. was helpful to people in such abundance, was The judges will review the major psychoanalytic journals to identify papers for immensely appealing to him in adolescence, and consideration, but applicants are invited to submit any paper accepted for publication, he finds it satisfying to help a group of people or published elsewhere. who make that their work. Anderson pointed The deadline for submission is February 1, 2005. to her work with psychoanalytic thought, begin- Five copies of the paper and a cover letter should be sent to: ning with that of Julia Kristeva, during her Ph.D. work in English at Stanford. Robert Michels, M.D. Anderson commented that the kind of gov- Chair, Subcommittee on Paper Prizes ernance issues APsaA is involved with,“although 418 E. 71 Street, Ste. 41 New York, NY 10021 Michael Slevin, M.A., is editor of TAP.

16 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 SCIENCE and It was possible to identify those brain Psychoanalysis regions that “lit up” when the illusion led to the “feeling of ownership,” but not in response to the simple visual or tactile stimuli.The critical Is That My Hand? area was the premotor cortex, as part of a circuit including the parietal cortex and the Tracking the Sense of Self-Ownership cerebellum. “When the illusion arises, there Robert Michels is a change in the proprioceptive and tactile representations of the hand so that the As the new columnist for “Science and Psy- 2004), provides somatic information from the hand matches choanalysis,” my perspective will be highly per- refreshing evi- the visual information.” The researchers con- sonal—notes about science and the scientific dence that it is clude, “Multisensory integration in a body- literature that have come to my attention and possible to be centered reference frame is the underlying that interest me as a psychoanalyst. It will also both relevant mechanism of self-attribution.” include issues at the interface of science and and rigorous.The psychoanalysis—professional, political, cultural, study addresses IRREDUCUIBLY SUBJECTIVE educational, and other. I am limited by what a question that In an editorial accompanying the paper, comes to my attention, but would be happy has interested Matthew Botvinick at the University of Penn- to receive advice, suggestions (and not quite psychoanalysts Robert Michels sylvania’s Center for Cognitive Neuroscience as happy, but happy enough, with criticism or since Freud: the points out that animal studies have shown complaint). I will try to be interesting, and as a origins of the feeling of ownership of one’s that the premotor cortex contains neurons result might spend more time at the bound- own body. Analysts all know Freud’s view, that respond to both touch and vision. They aries than at the center. stated in “The Ego and the Id“—”The ego is are activated not only by objects that touch or I will start with , first and foremost a bodily ego.” are seen touching the body, but even by which it seems should be of great interest to H. Henrik Ehrsson and colleagues studied objects seen approaching the body or ap- psychoanalysts, but in fact has often turned the neuronal counterparts of the feeling of proaching a tool that is being held by that out to be of little relevance. Psychoanalysts are ownership of the hand.They employed a well part of the body. Thus the neurobiologists’ concerned with important human themes— known perceptual illusion, hiding the subject’s “self,” like the psychoanalysts’, includes a sub- love, rage, identity, anxiety, conflict, among real hand while displaying a realistic rubber jective mental representation that extends others. However, psychoanalysts often sacri- hand. They then stroked both the real and beyond the physical limits of the skin. fice precision and methodologic rigor because the rubber hands. In a brief time, subjects Botvinick closes,“Evaluating these possibili- they believe these attributes are incompati- experienced the rubber hand as their own, but ties…will require a willingness to engage phe- ble with the topics that interest them. Exper- only if the positions of the two were visually nomena that are, at least in part, irreducibly imental psychologists insist on precision and aligned and the stroking was simultaneous. subjective.This willingness has been rare among rigor and, at least to psychoanalysts, often They performed the experiment while experimentalists. [This] work…provides an seem to sacrifice relevance in order to conducting functional magnetic resonance encouraging indication that this attitude may achieve them. imaging (fMRI) of the subjects’ brains.This is be changing.” a method for imaging the brain and studying Psychoanalysis has always been intrigued THE BODILY EGO the activity of different regions while the with the irreducibly subjective. The sense of A recent study by a group at Oxford and subject is engaged in mental activity. It is self, the feeling of ownership of the body, is the Queen Square Institute of Neurology in Lon- non-invasive, can be repeated multiple times kind of subjective experience, about which don, reported in Science (vol. 305, issue 5685, without undesirable effects, and has fairly we theorize. Ehrsson, Botvinick, Science, and sci- good spatial and temporal resolution (e.g., entists are beginning to address these topics, Robert Michels, M.D., is Walsh McDermott one can differentiate small parts of the brain attempting to “reduce” what can be reduced, University Professor of Medicine and Psychiatry that are relatively close together and follow and recognizing the importance of what cannot. at Cornell University. He is a training and changes over brief intervals of time). It has It is vital that we remain engaged in the dia- supervising psychoanalyst at the Columbia revolutionized neuropsychological research— logue, learn from them, and share our insights University Center for Psychoanalytic Training the neuroscientist’s equivalent of the tele- with them. and Research. scope or microscope. It is an exciting time.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 17 TRADE BOOKS

and yet still being able to make clear the basic Psychoanalysts Publishing in the theories of psychoanalysis. That’s been the most valuable. Readers have not been turned Trade Book Market off…rather, they have been extremely recep- Dorothy M. Jeffries tive to the fact that there is a dynamic uncon- scious—one of the major points I make in Members often ask how to make the pub- WILLARD GAYLIN the book—and that by understanding their lic more aware of psychoanalysis. Often, the Willard Gaylin, member and co-founder of unconscious, they can make a change.” reply is reach out to media or hold public the esteemed Hastings Center, has published She continued: “What I have written is events. But one of the methods most effective more than a dozen trade books over the course obvious to analysts, but provocative for the and least talked about in analytic circles is of his career.You might even say, he is the par- lay public. I found that the use of disguised that of trade books. ent of successful trade publishing for analysts. clinical vignettes was most helpful to readers. The pub- A lot of lishing world, readers called as you may or wrote be- well know, cause they is basically identified segmented in with x case. two markets: The vignette the academic hit home and (with which they realized many analysts they needed are familiar); treatment. and the trade, And at the comprising same time, those books they realized published for that in this distribution to the general public through book- “I have always felt that psychoanalysis and age of medication and cognitive behavior sellers. Many analysts, partial to publishing for psychoanalytic knowledge weren’t just appli- therapy, there’s another way to go.” their peer audience in the academic world, cable to the therapeutic realm. I was interested Saltz’s endeavors in publishing have taken have overlooked the opportunity and benefits in the application of psychoanalytic theory to off. She has a children’s book coming out in afforded by the trade book market. social problems…and wanted to reach more May for parents to use to talk with their people and not just preach to the choir,” he said. child about their child’s body and sexuality; ELIZABETH LLOYD MAYER Though Gaylin received harsh criticism from and she’s at work on a book about women’s Sensitive to just that, member Elizabeth his peers for publishing outside the academic sexuality. Lloyd Mayer chaired a session at the Winter realm, he persevered because he wanted to 2004 Meeting entitled, “Psychoanalysis and reach others beyond his patients and to help the ELIO FRATTAROLI Non-Psychoanalytic Publishing: Leaders from public, with essentially psychoanalytic perspec- In 2002, member Elio Frattaroli published his the Trade Publishing World Talk about the tives, deal with the social problems confronting first trade book, Healing the Soul in the Age of Psychoanalytic Books They’d Like to See and them, such as hatred, racism, and sexism. the Brain: Why Medication Isn’t Enough. “My How to Write Them.” motivation to write a book was that of looking Mayer, whose forthcoming trade book, GAIL SALTZ at a world outside of psychoanalysis—a world Extraordinary Knowing,will be published by For another analyst, an exceptional experi- which was putting psychoanalysis in trouble.” Bantam Books (a division of Random House) ence in the world of television has led to Frattaroli was also concerned about the in 2005, summarizes the values she sees in opportunities in trade publishing. After becom- values of psychotherapy being eroded in the trade publishing as a way to encourage her ing a contributor to NBC’s Today Show, it was hospital where he works. “I saw the essence of fellow members: “Editors and agents are just a natural for member Gail Saltz to write the psychoanalytic point of view being threat- interested in what analysts have to say in a a book. ened,” he said. way that is relevant to people’s lives.” This past May, Saltz published her first “It would not have occurred to me to write book, Becoming Real, which has sold more a trade book without having had professional Dorothy M. Jeffries is director of public affairs than 28,000 copies. “The value in publishing colleagues suggest to me that I write for a for the American Psychoanalytic Association. came in not using any psychoanalytic jargon Continued on page 19

18 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 TRADE BOOKS larger audience, primarily because I was the Words of Wisdom for Potential Authors first analyst they had heard talk whom they had understood. As perhaps other analysts CUT JARGON have done, I had fallen asleep in so many psy- Analysts live and breathe jargon. My work with editor Jo Ann Miller from Basic Books choanalytic lectures that I was determined no on The Psychology of The Sopranos taught me that I can use six jargon-free words to say one would fall asleep on my words.” the same thing I say with 32 psychoanalytic words embedded in complex sentences. Frattaroli further remarked, “Though my Having a ruthless editor for a trade publication positively affects all your subsequent book has not had the impact I hoped for, I do psychoanalytic writing. want to say this:The more analysts write with Glen Gabbard this kind of agenda, the more the weight of Author, The Psychology of The Sopranos everyone’s efforts will have an impact.”

THE “I” WORD PAUL HOLINGER Readers—and people like me who edit for them—will make a demand of you: In an effort to help parents understand the We want you to come out from behind technical language; we want you to step forward pre-verbal communication of infants and babies, with your beliefs and passions; we want you to throw off the academic we and say “I.” member Paul Holinger wrote What Babies Say I believe more and more that what readers respond to deeply in a book is the writer’s Before They Can Talk :The Nine Signals Infants own engagement. Writing teachers talk a lot about voice. My spiritual authors might Use to Express Their Feelings.Technically, the call this quality “presence.” And I know you talk about how that kind of resonance book is about affect theory for the lay audience. appears in therapy. It comes off the page, as well. Holinger’s book has made the Book of the Month Club and has been translated into sev- Toni Burbank eral languages, including Chinese and Spanish. Vice President and Executive Editor “Analysts do a number of things well, and BantamDell some not so well. We don’t focus enough on conveying our work to the public, nor do we COMMUNICATE focus enough on preventing a pathology.That’s If a therapist attempts to communicate with his patient, he would obviously attempt what I wanted to do by writing this book.” to speak in language that the patient can understand.This sensitivity is no different than One of the most interesting results for an analyst who makes some accommodation to the general public’s lack of sophistication Holinger has not been so much from parents in psychoanalytic thinking and ideas when writing for a trade market, acknowledging as from analysts. “More and more analysts the general public’s lack of sophistication in psychoanalytic thinking and ideas. come up to me and say that they understand Marly Rusoff their patients better after having read my President book—that they understand the antecedent Marly Rusoff & Associates, Inc. of their patients’ problems and/or pathology. They also remark that they have become BOOKS TO PROMOTE PSYCHOANALYSIS more empathic and more understanding of It has to be done in the simplest possible terms, possibly even avoiding terms like their patients’ feelings,” said Holinger. “the unconscious” or “transference.” The best self-help books are always based to Holinger, Mayer, and others have found some degree on Freudian or at least psychoanalytic principles, whether they know that their writing has resulted in opportunities it or not. A good and brilliant psychoanalyst who could help with things like having for television appearances and speaking a relationship, doing well in a job, curing bad habits, would have a very good chance engagements. of doing a good book.

ETHEL SPECTOR PERSON Daniel Menaker Another analyst accomplished in trade pub- Editor in Chief lishing is Ethel Spector Person, author of Random House Dreams of Love and Fateful Encounters: The Power of Romantic Passion and Feeling Strong: The Achievement of Authentic Power. Her trade Overwhelmed, but you’ve got the desire was a panelist in the session on publishing at books have prompted interviews in many and passion to write and get your message to the Winter Meeting: Thinking Like Your Editor: media outlets, including The New York Times the public? Then pursue this recommended How to Write Great Serious Nonfiction—and and O, the Oprah magazine. reading from Toni Burbank, vice president Get It Published by Susan Rabiner and Alfred *** and executive editor for BantamDell, who Fortunato.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 19 REGULATIONS

The Association Responds to the Regulations of the New York State Licensing Law

The New York State Education Depart- who have all obtained additional training FREQUENCY OF SESSIONS ment published preliminary regulations for in psychoanalysis. However, some of our In regard to the New York law, we believe the licensure of psychoanalysts in New York members are academics with a research it is essential that frequency of sessions per State in August 2004.The regulations were interest in psychoanalysis and others have week be specified for personal analyses scheduled to be implemented in January of unusual educational backgrounds, such as and for cases treated under supervision. 2005. (See article, page 21.) The law will not non-psychiatric physicians. When we accept Psychoanalysis requires the careful explo- apply to psychoanalysts in exempt profes- such individuals for training in one of our ration of transference and countertrans- sions (psychiatry, , and institutes, we provide pre-matriculation ference dynamics, and these phenomena clinical social work). However, it may affect training to establish equivalency with a men- are more likely to emerge when analyst some members trained with waivers and tal health background.This pre-matriculation and patient are meeting regularly and fre- other members who wish to practice in training involves didactic coursework, direct quently for multiple sessions each week. If New York State and be licensed under the experience conducting psychotherapy, and students do not gain an appreciation for law. This law will set a regulatory prece- clinical exposure to the vast array of clinical these phenomena during their training dent for defining psychoanalysis for other psychopathological conditions. experiences, their education will be inade- states. What follows are sections from a quate for the practice of psychoanalysis. letter to the regents of the New York State PRE-MATRICULATION TRAINING The present regulations are insufficient for Education Department on behalf of the Our major concern regarding the regu- the general training of psychoanalysts. To Association by Eric Nuetzel, BOPS chair, lations of Article 163 of the Education Law rectify this, Sections 52.35, (c) (2) & (3) Jon Meyer, APsaA president, and K. Lynne is that there is no provision requiring that should have the frequency of psychoanalytic Moritz, APsaA president-elect, expressing individuals with a master’s degree or above sessions per week specified in the regula- the Association’s concerns. outside a mental health discipline receive tions. We also believe that the qualifica- pre-matriculation mental health training tions or the requirements for eligibility to LETTER TO THE REGENTS prior to the start of formal psychoanalytic serve as a personal psychoanalyst and as a This letter is in response to the proposed training. The education in psychoanalysis supervisor of psychoanalytic cases should regulations to implement Article 163 of the outlined in Article 163 of the Education be specified in Section 52.35, (c) (2) & (3). Education Law establishing training and Law is highly specialized and insufficient Our attached document, “Principals and post training requirements for the licensure for a broad background in mental health. Standards for Education in Psychoanalysis,” of psychoanalysts in the State of New York The scope of practice in Article 163 of the will provide you with our model for such which were published this past August.The State Education Law appropriately requires requirements. law establishes psychoanalysis as a Mental medical/psychiatric consultation for those We applaud your efforts to develop stan- Health Profession in the State of New York. patients with “serious mental illness.” It is dards for training in psychoanalysis for the This development is especially important essential for licensees to have familiarity purpose of licensing psychoanalysts who for those who train in psychoanalysis with- with the clinical presentations of such con- are not members of exempt professions. out having obtained a degree in another ditions to insure they have the diagnostic This is clearly in the public interest. Indeed, mental health discipline. We support your ability necessary to determine if there is protecting the public is also our primary efforts to license such individuals.The care an indication for consultation. Students of concern. We look forward to knowing more of people with mental health problems is a psychoanalysis should have experience con- about the regulations in regard to accredit- serious responsibility, and your attempt to ducting psychotherapy under supervision, ing agencies that will be recognized by the regulate the provision of that care in the didactic courses in basic psychopathology State of New York.We plan to apply for such State of New York is laudable. and psycho-diagnostics, as well as direct status, and both hope and trust that the The vast majority of the American Psycho- clinical exposure to people suffering from American Psychoanalytic Association will analytic Association members are in exempt serious mental illnesses prior to entering be recognized as an accrediting agency for professions: psychiatrists, psychologists with formal psychoanalytic training to insure the psychoanalytic education and training in the doctoral degrees, and clinical social workers safety of the public. State of New York.

20 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 REGULATIONS

clinical experience,” and an examination in Proposed Regulations for psychoanalysis. Moreover, the licensing criteria include no frequency requirements for training New York State License analysis or control work, no qualifications for training and supervising analysts, and no specific Withdrawn for Revision requirements for clinical experience in the Fredric T. Perlman conduct of psychoanalysis. Working together, APsaA and CIPS The New York State Education Depart- The decision to withdraw the regulations launched a vigorous joint effort to urge the ment (SED) has withdrawn the proposed was made by the SED and may not have State Education Department, the agency implementing regulations for the licensing of reflected the wishes of the three practition- charged with administering the law, to correct psychoanalysts in New York State as a result ers who represent the new profession of these deficiencies by promulgating stringent of the overwhelming response of the psycho- psychoanalysis on the state board. All three training criteria in the implementing regulations. analytic community. Article 163 of the educa- representatives are members of the National Although the SED cannot rewrite the law, it tion law, enacted in the summer of 2003 and Association for the Advancement of Psycho- can institute regulations that shape the imple- scheduled to go into effect in January 2005, analysis (NAAP), the organization of psy- mentation of law. licenses four new professions: mental health choanalytic practitioners that lobbied for APsaA and CIPS submitted a comprehensive counseling, creative arts therapy, marriage and enactment of the law. position paper, including recommendations for family therapy, and psychoanalysis. In a move that will delay implementation of the license for psychoanalysis, the SED has determined that it will take additional time to study the critical comments and extensive APsaA and CIPS submitted a recommendations made by APsaA, the Con- federation of Independent Psychoanalytic comprehensive position paper, including Societies (CIPS), the Psychoanalytic Consor- tium, and other national and local psycho- recommendations for specific regulations, analytic groups. David Hamilton, executive director of the NY State Board of Mental and mobilized a growing coalition of Health Practitioners, the board within the SED authorized by Article 163 to regulate the cooperating groups to join our effort. four newly created professions, announced that the regulations for licensing in psycho- analysis would probably be revised before being republished for public comment in December. The revised regulations would PUSH FOR STRINGENT specific regulations, and mobilized a growing then be subject to an additional 30-day TRAINING CRITERIA coalition of cooperating groups to join our “comment” period before being sent to the The enactment of Article 163 has been the effort. In August 2004 the SED published NY State Board of Regents, which has final impetus for vigorous efforts by APsaA, CIPS, proposed regulations that reflected some of approval authority. and a growing coalition of psychoanalytic our recommendations, but did not include a groups pressing the SED to promulgate imple- frequency rule for training and control analy- menting regulations with stringent licensing sis. APsaA and CIPS then submitted a second criteria. The law creates a license in “psycho- position paper to address this issue, which analysis” for practitioners not otherwise was jointly signed by the leadership of virtu- Fredric T. Perlman, Ph.D., is on the faculty licensed in “exempt” professions (social work, ally every psychoanalytic group in the coun- of the Institute for Psychoanalytic Training and psychology, medicine, and nursing).The licens- try (APsaA, CIPS, the North American Research; board member, Confederation of ing criteria spelled out in the law are minimal: Psychoanalytic Confederation [NAPsaC], Divi- Independent Psychoanalytic Societies (CIPS); a master’s degree in any field, completion of a sion of Psychoanalysis [39] of the American co-chair, APsaA-CIPS Joint Committee on program of study at a psychoanalytic institute, Psychological Association, American Acad- Licensing and Credentialing; chair, CIPS Public coursework “equivalent to a master’s degree emy of Psychoanalysis and Dynamic Psychia- Policy Committee; member, APsaA Task Force in a health or mental health field,” 150 hours try, and the National Membership Committee on Access to Care. of supervision, 1,500 hours of “supervised Continued on page 33

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 21 POLITICS and these settlements. These companies have agreed to cash relief, and, more importantly, PUBLIC POLICY to end many of their intrusive and egregious business practices.

The Perfect Storm DIAGNOSIS: STATE LICENSING BOARDS Robert Pyles Another problem has been maverick state licensing boards operating without providing It is a tough We have seen HMO’s increasingly demand- due process to health-care professionals and time to be a ing refunds through the use of extrapolation without accountability to any oversight body. health-care pro- methodologies. This is done by obtaining a Antidote—Eist Suit. APsaA has partici- fessional, and few clinical records, without patient consent, pated in several amici briefs supporting Harold even tougher finding the records inadequate, and then Eist in his efforts to resist the Maryland State to be a patient. extrapolating from a few claims to the totality Board of Medicine’s attempts to access patient Managed care of claims filed by that practitioner, and ulti- records without patient consent. At every has taken all of mately demanding the practitioner return point, the court found in favor of Eist. Although our assumptions often huge sums of money. the State Board was forced to acknowledge and ethical values In this situation we cannot afford to be that Dr. Eist acted with sound clinical judgment Robert Pyles about health care hopeless, depressed, and passive. APsaA has in the care of his patients, they continue to pur- and turned them been remarkably successful in a series of cases sue him with repetitive litigation based on his upside down. Now the primary problem in addressing some of these problems. adherence to the ethical code requiring patient health-care delivery, according to the man- consent prior to the release of records. aged care companies and Medicare authorities, DIAGNOSIS: MANAGED CARE is health-care professionals. Antidote—Oxford Challenge. In response DIAGNOSIS: INTRUSIONS BY STATE We have been assaulted simultaneously to the situation that arose in the New York and AND FEDERAL AUTHORITIES from three directions—managed care and New England area where extrapolation was Antidote—District of Columbia Law. insurance companies, intrusion and regulation used by the Oxford Health Plan,APsaA, work- APsaA has worked closely with the DC insur- by federal and state agencies, and the phe- ing with other groups, was able to reverse ance commissioner to try to preserve the nomenal targeting of physicians in malpractice the demand for refunds. We engaged in a landmark DC law, which, nonetheless has been cases. These three factors constitute what series of negotiations with Oxford regarding challenged by local insurance companies.This AMA former board chair, Timothy Flaherty, an acceptable amount of information to be law continues to be a model law, which we has called “the perfect storm.” included in the patient record. If this agreement have cited in many of our actions in other states and on Capitol Hill. Antidote—Resisting the Intrusiveness of Managed care has taken all of our assumptions and ethical the Federal Government. With this adminis- values about health care and turned them upside down. tration, the issue of government intrusiveness has taken a particularly nasty turn. In the first Bush term, Attorney General John Ashcroft Managed care is at the heart of the prob- is adopted by Oxford, patient consent will issued subpoenas to six hospitals across the lem.The only way these companies can cre- also be preserved. Oxford and its medical nation seeking to access medical records with- ate greater profits is to pay for less care. director,Alan Muni, deserve credit for working out consent for late-term abortions.This action HMO’s and managed care companies have with us on this issue. APsaA was the most specifically targeted doctors who had brought become increasingly creative in the ways in focused and uncompromising of the profes- suit against the federal government for attempt- which they discourage clinicians from deliv- sional groups involved. ing to prevent late-term abortions.This seems ering care, from denying claims because of Antidote—RICO. APsaA has worked likely to be an attempt to discourage patients “medical necessity,” to finding ways to declare closely with the attorneys involved in the from receiving such abortions and doctors records of treatment inadequate and there- RICO (Racketeer Influenced and Corrupt from performing them. This is a particularly fore non-reimbursable. Organizations Act) suit. This suit, described frightening example of the use of the power previously in TAP,is a highly successful physi- of the federal government to punish individu- Robert Pyles, M.D., is chair of the Committee cian class action suit, which has resulted thus als who stand up for patient rights. APsaA has on Government Relations and Insurance, and far in two settlements. Aetna and CIGNA worked with the attorneys involved in all six a former president of APsaA. have settled and APsaA is a signatory on Continued on page 23

22 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 of these cases. So far the hospitals have been One might wonder why we are involved in generally successful in resisting the surrender- so many lawsuits. Litigation is one of our three The APsaA ing of the records. weapons to fight back against the three ele- ments of the perfect storm.The other two ele- National Woman DIAGNOSIS: INTRUSIONS INTO ments of our strategy are working through the Psychoanalytic PATIENT PRIVACY media and Congress. At the moment, the legal Scholar Raffle Antidote—Shrager Suit. APsaA partici- strategy is paramount, as this Congress is not pated financially and by lending expertise favorable to patient rights. Win one week at a fabulous French to the suit by Dan Shrager, one of our psy- For example, consider the words of Judge villa overlooking the Mediterranean. chotherapy associates, against insurer Mag- Tjoflat in a recent ruling against the insur- Every $50 ticket buys one chance ellan. Magellan had attempted to access ance companies in the RICO case. “It would to win a week at a spectacular seaside patient records without consent and Shrager be unjust to allow corporations to engage in home (with pool) overlooking the successfully resisted. rampant and systematic wrongdoing, and then French Riviera.The raffle supports Antidote—HIPAA Suit. Pandering to pres- allow them to avoid a class action suit because the National Woman Psychoanalytic sure by corporate entities such as insurance the consequences of being held accountable Scholar program (NWPS).The companies and HMO’s, the Department of for their misdeeds would be financially ruinous. drawing will take place at the next Health and Human Services (HHS) issued We are courts of justice, and can give the NWPS benefit,Thursday evening, the amended HIPAA (Health Insurance defendants only that which they deserve; if January 20, 2005, at the home of Portability and Accountability Act) regula- they wish special favors such as protection Drs. Helen and Donald Meyers. tions, which did away with patient consent, from high—and deserved—verdicts, they must The winner need not be present. substituting government “regulatory per- turn to Congress.” Raffle tickets may be purchased mission” for the routine release of records. The American Psychoanalytic Association in advance by mail. Raffles will also APsaA has been one of a number of plaintiffs is quite literally the mouse that roars. We are be sold by members of the NWPS who have sued HHS to restore consent. having an effect far out of proportion for our Committee at the January meeting The initial case was decided against us and size and for our budget. We are one of the prior to the benefit drawing. Checks we are currently in appeal. Our appeal has very few professional organizations that still should be made to The American been joined by six amici groups, including function effectively in working for the protec- Psychoanalytic Association, with the National Association of Social Workers tion of our patients and our profession. APsaA NWPS written in the memo. Mail (NASW), the Texas Civil Rights Project, and members are getting a tremendous bang for checks to Dr. Brenda Solomon, 150 the Harvard Medical School Center for Psy- the buck. We should be proud of our efforts Park Avenue, Glencoe, IL 60022. chiatry and the Law. and continue to fight the good fight.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 23 APsaA FELLOWS

APsaA’s Excellent New Fellows for 2004-2005

The American Psychoanalytic Association Fellowship Program is designed to provide outstanding early-career mental health professionals and academics, the future educators and leaders in their fields, with additional knowledge of psychoanalysis.The 17 individuals who are selected as fellows each year have their expenses paid to attend the biannual national meetings of the American Psychoanalytic Association during the fellowship year and to participate in other educational activitires.The biographies below introduce this year’s excellent group of fellows. We enthusiastically welcome them to APsaA.

Tanya J. Bennett, has published several papers on the handling love of literature and a M.D., is a child and of single-subject data generated by patients desire to understand adolescent psychiatry over time during the course of psychotherapy. psychotherapy in terms fellow at the Baylor He teaches introductory psychotherapy to of narrative. Currently College of Medicine in senior medical students in the psychiatry clerk- applying for child and Houston, Texas. She ship and gives lectures to psychiatry residents adolescent psychiatry graduated from Brown on theoretical and practical integration of psy- fellowships, she hopes University with a B.A. choanalytic and cognitive/behavioral therapies. to practice in an aca- Tanya J. Bennett Elizabeth Dodge in English and Ameri- He is the principal investigator on an NIH demic setting as a child can literature and earned her M.D. from the grant, and has won university awards for his psychiatrist and analyst. In medical school she University of Texas Medical Branch at Galve- outstanding research. acted as a national coordinator for Medical ston. She recently completed her general Students for Choice, lobbying the Texas legis- psychiatry residency at Baylor as well as the Mark Bradley, M.D., is lature for equality in health care for uninsured two-year program, Studies in Psychodynamic a fourth-year resident in women. By the time this is published, she Psychotherapy, at the Houston-Galveston psychiatry at Columbia hopes to be finally taking the guitar lessons she Psychoanalytic Institute. A recipient of the University. Born in keeps putting off. departmental resident research award, she Belfast, Northern Ireland, studied the assessment of homicidality in Bradley grew up in Texas, Charles F. Gillespie, the psychiatric emergency setting. With Glen where he completed his Ph.D., M.D., is a third- O. Gabbard, she has co-authored the chap- undergraduate studies at year resident in the Mark Bradley ter, “Psychoanalytic/psychodynamic psy- the University of Texas Department of Psychi- chotherapy of depression/dysthymia,” which in Austin. While there, he pursued research in atry and Behavioral will appear in the American Psychiatric Asso- childhood development and in the neuroen- Sciences at Emory Uni- ciation Textbook of Mood Disorders. She has a docrinology of vertebrate sexual behavior. versity. His initial expo- special interest in the application of psycho- Bradley received his M.D. at Baylor College of sure to psychotherapy Charles F. Gillespie analytic principles to the primary preven- Medicine. In medical school he completed a and research was in the tion of violence. four-year track of study in ethics at the Center clinic of Gene G. Abel, assisting in the treatment for Medical Ethics and Health Policy. Following of paraphilias. A growing interest in behavioral Jeffrey Borckardt, the 9/11 attacks, Bradley worked with the neuroscience brought him to Georgia State Ph.D., is an instructor in trauma study group at New York State Psychi- University where he completed his Ph.D. in the Department of Psy- atric Institute, and plans to continue research neurobiology under the guidance of H. Elliott chiatry at the Medical there over the current year. He hopes to Albers, investigating the neurochemistry of cir- University of South Car- develop his understanding of the psychody- cadian rhythms. After postdoctoral training in olina. He is a licensed clin- namics of trauma through his APsaA fellowship. the neurobiology of fear with Kim Huhman, he ical psychologist working trained in medicine at the Medical College of in the Brain Stimulation Elizabeth Dodge, M.D., is currently a third- Georgia. His present research focuses on the Jeffrey Borckardt Laboratory investigating year psychiatry resident at the University of neurobiology of resilience and the use of object the effects of minimally invasive brain stimulation Texas, Southwestern (UTSW), in Dallas. She relations theory as a cognitive framework for technologies on pain perception and psychiatric received a B.A. in English from Yale University investigating the neuroscience underlying the illness. He has an interest in the integration of in 1995 and an M.D. from UTSW in 2002. Her adaptive capacity of the mind. research methodology into clinical practice and interest in psychoanalysis stems from a lifelong Continued on page 25

24 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 APsaA FELLOWS

Nathan Greenslit, Steven Kleiner,M.D., Eve R. Maremont, Ph.D., is a cultural is a third-year psychiatry M.D., is assistant clinical anthropologist studying resident in the Harvard professor of psychiatry the direct-to-consumer Medical School program at University of California marketing of psycho- at Cambridge Hospital at Los Angeles’s Neu- pharmaceuticals in the in Massachusetts. Prior ropsychiatric Institute and U.S. He is currently a to medical school at the David Geffen School doctoral candidate in Cornell, he studied of Medicine. A native of Nathan Greenslit Steven Kleiner Eve R. Maremont the History and Social international relations San Francisco, she earned Study of Science & Technology Program at and political science at the London School of her undergraduate degree in English from Yale MIT,where he has recently developed an inter- Economics and Political Science. In 1993-94, and initially pursued a career as a writer and est in the relationship between psychoanalysis he was a Raoul Wallenberg Fellow at the executive in the film industry. She had several and pharmacotherapy. Greenslit holds a B.A. Hebrew University in Jerusalem, as part of an screenplays optioned and held executive posi- in philosophy and the history of mathematics ongoing involvement in international affairs, tions at Warner Brothers and Disney’s Radiant and science from St. John’s College, and a M.S. Middle East politics, and peace studies. He Productions. She left Hollywood in 1996 to in cognitive science from Johns Hopkins Uni- has a strong interest in studying the intrapsy- attend medical school at Northwestern Uni- versity. He is an affiliate scholar at the Boston chic forces that help determine positions versity. She followed with residency at Har- Psychoanalytic Society & Institute. In addition within political debate. In the future, he vard’s Massachusetts General Hospital/McLean to publishing in academic journals, he is edit- hopes to divide his time between practicing Combined Psychiatry Residency Program, which ing a reader on the social study of pharma- psychoanalysis and bringing psychoanalytic she completed in 2004, earning the Mel Kayce ceutical marketing, entitled Pharmaceutical principles into the policy realm. Kleiner’s pho- Award for Excellence in Psychotherapy. Her Cultures: Marketing Drugs and Changing Lives in tography has been exhibited in Jerusalem and research and clinical interests focus on working the U.S., to be published by Rutgers University New York. with medically ill patients forced to adjust their Press in 2005. life narratives to accommodate the intrusion of Michael S. Marcin, chronic or life threatening disease. Tai Katzenstein, M.A., M.D., is currently in a is a fourth-year doctoral research-focused child Joel Martell, Ph.D., student in clinical psy- and adolescent psychi- grew up in the Pacific chology at the University atry training program Northwest and com- of California, Berkeley. at Emory University pleted his undergraduate Prior to graduate school, School of Medicine. degree at The Evergreen she worked as the Additionally, he is com- State College.Thereafter, Michael S. Marcin research coordinator pleting a Master of Sci- he traveled and worked Tai Katzenstein for the Psychotherapy ence in Clinical Research at Emory. Marcin’s as an instructor in wil- Joel Martell Research Program directed by Stuart Ablon. primary clinical and research interest is in derness-based education Her interest in psychotherapy process and childhood neurodevelopmental disorders and programs until returning to Seattle to begin outcome led her to Berkeley to work with the parent-child dyad. He has just completed graduate training in clinical psychology at the the late Enrico Jones and the Berkeley Psy- a fellowship in the Analytical Research Training University of Washington. He has stayed on as a chotherapy Research Group. Her master’s Program headed by Linda Mayes, of Yale’s postdoctoral fellow in addictive behaviors at project examined outcome and process of a Child Study Center and the Anna Freud Clinic. the Department of Psychiatry. His main research brief psychodynamically oriented treatment He has received the American Academy of focus is on men’s perceptions of sexual assault. for panic disorder. Her dissertation continues Child and Adolescent Psychiatry’s Presidential Specifically, he is interested in how alcohol- Jones’s systematic line of inquiry examining Scholars Award, the National Institute on Drug induced disruption of executive functioning interaction structures in long-term analytically Abuse (NIDA) Travel Scholar Award, the reduces access to important environmental and oriented therapies. In addition to working on Janssen Award of Excellence, 2003, and Emory internal cues to increase the likelihood of sexual her dissertation, she is currently working in the University School of Medicine teaching awards. assault. In the future, he would like to study Berkeley psychology clinic and applying for He has also published on the neurobiology of how adult attachment attitudes and mentaliza- internships. She was a Fulbright scholar in social anxiety disorder and the treatment of tion influence men’s perceptions of sexual assault. Berlin in 1997. chemotherapy-induced mood disorders. Continued on page 26

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 25 APsaA FELLOWS

2004-2005 Fellows following her fellowship, in order to formalize psychoanalysis are on lifetime histories in Continued from page 25 her independent research into female psy- depression, the intergenerational transmis- chosexual dynamics. sion of trauma, and process research in ana- George Mashour, lytic treatment. M.D., Ph.D., received his Abigail M. McNally, M.D. and Ph.D. in neu- Ph.D., is a newly Giuseppe Raviola, roscience from George- licensed psychologist in M.D., a graduate of town University and private practice in Cam- Dartmouth College and was a Fulbright Scholar bridge, Massachusetts, Harvard Medical School, at the Max Delbruck and the assistant clinical is a third-year resident Center for Molecular director of the Laurel in psychiatry at Massa- George Mashour Medicine in Berlin. He Hill Inn Residential Eating chusetts General Hos- Abigail M. McNally completed his internship in psychiatry at the Disorder Program. She pital and McLean Giuseppe Raviola Massachusetts General Hospital (MGH) and received her B.A. in psychology from Brown Hospital. Combining a McLean Hospital, and was a post-doctoral University, her Ph.D. in psychology from Boston background in research in neuroscience and fellow in neuroscience at Harvard and the University, and has trained at the Danielsen social science (history) with interests in cross- University of Bonn, Germany. He is currently Institute,Two Brattle Center, the Massachusetts cultural studies, anthropology and public health, training in anesthesiology and critical care at the Mental Health Center at Harvard Medical he has done ethnographic research in sub- MGH. Mashour’s scholarly interests relate to School, the Bureau of Study Counsel at Har- Saharan Africa focusing on the demoraliza- mechanisms of consciousness and anesthesia, vard University, and the Massachusetts Institute tion and burnout of physicians in public and he has recently published a novel theory for Psychoanalysis. McNally is a member-at- medical practice under the burden of poverty, of general anesthetic action. Through the fel- large and membership chair of the Massachu- HIV/AIDS, and tuberculosis. He plans to devote lowship, he wishes to explore the relationship setts Association for Psychoanalytic Psychology, a major part of his time to clinical practice in between the anesthetic and analytic manifes- and has also taught personality theory courses adult and child psychiatry, and also follow his tations of unconscious processing, in the hope at several local colleges. She holds interests in interest in the integration of a psychoanalytic of developing a more general theory. the ego’s affect-regulating role in character perspective with clinical and research initiatives development and in theoretically integrative in community and international mental health. Jill McElligott, M.S.S, processes underlying psychoanalytically medi- L.S.W., earned her mas- ated personality change. Prakash K. Thomas, ter’s degree in clinical M.D., is a third-year social work from Bryn Michael A. Rapp, psychiatric resident at Mawr College with dis- M.D., Ph.D., is a third- Yale University in New tinction. She is currently year resident at the Haven, . He in the second year of Department of Psychi- majored in English liter- the Psychoanalytic Cen- atry, Mount Sinai School ature at Yale College for Jill McElligott ter of Philadelphia’s of Medicine, New York. his B.A. and taught Eng- Prakash K. Thomas psychotherapy program and maintains a pri- Born in Germany, he lish for two years in vate practice in psychoanalytic psychotherapy received his undergrad- mainland China prior to matriculating at the Michael A. Rapp with adults. McElligott is a board and com- uate training at the Uni- University of Connecticut medical school. His mittee member at institutions throughout versity of Würzburg, and completed medical interest in psychoanalysis and the humanities Philadelphia’s psychoanalytic community and is training at Charité, Humboldt University, is reflected in his participation as an advisory concerned about the challenges facing practi- Berlin. During an internship in geriatric psy- board consultant for The Muriel Gardiner tioners today. She is dedicated to increasing the chiatry, he developed an interest in family Program in Psychoanalysis and the Humanities. visibility of her institute’s activities via regional dynamics and started training in psychody- He is interested in issues of resilience and media and programming events and has spear- namic psychotherapy for children and adults. vulnerability, and is engaged in a study of headed alliances between her institute and Rapp received his Ph.D. from the Max Planck resilience in primary caregivers at the Yale other local psychoanalytic organizations via Institute for Human Development and came Child Study Center. He was co-president for cross membership and joint programming to New York in 2002. At Mount Sinai, he the Yale Psychiatry Residents’Association dur- efforts. She has presented on her experience conducts research on neurophysiological and ing the previous academic year and is currently in one of her institute’s mother-infant groups. behavioral changes in recurrent major depres- a GlaxoSmithKline fellow of the American McElligott hopes to begin psychoanalytic training sive disorder. His main interests in relation to Psychiatric Association.

26 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 TH TO E E S D R I E T O T

R Strategic Planning T 2004

E

Continued from page 3 L

After the polling, my reports, meeting with TO THE EDITOR: amusement that, assuming the amendment you, and your feedback, the Executive and The recent proposed bylaw amendment is approved, it will have been a quarter Steering Committees will work to refine the vesting membership responsibility in the century since,letters as president of the American, priorities and strategic goals. We will also Executive Council reached my desk today I proposed that the membership respon- work on an implementation plan to achieve and, of course, I voted for it. For the histo- sibilities be moved to the Council, where those goals. I am looking forward to reporting rians among us, I note with some wry they clearly belonged. In 1980, the pro- that more elaborated and refined plan at the posal was greeted with ferocious opposi- June Annual Meeting in Seattle. Since we all tion, labeled an attack on “standards.” have to put our shoulders into making this TAP welcomes letters to the editor. Obviously, I welcome the prospective plan work, once it is considered and, hopefully, Letters must be less than 350 words change, but the rate of change might give adopted by Council, and the BOPS has long. Letters will be printed as space pause to the members. Caution and cir- advised, I would favor its ratification by the cumspection have regularly been used in allows and at the discretion of the membership. That is looking far ahead but is our organization to assure that it is too editorial board. what I would hope for. little, too late. In the meanwhile, I look forward to seeing —Arnold M. Cooper you in New York. See you soon.

How to Participate in APsaA’s Scientific Program

Scientific papers for oral presentation must be no longer than twenty-two pages, double-spaced; longer papers (forty pages maximum) are considered for pre-circulation and small group discussion. Include an abstract and submit eight copies. JAPA has first claim on any paper accepted for presentation or pre-circulation. Panel proposals must be submitted in writing (two pages maximum, two copies). Each proposal should contain a description of the format, the objective of the panel, and names of possible participants (chair, panelists, discussant if any).The Program Committee usually chooses panels one year in advance. Discussion group proposals must be submitted in writing (two pages maximum, two copies).The Program Committee chair selects new discussion groups based upon their subject matter vis-à-vis material covered by existing groups. Symposia explore the interface between psychoanalysis, society and related disciplines, attempting to demonstrate how psychoanalytic thinking can be applied to non-psychoanalytic settings. Symposia must be in talking points format, ten to fifteen minutes per presentation (no papers read), with a minimum of fifteen minutes for audience participation with emphasis on audience interaction. Submit a brief (two pages maximum) proposal outlining rationale, program format, and suggested speakers. The deadline for submission of panel proposals is October 1 for the Winter Meeting and March 1 for the Annual Meeting. The deadline for all other submissions is May 1 for the Winter Meeting and December 1 for the Annual Meeting. Address correspondence to Glen Gabbard, Chair, Program Committee, c/o The American Psychoanalytic Association, 309 East 49th Street, New York, New York, 10017.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 27 APsaA NEWS

Jacob A. Arlow, M.D., 1912-2004

Jacob A. Arlow, who died on May 21 at the age of 91, had an exceptionally distinguished career. Among his posts and honors, he was president of the APsaA in 1960-61, and chair of its Board on Professional Standards from 1967-69. In addition, he was an honorary member of both the Michigan Psychoanalytic Society and of the Long Island Psychoanalytic Society,Turner Professor of the Columbia Center for Psychoanalytic Training and Research, and treasurer of the International Psychoanalytical Association from 1963-69.

These and other honors were not Arlow’s most important achievements in his chosen profession, however.What made him one of the most eminent analysts of his time were his outstanding contributions to psychoanalytic theory, practice, and education. He was the author of more than 100 papers in the psychoanalytic literature and co-author of the influential book,

Psychoanalytic Concepts and the Structural Theory, which remained in print for Jacob A. Arlow more than 30 years. As editor-in-chief of the Psychoanalytic Quarterly from 1972-79, he helped develop and mold the thinking of a whole generation of analysts. Over the past year, his colleagues, Sheldon Goodman and Arnold Richards, have set up a Web site (psychoanalysis.net/IPPsa/arlow) that contains a number of Arlow’s previously unpublished papers.

He lectured widely and participated in countless meetings of local societies of both APsaA and the IPA. His style of presentation, both written and oral, was brilliant and forceful.To paraphrase, he meant what he said and he said what he meant. Ambiguity and obfuscation were totally foreign to his nature.

Arlow was a brilliant clinician. His ability to cut to the heart of a patient’s conflicts held many an audience spellbound. To hear him discuss a case presentation was an experience that was treasured by many. Particularly impressive was his ability to detect the unconscious fantasies that epitomize a patient’s conflicts and that rule both thought and behavior. Unconscious fantasy and Jacob Arlow are inseparably coupled in the minds of his colleagues and students.

In the field of applied psychoanalysis,Arlow made many significant contributions. Perhaps the most notable is his paper on the unconscious significance of the rite of bar mitzvah in the Jewish religion. Although he was not in any way a religious believer, he was fluent in Hebrew, as indeed he was in several other languages, and he had an extensive knowledge of the history and religious practices of the Jews.

In his personal life,Arlow was a delightful and steadfast companion. He had a charming wit and a gift for light verse. He was a devoted husband, the father of four sons, and an avid tennis player and swimmer.

Arlow was a man of unusual intellect and of great professional achievement in every branch of psychoanalysis. He will be missed and deeply mourned by his host of friends, colleagues, and students.

Charles Brenner

28 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 PSYCHOTHERAPY TRAINING

about analysis,” says Richard Gottlieb, chairman Bird’s-Eye View of Psychotherapy of the Education Committee of the Berkshire Institute for Psychoanalysis.The Berkshire Insti- Training Reveals Broad Differences tute admitted its first class of analytic candi- Mae E. Kastor dates in July 2004 and does not yet offer psychotherapy training. But Gottlieb expects As part of the long-standing relationship well as the general public in looking at various they will have training for psychotherapists. between American psychoanalysts and psy- aspects of psychoanalytic thinking. ”The sooner, the better,” he says. chotherapists, member institutes of the Amer- Under the leadership of Richard Fox, the The Boston Psychoanalytic Society and ican Psychoanalytic Association have welcomed American Psychoanalytic Association convened, Institute offers associate membership in the psychotherapists into psychoanalytic psycho- in 2003, the Psychotherapy Task Force, a new society to graduates of its three-year therapy training programs. Of the 32 psy- initiative to raise the profile of psychotherapy Advanced Training Program in psychotherapy. choanalytic institutes (including the three new within the Association and to understand more Two representatives of the Graduate Stu- training facilities), at least 27 now offer some about the relationship of psychotherapists to dent Organization—a trainee alumni group form of training in psychoanalytic psychother- institutes and societies, the Committee on Psy- organized by graduates of the training pro- apy, and others plan to start programs within chotherapist Associates undertook an informal gram and encouraged by the society—are the next year or two.The format for the train- review in April 2004. voting members of the society’s Executive ing, the eligibility requirements for students, and The most common training program takes Council.The Advanced Training Program Grad- the relationship graduates will have with the two years, focuses on either child or adult uate Student Organization presents at least institutes and societies after they complete psychotherapy, and includes theoretical and two large conferences with outside speakers their training vary considerably. clinical seminars and supervision. Occasionally, each year. At the Baltimore Washington Center for Psychoanalysis, where the APT group requires The format for the training, the eligibility its members to be psychotherapists, the APT president represents the group as a non- requirements for students, and the relationship voting member on the society board, replacing the society board member who formerly graduates will have with the institutes and societies served as liaison between APT and the society. after they complete their training vary considerably. APT members also serve on society com- mittees, some of which are joint society and APT enterprises.

In 1997, to expand its engagement with institutes have less formal or involved arrange- REMOVING OBSTACLES psychotherapists, the American Psychoana- ments, providing, for example, continuing edu- The Minnesota Psychoanalytic Society and lytic Association established the affiliation cation courses in an extension program or Institute invites graduates of its two-year psy- category of psychotherapist associate. By the six-week modules two or more times a year. chotherapy certificate program to become summer of 2004, there were 368 associates. Several programs do not offer supervision. voting members of the society and to hold any The Committee on Psychotherapist Associates Most institutes train master and doctoral level office except that of president. Peter Grant, is charged with recruiting psychotherapist psychotherapists. Columbia, for example, president of the society, states that his group members, organizing a discussion group at admits only doctoral level students. is “trying to abolish the hindrances to partici- each of the national meetings of APsaA, and pation in the activities of the society.We have helping to establish and support Associations MOVING TOWARD INCLUSION really opened the society to the interested for Psychoanalytic Thought (APT).These asso- Looking at how institutes and societies inte- professional world.” ciations function to involve psychotherapists as grate (or fail to integrate) their students and In San Diego, graduates may apply for mem- graduates into the activities and structure of bership in the society/institute, although those their organizations, the committee’s study admitted have no voting rights. There are, Mae E. Kastor, M.S.W., is co-chair of the found a wide variety of practices. Some soci- however, two positions on the board for psy- Committee on Psychotherapist Associates of eties see the inclusion of psychotherapists as chotherapists, who can vote on some issues. the American Psychoanalytic Association and a strengthening factor for their organizations Psychotherapy members can also be involved president of The Association for Psychoanalytic and for psychoanalysis in general. “In my view, in committees and can request to teach in the Thought, an affiliate of the Baltimore psychoanalytic psychotherapy is the future of psychotherapy or extension program. Washington Center for Psychoanalysis. psychoanalysis, the way to spread knowledge Continued on page 30

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 29 GRADUATION

The best alternative is to engage the chal- Welcome to the New World lenging new knowledge and ideas with creative dialogue and integrate them into our own of Psychoanalysis discipline and practice. Steven J. Wein Since my own graduation from this insti- tute, our organization has established the (A commencement address this fall to the new Neuro-psychoanalysis Center, the Parent-Child graduates of the New York Psychoanalytic Institute.) Center, the psychology internship, the affiliation with Mount Sinai Medical Center, the scholars When I entered the New York Psychoana- program, the Journal of Clinical Psychoanalysis, lytic Institute in 1981, I would meet people at the fellowship program, and two psychotherapy parties who would look at me quizzically when programs.These are all designed to further psy- I told them what I was doing: “Are people choanalytic participation in the advances being still doing that?” It was as if I had announced made in the basic sciences, clinical disciplines, that I was becoming a telegraph operator or and the intellectual and cultural communities in silent film actor. the world at large. At times, we all wish that we lived in the There is no more exciting time to become Golden Age of psychoanalysis—when the a psychoanalyst than today, and there are no institute was packed with students, senior ana- better qualified people to develop and advance lysts had two-year waiting lists, and Tuesday the field than you. You have had the most night speakers wore black tie because they As analysts in the new century, we will face careful and rigorous clinical education avail- were so very important. We must also remem- the challenge of being engaged with explo- able. With that foundation of knowledge, expe- ber, however, that in the legendary days of sions of information in the neural sciences, rience, and judgment, you can lead the way to yore, analysts believed that the bedrock of psychopharmacology, the developmental sci- expanding and refining the psychoanalysis of feminine experience was the feeling of inferi- ences, as well as the changing attitudes within the future. ority; that asthma, ulcerative colitis, and arthri- psychotherapy, psychoanalysis, and the phi- Congratulations on your graduation. Your tis were caused by unconscious fantasy; that losophy of knowledge. If we doubt our own carefree student days are over. Now comes dyslexia was caused by the flight from taboo skills and experience, we become fearful. the hard part:You have to take charge of your knowledge; that pregnant women, religious We,then, either isolate ourselves and be- own growth and development. Welcome to a people, and homosexuals could not be ana- come dogmatic and reverent, or we accept vibrant and alive community, and to a profes- lyzed, let alone become analysts; and that schiz- every new fad or enthusiasm uncritically. sion which offers endless possibilities. ophrenia and autism were caused by special family dynamics or profound regression in the face of inner conflicts. Psychotherapy Training that they train psychotherapists.” For some, How did our predecessors hold onto the Continued from page 29 there are not sufficient personnel to carry revolutionary discoveries of Sigmund Freud out the responsibilities that accompany train- while helping us to discard the limitations, The Seattle Institute, finding that they lost ing and then involving psychotherapists. How- errors, and prejudices of their generation? track of those graduates of psychotherapy ever, at least one institute felt psychotherapist The answer is clear. The psychoanalytic training who did not go on to become candi- training was sufficient: “We train them, and method and the psychoanalytic attitude— dates, changed its bylaws. Now psychotherapy they go about their business.” which are open-minded, intellectually rigor- graduates can become members of the soci- Perhaps the movement towards more train- ous, and honest—are our best instruments ety and institute (although not on the “teach- ing and inclusion of psychotherapists, how- for making sense of the bewildering and over- ing side of the Institute”), and some of the ever it progresses within psychoanalytic circles, whelming variety of human experience, psychotherapist members have accepted the can help lead us back to the days when psy- thought, and behavior. society’s invitation to serve on its board. choanalytic thought was such a crucial and Some societies and institutes have not yet creative part of training for all mental health woven psychotherapy graduates into their practitioners. And, for the analysts, interaction Steven J. Wein, M.D., chairs the Progression programs. Each has its own reasons, including with these other professionals can lead to Committee at the New York Psychoanalytic fear of liability. One spokesperson from an more active, varied and stimulating practices Institute, where he is a training and institute that does offer some training for psy- and professional lives within their societies supervising analyst and supervisor for chotherapists noted that “for liability purposes, and institutes, and within the American Psy- child and adolescent analysis. the institute and society don’t even want to say choanalytic Association as well.

30 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 APsaA MEETINGS

attendance as well as in terms of registration APsaA Members Weigh in on Time fees paid.The recent San Francisco meeting in June 2004 had an attendance that equaled or and Place of National Meetings surpassed those of May meetings during the Dean K. Stein past several years and took in more registra- tion income than any other Annual Meeting In 2000, after more than 50 years of meet- scheduling the Annual Meeting in cities that during the last five years. The two January ing every December at the Waldorf-Astoria in would be too small for APA meetings as well meetings also have shown no decline in paid , the Waldorf “requested” that as in major metropolitan cities. attendance over the December meetings. the Association move its meeting dates to Clearly, the membership has spoken with its January. New York City had rebounded from TWO-YEAR EXPERIMENT presence and its registration fees. years of a decline in tourism and it became So in 2003, APsaA embarked on a two- standard for almost every hotel in the City year trial. Instead of a December 2002 meet- BEST RATES to be sold out from Thanksgiving through ing, the Fall Meeting was shifted to January However, in an effort to accommodate some New Year’s. It was simply no longer in the (and renamed the Winter Meeting) for 2003 members’ concerns,APsaA explored the pos- Waldorf’s economic interest to hold APsaA’s and 2004. In order to allow sufficient time to sibility of switching the Winter Meeting back meeting in December; they could charge room plan a second scientific meeting, the Annual to December but in cities around the country rates of at least 100% more than the room Meeting was moved to June. At the time, it and then holding the Annual Meeting in New rates members were paying. It should also be was noted how important it was for APsaA to Yo rk in May at the Waldorf.The Waldorf was noted that, during the same time, almost earn a profit from its meetings and for atten- approached with the idea and their response every membership association that tradition- dance at the meetings to remain high. And was “January is one of our ‘shoulder’ months ally held December conferences in New York during the same two years,APsaA has worked while December and May are peak seasons for was moved to January as well. diligently to maintain a presence at the Amer- our industry. Sleeping room rates in May would When the request was made by the Wal- ican Psychiatric Association meetings. be at least $150-$200 more per night than dorf, APsaA conducted a survey of its mem- We have now completed the experiment. those in January. In addition, it is one of our bers to ascertain how important it was to During the two years, a small number of mem- busiest months for annual catering events [the continue meeting in New York, at the Waldorf, bers have voiced concerns and complaints many non-profit galas that take place almost and to hold the Annual Meeting (in May) in about the shift in dates. The comments have every night in New York City every May], so conjunction with the American Psychiatric ranged from disappointment at not being in securing all of the function space that your pro- Association. Respondents overwhelmingly sup- New York during the holiday season to having gram requires would be extremely difficult— ported the Winter Meeting being held in New to travel only a few weeks after the winter hol- almost next to impossible. One of the reasons Yo rk in January and at the Waldorf. iday break to the fact that the June meeting we’re able to offer such attractive rates and so much of our function space is the placement of the program in January.” Clearly, the membership has spoken The Waldorf could not have been more with its presence and its registration fees. clear that, for the meeting space APsaA re- quires and the number of people who attend, January was the month in which the meeting Historically, the Annual Meeting had been conflicted with graduations and Father’s Day. By could be accommodated. held just prior to the meeting of the American way of historical note,APsaA regularly received In order to acknowledge the cost and travel Psychiatric Association (APA), in the same some complaints about the May meeting dates time required of West Coast members to city. Increasingly, finding sufficient hotel space due to Mother’s Day; clearly there is no perfect attend the Winter Meeting in New York, a con- for APsaA members became difficult as the date for the entire membership. certed effort is being made to plan the Annual APA began holding peripheral sessions during If one looks at attendance and finances, the Meetings either on the West Coast or at least the final days of the APsaA meeting. Only experiment has been a success. Attendance of more toward the center of the country. 25 percent of the survey respondents felt those paying full or near full registration fees While we wish we could accommodate that it was important to hold the Annual at the Annual Meetings has not dropped off every member, attendance and economics Meeting in conjunction with the American since the move from May to June. Not includ- have compelled the Executive Committee to Psychiatric Association. The survey also indi- ing students and others who attended the vote in favor of continuing to hold the meetings cated that members were interested in APsaA meeting at reduced registration rates, the June in January and June, with the January meeting 2003 meeting in Boston was the largest Annual taking place at the Waldorf-Astoria.We believe Dean K. Stein is executive director of APsaA. Meeting in a decade both in terms of total it to be the best decision.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 31 not be aware that APsaA maintains a number of different listservs for different purposes. Members can subscribe to just one, several, membershipor none at all; our members can control which lists they want information from. One of APsaA’s listservs provides a forum for psy- Send Us Your E-mail Address choanalytic discussion and debate. Another allows for the sharing of professional infor- and Sign on to the Benefits mation, networking, and opportunities for Debra Steinke referrals. And yet another provides communi- cation for members of the Executive Council, Have you ever made or received a tele- Often, phone calls between two busy Board on Professional Standards, and the Affil- phone call that began “Hi, this is Dr. ______psychoanalysts (or the National Office and a iate Council. An outline of the many APsaA list- and I have about one minute before my psychoanalyst) can turn into a never-ending servs can be found on the Members-Only next patient arrives,” or possibly,“My patient game of phone tag. In 2004, having an e-mail section of www.apsa.org under “Electronic is late and I have a few seconds to speak address is an invaluable tool for communicat- Communication Facilities.” with you”? ing professionally and personally, easing frus- An even more valuable advantage of sharing tration and saving time. As more Americans your e-mail address with the National Office is have e-mail addresses and use e-mail daily, that you will receive the latest APsaA infor- APsaA is on a campaign to make sure we mation as quickly and efficiently as possible. For membership assistance, please contact have an e-mail address for all of our members. One of our lists—the Association List— Debra Steinke, manager, Education & One important reason to share your e-mail enables the National Office and Executive Membership Services, 212-752-0450 address with the National Office is to partic- Committee to share official communications x 26 or e-mail: [email protected]. ipate in our listservs. Some members may Continued on page 33

TECHnotes

If you occasionally need to create simple pdf PDF—Portable Document Format files, but don’t want to spend hundreds of Paul W. Mosher dollars for the very capable “Adobe Acrobat” program, try the free program,“pdf995.” Once Everyone seems to be using pdf files these site, works as both a free-standing program you install this program, it will show up as an days. pdf or “portable document format” is a and as a WWW browser plugin. When you extra “printer” in all of your programs’ printer file type designed by Adobe Corporation so click on a link to a pdf file on a WWW page, dialog boxes. When you print to this printer that documents can be distributed electroni- the file will open in the Acrobat Reader inside instead of your usual printer, pdf995 will save cally in such a way that printed versions of the your browser. the output as a pdf file under any name that document will appear similar when printed Unfortunately, the Acrobat Reader, now in you want. on virtually any kind of computer. version 6.0, has gotten more and more com- To make this possible, Adobe has created, plicated as Adobe has added features to the LINKS and makes available for free, a program called pdf format. The latest version seems to take Free Adobe Reader the “Acrobat Reader.” The program, which forever to start because it loads all the add-on http://www.adobe.com/products/acrobat/ you can download from the Adobe WWW features, most of which are rarely needed. readermain.html You can get around this problem by installing a free program called “Adobe Reader Speed- Adobe Reader Speed-Up v1.30 Paul W. Mosher, M.D., is a councilor-at- Up.” Once installed, this program will keep http://www.tnk-bootblock.co.uk/ large of APsaA, a founding board member the extra features of the Reader from loading of Psychoanalytic Electronic Publishing, unless you need them. The improvement in pdf995 and a long time computer hobbyist. start time is remarkable. http://www.pdf995.com/

32 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 with you in a timely manner. Over the past Proposed Regulations year for example, postings to the Association Continued from page 21 List have included: • Early registration information and updated on Psychoanalysis in Clinical Social Work. It session information for the Annual and was also signed by many institutes and societies Winter Meetings in New York—the Institute for Psychoanalytic • Updates on the proposed bylaw Training and Research, the New York Freudian amendments Society, the William Alanson White Institute, • Election nominations and results the NYU Postdoctoral Program, the American Meetings • Information on APsaA’s reorganization Institute for Psychoanalysis, and others. The

• The latest on APsaA’s privacy lawsuit signatories to this letter represent approxi- Calendar

against the U.S. Department of Health mately 10,000 mental health professionals in Upcoming and Human Services the U.S., about a third of whom live and work Through the Association List, APsaA can in New York State. WINTER 2005 MEETING AMERICAN PSYCHOANALYTIC disseminate psychoanalytic news in the most ASSOCIATION timely and cost-effective way, controlling OUR VOICES HEARD New York, New York expenses by not spending member dollars The withdrawal of the proposed regula- January 19-23, 2005 on increasingly costly postage and printing. tions clearly demonstrates the impact of our For Information: Rather, we can focus our limited financial efforts, as well as the important efforts of the Phone 212-752-0450 Web site http://www.apsa.org resources on projects important to your pro- New York State Psychological Association and fessional practice. But we can’t do it if we the New York State Psychiatric Association, THE BODY IMAGE IN don’t have your e-mail address. upon the SED. All call for more stringent train- PSYCHOANALYSIS AND ART Some members have voiced concern about ing criteria in the licensing regulations. The Third International Symposium being inundated with e-mail from APsaA. In a private comment to this author during Psychoanalysis and Art Members will receive, on average, no more a recess in the meeting of the State Board of Florence, Italy than one e-mail a week from the Association Mental Health Practitioners on October 29, May 6-8, 2005 For information: List. And that e-mail will contain the most Hamilton acknowledged that APsaA and allied E-mail [email protected] current information from APsaA. groups represent a vastly larger population or [email protected] We hope you will provide us with your of practitioners than NAAP,and that our com- e-mail address, inform us of any e-mail ments were “definitely” being heard at the 94TH ANNUAL MEETING changes, and consider joining one of our SED. He also expressed openness to meeting AMERICAN PSYCHOANALYTIC many listservs.Your e-mail address will be safe with our representatives to further discuss ASSOCIATION with APsaA and you always have the option our recommendations. Seattle,Washington June 8-12, 2005 of choosing whether you want it to appear However, this matter is far from settled. For information: on the APsaA Web site’s online members’ The three practitioners representing psycho- Phone 212-752-0450 roster. Be assured, APsaA will never share or analysis on the state board can be expected Web site http://www.apsa.org sell members’ e-mail addresses for marketing to oppose any regulations that exceed purposes. NAAP training criteria which, like the law, BIANNUAL CONGRESS If you have already provided us with your include no frequency standards for training TRAUMA: NEW DEVELOPMENTS e-mail address, you might want to verify that analysis or control work. If the new set of IN PSYCHOANALYSIS International Psychoanalytical Association we have your current one.To do this, go to proposed regulations to be published in Rio de Janeiro, Brazil the APsaA Web site—www. apsa.org. On December is unsatisfactory, we will have to July 28-31, 2005 the left side of the page, click on “Find an act energetically and efficiently.We will have Web site http://www.ipa.org.uk/site/cms/ APsaA Member.” Enter your last name and only 30 days to mount a meaningful opposi- see if your correct e-mail address is listed. tion before the proposed regulations are FERENCZI AND GRODDECK: If we have an incorrect address or if you sent to the Board of Regents for final approval MIND, BODY AND THE would like to send us your e-mail address for and implementation. BRIDGE BETWEEN The Clinical Sándor Ferenczi Conference the first time, simply e-mail the information Readers who wish to read Article 163 and Baden-Baden, Germany to Brian Canty at the National Office the proposed regulations published on August August 31-September 4, 2005 ([email protected]). 25 can refer to the Web site of the New York For information: If you still need to be persuaded, I will be State Education Department, Office of the Web site www.clinicalferenczi.info happy to talk with you. Professions: http://www.op.nysed.gov.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 33 34 THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 for the PERPLEXED READER

As TAP’s circulation grows, an increasing number of our readers are not members of the APsaA but rather individuals who have significant interests in a psychoanalysis.TAP’sguide editorial board decided that it would be helpful to include a glossary of acronyms and abbreviations of the many groups frequently mentioned in TAP’s pages.We hope the following is useful.

Affiliate Council. A part of the APsaA that represents candidates [students] from the institutes and new training facilities. Its officers are president, president-elect, secretary and treasurer. APsaA, the American Psychoanalytic Association. A national psychoanalytic organization of more than 3,400 analyst members, founded in 1911. Its component organizations are forty-two psychoanalytic societies, six study groups, and twenty-nine psychoanalytic training institutes. BOPS, the Board, the Board on Professional Standards.The part of the APsaA that establishes and monitors its educational functions, including accrediting institutes and certifying members. It consists of two fellows of the Board representing each of the twenty-nine institutes, and the chair and secretary of BOPS.The president, the president-elect, the secretary, and the treasurer of APsaA are non-voting ex-officio members of BOPS. The Board meets twice yearly at the national meetings. CGRI, the Committee on Government Relations and Insurance. A committee of the Council which deals with political issues on both national and local levels. Committees. Council committees are created by and report to the Executive Council. Board committees are created by and report to the Board. In addition, there are joint committees of Board and Council.These committees are created by and report to both Board and Council to deal with overlapping responsibilities of the two bodies. Ad Hoc committees serve at the pleasure of the president, chair of the Board, or both. COPE, the Committee on Psychoanalytic Education. A committee of BOPS that serves as a think tank on issues of psychoanalytic education. CORST,the Committee on Research and Special Training. A committee of the Board whose major function is to evaluate requests from APsaA institutes to train candidates with non-mental-health, academic degrees. Divisions.The approximately 55 Council and Joint Council-Board Committees have been organized into eight divisions: governance, psychoanalytic science, societal issues, communications, professional outreach, psychoanalytic practice, corporate outreach and liaison, and associates. Each Division is headed by a Division coordinator who assists chairs of committees with budgeting, program planning, manpower needs, and communication. Division chairs report to the president and meet with the Executive Committee as part of the Steering Committee. Executive Committee.The leadership of the APsaA that oversees the many activities of the organization as specified by the bylaws.The committee comprises the president, the president-elect, the secretary, the treasurer, the chair of the Board, and the secretary of the Board.The Science Advisor to the Council serves as consultant. The Council, the Executive Council.The governing body of the APsaA and its legal Board of Directors. It consists of a councilor and an alternate councilor representing each of the societies and study groups, eight nationally elected councilors-at-large, the current officers, the last three past-presidents, and the past secretary. It meets twice yearly at the national meetings.The chair of BOPS and the secretary of BOPS are non-voting ex-officio members. JAPA, the Journal, Journal of the American Psychoanalytic Association. The official scientific journal of the APsaA, published quarterly. Members’ List, Openline. Two internet listservs that members use to share views and information. National Office.The APsaA national headquarters in New York City whose staff conducts the administrative work of the organization. Winter Meeting, January Meeting;Annual Meeting, Spring Meeting, June Meeting. The APsaA holds national meetings twice a year. In addition to the extensive scientific program, the Council, the Board, and the Affiliate Council meet.The Winter Meeting, also sometimes called the January meeting, is usually held in New York City.The Annual Meeting, also called the spring meeting or the June meeting, is held in various locations. An official meeting of members occurs at each of the two meetings. www.apsa.org. url for the Webpage of the American Psychoanalytic Association.

OTHER ORGANIZATIONS AND TERMS ACPE, the Accreditation Council for Psychoanalytic Education. The corporation formed by the Consortium, which is working toward accreditation of institutes. APA, either the American Psychiatric Association or the American Psychological Association. These are major national organizations of psychiatrists and psychologists, respectively. CIPS, the Confederation of Independent Psychoanalytic Societies. An organization of three U.S. psychoanalytic institutes that are component societies of the IPA: the Institute for Psychoanalytic Training and Research (IPTAR), the Los Angeles Institute and Society for Psychoanalytic Studies (LAISPS), and the Psychoanalytic Center of California. Credentialing, accrediting, certifying. The two types of credentialing are accreditation of psychoanalytic institutes and certification of graduates of psychoanalytic institutes. Division 39, Section 1.The Division of Psychoanalysis (39) is a component of the American Psychological Association. It consists of more than 3,000 members who have an interest in psychoanalysis. Section 1 is a component of Division 39 whose members have had training in psychoanalysis. IPA, International Psychoanalytical Association, the International. A worldwide psychoanalytic organization founded by Freud in 1910.The APsaA is a member society of the IPA. NAPsaC, the North American Psychoanalytic Confederation. One of the three regional groups of IPA. Includes APsaA, IPS, New York Freudian Society, Canadian Psychoanalytic Society, Japanese Psychoanalytic Society. NMCOP,The National Membership Committee on Psychoanalysis in Clinical Social Work. A national organization representing 500 clinical social workers who are psychoanalysts or psychoanalytic psychotherapists. The Consortium, the Psychoanalytic Consortium. An organization comprising the American Psychoanalytic Association, the Division of Psychoanalysis (39) of the American Psychological Association, the National Membership Committee on Psychoanalysis in Clinical Social Work, and the American Academy of Psychoanalysis.The Consortium was formed in 1991 and works on political and ethical issues and creating an external accrediting body.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 4 • Fall/Winter 2004 35 Associating with APsaA

AFFILIATION CATEGORIES FOR EDUCATORS, STUDENTS, PSYCHOTHERAPISTS, RESEARCHERS Over the last several years,APsaA has developed a number of categories of affiliation to allow colleagues and friends interested in psychoanalysis to establish a tie to our organization. Associates of APsaA get more out of the national meetings, can start to network nationally with like-minded professionals, and contribute to the richness and vibrancy of the psychoanalytic community. Each associate category is sponsored and supported by a committee of the American Psychoanalytic Association. EDUCATOR ASSOCIATE—available for teachers and administrators at all levels of education, pre-school through college, who are interested in the application of psychoanalytic principles in classrooms. Any educator who is sponsored by a member of the American Psychoanalytic Association is eligible. Yearly enrollment fee: $25.00 PSYCHOTHERAPIST ASSOCIATE—available for psychoanalytic psychotherapists with a minimum of a master’s level degree and licensed and/or certified by the state in which they practice. Individual Psychotherapist Associates are listed in a National Directory of Psychotherapist Associates, prepared annually. Yearly enrollment fee: $50.00 RESEARCH ASSOCIATE—available for research scientists, research oriented clinicians and others with an interest in psychoanalytically oriented research.The sponsoring committee will facilitate presentations of research at psychoanalytic meetings. Yearly enrollment fee: $40.00 STUDENT ASSOCIATE—available to medical students, psychiatric residents, psychology, social work, and graduate students of all academic disciplines. Yearly enrollment fee: $25.00 Standard benefits provided to associates in all the above categories include reduced APsaA meeting registration fees, advance notification of meetings, and subscriptions to this newsletter. Reduced subscription rates to the Journal of the American Psychoanalytic Association (JAPA) are also available. Please note: Individuals who qualify for full APsaA membership are not eligible to join as associates. Contact APsaA’s national office for more information: 212-752-0450 ext. 26. E-mail: [email protected]. Or go to the APsaA Website, apsa.org, to download the latest brochures.

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