Association for Child Psychoanalysis Newsletter February, 1994 Association for Child Psychoanalysis NEWSLETTER

February, 1994 President's Message Peter Blos Jr., M.D. Dear Fellow Members,

Recent ACP mailings will have brought you news of of its interesting programs. three important Association activities -- one upcoming and This year we will again be having a Friday morning two just completed. I refer of course to the registration for Open Discussion for Members and if there are topics which our Washington, DC, annual meeting (of which more later), you would like to see discussed I hope you will contact me the ballot regarding proposed revision of our membership in advance of the meeting. There are already a number of by-laws, and the ballot concerning changes in our dues important items on the agenda but I have saved time for structure. You have also received the slate and ballot for additional subjects raised by the membership. new officers and councillors. I trust that all of you will have I have taken advantage of our meeting in Washington voted by now so that decisions and choices will truly reflect and the traditional President's Workshop to develop an the wishes of the membership. I hope I may have the informal roundtable discussion on the contribution of child pleasure of seeing many of you when we convene in analysis to the mental health portion of the developing Washington. National Health Plan in the United States. We will have as It goes without saying that Washington is an guests two Washington health care lobbyists and several interesting city to visit at any time and early spring is an individuals from Congressional staffs who are interested in especially good season. The hotel selected by Herman the mental health care of children. Thanks are due to Buzz Staples and Rachel May is conveniently located and is up to Bailey, our Washington pro bono lawyer, who has kept us the standards we have all come to expect. We thank them informed, assisted in the development of the workshop, and for making these arrangements. agreed to participate in the discussion. In complementary Working with the families of children and fashion Bob Gillman, Chair of the ACP's Public Relations adolescents in analysis is the theme of our meeting. Martin Committee, has also helped with contacts and Silverman and the Program Committee have once again arrangements. He, too, will be with us. The discussion is arranged a stimulating group of workshops and speakers. listed as the President's Workshop and takes place on Remarkably, this will be Marty's sixth program! After Friday afternoon. It has three objectives: To review both much work in the vital center of our scientific meetings, he actual and applied child analytic contributions to the mental will be stepping down as Chair. On behalf of the health care of children (especially the very young, who are Association I would like to thank him for his excellent and so often forgotten); to consider what child analysts need to durable contributions to our scientific life. In December I know about the swelling political debate; and finally to appointed Laurie Levinson (New York) and Janet Szydlo formulate possible strategies of influence. In the interest of (Mexico City) as Co-chairs of the Program Committee and achieving a balance of guests, members, expertise, and they have begun work on our 1995 annual meeting. I know regional representation I have made this an invitational they will sustain the excellent reputation which the ACP session. I have already contacted certain ACP members has garnered over the years for the continuing high quality (Continued on page 2)

Contents

President's Message ------1 Advance Program, 25th Mahler Symposium ------9 From the Editor ------3 Calendar of Events ------10 News from the Cleveland Center for Research in Child Advance Program, 29th ACP Annual Meeting ------11 Development ------5 Minutes of the Executive Committee Meeting ------12 Subcommittee on the Vulnerable Child ------6 Message from the ACP Program Committee ------20

1 Association for Child Psychoanalysis Newsletter February, 1994

attend the meetings, disseminate our scientific work more

President's Message widely, and stimulate the opportunity for correspondence between those who have similar interests. (Continued from page 1) More news. I am pleased to report that the ACP will whose interests and relevant experience are known to me. If present a half day symposium at the 13th International you would like to participate, please let me know. Since we Congress of the International Association for Child and intend to pass on to all members the ideas and information Adolescent Psychiatry and Allied Professions which will be that emerge from the session, you will, in any event, be held in San Francisco, July 24-28, l994. Their theme is informed of discussion outcomes. It should be interesting! Violence and the vulnerable child. Our symposium is I am glad to report that, with the help of Kent Hart as entitled Understanding trauma in children and editor of the Abstracts and Paul Brinich, our Newsletter adolescents: What does it mean to say that a child has editor, we will again be able to circulate abstracts of the been traumatized?; material from the analysis of a young workshops and the Saturday plenary session. They will child and from that of an adolescent will be presented and appear in the first Newsletter published after the meeting. discussed. I am very grateful to Stephanie Smith for To remedy previously encountered snags and to assure willingly taking on the last-minute task of developing an prompt publication, formal reporters have been appointed, appropriate panel and providing another opportunity to abstract length will be designated, and a deadline for show that child analysis has much to offer in understanding abstract submission set. We are hopeful that these new the interactive effects of psyche and environment. procedures will help to bring our scientific presentations In a similar vein I am glad to report that the quickly to the attention of members who are unable to International Psychoanalytic Association’s Program Committee has again invited the ACP to co-sponsor two half-day panels, one on child analysis and the other on ASSOCIATION FOR adolescent analysis. The theme for the 1995 International CHILD PSYCHOANALYSIS Congress is Psychic reality: Its impact upon the patient and analyst today. For the second time I will function as Peter Blos, Jr., M.D., President the liaison with the IPA Program Committee, working closely with Owen Renik as North American Chair and with Kerry Kelly Novick, Secretary Leon Grinberg, Chair of the Program Committee. Samuel Weiss, M.D., Treasurer As I near the end of this, my final letter as ACP Moisy Shopper, M.D., President-Elect president, I am aware of a mix of feelings. Relief mingles D. Clifton Wilkerson, M.D., Secretary-Elect with loss, certainly. But there is also satisfaction at tasks completed and processes begun, and I am sincerely appreciative of this opportunity to serve child analysis and Councillors the children and parents our profession strives to help. I Thomas F. Barrett, Ph.D. review with pleasure the literally innumerable exchanges Sylvia Brody, Ph.D face to face, by phone and FAX (How did we manage Barry Childress, M.D. without it?) with able, committed and stimulating people Leon Hoffman, M.D. within the organization. In this category I place first and Eva Landauer foremost Kerry Kelly Novick, officially elected as Secretary Steven Marans, M.S.W. Executive Secretary but serving much more widely, and Rachel May, our Julio Morales, M.D. Mrs. Rachel May Executive Secretary. Special thanks go to Treasurer Sam Stephanie Smith P.O. Box 366 Weiss, whose sharp eye and firm hand have helped to get Samuel Weiss, M.D. Great Falls, VA 22066 our finances into better shape, and to Bob Furman for his (703) 759-6698 FAX (703) 759-6783 stalwart and unflagging work on the Membership by-law revision. Lilo Plashke's sense, engagement and sensitivity Newsletter Editor have, I believe, resulted in well-proportioned offers of Paul M. Brinich, Ph.D. assistance to colleagues in many East European countries. 320 Glendale Drive Our 1994 program accreditation is in order thanks to Julio Chapel Hill, NC 27514-5914 (919) 967-5819 Morales and his Committee on Study Groups and FAX (919) 575-7779 Continuing Education; they are to be commended for remaining level headed amidst a sea of regulations and technicalities. Note to contributors: Send contributions to the Editor at the ad- In short, I am glad to have been able to take part in the dress above. Deadlines fall one month before our publication dates diverse efforts that singly and in combination have, I think, of March 1 and October 15. If possible, send both hard copy and helped to move the Association along the road to stability word processor files on floppy disks (3.5 or 5.25 inch ). MS-DOS format (e.g., WordPerfect, MS Word) files are preferred (including and clarity of purpose. Personally rewarding have been new those created under Windows) but Macintosh format files are also and confirmed friendships within the membership, and acceptable. Contributions can also be sent via E-mail. Our opportunities to meet child analysts from other countries, Compuserve address is 73727,3654 and our Internet address is [email protected] (Continued on page 3)

2 Association for Child Psychoanalysis Newsletter February, 1994

President's Message

(Continued from page 2) pleasures, rewards and opportunities to further the work of especially England, Holland, Finland and Argentina. the Association and of child analysis.

I firmly believe that the vitality of the Association (and the mental health of retiring Officers, Counsellors and Chairpersons) is well served by the regular rotation of responsibility within the organization. We are fortunate indeed to have Moisy Shopper and Cliff Wilkerson as our incoming officers and I wish them full enjoyment of the

From the Editor . . .

This is the third issue of the Newsletter produced both valuable and unique; we should not hide our light under my editorship and, while it is probably too early to beneath a bushel basket. A recent case in point: One of our say that I can perceive a pattern in the contributions which members, Don Rosenblitt, presented a paper entitled come my way, I have some observations for our readers. “States of Overstimulation in Early Childhood” to the First, a few of our members have been regular and North Carolina Psychoanalytic Society. The paper, based generous contributors over the years. Ted Cohen’ and on work done at the Lucy Daniels Preschool, has important Hossein Etezady’s reports on the Vulnerable Child implications for therapeutic work with seriously disturbed Workshops and William Singletary’s reports on the annual children. But it has even more important implications for Philadelphia Mahler Symposia are two examples. some basic issues in normal child care. And, in these days Second, a few of “our” institutions make a special of health care “reform,” I would very much want Dr. effort to keep our members informed as to their activities. Rosenblitt’s ideas to reach our state and federal legislators. The Anna Freud Centre (London) and the Cleveland Center As Editor of the Newsletter I feel I have a special for Research in Child Development are two fine examples opportunity to encourage the cross-fertilization and mutual of such communications. support which will help us to maintain our self-respect as Third, the Newsletter serves a useful function as it Prozac® marches on, expanding its territory across informs our members of the issues faced by our officers, diagnostic categories, up and down the developmental councillors, and Executive Committee members. The continuum. Minutes of the Executive Committee’s meetings and of the I am heartened when I hear students — child Annual Business Meetings, while often prosaic, do reflect psychiatry residents, clinical psychology trainees, and most of the important issues faced by the Association and social work students — insist that they want to be able to the debates which often precede their resolution. talk with and to understand their patients. Prescriptions — Fourth, the Newsletter sometimes acts as a catalyst for whether psychopharmacological or behavioral — are not special projects which go beyond specific geographic areas. enough for some of them. A case in point is the Committee to Coordinate Assistance I would be even more heartened if a broader group of in Child Analysis in Eastern European Countries. Here the ACP members were to speak out in the Newsletter — Newsletter serves a dual function: It solicits support from perhaps as a prelude to a contribution to the op-ed pages of our members while it invites responses from would-be The New York Times, The Guardian, or Le Monde. colleagues scattered across eastern Europe. To return to Don Rosenblitt’s paper on Unfortunately, my vantage point also sensitizes me to “overstimulation”: Child analysts have some crucial things some ways in which we are failing ourselves, our to say to other mental health professionals, to educators, to colleagues, and our field. primary care physicians, and to the makers of public policy. First of all, I know that many ACP members are In these times we often find ourselves on the defensive deeply involved in projects which apply psychoanalytic about both our theories and our techniques. The fact principles to important social problems — from day care to remains, however, that there are no shortcuts to child abuse, from teen pregnancy to issues of child custody. understanding a child; for there are no shortcuts to gaining Unfortunately, too often we do not take the time to share a child’s trust. Those of us who take the time to gain that our experiences with other ACP members. I frequently hear trust, to understand that child, are in a special position when about such projects at our Annual Meetings, often enough it comes time to measure the impact of “the slings and quite informally during one of the coffee breaks. But these arrows of outrageous fortune” upon that child. informal accounts rarely get the broader circulation which Fortunately, we have some remarkable “ego ideals” they merit. available when it comes time to apply our knowledge to the Second, we sometimes fail to give credit where credit issues of the day. Whether it be Anna Freud’ and Dorothy is due — to ourselves! Our perspective as child analysts is (Continued on page 4)

3 Association for Child Psychoanalysis Newsletter February, 1994

From the Editor . . . stresses imposed upon them by their milieux. The rise of biological psychiatry offers us an opportunity which we must recognize and grasp. When (Continued from page 3) children are reduced to some lowest common denominator of Burlingham’s work in the Hampstead Nurseries, Erna and DSM-III-R (or DSM-IV) symptomatology, we can speak to Bob Furman’s work with bereaved children, Selma the fact that treating a symptom is not the same as treating a Fraiberg’s work with “at risk” infants and their mothers, or child. Al Solnit’s work with child protective service workers, These are not easy times for ACP members. Without many ACP members have documented how children are idealizing the “good old days,” it is safe to say that the work affected — both outwardly and intrapsychically — by the of the child analyst was given more “respect” thirty or forty years ago than it usually receives today. And we may be partly to blame for the swing of the pendulum away from the Administrative Structure of the ACP intrapsychic world and toward the intra-cranial, intra- and inter-neuronal world. In the past we may have “oversold” our

OFFICERS therapeutic abilities. Analysis cannot “cure” juvenile President ...... Peter Blos, Jr., M.D. diabetes. But it can make a significant impact on the course Secretary ...... Kerry Kelly Novick of the disease; and it most certainly is a peerless way of Treasurer ...... Samuel Weiss, M.D. coming to some understanding of how such a disease affects President-elect ...... Moisy Shopper, M.D. a child’s development. That understanding can then become a Secretary-elect ...... D. Clifton Wilkerson, M.D. vital contributor to the (narrowly conceived) management of the disease, as well as to the (broadly conceived) care of the COUNCILLORS child. Thomas F. Barrett, Ph.D. My work in a large, state-funded psychiatric hospital for Sylvia Brody, Ph.D. children and adolescents exposes me to an ever-growing Barry Childress, M.D. number of children who have been unwanted, neglected, Leon Hoffman, M.D. abused, and made the object of the whole range of human Eva Landauer perversions. These children are not candidates for analysis; Steven Marans, M.S.W. most of them have never known the kind of stability of Julio Morales, M.D. human relationships which is usually a pre-requisite to the Stephanie Smith, L.C.S.W. ability to use “classical” analytic treatment. What is more, Samuel Weiss, M.D. they are not likely to be in our care for more than a few weeks or months. Nonetheless, my psychoanalytic experience EXECUTIVE SECRETARY remains an invaluable resource as I try to put together a Rachel May “formulation” which can stand the test of both skeptical P.O. Box 366 trainees and the “case managers” sent by third-party payors Great Falls, VA 22066 on their “search and deny services” missions. (703) 759-6698 ...... FAX (703) 759-6783 I find myself going back to Freud’s essay, Warum Krieg? There Freud turns Einstein’s question around, from COMMITTEES AND CHAIRPERSONS “Why is war so common?” to “Why is war not more Abstracts ...... Kent Hart, M.D. common?” We might say the same about many of the abuses Arrangements ...... Herman Staples, M.D. we see in our work. It is at that point, when we confront the Committee to Coordinate Assistance in Child Analysis in sides of human nature that can be so destructive, that we Eastern European Countries ...... Lilo Plaschkes, M.S.W. bring something special to our patients and their families. Extension Division ...... Kerry Kelly Novick “Anything that encourages the growth of emotional ties Grants ...... Samuel Weiss, M.D. between men must operate against war.” (S.E., XXII, 212). Health Insurance ...... co-chair Milton Kapit, Ed.D. This is what our work is about. We are familiar with the ...... co-chair Irvin Milowe, M.D. destructive impulses which lead to neglect, to abuse, and to Membership ...... Robert Furman, M.D. war in a way that most prescribers of Prozac® are not. Newsletter Editor ...... Paul Brinich, Ph.D. It is crucial, in these times, that we stay in touch with Nominating ...... Jules Glenn, M.D. each other, that we provide each other with support in what is Program ...... co-chair Laurie Levinson, Ph.D. always difficult work. Writing for the Newsletter will not ...... co-chair Janet Shein Szydlo ensure the survival of civilization; but it will contribute to our Public Relations ...... Robert D. Gillman, M.D. ability to speak clearly about the problems we see before us. Registry of Cases ...... Robert Galatzer-Levy, M.D. And that is not nothing. PMB Study Groups & Continuing Medical Education...... Julio Morales, M.D. 30th Anniversary Volume...... Albert J. Solnit, M.D.

4 Association for Child Psychoanalysis Newsletter February, 1994

NEWS FROM THE CLEVELAND CENTER FOR RESEARCH IN CHILD DEVELOPMENT

Internship in Psychoanalytic Psychological Association will be submitted in the coming year. Child Psychology Those interested in further information are encouraged to contact Dr. Thomas Barrett, Director, at the Cleveland The Cleveland Center for Research in Child Center for Research in Child Development, 2084 Cornell Development (CCRCD) has recently established an Road, Cleveland, Ohio 44106 USA. (216) 421-7880 internship in psychoanalytic child psychology. This 12- month program will afford psychology interns the unique opportunity to complete an internship in psychoanalytic child psychology while concurrently beginning training in child psychoanalysis. Each internship will include supervised clinical work, training in evaluation and assessment, observations in the Book Notice Hanna Perkins School, and participation in clinical seminars and didactic courses. The clinical work will entail psychoanalytically-oriented psychotherapy with children Toddlers and Their Mothers and adolescents and developmental guidance work with parents on behalf of young children. Each intern will have Abridged Version for Parents and Educators the additional opportunities to (1) do a rotation through an adolescent inpatient psychiatric unit, (2) participate in by Erna Furman Extension Division Courses and Consultation Groups offered by the Center, and (3) attend the weekly multi- disciplinary case conferences sponsored by the Child This book describes the Hanna Perkins Therapeutic Psychiatry Department at the Cleveland Clinic. School’s Toddler Group setting, its especially-adapted Interns will also be invited to participate in ongoing educational curriculum and policies, as well as the way research projects sponsored by the CCRCD. Current parents, teachers, and child analysts work together as a research topics include a study of children with severe and team. early emotional disturbances; alternative modes of treatment It details and amply illustrates the many new (non-medication) for children diagnosed as ADHD; and an findings that have emerged in such diverse areas as evaluation of a community program to prevent elementary bodily self-care, growth of functions and feelings, play, school drop out and participation in gang violence. peer relations, and learning. The course work will involve the didactic portion of In each area, it relates the child’s steps in the CCRCD Course in Child Psychoanalysis. While it is not development with the reciprocal role and development of necessary that an intern be prepared, at the outset, to commit his mother’s and father’s relationships and interactions to full training in child psychoanalysis, it is expected that with him, and shows how the teachers and therapists can interns entering the program are considering such training. If assist them. they elect to commit to the training, clinical work can begin Most youngsters and their families encounter subsequent to the first year, accompanied by a training similar hurdles during the toddler phase and will readily analysis. Following the internship year, it will be possible to recognize the described experiences as well as benefit continue in the program with the support of an extended from learning how they were understood and handled. internship experience or a post-doctoral fellowship for Intensive follow-up of the toddlers into early school age which graduating interns might apply. Also, a loan and traces the later effects of early interventions. scholarship program is available.

In addition to having an interest in the potential for training toward qualification as a child psychoanalyst, 243 pages — ISBN 0-8236-8318-4 interns are expected to have had previous experience in $24.95 in paperback working with children and/or adolescents and some familiarity with psychoanalytic theory. One intern has been accepted into the program for this International Universities Press, Inc. coming Fall. She is sponsored by Widener University with 59 Boston Post Road, Box 1524 the agreement that CCRCD serve as a “satellite” of the Madison, CT 06443-1524 University’s accredited internship program. Additional 1-800 835-3487 or FAX 1-203 245-0775 applications are being accepted and considered. The CCRCD’s application for accreditation by the American

5 Association for Child Psychoanalysis Newsletter February, 1994

Report by the Subcommittee on the Vulnerable Child to the Committee on Social Issues of the American Psychoanalytic Association Theodore B. Cohen, M.D. Chair, Vulnerable Child Subcommittee December 16, 1993 The Waldorf Astoria Hotel, New York

[The following report is one in a series produced by In an effort to continue focusing attention on Child the Subcommittee on the Vulnerable Child. It is presented Mental Health as it appears in National Health Care here, in edited form, because it includes information about planning, the Subcommittee will present a Discussion Group many items which concern child analysts.] on “Child Care” at the American Psychoanalytic Association’s Spring meeting in Philadelphia. Linda Mayes will present “The Effects of Pre-natal Cocaine Exposure on The Subcommittee on the Vulnerable Child has Early Ego Organization”; Maida Greenberg will present produced three reports over the past year. The first was the “Infant Twins: Fusion, Friendship, and Individuation”; and Report to the Committee on Social Issues dated May 20, Nathaniel Donson will present “Caring for Day Care — 1993, which reviewed many issues related to child health Primary Prevention and Early Intervention.” Bertram Cohler care in the U.S. and the ways in which the Clinton will discuss the papers. administration was beginning to address these issues. The Looking further afield, we note that Eleanor Holmes second was a Report on the Vulnerable Child Discussion Norton, Congressional Representative from Washington, Group’s meeting devoted to “Psychoanalytic observations DC, proposed a resolution in Congress supporting the and the divorce process”; this was also dated May 20, 1993. proposition that any health care reform program enacted by The third report, dated April 2, 1993, detailed the workshop Congress should not discriminate in the treatment of on “Infant Psychiatry with High Income and Low Income services relating to mental illness and substance abuse. Multi-risk Families, 1980-1990” which was part of the Representative Norton noted, as background to her ACP’s 1993 annual meeting. [This was published in the resolution (passed on March 4, 1993), that “approximately October, 1993 issue of the ACP Newsletter.] 12% of Americans under the age of 18, or 7,500,000 In addition, the first in a series of Vulnerable Child children and adolescents, suffer from some type of mental Monographs was published by International Universities illness or emotional disorder.” Furthermore, “4/5 of children Press. This first volume includes papers detailing the results in need of mental health care do not receive services, of child analytic research on sexual abuse and parent loss. resulting in significant costs to society as these children Some of the papers from this monograph will be presented become adults.” at the meetings of the International Association for Child According to L. J. Byerly, M.D., a Philadelphia child and Adolescent Psychiatry and Allied Professions in San analyst, President Clinton's American Health Security Act Francisco, July 24-28, 1994, by Drs. Hossein Etezady and of 1993 represents a compromise plan with mixed benefits Ted Cohen. [The new President of the IACAPAP is Dr. and losses for the mentally ill. At its best, it extends basic Donald Cohen, a child analyst from Yale and an ACP health coverage to thirty-five million currently uninsured member.] Americans. At its worst, it provides little or nothing in the The Subcommittee’s December 17, 1992 initiative of way of programs which would prevent mental illness. It also setting up an “access committee” aimed at providing input fails to deal adequately with child and adolescent mental to President and Mrs. Clinton regarding child mental health health issues and does not provide parity between mental care was redirected to groups of child analysts led by Harold disorders and other medical disorders. The treatment Kolansky (Philadelphia) and Robert Gillman (Washington, formats proposed under the Health Security Act are not DC). The Subcommittee also organized a workshop entitled easily adaptable to the treatment of children; and children “Child Analytic Contributions to National Child Mental appear to be the biggest losers in the proposal. The Health Care” which was included as part of the December, treatment options provided for children tend to be biological 1993 meetings of the American Psychoanalytic Association. in nature (medical management). Of equal concern, the Presenters were Eleanor Galenson, Peter Blos, Jr. and proposal includes no provisions for preventive mental health Thomas Barrett; Jules Glenn was the discussant. programs for children. At the next ACP meeting in Washington, DC (March Most of the psychoanalysts who have reviewed the 18-20, 1994), the Vulnerable Child Subcommittee will health reform plan have concluded that, intentionally or present a workshop entitled “On Narcissism, A unintentionally, it will drive physicians out of private Developmental Concept.” This is the result of 13 years of practice. On one level patients will be unable to obtain any work by the Philadelphia-based ACP Study Group on other independent insurance and will be forced to pay fees Narcissism. Presentations by Herman Staples, Sy Share, out-of-pocket. If price controls are instituted, it may become Shirley Rashkis, Bertram Ruttenberg and M. Hossein illegal to charge fees above the “Alliance” scale. [This is Etezady will be discussed by Paulina Kernberg. (Continued on page 7)

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Vulnerable Child . . .

(Continued from page 6) Senator Daniel Moynihan has argued that trying to fix the present situation with Medicare.] the health care delivery system might not be worth the The government has proposed that all medical schools trouble if nothing is done to cure the social ills that have which receive federal support should graduate at least 50% increased medical costs. Thirty per cent of all births in the of their students as General Practitioners to supply the U.S. are to unmarried women; the proportions are 71% in needed number of gatekeepers; if they do not do so, the Detroit, 66% in Washington and 45% in New York. schools would lose their federal support. This would Congress has voted to allow federal funds to be used markedly decrease the number of residents in all specialty for abortion services for federal employees. Congress also fields, including psychiatry. There has already been a 30% voted to allow Medicaid to finance abortions for poor reduction in psychiatric residents since 1989. It is women who were victims of rape or incest, as well as for anticipated that the number of psychiatrists will sharply those whose lives are endangered by pregnancy. It is now a decrease over the next few years; this will affect the pool of Federal crime to attack abortion clinics and to assault, psychiatrists who might seek analytic training. threaten or obstruct the people who use them. Mrs. Tipper Gore, wife of the Vice-President, is Edward Zigler, a Yale University developmental overseeing the task force on mental health for the psychologist, has been urging an earlier start for Head administration. She has a masters degree in psychology. Start — planning an intervention program for economically Bernard Arons, M.D. is Advisor to Mrs. Gore on Mental disadvantaged families and children aged zero to three. Health Issues. Zigler argues that, “for at-risk children to have a genuine Harold Kolansky, M.D., a Philadelphia child analyst, head start toward school success, intervention must begin has emphasized the failure of HMOs to provide properly for prenatally and continue throughout the early years of outpatient evaluations and for psychoanalysis or health.” psychotherapy. Many HMOs refer patients to bachelor-level Preventive health care has been shown to be highly (or less) mental health workers for six to ten visits per year. cost effective. Good maternal nutrition and prenatal care In general, more than 75% of pediatric practice in reduce the incidence of both low birth weight and defects in Philadelphia now is tied to these models; as a result, few development, at great savings of both money and human children are referred to child psychiatrists or child analysts. potential. Family support and parent education have “Managed Competition” likely would incorporate the HMO repeatedly been shown to be effective means of promoting model for outpatient work. Dr. Kolansky suggests that a healthy functioning in families with young children. universal insurance plan would be overly costly, would Quality services in the child care sector must be stifle research and training, and would narrow the spectrum assured by performance standards similar to those mandated of care available to patients. for preschool Head Start but adopted to the needs of Mrs. Gore has advocated comprehensive, integrated, younger children. That is, child care centers must have community-based mental health and substance abuse trained personnel, good staff to child ratios, small group services for children and adolescents. She has supported the sizes, and programs that provide educational and social inclusion of nondiscriminatory benefits for mental health experiences to promote sound development. (See Zero to and substance abuse treatment. “The suffering agony of the Three, October/November, 1993, p. 27.) vulnerable children and their families dealing with a mental President Clinton's budget request for mental health health issue should speak loudly enough to beg inclusion in research and service during the next fiscal year has left health care reform.” She noted that the American Health mental health advocacy and professional groups feeling Foundation's 1993 report, called the Youth Health Report disappointed and betrayed. It seems paradoxical that, with Card, showed increases in violence, suicide, and the spread the direct and indirect costs of mental disorders and of AIDS and sexually transmitted diseases in the adolescent addictions surpassing $300 billion annually, the new population. Administration wants to cut 0.5% from the amount that it Dr. Jocelyn Elders has been confirmed as Surgeon now spends for services and research in those areas. This General by Congress. She favors a national assault on translates into a cut of nearly 8% in real purchasing power. unwanted teen-age pregnancies. She supports the Advocates for children (as well as some distribution of condoms by school clinics and sex education Administration officials) have warned us that President in the early school years. She also supports providing the Clinton's health plan might eliminate some benefits received contraceptive implant Norplant® to drug-addicted by millions of poor children on Medicaid, including many prostitutes at no charge to them. who are disabled. Under the proposed health plan's package Dr. Elders has likened poor pregnant teen-agers to of basic services, some Medicaid recipients under 21 could “slaves” who are “breeding another class of slaves at a time lose benefits they now have (such as transportation to and when we don't need any more slaves. It is time to look from a doctor,certain types of hearing and vision care, forward . . . to a time when all American children are physical rehabilitation services, and special education planned and wanted, when all American children are services). These services might disappear for the 7 million immunized, when all American citizens have the security of children now covered by Medicaid. quality health care.” (Continued on page 8)

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Vulnerable Child . . .

(Continued from page 7) of two years. The Public Health Service estimates that only Mr. Clinton plans to finance an ambitious set of child between 37% to 56% of children are adequately immunized care, education, and work programs for people on welfare by the age of two years; in some inner cities the figure is as by cutting other programs for the poor. Mr. Clinton's pledge low as 10%. Yet vaccination is one of the most effective to make welfare recipients work is an enormously popular disease-prevention measures known. Every $1 invested in one. It is argued that the expansion of training programs and the use of an effective vaccine saves as much as $14 in day care will allow welfare mothers to acquire job skills health care costs. while their children are looked after in good quality day care 5) The Brady bill was passed and further gun centers. control bills have been proposed. Several positive developments for children have been 6) The Supreme Court now has a second woman sponsored by the Clinton Administration. member. Justice Ginsburg represents an important change in 1) Congress has sent President Clinton a bill the balance of the court. featuring a fiscal year 1994 funding level of $35 million for In spite of these advances, children are poorer and the Children's Mental Health Services program; this more abused today than a decade ago. represents an increase of $30 million over the level In a comprehensive study, The United Nations approved last year. Children's Fund found that 20% of U.S. children live below 2) Congress handed President Clinton a major the poverty line — twice the child poverty rate of any other policy victory when it passed his national service initiative. industrialized country. Originally the President promised to offer all Americans The National Center on Child Abuse and Neglect enough money to attend college if they performed public recorded a 3.7% increase in abuse from 1990 to 1991. A service for a few years in return. The bill Congress passed Philadelphia Inquirer headline noted that the transition from will help about 100,000 students over three years with diapers is hazardous to the young. Toilet training is a tuition grants up to $9,500 plus subsistence wages. In frustrating time for parents and expectations are often exchange the students will serve for two years in schools, unreasonable, resulting in child abuse. Increases in child hospitals, playgrounds, or anywhere else that participating abuse and child poverty have driven the nation's social well- local governments and nonprofit institutions can put them to being to its lowest point in two decades. good use. 3) In an effort to keep families intact, the family preservation program sponsored by Donna Shalala, Secretary of Health, would have $1.3 billion over the next five years. This money will pay for intensive counseling and therapy for children and their parents, either when a child is on the verge of being removed from his or her home,or when a child in temporary foster care is about to be returned home. 4) The Clinton Administration is implementing its comprehensive Childhood Vaccination Initiative. The goal of the Initiative is to fully immunize every child by the age

Reminder Notice — Call for Papers Psychoanalytic books and libraries needed Doctors Jules Glenn and Arden Rothstein of the Psychoanalytic Institute, New York University

Medical Center, are editing a case book of Dr. Moisy Shopper notes that many of our colleagues in other parts of the world would be most grateful for psychoanalytic patients with donations of books or collections of books which have learning disabilities been unavailable to them for political and economic (adults, children, and adolescents). reasons. If you have such a case and would be interested in He suggests that Members who are interested in this contributing to the volume, please contact contact him or Lilo Plaschkes, Chair, Dr. Glenn at (516) 482-6302 or Committee to Coordinate Assistance to Child Analysis Dr. Rothstein at (212) 496-0808. in Eastern European Countries

8 Association for Child Psychoanalysis Newsletter February, 1994

25TH ANNUAL MARGARET S. MAHLER SYMPOSIUM ON CHILD DEVELOPMENT

THE ORIGINS OF HATRED

Saturday, April 30, 1994, 8:00 AM to 4:30 PM ADAM'S MARK Philadelphia City Avenue & Monument Road, Philadelphia, PA 19131

Co-sponsored by The Philadelphia Psychoanalytic Institute and Society and The Department of Psychiatry and Human Behavior, Jefferson Medical College, Thomas Jefferson University

PROGRAM

8:00 REGISTRATION - Continental Breakfast Salman Akhtar, M.D., Philadelphia Professor of Psychiatry, Jefferson Medical College; 8:30 INTRODUCTIONS Training and Supervising Analyst, Philadelphia Psychoanalytic Institute TROY L. THOMPSON II, M.D. The Daniel Lieberman Professor and Chair, Department 11:20 DISCUSSION - by panelists and guests of Psychiatry and Human Behavior, Jefferson Medical College; Faculty, Philadelphia Psychoanalytic Institute 12:00 LUNCHEON

NEWELL FISCHER, M.D. 1:30 ON THE ORIGIN AND EVOLUTION Executive Director and Training and Supervising OF A SPECIES OF HATE: Analyst, Philadelphia Psychoanalytic Institute; A CLINICAL-LITERARY EXCURSION Clinical Professor of Psychiatry,

University of Pennsylvania School of Medicine FRED PINE, Ph.D.

Professor, Department of Psychiatry (Psychology), SELMA KRAMER, M.D. - Moderator Albert Einstein College of Medicine, New York Professor of Psychiatry, Department of Psychiatry and

Human Behavior, Jefferson Medical College; 2:20 DISCUSSANT Training and Supervising Analyst,

Philadelphia Psychoanalytic Institute Dorothy E. Holmes, Ph.D.

Associate Professor, Department of Psychiatry, Howard 9:00 SANCTIFIED AGGRESSION AND University Hospital; Training and Supervising Analyst, SUPEREGO ALTERATION Baltimore-Washington Institute for Psychoanalysis

HAROLD P. BLUM, M.D. 2:40 GENERAL DISCUSSANT Clinical Professor of Psychiatry, New York University School of Medicine; Peter B. Neubauer, M.D. Executive Director, Sigmund Freud Archives Clinical Professor of Psychiatry, New York University Editor, The Psychoanalytic Study of the Child 9:50 DISCUSSANT, Henri Parens, M.D. Professor of Psychiatry, Jefferson Medical College; 3:15 DISCUSSION - by panelists, guests, and Training and Supervising Analyst, Philadelphia audience Psychoanalytic Institute For information contact 10:10 HATRED AS A CORE AFFECT OF Ms. Maryann Nevin AGGRESSION Thomas Jefferson University Department of Psychiatry 1201 Chestnut Street, 14th Floor Philadelphia, Pennsylvania 19107 USA OTTO F. KERNBERG, M.D. (215) 955-8420 Associate Chairman and Medical Director, New York Hospital - Cornell Medical Center (Westchester Division) 11:00 DISCUSSANT

9 Association for Child Psychoanalysis Newsletter February, 1994

Calendar of Events

March 18-20, 1994 University of California 29th Annual Meeting, Association for Child Psychoanalysis San Francisco, California 94143-0742 USA Working with the Families of Children and Adolescents in (415) 476-5808 FAX: (415) 476-0318 Psychoanalysis ANA Hotel September 16-17, 1994 Washington, DC International Society for Adolescent Psychiatry For information contact Adolescence and Suicide: Beyond Epidemiology — Therapeutic Mrs. Rachel May, Executive Secretary, ACP Perspectives P.O. Box 366 Geneva, SWITZERLAND Great Falls, Virginia 22066 USA For information contact (703) 759-6698 FAX: (703) 759-6783 Ms. Christiane Bowen Unite de Psychiatrie de l’Adolescence March 18-19, 1994 P.O.B. 50 4th International Psychoanalytic Association Conference on 1211 Geneva 8 SWITZERLAND Psychoanalytic Research 011-41-22 327-43-15 FAX 011-41-22 781-46-97 Clinical Applications of Current Research in Borderline Disorders University College September 23-25, 1994 For information contact West Coast Child Analytic Meetings Conference Secretary, Psychoanalysis Unit La Jolla, California Psychology Department, University College For information contact Gower Street Calvin Colarusso, M.D. London WC1 6BT ENGLAND 1020 Prospect Street, S-415A FAX 011-44-71 289-4800 La Jolla, California 92037 USA (619) 454-2473 April 30, 1994 25th Annual Margaret S. Mahler Symposium on Child Development June 22-24, 1995 The Origins of Hatred Fourth Congress, International Society for Adolescent Psychiatry Adam’s Mark Philadelphia Trauma in Adolescence Philadelphia, Pennsylvania Rome, ITALY For information contact For information contact Ms. Maryann Nevin Joseph D. Noshpitz, M.D. Thomas Jefferson University Department of Psychiatry 3141 34th Street, NW 1201 Chestnut Street, 14th Floor Washington, DC USA Philadelphia, Pennsylvania 19107 USA or (215) 955-8420 Prof. Adriano Giannotti via dei Sabelli 108 June, 1994 00185 Roma ITALY Regional Congress, World Association for Infant Mental Health (WAIMH) July 25-28, 1996 Riga, LATVIA Sixth World Congress, World Association for Infant Mental Health For information contact Early Intervention and Infant Research: Evaluating Outcomes Dr. Kaspar Tuters Lahti, FINLAND 315 Avenue Road, Suite #9 For information contact Toronto, Ontario M4V 2H2 CANADA Helsinki University Development Services, Ltd. (416) 964-6777 FAX (416) 928-0870 WAIMH Congress 1996 Hollolankatu 2 June 2-5, 1994 SF-15110 Lahti FINLAND 9th Biennial International Conference for Infant Studies 011-358-18 892-514 FAX 011-358-18 892-524 International Society for Infant Studies Paris, FRANCE For information contact Dr. Henriette Bloch Future ACP Meetings Laboratoir de Psycho-Biologie du Développement

EPHE-CNRS U.R.A. 315 41, rue Gay-Lussac 1995 Annual Meeting — April 7 - 9 — Toronto, CANADA 7500 Paris FRANCE 011-33-1 43-26-06-13 FAX 011-33-1 43-26-88-16 1996 Annual Meeting — March 29 - 31 — MEXICO

July 24-28, 1994 For information contact 13th International Congress, International Association for Child and Mrs. Rachel May, Executive Secretary, ACP Adolescent Psychiatry and Allied Professions P.O. Box 366 Violence and vulnerability Great Falls, Virginia 22066 USA San Francisco, California (703) 759-6698 FAX: (703) 759-6783 For information contact Office of Continuing Medical Education Room LS-105, Box 0742

10 Association for Child Psychoanalysis Newsletter February, 1994

The Association for Child Psychoanalysis Twenty-ninth Annual Meeting March 18 - 20, 1994, ANA Hotel, Washington, DC

“Working with the Families of Children and Adolescents in Psychoanalysis”

Friday, March 18, 1994 7:30 - 8:30 AM Meeting of the MEMBERSHIP COMMITTEE 8:30-11:30 AM OPEN DISCUSSION FOR ACP MEMBERS , (continental breakfast) sponsored by the Executive Committee (continental breakfast) 7:30 - 8:30 AM BREAKFAST WORKSHOP “Building a Child Analytic Practice.” Participants: Martin Silverman, M.D., Paula 12:00-3:30 PM Luncheon Meeting of the EXECUTIVE Atkeson, D.S.W., and Charles Parks, Ph.D. COMMITTEE 8:30 - 12:30 PLENARY SESSION: Three Clinical Presentations From 12:00 PM REGISTRATION (Tea & coffee available after 3 Moderator: Samuel Weiss, M.D. PM) Presenters: Sergio Delgado, M.D., Gladys Jones-Cuellar, M.A., M. Sc., Stephanie Smith, L.C.S.W. Discussants: Erna Furman, Stanley Greenspan, M.D., Alan Gurwitt, 4:00 - 6:00 PM WORKSHOPS (Choice of 4) M.D. Reporter: Ira Dossevitz, M.D A. Vulnerable Child "The Development of Narcissism: Summary of a Long-Term 10:30 AM COFFEE BREAK Philadelphia-Area Study Group" Chair: Theodore Cohen, M.D. 12:30 - 4:00 PM Lunch on your own & afternoon at leisure Presenters: Herman Staples, M.D., Isaiah A. Share, M.D., Shirley Tour of Holocaust Museum Rashkis, M.D., Bertram Ruttenberg, M.D., M. Hossein Etezady, M.D. 4:00 - 6:00 PM DISCUSSION GROUPS (Alphabetical Discussant: Leon Hoffman, M.D. assignments). Group Leaders: 1. Howard Benensohn, M.D.; 2. Coordinator/Reporter: M. Hossein Etezady, M.D. Kerry Kelly Novick; 3. Judith Chused, M.D.; 4. Arthur Rosenbaum, M.D.; 5. Joseph Bierman, M.D. B. Workshop on Applied Child Analysis "The Child Analyst, the Child, and the Law -- Involvement in 6:30 PM COCKTAIL RECEPTION at ANA HOTEL Forensic Work" No charge, except cash bar. Dinner on your own -- annotated Chairs and Presenters: Robert Galatzer-levy, M.D. and Moisy restaurant list provided in Registration packet Shopper, M.D. Reporter: Randi Finger, Ph.D. Sunday, March 20, 1994

C. Workshop on a Basic Clinical & Theoretical Issue 7:30 - 9:00 AM Breakfast Meeting of the PROGRAM " Forbidden Topics -- Child Analysis and the Biology of Behavior COMMITTEE Chairs: Carla Elliott Neely, Ph.D. and Samuel Wagonfeld, M.D. Presenters: Jill Miller, M.S.W., Ph.D., and Samuel Wagonfeld, M.D. 9:00 - 10:00 AM ANNUAL BUSINESS MEETING OF THE ACP Discussant: Martin A. Silverman, M.D. (Members only) Reporter: Joseph Silvio, M.D. 10:00 AM D. Workshop on Applied Child Analysis Marianne Kris Memorial Award and Lecture "Child Analytic Outreach into the Community: Consultation in ROBERT FURMAN, M.D. Nursery Schools" “Some Aspects of the Analyst-Analysand Relationship” Chairs and Presenters: Roy Aruffo, M.D., Arthur Farley, M.D., Penelope Hooks, M.D. 12:00 Noon Adjournment Discussant: Donald Rosenblitt, M.D. Reporter: Aimee Nover, D.S.W. This program is directed at child and adolescent psychoanalysts. The educational objectives are to study the psychoanalytic process as it E. President's Workshop arises and develops during the course of working with the families of “Child Analysis: The Mental Health Needs of Children and the children and adolescents in psychoanalysis. The Association for Child National Health Plan” Psychoanalysis is accredited by the Accreditation Council for Chair: Peter Blos, Jr., M.D. Continuing Medical Education to sponsor medical education for Reporter: James Hutchinson, M.D. physicians.Full attendance will earn 10 credit hours in Category I of the Physician's Recognition Award of the American Medical Association. The ACP is approved by the American Psychological Association to offer Continuing Education for psychologists. The APA approved 6:30 PM COCKTAILS AND DINNER -- ANA HOTEL sponsor maintains responsibility for the program. Dinner $60/person, cash bar. Registration and social event fees may be refunded (less a 10% Speaker to be announced. administrative fee) for cancellation prior to March 7. For special circumstances beyond that, please contact the ACP Executive Secretary. Saturday, March 19, 1994

11 Association for Child Psychoanalysis Newsletter February, 1994

MINUTES of the EXECUTIVE COMMITTEE MEETING Friday, December 17, 1993 Waldorf Astoria Hotel New York, New York

PRESENT: Peter Blos, Jr., M.D., President; Kerry Kelly Novick, Secretary; Samuel Weiss, M.D., Treasurer; Moisy Shopper, M.D., New candidate members President-Elect; D. Cliff Wilkerson, M.D., Secretary-Elect; Thomas F. Boston Psychoanalytic Institute Barrett, Ph.D.; Sylvia Brody, Ph.D.; Leon Hoffman, M.D.; Eva Landauer, Rona Knight, M.D. Julio Morales, M.D.; Stephanie Smith, L.C.S.W.; Herman Staples, M.D.; Los Angeles Psychoanalytic Institute Lilo Plaschkes, M.S.W.; Robert Furman, M.D.; Martin Silverman, M.D.; Mark Salib, M.D. Robert D. Gillman, M.D.; Robert Galatzer-Levy, M.D.; Julio Morales, M. Chicago Institute for Psychoanalysis D.; Nancy Hall, Acting Executive Secretary. Charles Fox, M.D. Mark Smaller, D.S.W. WELCOME AND REPORT OF THE PRESIDENT Philadelphia Psychoanalytic Institute Alan A. Mark, D.O. President Peter Blos, Jr., M.D. welcomed everyone and announced Houston/Galveston Psychoanalytic Institute changes within the Executive Committee. The Program Committee will be Alan Davis, M.D. co-chaired by Laurie Levinson, Ph.D. and Janet Szydlo. Abstracts, edited Steven Tew, M.D. by Kent Hart, M.D., will now be published in the Newsletter, edited by Guy Patterson, M.D. Paul Brinich, Ph.D. Penny Hooks, M.D.

MINUTES REPORT OF THE EXECUTIVE SECRETARY submitted by Rachel May It was moved and seconded to accept the minutes from the previous Executive Committee Meeting, held April 2, 1993 in San Antonio, Texas. Since my last report at the San Antonio meeting, this office has been quite busy. The current President, Peter Blos, Jr., M.D. and Secretary Kerry REPORT OF THE SECRETARY Kelly Novick, are in frequent touch about all facets of ACP functioning. submitted by Kerry Kelly Novick The San Antonio meeting seemed to be quite successful. Apparently, everyone attending found useful information, and felt good about what they ACP Membership: Current Status put into and got out of the meetings. I am now planning for the 1994 Annual Meeting in Washington, D.C. (my backyard), working with Voting members 508 (421 US, 86 International) Herman Staples, M.D. (Chair-Arrangements), Martin Silverman, M.D. Candidate members 69 (67 US, 2 International) (Chair-Program Committee), and the various other committee chairs, the Friend 1 hotel and catering, and hosts of others. Total Membership 579 The registration mailings need to go out in the first week of January, especially since the annual meeting has been moved to the earlier week in Interesting statistics regarding international membership: March. Australia (1), Austria (3), Canada (5), Denmark (1), England (34), I have worked closely with Samuel Weiss, M.D., Treasurer, in Finland (5), France (4), Germany (9), Italy (3), Israel (1), Mexico (3), managing the finances of the ACP. The number of accounts have been Norway (1), Sweden 91), Switzerland (4), The Netherlands (13), West consolidated. The bookkeeping is detailed, and closely follows income Indies (1). from dues, cash flow for expenses, and investments. These tasks are still being done manually. I am currently exploring software (programmed for Interesting to note: 24% of total membership is 70+ years and are association and meeting management), and want to put together the right exempt from paying dues. (118 US/70+ 22 International/70+). package. I am looking at computer hardware, too. This expenditure has been budgeted for, and explored (I'm getting a Gateway with Microsoft Membership Changes Since the Last Report Works, and modem). But, it seems my old reliable computer (so fully (4/2/93 — San Antonio, Texas) depreciated, it's like an old jalopy) is running just fine, although could go anytime in a big way. Deceased The new newsletter looks terrific. Paul Brinich, Ph.D., Editor, does Rodman Gilder, M.D. (Scarsdale, NY) such a great job with his computer in putting together the newsletter. I Dr. Martin James (London, England) would support his purchase of the printer he recommends. It would greatly enhance the sharpness (and readability) of the publication. It also continues New members to save high typesetting costs by providing camera-ready copy. Cynthia Carlson (London, England) Maintaining accurate mailing lists of the total membership is an Dr. William Heuves (The Netherlands) ongoing task. Mailing lists/labels are also maintained for candidates-in- Dr. Marianne Idinger (Vienna, Austria) training at the various institutes, and for a general list of non-members. Mrs. Ulrike Schurig (Frankfurt, Germany) Mailing labels are available to committee chairpersons for various projects. Joel L. Schwartz (Dresher, PA) ACP also provides labels to other organizations (such as the American Werner H. Schimmelbusch (Seattle, WA) Psychoanalytic Association) for notification of meetings and such. Monica Baals-Garduhn (Zurich, Switzerland) In working with Robert Furman, M.D., Chair-Membership, and Jules Dr. Luis Rodriguez de la Sierra (London, England) Glenn, M.D., Chair-Nominating Committee, the officer and councillor Allen J. Palmer, M.D. (Newton Highlands, MA) election ballots, the bylaw revision ballots will be mailed in early January. Calvern Narcisi, M.D. (Denver, CO) The voting results will be collected, tabulated, and announced at the Annual Rex McGhee, M.D. (Denver, CO) Meeting in March. A list of nominees for membership was circulated to the Sergio Delgado, M.D. (Topeka, KS) voting membership by mail. A new group of members and candidate Mary Davis, M.D. (Victoria, TX) members is being welcomed through correspondence, and new member James Herzog, M.D. (Newton Centre, MA) packets (including the roster and newsletter) will be sent out. Carlos Estrada, M.D. (Corpus Christi, TX) I will be working with Julio Morales, M.D., Chair-CME/CE Ben Kohn, M.D. (Beverly Hills, CA) Committee, reviewing the accreditation schedule, procedures, fee Aimee R. Nover, D.S.W. (Silver Spring, MD) payments, and following the activities of the study groups. He and I will be Judith M. Chertoff, M.D. (Kensington, MD) preparing the CME forms for the Annual Meeting in compliance with the Robert J. Berlin, M.D. (Larchmont, NY) proper guidelines. Gertie F. Bogels, M.D. (The Netherlands) (Continued on page 13)

12 Association for Child Psychoanalysis Newsletter February, 1994

Executive Committee Minutes, December 17, 1993

(Continued from page 12) secretarial, equipment, Executive Committee, etc. I never know from where the FAX cometh, in working with Lilo 5. European Financial Report Plaschkes, M.S.W., Chair-Committee to Coordinate Assistance for Child Analysis in Eastern European Countries. She is spreading the word of child analysis far and wide. And in cooperation with Paul Brinich, the newsletter is sent to a great many analysts all over Eastern Europe and the world. Grants Program This is my 10th report to this committee. I continue to enjoy working with the President and officers of the ACP. I am sorry that I cannot be there Nothing has been done this year to solicit funds or to solicit to deliver this report in person. But I know that you all welcome my Mom, applications for the Grants. The Grants Committee has been largely Nancy Hall, as the secretary. My son, Michael, is ill, as are the other two dormant. We need to decide what to do about that program, both in terms children, and myself with an awful sinus bug. Michael is doing admirably, of soliciting contributions as well as applications for grants. We do have a in spite of his handicaps. His medical needs have not increased, but they grant application from Cleveland, requesting $2000. And there may be one have not let up. It has been a difficult year. We are trying to stay well and from Seattle. We have about $2150 of monies earmarked for such awards. look forward to having all my family together for the holidays. And as I I've noticed that in 8 of the last 9 years, Cleveland has been granted a look toward 1994 and the Annual Meeting in March, I will enjoy planning stipend. This undoubtedly is a tribute to Cleveland's knowledge of the grant for a meeting that is in my backyard. program and the pursuit of such. But it creates a strange situation when Cleveland becomes our major and sometimes only grantee. Our program REPORT OF THE TREASURER has not been set up for Cleveland's sake in recent years and for the written report submitted by Samuel Weiss, M.D. Buxbaum Foundation in previous years. It may very well be that we are not properly circulating information to prospective applicants. This past year, Our Financial Assets in contrast, we had two additional grants, in addition to Cleveland and Seattle: Denver and Psa of NY. Charley Mangham has read and approved When I took office, I began to review our investment policy. We had the application from Cleveland. an Operating Fund whose objective was to preserve the assets and provide liquidity to conduct ongoing business. We also had an Endowment Fund Anna Freud Centre whose objective was investment for the purpose of generating growth and income, the income to be used to support the Anna Freud Center, to provide Although we have not, as an organization, helped to support the grants within our organization and, possibly, to support research. In 10 Centre since 1991, somewhere on the books is at least an implied years we dispensed $85,000. The philosophy of being a major support to commitment to do so. Since we are considering changing the rules of the Anna Freud Center primarily was generated during the presidency of membership, which does not accord the Anna Freud Centre a central role, Charles Mangham. At that time all of our funds were invested in various and which by implication opens the door to other groups, like the banking institutions in Seattle. Our earnings in our investments helped to Kleinians, should we make some kind of decision with regard to any support such undertakings. In recent years, our investment growth has commitment of a financial support of the Centre? shrunk and last year our assets actually declined. This required that we rethink what our realistic goals could be. Delinquent Dues We have made no contributions to the Anna Freud Centre since 1991. Our grants have now been generated from separate contributions There is a considerable amount of dues outstanding. Up to now, we made by the members. The money has not come from our general treasury. have had a laid-back attitude about it. Yet in a sense it is unfair to those of Upon the advice of Joel Mangham, a professional financial advisor us who pay, that we are carrying the non-payers. who is acting as our financial consultant for a fee of $1 per year (he also happens to be Charley's son), we deposited our funds this year into safer Senior Dues accounts where our primary aim was to preserve principal until such time that we decide what our financial goals are. Our monies have all been There have been preliminary discussions about the whole question of transferred to the Vanguard Group. Most of the money is in the Short Term having senior members (those over 70) pay some kind of dues, since that is Corporate Bond Portfolio; the remainder is in a Money Market Fund, which a segment of the membership that is growing. We can probably agree that provides immediate liquidity but does not generate much income. Joel is seniors who are retired need pay nothing. And since many seniors are prepared to help us with our investment objectives once we have decided gradually phasing out, it is hard to know how active a practice any senior on our goals. has. This poses a problem of asking the active seniors to pay full dues. Perhaps asking seniors to pay 50% dues might be reasonable. We might Financial Statement also offer the opportunity to ask for relief of such dues, if circumstances so indicate. Maybe all members should be asked to help defray cost of our We have made gains in our financial situation since the first of the mailings. year. Our Net Worth has increased 6.9% since Jan. 1, 1993. As of Oct. 31, 1993, it was $135,552.98. Our annual meeting costs were down about European Dues $10,000, printing costs were down about $8500. Dues were up by $5500. Clearly we need to ask at least for what our mailings and other Net Worth administrative expenses cost, which, at last estimate, is about $50 per year. We now have a better sense of what is in the English Treasury. But there 1987 $127,352 does seem to be some chaos in the bookkeeping, as to what members have 1988 $127,403 paid, haven't paid, how much each has paid. With Marianne Parsons’ 1989 $131,454 resignation, and also with her support, we will merge our treasuries into 1990 $137,116 one and have all dues sent to us in the US (attached is Kerry Kelly Novick's 1991 $134,379 report). 1992 $126,834 1993 $135,553 General Dues

See enclosures for details regarding: One thought is that we begin to bill members in December for the 1. ACP Chart of Accounts coming year. That would then come before other heavy billings (like the 2. Some Other Notes Comparing This Year with Last American, the Academy, etc.). It might also encourage tax-deductible 3. Anticipated Expenses to Year’s End contributions (to our Grants Program). Both of these could then be 4. A “departmental” comparison of costs, like printing and postage, (Continued on page 14)

13 Association for Child Psychoanalysis Newsletter February, 1994

Executive Committee Minutes, December 17, 1993

(Continued from page 13) Liabilities 0.00 deducted for 1993. It would also potentially give us more working capital. Fund Balance $135,552.93

Executive Committee Income 225,974.15 Expenses 217,733.06 It has been proposed that the Executive Committee either pay for its Fund Balance +8,718.58 luncheon meetings or at least help to defray the costs. For example, at the Waldorf it might be reasonable to ask $25 of each member attending (even Net Worth 126,834.35 (1/1/93) though the cost is considerably higher). Net Worth 135,552.98 (10/31/93) Report Regarding European Matters Officers’ Budget Our Secretary, Kerry Kelly Novick, while in London in late Fall, Some officers have been spending a fair amount of their own money met with Anne-Marie Sandler and Marianne Parsons to discuss overseas to serve us. Should we suggest some kind of budget for the president and dues, the European ACP Treasurer, our U.K. account, a potential VISA perhaps for other officers whose expenses are small but sometimes account, European mailings, and future ACP European professional frequent? We could provide a kitty of $1000 for the president, for example, meetings. (A complete report was submitted to the Executive Committee that he/she could draw on without having to account for every penny spent. and is available from the Executive Secretary upon request). It is onerous to have to keep track of minor outlays. Up to now this has The following Dues Draft Resolution was developed and presented resulted in costs simply being absorbed by the individual officer. to the Executive Committee: Regular dues, in the amount fixed by the Executive Booths Committee, are payable annually by all North American Members. Currently, these dues are $100 per annum. The We had been discussing additional fund raising by approaching Executive Committee will set a dues amount that covers the publishers, residential schools, etc., to see if they would like to have booths expenses of mailings and publications for Members in the rest at our annual meeting, for which they would pay. Our financial situation is of the world. Currently, dues of $50 per annum are proposed. actually pretty good right now and I don't see anything on the horizon to The Executive Committee will be responsible for reviewing make that change. these amounts periodically. Dues are determined by geographic location and by Annual Meeting membership category. Voting rights are vested only in Regular Members and are not affected by geography or by the From a financial standpoint, it might be useful to keep in mind that amount of dues charged. some cities draw well and help us financially; others don't and therefore are Individual special requests for changes in dues amount, costly. This might be something we might want to consider when we dues deferment or temporary suspension of dues will be sent schedule our meeting. to the President and Treasurer for action and reported on at the next meeting of the Executive Committee. Discussion This resolution was voted on favorably.

A discussion was held on financial planning with particular REPORT OF THE GRANTS COMMITTEE reference to the major question of where money should be spent. Further submitted by Samuel Weiss, M.D. discussion was tabled until the March meeting in Washington, D.C. The matter of delinquent dues was discussed. As per the vote taken Samuel Weiss, M.D., Chair, presented a proposal for renewal of a at the last meeting in April, 1993, in San Antonio, Texas, those members grant to the Cleveland Center for Research in Child Development in the who have not paid their dues for three years would receive a letter stating amount of $1,000. The motion was favorable. such from the President and Treasurer. If no dues were forthcoming, the member would be dropped from the Association. REPORT OF THE MEMBERSHIP COMMITTEE Much discussion centered on “senior” dues as there are many submitted by Robert Furman, M.D. members over 70 years. of age who are exempt from dues at the present. A resolution was moved and passed: Dues will be assessed at 50% after age Chair Robert Furman, M.D., began his report with a full listing of 70; and voluntary after age 75. Anyone finding this a hard-ship may write a the members of his committee: Peter Blos and Moisy Shopper as ex-officio letter in confidence to the President requesting exemption. members; Ruth Hall, Anne Hurry, Jack Novick, Kerry Kelly Novick, Ava In order to defray costs each member attending the luncheon paid Bry Penman, Lilo Plaschkes, Heiman van Dam, and D. Clifton Wilkerson. $20 toward the meal. Since the San Antonio meeting this committee's primary effort has been A proposal was recommended that a sum of $1,000 be allocated to directed towards recommendations for Bylaw Revisions, and in this task the incoming President for expenses incurred during the year. The vote was almost every member of the Committee has made important contributions. favorable. The proposed bylaw changes were approved by the Executive Committee A proposal was made to give $500 toward the January 29-30, 1994 and will be sent to the Regular Members for a mail ballot. The two Bylaw conference co-sponsored by the ACP and by Section II (Children and Revisions address separate issues: Standard sponsorship procedures for all Adolescents) of the American Psychological Association’s Division 39 Regular Members and creation of the new membership category of (Psychoanalysis). This motion was approved. “Colleague of the Association”. The matter of having booths at the annual meeting was discussed. It A “Guideline for Sponsors” has also been prepared and is available was decided that an announcement would be made in the Newsletter to sponsors to help them with the nomination process. offering to display books written by members. All risks would be assumed (Since the Bylaw Revisions and accompanying statements have been by the member/author. Booth displays would be limited to members only. mailed to the membership together with a ballot they will not be A detailed financial report of the ACP as of 10/31/93 was distributed reproduced here. A copy may be obtained by writing to the Executive to the committee members at the meeting. The Chart of Accounts outlined Secretary.) the assets, liabilities, income, expenses and net worth. The totals in each Dr. Furman then reported on the new names which have been category are listed below: cleared by the Committee and which should be circulating now to the Membership at Large. There are 11 individuals awaiting approval as Year-to-Date Financial Summary of the A.C.P. Candidate members.

Assets $135,552.93 (Continued on page 15)

14 Association for Child Psychoanalysis Newsletter February, 1994

Executive Committee Minutes, December 17, 1993

(Continued from page 14) Editor, approved the request of the Committee to establish a column to REPORT OF THE PROGRAM COMMITTEE report on the status of child analysis in different parts of the country and submitted by Martin Silverman, M.D. Europe, as well as of the activities of the different child analytic study groups. The first such article reports on the status of child analysis in Chair Martin Silverman, M.D., reported that the theme of the March, Europe and Scandinavia. This information was gathered from child analysts 1994 Annual Scientific Meeting will be “Working with Families of attending the 38th International Psychoanalytic Congress in Amsterdam, Children and Adolescents in Analysis.” Workshops will be conducted on 25-30 July, 1993. The committee is supporting the efforts of Dr. JoAnn The Vulnerable Child, Applied Child Analysis, and Basic Clinical and Fineman to develop a new multi-disciplinary study group in Albuquerque. Theoretical Issues. Robert Furman will be the Marianne Kris Lecturer. The ACP will be providing CME credit. Necessary steps are being taken to Dr. Blos thanked Dr. Silverman for his leadership of this committee. secure CME/CE credit for our annual meeting. During his tenure he led the Program Committee in developing six superb annual scientific programs. Blos announced that Laurie Levinson, Ph.D. of New York and Mrs. Janet Szydlo of Mexico City have agreed to take over as Co-Chairs of this Committee. A new Committee is being assembled to REPORT OF THE COMMITTEE TO COORDINATE ASSISTANCE help them. TO CHILD ANALYSIS IN EASTERN EUROPEAN Katherine Rees sent in a report about the January 29, 1994 COUNTRIES conference co-sponsored by the ACP and by Section II (Children and submitted by Lilo Plaschkes, M.S.W., Chair Adolescents) of the American Psychological Association’s Division 39 (Psychoanalysis). She and Dr. Silverman are the co-chairs of this At the Amsterdam Congress in July 1993 we held an open meeting conference. The theme of the conference will be “On the Nature of Change: for child analysts from Eastern European countries. The meeting was Child Analytic Patients Who Return to Treatment as Adults.” The aim of chaired by Peter Blos, Jr., and was attended by President-elect Moisy the conference is to promote psychoanalysis and collaboration with other Shopper, Robert and Erna Furman, Lilka Croydon, and myself as ACP disciplines. It will be held at Teachers College of Columbia University, in representatives. Also participating were Mrs. Han Groen-Prakken from New York. Amsterdam, Dr. John Kafka from the United States, and Dr. Alexander Moser from Switzerland. Twenty-two people attended, representing REPORT OF THE ARRANGEMENTS COMMITTEE Poland, Bulgaria, Canada, the Czech Republic, Germany, Hungary, submitted by Herman Staples, M.D. Lithuania, Rumania, the Netherlands, Russia, Switzerland, and the United States. Herman Staples, M.D., Chair, reported on the plans for the Annual There was lively discussion and information about programs and Meeting to be held from March 18-20, 1994 in Washington, D.C. A activities in different countries was expressed and shared. The banquet will be held at the ANA Hotel on Friday night. Arrangements are Psychoanalytic Bulletin, an English-language bulletin issued in Rumania being made to visit the new Holocaust Museum. by the Rumanian Psychoanalytic Society in Bucharest, was given to us. The 13th International Congress of Infant, Child, and Adolescent From the Center for Child Therapy in Poland some of the training and work Psychiatry and Allied Professions will be held in San Francisco from July being done was also given to us in a printed paper. Dr. Kaspar Tuters 24-28, 1994. The theme is “Violence and Vulnerability.” The ACP is co- informed us of a conference to be held in Latvia in June 1994: “Adaptive sponsoring a half-day panel chaired by Stephanie Smith. Changes to Infant and Child Care in a Rapidly Changing Social, Political, A report was given on the ACP-sponsored reception at the July, and Economic System--which Models apply best.” I received letters from 1993 IPA Congress in Amsterdam. The cost was only $1100 and served to several people who regretted that they were unable to attend: Mrs. Nina promote the visibility of the ACP and to foster good relations. Asanova from Moscow sent a message and a paper which she had wanted to share at this meeting; Dr. Terttu Eskelinen de Folch, the President of the REPORT OF THE NOMINATING COMMITTEE European Psychoanalytic Federation, from Barcelona, Spain, wrote of her submitted by Jules Glenn, M.D. interest and support; Helena Klimova from the Czech Republic wrote stating her interests; Dr. H. Kits van Heijingen told me of his task of Jules Glenn, M.D., Chair, reported that the Nominating Committee dealing with books for the IPA in Amsterdam. finalized its business via telephone conference call. On behalf of the committee the following slate is presented for ballot in January. Outcome of the Meeting

For President-Elect / Secretary-Elect At the actual meeting, there was a discussion of interchanges Erna Furman / Thomas F. Barrett, Ph.D. between different countries and assistance amongst themselves. For Theodore Jacobs, M.D. / Judith Chused, M.D. example, Hungary — which has some fairly well-established programs — offered to work with other countries. This will be developed further. The For Treasurer most practical plan is detailed in Dr. Blos' presidential message. This plan Samuel Weiss, M.D. seems to be useful to other countries and feasible for the ACP and its members to carry out. Briefly, the individuals or groups would prepare For Councillor (vote for 3) written case materials which they would exchange with members in the Maurice Apprey, Ph.D. United States; this would become the basis for shared discussions, Roy Aruffo, M.D. comments, suggested readings, and informal supervisory processes. It was Antoine (Toni) Hani, M.D. hoped that in this way individuals would develop written, but also personal Anne Hurry, M.A. relationships which might then be followed by visits to the respective Randi Markowitz, M.Sc. countries. It would also address the much-requested need for continuity in Jill Miller, M.S.W., Ph.D. working with the same people or groups of people.

A mail ballot with mini-biographies of the candidates will be sent to Later in Cologne I met Dr. Ludwig Haesler, a newly elected all the Regular Members for voting. The results will be announced at the executive of the IPA, who had heard of our meeting and expressed Annual Meeting. particular interest in the work of assistance in developing training in child analysis, his particular interest being eastern Germany. Dr. Eva Berberish of Heidelberg, Germany also attended the meeting in Amsterdam; she also REPORT ON THE COMMITTEE OF CME/CE/STUDY GROUPS: expressed interest in the work of the ACP when I met with her again in submitted by Julio Morales, M.D. Cologne.

Chairman Julio Morales, M.D. reports that Paul Brinich, Newsletter (Continued on page 16)

15 Association for Child Psychoanalysis Newsletter February, 1994

Executive Committee Minutes, December 17, 1993

(Continued from page 15) between the European countries. It is very exciting to see the enthusiasm Mrs. Lydia Tischler has been very active in her executive functions and the eagerness to know, to learn, and to share ideas. In looking at the with the European Psychoanalytic Federation. She and I were unable to materials and in our discussions it becomes clear that there is much work meet in Amsterdam, but I did meet her recently in London. We had a being done with children, infants, and families; and there is cognizance of lengthy discussion about problems regarding the coordination of training the need for staff training. As we know, this is the basic work which builds between analytic institutes or organizations, such as the ACP, and the a true foundation in developing child analytic knowledge into training psychoanalytically trained child psychotherapists or psychoanalysts in programs and their expansions. I feel it is important to validate these as England. I learned that child psychotherapists who work in England for the there has been some expression of the feeling that child analysis is an National Health Service have to qualify in a formal training in child unreachable or too difficult task. And for those it could lead to a hollow psychoanalytic psychotherapy. The training schools recognized by the status symbol compliance which would defeat the pervasive genuine Association for Child Psychotherapists are the Anna Freud Centre, the interest in work by everyone in this area. Society of Analytical Psychology, the Tavistock Clinic, the British Association of Psychotherapists, the Scottish Institute of Human Relations, In Addition and the Birmingham Trust for Psychoanalytic Psychotherapy. The Association of Child Psychotherapists plays a role in the guidance and In looking through some papers by chance I found the International acceptance of training programs, hence their influence in programs in Psychoanalytic Association report of the Committee to Study the Problems Eastern European countries. They are sought for guidance in setting up of Training in Child Analysis from 1971. Papers were presented by Anna training criteria and programs. The Association of Child Psychotherapists Freud, Rene Diatakine, and Hanna Segal at the European Conference in organizes lectures, conferences, and publishes the Journal of Child Child Analysis, June, 1970. Dr. Ballan held informal meetings in Geneva Psychotherapy and a monthly Bulletin for its members. Mrs. Tischler felt with participants of the conference at which he gathered their views, that the Journal and Bulletin as well as our Newsletter would be a means of opinions, and experiences concerning training in child analysis. One cross fertilization of ideas and programs which could be available to sentence from the section on psychoanalytic training and education is: members or those interested from Eastern European countries. I spoke “With regard to adult training, the most desirable experience would be the about this with Paul Brinich, since he already had some material in this actual analysis of children. Other ways of filling the gap would be direction in the current newsletter. He felt these were ideas that could be participation in clinical seminars where child analytical material is developed and suggested that they should be discussed at the Executive presented and observation of children in other settings, such as baby Committee meeting of the ACP in December 1993. clinics, nursery schools, and family life.” Lilo Plaschkes also reported that the ACP Newsletter was sent to Books Dr. Hein Kits van Heijingen of the Central East European participants in over 20 countries. Library Service, which is located in Amsterdam, informed me that periodically $750 is available for shipment of books to eastern European REPORT ON THE NEWSLETTER countries. The procedure and process is not very clear. Sometimes the IPA submitted by Paul Brinich, Ph.D., Editor gives some money; the Czech Psychoanalytic Society made some funds available for a recent shipment of books from New York to Prague. The The second issue of the Newsletter to be produced on a desktop American and Czech Education Fund in Princeton, New Jersey has a list of publishing system -- and the first to be produced on the computer books that are of interest, in order of their priority. I do have this list. There purchased this past July by the Association -- went into the mails on is some interest in books in the subject area of: medicine, monographs November 2nd. It was sent via third class mail to all US addresses; via first (preferably not more than 5 years old), journals (whole runs whenever class mail to other North American addresses; and via air mail to all possible), health and environment, sociology, education (which includes addresses outside of North America and the UK. The UK newsletters were educational psychology for elementary and secondary school teachers), and sent, pre-addressed, in a packet to Marianne Parsons at the Anna Freud educational research. The other subject areas do not seem to apply to us Centre. She was to use some of our UK ACP funds to pay for surface except possibly publications and recent encyclopedias, both general and postage there. specialized. The contact in Princeton is Marcella Kremlicka (609-497- I have had various reports regarding the speed of delivery of the 2955). My impression is that one could also get in touch with some of the Newsletter and I would very much like to hear when members received people from different countries who attended our meetings. They might be their copies. Most of the people I have heard from received their interested and helpful; they would know which books are of interest, how newsletters in a week or ten days; but Peter Blos still had not received his to direct them, and they may know about possible funding. copy more than three weeks later. The reason we are experimenting with third class mailing is cost; a I have copies (and can make copies available) of the following: 28-page issue weighs in at 2.4 ounces and we can mail up to 3.3 ounces for 1. A Letter to Dr. Peter Blos, Jr. in response to the meeting in $0.233 via third class. The same issue costs $0.75 via first class mail. We Amsterdam from Rimvydas Augis in Finland. The Finns are working with were able to hold our total mailing costs for the October issue below $450, groups in Lithuania and he gives particulars of their work, the number of less than half of what the March issue cost. What we don't yet know is adult analysts in training, and child psychotherapists. whether the reduced expense is at the price of greatly-reduced service. 2. Katarzyna Walewska, a psychoanalyst from Warsaw, Poland and Production costs have remained stable; these came in at $855 for the materials from the Center of Child Therapy in Environment giving details October issue. This charge included a new feature; we had the pages of their work, their seminars, their staff, their training programs, and some stapled along the spine. of their activities. The overall cost of production of the Newsletter depends on how 3. The Psychoanalytical Bulletin, No. 1 (1993), edited in English by much of the cost of the production equipment we include for each issue. If the Rumanian Psychoanalytical Society in Bucharest. we depreciate the new computer over three years this adds a bit less than 4. The report of the child and staff development program, a $900 per year to the straight production and mailing costs listed above. psychoanalytically-oriented project by Nina K. Asanova in Moscow which [There are also some relatively minor supplies needed, but these run less deals with early child development, institutions, group care of infants, and than $50 per year.] I think the following breakdown of costs is pretty teaching done systematically to staff in group homes and also orphanages, realistic: all training and activities based on analytically-oriented knowledge, attitudes, and professional skills. per issue per year Printing costs $855 $1710 Summary Depreciation of equipment 900 Miscellaneous supplies 50 I think we have some further clarity as to what existing functions and activities are taking place in the various different eastern European Total $2660 countries. There seems to be much more development of interchange (Continued on page 17)

16 Association for Child Psychoanalysis Newsletter February, 1994

Executive Committee Minutes, December 17, 1993

(Continued from page 16) the paper used to print the Newsletter. I have a certain sentimental attachment to the light blue shade; that attachment is reinforced by the local For this amount we now produce 1100 issues twice; this amounts to "Carolina blue" school colors. It is not a good medium, however, should we $1.21 per copy. wish to add scanned photographs to the Newsletter. If we want to include As noted above, mailing costs vary by class and by destination; photographs, we will have to print the Newsletter on white paper. Is this a some illustrations of what it costs to send the Newsletter via printed matter priority? From the editorial point of view, it would add variety and perhaps air mail rate follow: some visual interest; it would probably do nothing for the scientific value Europe $1.85 of the contents, however (unless a particular presentation depended upon Asia 2.21 visual materials to illustrate a point). Australia 2.27 My second and final query has to do with the quality of the printed output you currently find in the Newsletter. I have been printing the master I have been asked whether we might accept subscriptions for the copy on my Okidata LED printer, which gives us 300 dpi (dots per inch) Newsletter on a self-supporting basis. I think that an annual charge of $10 resolution. In my own opinion, this works well enough for the main body would cover our costs if we stick to a twice-yearly schedule. If we add a of the Newsletter, which is set in 10 point Times Roman type. I have been third issue — one devoted to abstracts from the annual meeting, for using 8 point Times Roman for the Minutes of the Executive Committee example — we would probably have to raise that charge to $15 per year. and of the Annual Meeting in order to keep this material from These remarks lead on to some other suggestions which I would like overwhelming the Newsletter. Unfortunately this is not always as legible as to raise for discussion. First, I think it would be worthwhile if we decided I would like. We could move up to a higher-resolution printer -- a Hewlett- to send a complimentary copy of the Newsletter to every component Packard laser printer which prints at 600 dpi (i.e., 4 times finer than the organization of the International Psychoanalytic Association. Ideally this Okidata) is available for about $1000 -- but if you think that the current would be directed either to a Society library or to an Institute. There are 12 print quality is acceptable, I am content to stick with the present such organizations in South America, 17 in Europe, 3 in the Middle & Far arrangements. [I am attaching a sample of 600 dpi output from the HP East, 1 in Australia, 4 Provisional Societies, and 4 Study Groups. Affiliate machine for your examination.] Societies here in the US number 35, with another 7 Study Groups. Finally I am happy to report that many ACP members have agreed to send we might also want to include the IPA central office, the Director of information regarding activities relevant to child analysis in their own Publications of the Federation of Psychoanalytic Societies of Latin geographical areas. Many correspondents have sent their materials on America, and the Editor of the Bulletin of the European Psychoanalytical floppy disks and a few via e-mail. This is a big help as it means that we Federation. This comes to 86 copies, about half of them directed abroad. need not re-type materials but can simply spend our time on formatting and My reason for making this suggestion is simply that the ACP is in a editing. privileged position from which it can help to increase communication I am also happy to report that the reduction in the cost of producing regarding child analysis world-wide. We have much to offer . . . but we the Newsletter which has followed upon our switch to desktop publishing may also have some things to learn as we develop links with colleagues in during 1993 has more than paid for the cost of the additional equipment South America, Eastern Europe, and elsewhere. The cost would come to needed. roughly $500 per year, using the production and mailing figures above as a I welcome questions and suggestions regarding the future of the rough guide. Newsletter. And I look forward to guidance from the Executive Committee I will follow with a second suggestion, building upon the efforts of on some of the questions I have posed. Peter Blos and Kent Hart to get the abstracts of our meetings into circulation quickly. I think that we could easily put together a summer issue REPORT ON THE COMMITTEE ON PUBLIC RELATIONS of the Newsletter devoted to these abstracts; members would have them in submitted by Robert Gillman, M.D. hand less than four months after the annual meeting. I think that the existence of a Newsletter deadline would act as a tonic, making it much On April 23, 1993 five child analysts, as part of the American easier than in times past to recruit reporters (since we could promise quick Psychoanalytic Association presentation to the Mental Health Working publication of their efforts). It would also give us some leverage with the Group of the White House Health Care Task Force, presented the case for reporters; their abstracts would be due a month or six weeks after the full coverage of intensive psychotherapy and psychoanalysis with children. meetings. The five members of our Association were Bob Gillman, June Greenspan- I have a question for the Executive Committee regarding the color of Margolis, Harold Kolansky, Al Solnit, and Alan Zients.

Avertissement Grant Applications

As most of you know, the ACP has dispensed monies in the form of grants since 1982. We have granted over $85,000 during this time period, both to the Anna Freud Centre and to other training institutions to help support clinical low-fee psychoanalysis. Our grants have been modest, usually $1,000 to $2,000 per grant per year, and they have required a matching grant from the training institution. Most training institutions surprisingly have not ever applied for such support. Either they don’t know about our program, or the candidates doing the low-fee analyses don’t know about it, or the training institution does not want to participate in matching grants. The result has been that a very few institutions have repeatedly appied for and been granted monies to support low-fee analyses by candidates. They know a good thing when they see it. This notice is to draw your attention to this aspect of the ACP’s activities. At the present time, we are relying on contributions from the membership to help fund these grants. In the past we used some of our investment earnings to do so. Those fell into a sad decline in recent years, and so we stopped drawing on our investment income for grant purposes. Our financial picture seems now to be improving again. We hope to generate a broader-based appeal to our Grants Program and to be able to fund additional worthy applications.

Application information and procedures may be obtained from Ms. Rachel May, our Executive Secretary, at P.O. Box 366, Great Falls, VA 22066 USA. (703) 759-6698 FAX (703) 759-6783

17 Association for Child Psychoanalysis Newsletter February, 1994

Some addresses of interest to ACP Members Book Notice

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The Child Psychotherapy Trust Zero to Three / 21 Maresfield Gardens London NW3 5SH ENGLAND National Center for Clinical Infant Programs 011-44-71 433-3867 FAX 011-44-71 433-1874 This volume, written and distributed with support The Children’s Defense Fund from the Ford Foundation, will help readers to understand 25 E Street, NW the meaning of violence for the very young child. It was Washington, DC 20001 USA written for parents, child care providers, teachers, police (202) 628-8787 officers, health care professionals, and others who work with families in violent environments. The publication The Cleveland Center for Research in Child presents research findings and case reports illustrating Development and Hanna Perkins School what is known about the impact of early experiences of 2084 Cornell Road violence on development. It suggests ways for adults to Cleveland, Ohio 44106 USA cope successfully with their own experiences of violence, (216) 421-7880 FAX (216) 421-7880 so they in turn can help very young children to master potentially devastating traumata. International Society for Adolescent Psychiatry Mary Staples, Executive Secretary For a copy send $4.95 plus $2.50 for postage and 24 Green Valley Road handling to Zero to Three Wallingford, Pennsylvania 19086 2000 14th Street North, Suite 380 USA Arlington, Virginia 22201-2500 USA (215) 566-1054 FAX (215) 566-2773 (703) 528-4300 FAX (703) 528-6848

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18 Association for Child Psychoanalysis Newsletter February, 1994

Book Notice

Psychoanalytic The Vulnerable Child Monograph Series Psychotherapy The Vulnerable Child, Volume 1

The Journal of the Association for Edited by Psychoanalytic Psychotherapy Theodore B. Cohen, M. Hossein Etezady, in the National Health Service and Bernard L. Pacella

The Vulnerable Child Discussion Group, chaired Sponsored by the British Psycho-Analytic since 1973 by Theodore B. Cohen, M.D., has been a Society, the Journal’s founding board consisted crucible for ideas on child development for over 20 of John Steiner, Ron Britton, Judith Trowell, Mike years. Not only intrapsychic issues, but the Sinason, and Joan Schachter. environmental ones of poverty, racism, family breakup, and poor health care have been tackled head-on as Now in its seventh volume, essential considerations for child analysts. the Journal is edited by Robin Anderson. The roster of presenters contains some of the most distinguished names in the field: Judith Wallerstein, Erna Contributors are psychoanalysts, child Furman, Sally Provence, Anne-Marie Sandler, Gerald psychotherapists, and psychoanalytically-trained Stechler, Sam Ritvo, Sylvia Brody, Jeanne Spurlock, adult psychotherapists. The journal is the leader Alex Burland, Stanley Cath, Jo Ann Fineman, and many in the field regarding the application of others. psychoanalytic ideas in the public domain. Approximately 300 pages / ISBN 0-8236-6755-3 / $38.50

Subscriptions are £30 (US$55) for organizations International Universities Press, Inc. or 59 Boston Post Road, Box 1524 £24 (US$45) for individuals. Madison, CT 06443-1524 1-800 835-3487 or FAX 1-203 245-0775

Addendum Maurits and Anny Katan Foundation

The following sentences were omitted from Julio Morales’ report on Child Analysis in Europe and Scandinavia which In January of this year the Maurits and Anny Katan appeared in the October 1993 issue of the Newsletter: Foundation was founded in Amsterdam. The objective of the Katan Foundation is to promote and initiate projects Anne-Marie Auestad, Cand. Med., reported that which contribute to the improvement or enhancement of there are four child analysts and four candidates in child psychoanalysis, especially in The Netherlands and child analysis in Norway. An association for continental Europe. psychoanalytic child psychotherapy was forned 3 The Foundation hopes to achieve this objective years ago. Recently the association has begun through organizing seminars and symposia at both training child psycho-therapists. undergraduate and post-graduate levels, as well as through producing scientific publications, such as a monograph in honor of Dr. Anny Katan, together with Dr. Robert Furman and Mrs. Erna Furman. Correction The first project the Foundation has begun is the organization of a summer course at the Amsterdam In the Biographical Sketches sent out with the 1994 ACP Summer University, together with the Amsterdam School Election ballots, Dr. Antoine Hani was listed as a Clinical of Social Research.. The first Summer University class is Associate Professor of Psychiatry at Children’s Hospital. scheduled for the Summer of 1995 and will be This was in error; his appointment is at Georgetown concentrated on the European Child Psychoanalytic University. Network. Prof. J. P. Teuns, Secretary Maurits and Anny Katan Foundation

19 Association for Child Psychoanalysis Newsletter February, 1994

A Message to All ACP Members From Mrs. Janet Shein Szydlo and Dr. Laurie Levinson Co-Chairs, ACP Program Committee

Dear Member, for us to know the expertise which each of you might bring to this topic, we would be especially grateful if any At the ACP’s Executive Committee meeting held Member who has thoughts, experiences, or papers on this this past December 17th in New York City our President, topic would please let us know of this as soon as Peter Blos Jr., appointed us to serve as joint Co-chairs of possible. the Program Committee. We very much look forward to We look forward to this joint venture and to an leading this committee and we will do our best to active, continuing dialogue with the ACP membership as continue Marty Silverman’s six-year-long tradition of we work to generate interesting and exciting programs. excellent annual scientific programs. We are in the process of assembling a new Sincerely, Committee and will let you know as soon as it is completed. We very much hope that every Member of Janet Shein Szydlo Laurie Levinson the ACP will contribute ideas, thoughts, and materials. Apartado Postal 41-811 173 East 74th Street We welcome and encourage all of you to get in touch Lomas de Chapultepec New York, NY 10021 with us with your suggestions. C.P. 11001 USA The Committee’s first task is to organize the MEXICO scientific program for the Annual Meeting scheduled for 525 282-4216 212 744-6653 Toronto in the Spring of 1995. The general topic of that FAX 525 282-4458 FAX 212 772-9116 meeting will be “Over-stimulation.” As it is impossible

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Association for First Class Child U.S. Postage Psychoanalysis PAID Executive Secretary Permit No. 18 Mrs. Rachel May P.O. Box 366 Chapel Hill, NC Great Falls, VA 22066 USA (703) 759-6698 FAX (703) 759-6783

Address Correction Requested To:

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