Volume 42, No. 4, 2008
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the FALL/WINTER 2008 AMERICAN Volume 42, No. 4 PSYCHOANALYST Quarterly Magazine of The American Psychoanalytic Association Law and Order Taps Infant-Mother INSIDE TAP... Paradigm Research Winter Meeting Ed Tronick Highlights . 8–15 In 2007 research on my still-face infant- biological systems. These principles teach us Soldiers & Veterans mother paradigm was featured on the “Cage” that as open, complex systems, we humans Initiative . 15 episode of Law and Order, Special Victims Unit. connect with one another to maximize the Certainly I had never entertained the idea organizational complexity, coherence, integra- Special Section: that my laboratory research would make it to tion, and flexibility of our sense of ourselves Reflections prime time.Yet there it was. For the program, in the world. We thrive in the messiness of it was used to illustrate the damaging effects human connection and without it, we wither. on Education . 18–19 of poor parenting on children. For me, it In this regard, for example, I see Psyche’s story APsaA Fellows . 23–25 illustrated how children try to make sense as a canonical myth because she acts in the out of the senselessness and the lack of shared most human of ways: as a seeker expanding Empirical Research . 26 meanings they may experience growing up. I the complexity of her sense of herself, accord- thought about something Arnold Modell has ing to Carol Gilligan. She understands that Saint Elizabeths . 27 said,“The vitality of the private self depends on striving for and creating the new requires risk- the capacity to generate meaning; the inability ing the old and that it may bring deep and Notes on a Scandal . 29 to generate meaning is a psychic catastro- abiding pleasure and simultaneously loss. phe.” I also associated something my analyst Interview with said to me: “I have never experienced some- MEANING MAKERS Phillip Freeman . 30 one before whose personal and professional The link between systems theory and pleas- life is so much of the same piece.” I will leave ure is provided in Jerome Bruner’s beguilingly In Memoriam: it to you to make further interpretations, but simple assertion that humans are meaning Stuart T. Hauser. 34 in my work I have tried to understand the rela- makers. As meaning making open systems, tions between meanings and experience. humans utilize energy to cre- For me how individuals make meaning is ate complexly organized, related to growth and development, creativity coherent, integrated, and flex- and pleasure as well as to fixedness, lifelessness, ible states of consciousness. and suffering. The relationship is explained by States of consciousness are principles that govern the operation of open psychobiological states that contain the private meanings Ed Tronick, Ph.D., is a developmental and individuals give to their place clinical psychologist with faculty appointments in the world. The meanings at Harvard Medical School, University of may be in or, more likely, out of awareness, Massachusetts, Fielding Institute, and Boston nonetheless they function to organize and Psychoanalytic Society and Institute. His anticipate the future based on the immediate research has been funded by NIDA, NICHD, present and updated past. NIMH, NSF, and the MacArthur Foundation. Continued on page 6 THE AMERICAN PSYCHOANALYST • Volume 42, No. 4 • Fall/Winter 2008 1 CONTENTS: Fall/Winter 2008 THE AMERICAN PSYCHOANALYTIC ASSOCIATION President: Prudence Gourguechon 3 Meeting Members’ Needs Prudy Gourguechon President-Elect: Warren R. Procci Secretary: Robert M. Galatzer-Levy 4 Spring Meeting Update Warren Procci Treasurer: Judith S. Schachter Executive Director: Dean K. Stein 5 COI Makes Proposals for Psychoanalytic Education Elizabeth A. Brett and Daniel H. Jacobs Projections: Dreams and Film Bruce H. Sklarew THE AMERICAN PSYCHOANALYST 8 Magazine of the American Psychoanalytic Association On Stage during APsaA’s Winter 2009 Meeting Dottie Jeffries 9 Editor 10 Psychoanalysis and Narrative Medicine Fred L. Griffin Janis Chester Associate Editor 11 New Education Division to Boost Public Interest in Psychoanalysis Christine Ury Stephen Sonnenberg Editorial Board Brenda Bauer, Vera J. Camden, Update on NAPsaC Harriet I. Basseches with Abbot Bronstein and Fredric Perlman 12 Leslie Cummins, Phillip S. Freeman, Maxine Fenton Gann, Noreen Honeycutt, 16 Politics and Public Policy: Achilles in Iraq: Part II Bob Pyles Sheri Butler Hunt, Laura Jensen, Nadine Levinson, A. Michele Morgan, Julie Jaffee Nagel, Marie Rudden, SPECIAL SECTION Hinda Simon, Vaia Tsolas, Reflections on Education Dean K. Stein, ex officio Senior Correspondent A New Model for Psychoanalytic Education Sylvia S. Welsh 18 Jane Walvoord 19 Learning the Lessons of Shame John Samuel Tieman Photographer Mervin Stewart 20 Candidates Create Dialogue Across Institutes Manuscript and Production Editors Kim Gelé and Gregory M. Lowder Michael and Helene Wolff, Technology Management Communications Affiliate Council President’s Letter: December 2008 Laura L. Jensen 21 The American Psychoanalyst is published quar- APsaA’s Excellent New Fellows for 2008-2009 terly. Subscriptions are provided automatically to 23 members of The American Psychoanalytic Asso- ciation. For non-members, domestic and Cana- 26 Analytic Clinicians Find Empirical Research Valuable dian subscription rates are $36 for individuals Gregory M. Lowder and $80 for institutions. Outside the U.S. and Canada, rates are $56 for individuals and $100 for Saint Elizabeths: Patron Saint of Psychoanalysis institutions. To subscribe to The American Psy- 27 choanalyst, visit http://www.apsa.org/TAPSUB, or Roger Peele and Humaira Siddiqi write TAP Subscriptions, The American Psycho- analytic Association, 309 East 49th Street, New 28 FORWARD! Association of Administrators Celebrates 51 Years! York, New York 10017; call 212-752-0450 x18 or Dionne Hogans and Elizabeth Manne e-mail [email protected]. Copyright © 2008 The American Psychoanalytic 29 Psychoanalytic Reflections on Notes on a Scandal: Association. All rights reserved. No part of this T he Psychopathology of Everyday Strife James Hansell publication may be reproduced, stored in a retrieval system, or transmitted in any form or by Interview with Phillip Freeman Vera Camden any means without the written permission of The 30 American Psychoanalytic Association, 309 East 31 Poetry: From the Unconscious Sheri Butler Hunt 49th Street, New York, New York 10017. 34 In Memoriam: Stuart T. Hauser Linda C. Mayes and Richard Almond ISSN 1052-7958 The American Psychoanalytic Association does not hold itself responsible for statements made in Special Insert: APsaA Thanks Its Contributors The American Psychoanalyst by contributors or advertisers. Unless otherwise stated, material in The American Psychoanalyst does not reflect the endorsement, official attitude, or position of Correspondence and letters to the editor should be sent to TAP editor, The American Psychoanalytic Association or The Janis Chester, at [email protected]. American Psychoanalyst. 2 THE AMERICAN PSYCHOANALYST • Volume 42, No. 4 • Fall/Winter 2008 FROM THE PRESIDENT I personally would like to have the opportu- Meeting Members’ Needs nity to attend updates in psychopharmacology Prudy Gourguechon and psychiatric diagnosis at our annual meet- ings, since I don’t have the time to attend Imagine a first have paid sick leave or vacation days. Increas- non-psychoanalytic professional meetings. I year candidate. ingly, we may have an ever harder time secur- am curious to see if any other members see We’ll place her at ing health insurance. this as a need. a medium-size With this sketch in the background, I would institute. In Octo- like to review various categories of member Members need facilities and equipment ber APsaA sends needs and assess how we’re doing at meeting to conduct their practices. her an offer for a them. Where there are significant shortfalls, Couches, stationery, computers; we don’t great deal—free I’ll pose questions. I hope you will have the require much. But I’d like to hear from mem- membership for answers, which will lead to new programs bers about any specific questions you have. Do Prudy Gourguechon her first year as and solutions. you want your national organization to help an Affiliate. She you “shop” for the best couches, ergonomic accepts, and is now a member. Now let’s imag- Members need thriving practices requiring chairs, hardware, and billing programs? ine her professional needs over the course of, marketing, advertising, and self-promotion. oh, a 35-year career as a psychoanalyst. And Our practice surveys have taught us that Members need to manage their practices let’s imagine her reciprocal relationship with most analysts have about one or two psy- efficiently and prudently. APsaA, the only national professional organi- choanalytic patients at a time. This is not nec- Practical matters of record keeping, dealing zation she belongs to for the course of her essarily a terrible thing. Most of us use our with third parties, billing and collections can be professional life. She is a life-long member and psychoanalytic knowledge and technique with done well and properly or haphazardly, leading it is the Association’s purpose and obligation to every patient, even those that see us infre- to a smoothly running business or stress and meet her professional needs as best it can. So quently. Nevertheless, we often wish we had frustration. We have started to provide brief what are those needs? How can the Associa- tion best meet them? How can we thoughtfully I would like to review various categories of member plan to meet them better over the long haul? Before we take a closer look at members’ needs and assess how we’re doing at meeting them. needs, let’s consider who we are, APsaA’s Where there are significant shortfalls, I’ll pose questions. 3,000 plus members. We practice an arcane profession. The vast majority of us work alone. I hope you will have the answers, which will lead to We usually lack any experience working in new programs and solutions.