the FALL 2004 AMERICAN Volume 38, No. 3 PSYCHOANALYST Quarterly Newsletter of The American Psychoanalytic Association

Transplanting an Analyst INSIDE TAP... Marie Rudden Special Section on In our mobile society, psychoanalysts are others were new graduates or certified analysts. not exempt from the pressures to relocate Some requested not to be identified in order to Child-Adolescent experienced by those in other professions— allow for a freer expression of their views.Two Psychoanalysis. . . . 6–10 new job offers, spouses changing their work- areas of concern emerged from the interviews: place, new marriages, aging parents. In fact, managing the forced terminations and forging Interview with APsaA records from the National Office of the Amer- an identity within the new practice area. President Jon Meyer . . 12 ican Psychoanalytic Association indicate that 179 analyst-members have moved to different MANAGING TERMINATIONS Interview with BOPS states within the last three years. Every psychoanalyst interviewed said they Chair Eric Nuetzel . . . 13 What is unique for psychoanalysts is the inti- had sought consultation about the patients mate bond they share with their patients, the they were terminating. Some sought help from APsaA Campaign commitment that they have made to maintain- peer supervision groups in which they were Statements ...... 14–17 ing the analytic frame, and their concern for already comfortable, others spoke those they are leaving, who may be quite vul- with analysts who had experienced nerable to dramatic changes in their treatment. such a process themselves. “We Those analysts who have moved often describe are all masters of self-deception, a wrenching leave-taking as well as technical and seeking consul- difficulties with the forced terminations. Relo- tation at such a time cating to a new area can also present obstacles, is essential,” noted such as a struggle with different theoretical ori- Glen Gabbard, who entations or practices in the new institute setting moved from Topeka or with finding colleagues for psychopharma- to Houston several cologic consultation or vacation coverage. years ago and rec- Several psychoanalysts who have moved ommends consult- their practices, for different reasons and at dif- ing with someone ferent stages in their careers, were interviewed who has handled for this article. Some were training analysts such a move. moving for professional or personal reasons, One focus of the consultations con- Marie Rudden, M.D., is training and cerned managing the analyst’s own supervising analyst at the Berkshire grief about leaving patients, as “the ana- Psychoanalytic Institute, on the faculty of lytic relationship is a real relationship the New York Psychoanalytic Institute, and with another human being to whom we feel a clinical assistant professor of psychiatry committed…. An analyst inevitably struggles at Weill Medical College of Cornell University. with guilt feelings about putting one’s own She recently relocated her practice from priorities above their needs,” Gabbard said. Manhattan to the Berkshires. Continued on page 32

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 1 CONTENTS: Fall 2004 THE AMERICAN PSYCHOANALYTIC ASSOCIATION President: Jon Meyer 3 Moving On and Moving Forward Jon Meyer President-Elect: K. Lynne Moritz Secretary: Prudence Gourguechon 4 Preface Michael Slevin Treasurer: Warren Procci Executive Director: Dean K. Stein 5 New York’s New Columbus Circle to Greet You Dottie Jeffries SPECIAL SECTION THE AMERICAN PSYCHOANALYST Child-Adolescent Analysis Newsletter of the American Psychoanalytic Association 6 Advances in Child-Adolescent Psychoanalysis: Editor Governance, Training, and Research Lee Jaffe Michael Slevin Member, Council of Editors 6 APsaA Embraces Child and Adolescent Analysis of Psychoanalytic Journals Calvern Narcisi and Ruth Karush National Editor Prudence Gourguechon Launching Separate Child-Adolescent Analytic Training 7 Editorial Board Penelope Hooks Thomas Bartlett, Brenda Bauer, Vera J. Camden, Maxine Fenton Gann, 8 Toward a National Research Agenda in Child and Adolescent Sheri Hunt, Jack Miller, Psychoanalysis Leon Hoffman A. Michele Morgan, Caryle Perlman, Marie Rudden, Hinda Simon, Poetry: From the Unconscious Sheri Hunt Gittelle Sones, Julie Tepper, 11 Jane Walvoord, Robert S. White, 12 Engaged in the Art of Psychoanalysis: An Interview with Dean K. Stein, ex officio APsaA President Jon Meyer Michael Slevin William D. Jeffrey, Consultant Paul Mosher, Consultant 13 All the World’s a Stage: BOPS Chair Blends Michael and Helene Wolff, Psychoanalysis and Theater Michael Slevin Technology Management Communications, Manuscript and Production Editors 14 APsaA Elections Mervin Stewart, Photo Editor Board and Council Tango on Membership Bylaw Michael Slevin The American Psychoanalyst is published quar- 20 terly. Subscriptions are provided automatically Reorganization Task Force Begins Work Michael Slevin to members of The American Psychoanalytic 21 Association. For non-members, domestic and Canadian subscription rates are $32.50 for indi- Task Force on Membership Reappointed Jon Meyer and Eric Nuetzel 21 viduals and $75 for institutions. Outside the U.S. and Canada, rates are $52.50 for individuals and 22 BOPS Report: New Initiatives and Leadership Changes Michael Slevin $95 for institutions. To subscribe to The American Psychoanalyst, visit http://store.yahoo.com/ 23 Council Report: Membership Issues Shape Council Meeting americanpsych/subscriptions.html, or write TAP Brenda Bauer Subscriptions, The American Psychoanalytic Association, 309 East 49th Street, New York, On Becoming Chair of the Board Eric J. Nuetzel New York 10017; call 212-752-0450 x18 or email 24 [email protected]. Tapping the Potential: Fundraising and Development 26 Copyright © 2004 The American Psychoanalytic Ins and Outs of Strategic Planning for Local Psychoanalytic Association. All rights reserved. No part of this 27 publication may be reproduced, stored in a Organizations Glenn Good retrieval system, or transmitted in any form or by any means without the written permission of The Politics and Public Policy: HMOs 9, Patients 0 Bob Pyles American Psychoanalytic Association, 309 East 28 49th Street, New York, New York 10017. 29 Educators and Analysts Learning Together Stephen Kerzner ISSN 1052-7958 30 Scholarship and Service Win Awards at 93rd Annual Meeting Lynn Stormon The American Psychoanalytic Association does not hold itself responsible for statements made in Letters to the Editor The American Psychoanalyst by contributors or 33 advertisers. Unless otherwise stated, material in Membership: Who Are “They” and How Can “They” The American Psychoanalyst does not reflect 34 the endorsement, official attitude, or position of Be of Assistance? Debra Steinke The American Psychoanalytic Association or The American Psychoanalyst. 34 TechNotes: Disposing of Retired Computers Paul W. Mosher

2 THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 FROM THE PRESIDENT

coverage, enlightened medical necessity Moving On and Moving Forward screening, and informed peer review. Jon Meyer Advocacy and activism require engage- ment with our communities, other psy- Last November, my wife and I moved back to and weaknesses, choanalytic and professional organizations, Baltimore, where we met, married, and started and develop a insurance companies, government regu- our family. After 20 years in Milwaukee, and strategy to guide lators, patient groups, and corporate many good friends, I miss Wisconsin.The loss is our future. We health care purchasers. In terms of direct softened by the satisfaction of having helped need priorities action, imagine if we had more commu- build that society and institute, a uniting, reward- organized within nity-based clinics providing affordable ing, grass-roots experience in psychoanalysis. a strategic plan alternatives to managed care and keeping Because it is a rewarding experience and so that initiatives an entire generation from being lost to because we need to reach out, not look in, I are coordinated psychodynamic understanding and treat- hope more and more members will be psy- and effective, ment. Basically, we must examine the Jon Meyer choanalytic pioneers in underserved areas. thoughtful ratio- most effective ways to engage, serve, Because we are a national association, analysts nales guide allocation of financial and human educate, inform, oppose, and, when all from Boston, D.C., Baltimore, Chicago, and San resources, and vision informs fund-raising. We else fails, litigate. Francisco came to help in Wisconsin. Because all need to join in the effort to map our course. • Reaching crucial audiences: Our outreach we are a national association, when we moved In the process, we will renew the commit- programs need to meet the test of reach- I found a home in the Washington and Balti- ment to our kindred spirits and the best inter- ing a crucial audience, an audience indi- more-Washington Societies and the Washing- ests of psychoanalysis and psychotherapy. vidually and collectively that will become ton Institute. These experiences reflect my As we approach strategic planning, keep in involved in and identified with psycho- core beliefs in our national responsibilities and mind three important facts: analysis, psychotherapy, and APsaA. One our shared values. 1. Industrialization of mental health care puts approach to this challenge would be to APsaA is also moving on and moving forward. humanistic therapies at a disadvantage. proactively build on our New Psychoana- Reorganization of our governance structures 2. Interest in psychoanalysis and psycho- lytic Centers effort that is already fostering was needed in the interest of representation, therapy is strong but the educational psychoanalysis and psychotherapy in Birm- efficiency, effectiveness, responsibility, and com- marketplace is competitive. ingham, Missoula, the Sacramento Valley, pliance with New York not-for-profit corpo- 3. Those who want affiliation in psycho- and Memphis. We could also put respect ration law. In record time we have gone from analysis and psychotherapy have choices. in and muscle behind our allied programs. introspection, to consensus about governance reorganization guidelines, to a ratified, working Reorganization Task Force. APsaA has to face its challenges, appraise strengths and As necessary as it is, reorganizing gover- nance is inward looking while the real challenges weaknesses, and develop a strategy to guide our future. come from the outside.Whatever our internal tensions, they pale by comparison with the external challenges we face as a profession. I Those are the facts of life. We cannot wish It goes almost without saying that we emphasize that fact because it is easier to them away or ignore them. However, we can need to create the best possible home for argue about our familiar internal tensions— think of them as challenges that will bring out psychodynamic psychotherapy. self-absorbing and sometimes even reassur- our best. Our strategic plan should address We also need to strengthen our Stu- ing in their familiarity—than to confront the these challenges and offer possible solutions. dent Associates and interest college stu- unfamiliar problems outside our well known, dents. Graduate and college students are albeit contentious, comfort zones. FIVE CHALLENGES Niko Canner’s “10,000 best minds,” I have put together a five-part working draft whom we must reach. We have started PLANNING STRATEGICALLY of challenges and some examples of how to an outreach to college students and I To deal with external pressures, we need to address them. suggest that we rename our current plan strategically for the next decade. APsaA • Limited access to psychoanalytic and “Student Associates” as “Associates in has to face its challenges, appraise strengths psychotherapeutic care: If we treasure Training,” a more respectful way to refer psychoanalytic and psychodynamic treat- to medical students, residents, and masters Jon Meyer, M.D., is president of the American ment and practice, there is no choice but and doctoral candidates. Psychoanalytic Association. to advocate for privacy, confidentiality, Continued on page 18

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 3 preface I take the reins of The American Psychoanalyst from Prudy NEWSPAPERING Gourguechon with great pleasure and respect for her work. I will trade upon my background in Ye t I pause at my own metaphor. It is an image out of the buggy, “newspapering,” as Howard Simon, buckboard, and horseback riding era. Prudy, while cognizant of a colleague and mentor of mine at the history and traditions of the great intellectual and clinical the Washington Post once called it, to force that is psychoanalysis, has been busy settling, with will and occasionally give a harder news edge imagination, the new territory of the 21st century. She has turned to TAP’s coverage. TAP toward the future. Delving deeper into my history The American Psychoanalyst she is handing over is a complex as a newspaper reader, I was nourished growing up reading Jock publication. It serves to inform people about the organizational Whitney’s New York Herald-Tribune.Walter Kerr, Jimmy Breslin, issues and politics of the American Psychoanalytic Association.To and Walter Lippmann appeared in its pages.The slogan on its do so, it covers the meetings of the Executive Committee, the masthead was,“Who says a good newspaper has to be dull?” Executive Council, the Board on Professional Standards, their It is a high standard. Prudy has held TAP to it; and I hope to do officers and their committees. It must do so in a way that is lively, the same. neutral, and informative. For it to function as a democratic organ- I also hope to expand still further the scope of the newslet- ization,APsaA must have an informed membership. ter, writing at times about non-APsaA and non-American psy- The mandate of TAP also includes the state of psychoanalysis. choanalysis.TAP will continue its commitment to writing about It covers in a non-technical way the outreach of both APsaA and psychoanalysis and science. I am delighted that Robert Michels its constituent institutes, societies, and individual members. The has agreed to edit the science column.TAP will also continue to scope of psychoanalytic treatment is widening, and the declining cover psychoanalysis in the community and in the humanities. numbers of cases and candidates are of deep concern to the Vera Camden, a CORST graduate who is a specialist in studies membership of the American Psychoanalytic Association and must of the 17th century writer John Bunyan, has joined the Editor- be of deep concern to the editor of TAP. ial Board and is at work on a special section on psychoanalysis Despite the ideal of objectivity, we know that the news is always and the arts. shaped. These decisions come in the form of what to write I will always be open to your opinions and ideas. Letters to about, how to write it, and what placement to give the story. the editor are welcome. But I also look forward to more infor- And so, while my first challenge will be to maintain Prudy’s mal communication—in person, by e-mail message and by standards and forward motion,TAP,over time, is bound to shift. telephone. Prudy has written about her hope that the writing of TAP will All in all, I am deeply committed to psychoanalysis and optimistic improve, that the content will deepen, and that visually it be more about its future. varied and interesting. I take that as my charge. —Michael Slevin

Michael Slevin, M.A., is editor of TAP.

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

New York’s New Columbus Circle Just a Few Hours to Greet You to Spare? Dottie Jeffries Check out the variety of choices below: American Folk Art Museum, If the thought of New York in winter doesn’t display for 16 days in February.The installation 45 W. 53rd Street excite you (or brings on a chill), then put a of the Gates, beginning on January 3, should Folk art from the 18th century song in your heart and think “jazz” when the be well on its way by the time the Meeting to the present. Winter 2005 Meeting convenes in January at begins. the landmark Waldorf-Astoria. When you do venture to Columbus Circle Austrian Cultural Forum, Spearheaded by the legendary jazz disci- from the Waldorf, you might consider taking 11 East 52nd Street, ple and artistic director—Wynton Marsalis— the time to walk (rather than cab) and route between 5th and Madison Avenues the extraordinary Frederick P. Rose Hall is yourself through Central Park.There you can Galleries, screenings, and lectures all New York’s newest musical performance space catch one of the park’s most delightful winter housed in a stunning building designed and home of the nationally renowned Jazz at offerings—the Park Zoo and Wildlife Center, by the Austrian-born New York architect, Lincoln Center (JALC), a constituent of Lincoln complete with polar bears frolicking in the Raimund Abraham, and built on one of Center. Opening October 2004 at Colum- season’s weather. (They’ll inspire you to cope the narrowest block sites in Manhattan. bus Circle, JALC heralds the first time the with the cold.) And such a park ramble may Dahesh Museum of Art, world will experience performance spaces yet provide another opportunity to glimpse the 580 Madison Avenue at 56th Street designed exclusively for the acoustics of jazz installation of the Gates. Devoted to collecting, exhibiting, music. So while you’re in New York for the Continued on page 19 and interpreting works by Europe’s Meeting, be sure to enjoy one of the many academically trained artists of the musical performances that will be taking place 19th and early 20th centuries. And in the Center’s three concert and performance don’t miss the divine Café Opaline spaces. JALC will truly celebrate jazz as a with its expansive windows looking uniquely American art form and in New York onto Madison Avenue. style. Don’t miss it! Sharing the Columbus Circle stage with Instituto Cervantes, JALC is the Time Warner Center, New York’s 211-215 East 49th Street brand new testimony to modernist archi- between Second and Third Avenues tecture, complete with exceptional shop- A gallery with changing exhibits and ping, dining, and entertainment. “Simply Turtle Bay’s landmark Amster Yard. indulgent” dining and bar experiences await International Center for Photography, you on the fourth floor, where you can par- 1133 Avenue of the Americas take of a spectacular view of Central Park. (6th Avenue) at 43rd Street Some of America’s leading restaurateurs, Exhibits that celebrate photography’s including Charlie Trotter and Thomas Keller, diversity of roles. have set up shop in the Center in what are considered to be the most luxurious and Japan Society, 333 E. 47th Street spacious culinary environments the city has between First and Second Avenues to offer. Exhibits of all aspects of Japanese And while you’re on the upper floors of culture, films, and performances. Time Warner, look carefully over Central Municipal Art Society, Park.You might be able to glimpse the instal- 457 Madison Avenue, lation of “The Gates of Central Park, New The Gates (project for Central Park, between 50th and 51st Streets Yo rk City,” Christo and Jeanne-Claude’s out- New York City/Central Park South, 5th Avenue, Exhibits that champion urban design door park-wide project, which will be on Central Park West, Cathedral Parkway, West 110 Street). This image was part of the and planning and the preservation exhibition, Christo and Jeanne-Claude: of the best of New York’s past. The Gates, Central Park, New York which was on display at the Metropolitan Museum of Art Dottie Jeffries is director of public affairs for from April 6-July 25, 2004. The project will Continued on page 19 the American Psychoanalytic Association. be under construction in January 2005.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 5 SPECIAL SECTION: CHILD-ADOLESCENT PSYCHOANALYSIS

potential candidates for child training who do Advances in Child-Adolescent not apply because they either are not inter- ested in adult training or do not qualify for it. Psychoanalysis: Governance, As a consequence, we turn potential candi- dates away at a time when we sorely need Training, and Research more child analysts to develop the profession. Lee Jaffe Freestanding child analytic training programs respond to the real shortage of child analysts. The three articles in this special section, for concerned with public image and practice In the last article, Leon Hoffman describes a the most part, document recent develop- development? The answer is that these three national research agenda sponsored by APsaA. ments in the field of child and adolescent psy- “internal” developments will enhance our The ultimate goal of the research will be to choanalysis that are internal to the profession. capacity to address our external problems of gather information about the children and ado- They cover expanding the place child analysis image and practice. lescents in treatment, to describe the nature has in the structure of APsaA, creating new For example, in the first article, Ruth Karush of the analytic interventions, and to document models for training child analysts, and con- and Calvern Narcisi report on a new APsaA the treatment outcomes. One benefit of the ducting research to investigate the practice Council Committee called COCAP or the findings will be the achievement of an empiri- of child analysts. Council Committee on Child and Adoles- cal basis for defining and demonstrating the Some of our readers may be concerned cent Psychoanalysis, which was created to value of child analysis to the public. that TAP is focusing on internal developments promote the practice of child analysis and at a time when the popularity and utilization increase awareness of its value to the mental of psychoanalysis, including child analysis, is at health community at large. They describe The children in the photographs an all time low. Are we arranging deck chairs some specific steps COCAP is taking to accompanying the Special Section on on the Titanic? Shouldn’t we be more directly advance these goals. Child and Adolescent Psychoanalysis Penelope Hooks discusses one of four are models.The images are from the Lee Jaffe, Ph.D., is a child and adult APsaA institute pilot programs that offer child archives of Word Management Corp., psychoanalyst and senior faculty member analytic training without also requiring adult to whom they belong. at the San Diego Psychoanalytic Institute. training. She points out that there are excellent,

APsaA Embraces Child and Adolescent Analysis Calvern Narcisi and Ruth Karush

ApsaA is increasing its efforts to cultivate Dick Fox, when he was APsaA child and adolescent psychoanalysis.The new president, appointed the commit- Council Committee on Child and Adolescent tee, with Cal Narcisi as chair, and Psychoanalysis (COCAP) is up and running. charged it with raising the profile of child and adolescent analysis

Calvern Narcisi, M.D., the chair of COCAP, within APsaA and throughout the Management Corp. Photo courtesy of Word is training and supervising analyst at The country. Because their missions are complementary, Denver Institute in Adult, Child, and Adolescent Although the Board on Professional Stan- COCAP is working collaboratively with Analysis; clinical professor of psychiatry at dards has long had a committee focused on COCAA. For example, after petitioning the the University of Colorado School of Medicine; child and adolescent issues in education, the APsaA Program Committee, the two com- and former secretary and acting chair of BOPS. Committee on Child and Adolescent Analysis mittees were granted one designated child Ruth Karush, M.D., is chair of COCAA, (COCAA), there has never been a Council and adolescent panel and one two-day child- training and supervising analyst and chair of committee on child analysis. The Executive adolescent clinical workshop. As a result, at the Child/Adolescent Analytic Program at New Council’s COCAP now permits the organization the 2004 Winter APsaA meetings, there was York Psychoanalytic Institute, and president to focus more energy on practice, outreach, and a panel on adoption and a two-day clinical of the Association for Child Psychoanalysis. alliances with other child and adolescent groups. Continued on page 10

6 THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 SPECIAL SECTION: CHILD-ADOLESCENT PSYCHOANALYSIS

opened up when the Committee on Child and Launching Separate Child-Adolescent Adolescent Analysis (COCAA) solicited pro- posals to look at pilot programs in independ- Analytic Training ent child analytic training. We were designated Penelope Hooks to be one of the four sites, one of two that would require an adult case in addition to When I was still a candidate in 1995 doing Our advanced child analytic candidates the three child cases. For that reason, we do both adult and child training programs at mostly taught the child psychotherapy fel- not call ourselves a “child-only” program, but once, I remember asking naïvely why I lows, as candidates were given the choice to a “child-focused” program. couldn’t graduate from the child program teach in lieu of attending child continuing The requirement of one adult case has per- first, assuming I had met the requirements. My case conference. After the first group of fel- haps generated the most controversial aspect supervisor answered knowingly that that lows graduated from the two-year program, of the program at our institute for several would not happen in my practice lifetime, though there was some talk at the national level about these very issues. He assured me that I would appreciate my training more if I waited until I terminated an adult case. He said adult termination is a unique experi- ence and I would be glad I had waited. I had no choice but to believe him, put my child diploma on ice for two more years, and grad- uate from the adult training program. When that time finally came, I discovered the ter- mination experience of the child case was in fact the more exciting and valuable experi- ence of the two. I was angry, but angry can- didates were nothing new. About this time our institute in Houston opened the doors of our beautiful new ther- apeutic school, now called the Harris School, which started in 1989 as an outreach pro- gram to preschools. The school developed into a center for referrals of problematic chil- dren, and education for teachers and parents. Recently it expanded even more, in response to community need, to include emotionally troubled middle school age children. In order Management Corp. Photo courtesy of Word to train the numbers of parent and teacher helpers that were needed to run the school, many of them wanted to continue their ana- reasons.The child-focused candidates, in order Art Farley and Diane Manning, the two very lytic education, but we found we had no to be able to analyze their adults, were asked capable directors of the school, began a pilot suitable program to offer them. Some fellows to attend one course each trimester for three two-year child psychotherapy fellowship pro- did not meet the degree requirements to years with the adult class. (The full adult can- gram at our institute, patterned after our suc- apply for candidacy, some were working pri- didates take three courses each trimester cessful experience with an adult psychotherapy marily with children and could not see the for four years.) At least one course per year fellowship program. relevance of adult training, and some had should be the adult continuing case, at least already done the adult fellowship and felt that one should be a technique course, and one was enough. should be analytic theory.They were excused Penelope Hooks, M.D., is incoming president from child development courses, as these at the Houston-Galveston Psychoanalytic A WELCOME OPPORTUNITY were well enough covered in the child section Institute, where she is chair of child analysis; Until the spring meeting of APsaA in 2001, of their training, but adult development courses training and supervising analyst; and we were left with no program to offer these were included. supervising child and adolescent analyst. graduated fellows. A window of opportunity Continued on page 9

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 7 SPECIAL SECTION: CHILD-ADOLESCENT PSYCHOANALYSIS

Research Subcommittee in Child and Ado- Toward a National Research Agenda lescent Psychoanalysis has been established, first by the Board’s Committee on Child and in Child and Adolescent Adolescent Analysis (COCAA) and later including the Council’s Committee on Child Psychoanalysis and Adolescent Psychoanalysis (COCAP). I Leon Hoffman am chair of the subcommittee. Our first task will be to determine the Although the empirical knowledge base in settings of mainly manualized behavioral and nature of the patient population and the work psychoanalysis is constantly growing, there has cognitive treatments and treatment provided analysts are carrying out. Previous attempts to been a paucity of systematic studies in child in general clinic settings (non-manualized and survey child and adolescent psychoanalysts and adolescent psychoanalysis. More recently, non-behavioral, including use of dynamic have had variable success. In order for the the situation has begun to change. concepts). Unfortunately, psychoanalysis or current project to work, institutes will have to The importance of empirical work has been intensive psychodynamic treatment is not rep- actively champion the value of systematic stimulated by Peter Fonagy, Mary Target, and resented in most of these studies. The usual research, bringing the field closer to other sci- colleagues. One example was an early work, a mode of psychotherapy in clinic settings is a entific fields. well designed controlled study Perhaps the most practical on the psychoanalytic treat- way to begin will be to sys- ment of diabetes by Moran, tematically survey the super- Fonagy, et al (1991). Fonagy vised analyses conducted and Target’s 1996 report on under the auspices of insti- 763 cases comparing inten- tutes affiliated with APsaA. sive and non-intensive ther- Supervised psychoanalyses apy was a landmark, even with are particularly useful to study its methodological drawbacks, because the educational cli- because it generated enthu- mate lends itself to a treatment siasm among analysts for the that follows the theoretical worthiness of empirical re- ideal of the educational insti- search. For example, they tution and detailed process found that analysis was par- notes are already being kept. ticularly effective for more This follows the suggestions seriously disturbed children, a of Gabbard, Gunderson, and group that “is not that which Fonagy, who propose a “mul- analysts most frequently iden- tisite process and outcome tify as ‘good analytic cases.’ ” study in which all patients Child and adolescent psy- undertaking psychoanalysis Photo courtesy of Word Management Corp. Photo courtesy of Word choanalysis has been enriched under supervision become by its extensive clinical literature dating back to once a week treatment, whose efficacy has subjects in a rudimentary investigation of the Hug-Hellmuth, Melanie Klein, and Anna Freud, been questioned by Weiss, et al, in two studies. outcome of psychoanalytic treatment.” despite the drawbacks of relying only on clin- In fact, Fonagy and Target, in 1994, observed Hopefully, after initial pilot studies, all insti- ical reports. Analysts, immersed in clinical that the usual practice of once a week therapy, tutes will participate, including graduate analysts work, find such reports more valuable than in contrast to intensive treatment, may be as well as candidates. Instruments are being research reports. In fact, many researchers in counterproductive in children and adolescents finalized that will be used to collect a variety the field of psychotherapy have observed a with disruptive disorders. of data describing the patients (demographic, disparity between clinicians and researchers diagnostic, developmental, life stressor, and in child and adolescent psychotherapy—a CHAMPIONING RESEARCH other factors). Briefer instruments will be used gap between empirical results in laboratory Systematic research in psychoanalysis, to follow-up with the patients. One question important as it is, is a formidable challenge, that can be answered is: Are most of the chil- Leon Hoffman, M.D., is vice chair of particularly since the goal of psychoanalysis dren and adolescents in psychoanalysis the COCAA, co-chair of COCAP, and director is not just symptom relief. Because many more seriously disturbed ones like those of the Pacella Parent Child Center of The now do believe that it is critical to develop described by Fonagy and Target? New York Psychoanalytic Institute & Society. systematic empiricism in the field, an APsaA Continued on page 9

8 THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 HEADSPECIAL SECTION: CHILD-ADOLESCENT PSYCHOANALYSIS

WHAT REALLY HAPPENS? It is important to begin the study of the mechanism of change during psychoanalysis, an area of relative neglect in psychotherapy research. In order to determine what actually occurs during psychoanalytic sessions, in the future we hope to systematically study the narrative reports of individual sessions, using a consistent set of parameters. Certainly, an ideal study would evaluate the process via videotaped recordings of sessions; however, at this nascent stage of our endeavors, such an undertaking is unrealistic. One of the instruments that can be used is the empirically validated Child Psychotherapy Process Q-set (CPQ) (by Celeste Schnei- der and Enrico Jones), but as a Likert scale. The CPQ provides a basic pan-theoretical language for the description and classifica- tion of therapy process in child treatments. This pan-theoretical instrument is more effective than one in which the therapist is asked about explicit techniques utilized. We will ask our subjects to rate the detailed process notes of a representative session Management Corp. Photo courtesy of Word with the CPQ. What analysts actually do in sessions can be correlated with a variety of variables, including the report of their theo- Separate Child Training In addition, these candidates in the child- retical orientation. Continued from page 7 focused program are required to have a This is important because it has been training analysis. They are also required to demonstrated that even when using manu- The curriculum committee of the institute do the equivalent of a one-year internship als, therapists do not always do what they expressed concerns about how the child-focused at the Harris School, which involves obser- say they are doing, and the mutative agent candidates would affect the group dynamics of vation of children in the classroom, atten- in the therapy may not be what the thera- the adult classes, both because of differences dance at one staffing meeting per week, pist believes it is. Psychodynamic therapists in perspective and because they would not be and giving one or more hours per week of often apply cognitive behavioral techniques, present for all classes. Another concern was that parent helper work.The child analytic case and the mutative agents in CBT are often after analyzing one adult, the child graduates requirements are the same as the familiar psychodynamic factors, labeled with CBT might present themselves to the community as ones for other child candidates—three terminology. adult analysts.We explained that in the way that cases, each gender, one to termination, one The current project is being designed as a surgeons might do a rotation on internal medi- latency and another adolescent, and a grad- series of modules that can be implemented cine for purposes of a well-rounded education, uation colloquium. separately or as a whole, including a systematic or that universities offer courses to students In the first year of our new pilot program, evaluation module, symptom and adaptive who are not majors in the field, we are trying to we began with two child-focused students. scales that can be used for follow-up, and a cross-fertilize sections of our institute for the We carefully monitored how well they per- process module. If we succeed, the project will enrichment of both. At this time it remains to be formed in their classes as judged by their provide a great deal of demographic infor- seen whether we will keep the requirement of instructors. We found no significant difference mation about the children and adolescents in one adult case, as it may turn out to be easier between them and their classmates. After two psychoanalysis, about the nature of the analytic to do away with it. Personally, I hope we keep years, both child-focused students are doing interventions used, and the treatment out- it in, because although child analysts become well, and one has decided to become a full come. This data and the results obtained will perhaps more tolerant of affect and action than adult candidate. We will begin our second also generate a variety of testable hypotheses their adult analyst colleagues, they still need to child-focused program this year, and again for further study. develop respect for the value of abstinence. we have two applicants.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 9 SPECIAL SECTION: CHILD-ADOLESCENT PSYCHOANALYSIS

APsaA Embraces • to set and maintain standards for training NEW STEPS FORWARD Continued from page 6 in child psychoanalysis; Now, with the advent of COCAP, three • to stimulate and develop new training other areas of importance to child and ado- workshop on defense analysis with children programs in child and adolescent lescent psychoanalysis will be added to the and adolescents. The new panel and work- psychoanalysis; APsaA agenda: shop will be held at each of our national • to determine and advance the contribu- • to increase child and adolescent psycho- meetings for at least the next three years tion to be made from child psychoanaly- analytic practice and thereby insure its while the Program Committee evaluates sis to psychoanalytic training generally. survival. interest and success.To foster this close col- Fulfilling these charges has occupied COCAA • to work with and educate other child-ori- laborative relationship between the Board ever since. ented groups, both within APsaA and in and Council committees, Leon Hoffman, During the early years, stimulating and the larger mental health community, about vice-chair of COCAA was appointed co- developing new programs were in the fore- the contributions of child and adolescent chair of COCAP. front. Thanks to these efforts, there are psychoanalysis. In addition, COCAA has always sponsored currently 21 approved programs and one • to increase the visibility of child analysts workshops for institute representatives, which provisional program, training a total of 189 within APsaA and to show the influence are held during each meeting of APsaA. child and adolescent candidates. Concurrently of child and adolescent theory and tech- with the development of new training pro- nique on psychoanalysis. EARLY DEVELOPMENT grams, COCAA worked on the formulation of In fact, COCAP and COCAA are collabo- There has not always been such recognition minimal standards for training so APsaA could rating broadly to accomplish these challeng- of child and adolescent analysis. Until 1951, the certify that graduates had achieved compe- ing goals. APsaA has a new brochure, “All Board on Professional Standards took little tency as child and adolescent psychoanalysts. About Psychoanalysis for Children and Ado- notice of child psychoanalytic training. In After several years of discussion and revision, lescents,” initiated by COCAA and co-pub- December of that year, Ives Hendrick, chairman the first set of standards was established in lished by COCAA and COCAP. A joint of the Board, appointed Sarah Bonnett to 1966, representing a consensus of child psy- outcome study chaired by Leon Hoffman head a Subcommittee on Standards of Train- choanalysts from all over the country. These has been initiated with the resources of the ing for Child Psychoanalysis. By 1958, the sub- were revised in 1977 and have been revised two committees. (See his article, page 8 for committee, with the help of representatives by COCAA as necessary. details.) Also, at each of our national meetings, from the four existing child training programs, A member of COCAA is appointed to COCAA and COCAP are hosting well- had proposed a preliminary set of minimal each site visit subcommittee of the Committee attended receptions for child analysts, child standards and recommended the establish- on Institutes whether or not the institute candidates, and all interested in working with ment of a standing Committee on Child and visited has a program in child and adolescent children. Adolescent Analysis. Around the same time, a analysis. COCAA is also responsible for We have begun the essential work of build- standing BOPS committee, COCAA, was reviewing applications of all child and adoles- ing alliances with other child and adolescent appointed and charged: cent supervisory appointments and for mak- groups, including the Association for Child Psy- • to delineate and define child psycho- ing a recommendation to the Board. More choanalysis,The American Academy of Child analysis and the child psychoanalytic recently, COCAA has started pilot programs and Adolescent Psychiatry, the International techniques; at Columbia, Denver, Houston-Galveston, and Psychoanalytical Association, the Anna Freud St. Louis, in which candidates can apply for Centre, Zero to Three, the newly formed training in child and adolescent psychoanalysis Alliance of Psychoanalytic Schools, and the without having to pursue adult training as well. American Academy of Pediatrics.What’s more, (See Penelope Hooks’s article, page 7 for a COCAP has established the Children and description of one of these programs.) Family Service Award for the best community In June, the Board approved a COCAA application of child/adolescent psychoanalytic proposal that a candidate in a combined train- principles. The first award was given to The ing program who completes the child and Allen Creek Preschool of Ann Arbor, Michigan. adolescent portion be considered for gradu- Thus, from its embryonic beginnings over ation even if the student has not yet finished 50 years ago,APsaA has increasingly included the adult training. The candidate must have child and adolescent psychoanalysis, both in completed the didactic work and be well our institute training programs, in our meetings, along the path to graduation from the adult and in all other aspects of organizational life. training, if graduation from child and adolescent Child and adolescent psychoanalysis is truly a

Photo courtesy of Word Management Corp. Photo courtesy of Word training is granted first. profession that has come into its own.

10 THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 DREAM From the Beside me A shaking, Unconscious A dream shivering. A piece of the night Sheri Hunt poetry Cornered inside you Like a wounded animal. Eugene Mahon is a child and adult psychoanalyst who practices in New York City. I reach in. Your flesh bars the way. He has published articles on many topics, such as: screen memories, childhood Shut out, mourning, dreams, Shakespeare,Anna Freud, the evolution of psychoanalytic I can feel The thunder of an ocean technique, and humor. He has also written a number of “psychoanalytic” plays, I cannot see or hear. Only morning broadly ranging from subjects such as architecture, and psychoanalysis to creativity. Will bring the halves In these plays, he has used the narrative device of imaginary dialogues between Of us together, As words Freud and Fliess, Bion and Samuel Beckett, Sigmund and Anna Freud, and others. Split the dream in two. Some of his poetry has been published in The Bulletin of the Hampstead Clinic CONSCIENCE and The Bulletin of the Association for Psychoanalytic Medicine. He has also Did it swallow My tongue written a fable called “Rensal the Redbit,” which was well received in the And foist another’s Psychoanalytic Quarterly. Voice on me, Myself an exile I had the pleasure of reading a number of Mahon’s poems and thoroughly In my own skin? Does the stranger enjoyed his broad range of abilities and strong poetic images. Using incisive In the mirror language, he has an ability to quickly find his way into the heart or center of his Speak for me, Or has reflection subjects, which embrace classic images from literature and mythology, the intimacy Bent the light Against me? of psychoanalysis, dreams, and many powerful, central human experiences. Where is the sun That greeted newborn flesh? Has blood Lost all direction In a heartbeat, Finding only meekness At the wrist? Who speaks for me, Myself Or ghosts That stole my name And left a scarecrow In its place, Where the birds of self Hover In a field I used to own, Cursing the wind Sheri A. Hunt, M.D., is a candidate at the Seattle Psychoanalytic Society and That shakes Institute in both the adult and child training programs. A published poet and member A straw man of TAP’s editorial board, she welcomes readers’ comments and suggestions at In their startled faces? [email protected]. Eugene Mahon

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 11 INTERVIEW WITH APsaA PRESIDENT JON MEYER

internship, whose first recipient, Lynn Stor- Engaged in the Art of Psychoanalysis: mon, a student associate, has just completed her degree in clinical psychology. Stormon has An Interview with APsaA President been a key aide on Meyer’s Ad Hoc Task Force on Access to Care. Jon Meyer He pointed with pride to the success of Michael Slevin Brenda Bauer, a colleague from Milwaukee now in New York, who has been co-chair of Two weeks after taking office as president of His artist’s respect for tradition re-imag- the Student Associates Committee as well the American Psychoanalytic Association, Jon ined, as seen in his passion for wildflowers as of the Community Clinics Committee. Meyer was speaking about the passion he and and for photography, addresses Meyer’s psy- Bauer is a student associate finishing the his wife, Ellie, have for prairie wildflowers. In choanalytic values. Although there is “some internship component of her degree in clinical Milwaukee, where he was a psychoanalytic science” and “some technique” in psycho- psychology. She began as an administrator in pioneer for 20 years, helping establish a new analysis, he said,“the art of psychoanalysis is a the Department of Psychiatry at the Medical APsaA institute, they started a College of Wisconsin. “prairie flower garden as part of Meyer has also appointed prairie reclamation.” The cup plant Michael Slevin, an academic asso- is a favorite. It grows to a height of ciate at the Baltimore-Washington 10 feet, with a huge spray of yel- Institute for Psychoanalysis with a low blooms. The leaves around background in journalism, editor the stem are organized in such a of The American Psychoanalyst. way, Meyer said, that they collect And he has arranged a position water, water that settlers could on the Steering Committee,“the drink when no other sources president’s cabinet,” for Julio were to be found. Calderon, president-elect of the “Fortunately,” he added in an Affiliate Council, representing 25 e-mail message that afternoon, to 30 percent of the APsaA “although [prairie wildflowers] membership. He emphasized that are not native to Baltimore,” “we have a vast pool of talent where he returned last year, re- and energy and expertise and establishing a psychoanalytic prac- dedication among our associates tice,“many do grow here, so I’m and affiliates,” which ought to going at it now with cone flowers be used. and bee balm to start, along with *** some butterfly weed.” Meyer supported the com- Native to Meyer are works to promise bylaw amendment on nurture, to transplant, to pioneer, membership. Asked in San Fran- Photo: Jon Meyer and to re-imagine. He spoke of his Sunset: Grand Teton and Snake River. cisco about historical figures who passion for landscape photogra- inform his leadership style, he phy. Getting to “where the photograph can very,very precious commodity.” The analytic noted that he grew up in Abraham Lincoln’s be taken” with his Hasselblad camera is part of hour must be engaged with creativity to “get hometown of Springfield, Illinois. “Sometimes,” the joy. He has been represented by the some of those juices flowing…with another he said,“I have kept in mind his words before Lakeshore Gallery in Milwaukee, where he human being.” There is reason, he believes, he was president…“that ‘a house divided has shown images taken out West, in canyon “so many analysts do things that are creative against itself cannot stand.’ And I would like to lands and in the Grand Tetons. He hiked to the and artistic.” be sure that those words never have to be spot where Ansel Adams set up his camera for *** uttered at APsaA.” his famous image,“The Tetons and the Snake Two weeks earlier, the day he took office, *** River, Grand Teton National Park,Wyoming.” It Meyer emphasized to TAP that it is essential for “One of the things we love” about growing was “awe-inspiring,” Meyer said,“to go to the APsaA to offer significant roles to those still in wildflowers, Meyers said with his customary site where he did that and get your own ver- training. “I have long felt we need to put mus- optimism, is “the butterflies that come with sion of it.” (Meyer’s image, revisiting Adams, is cle behind and give respect to our associate them.” In Baltimore, he said, they are starting printed above.) programs.” He has initiated a public service to come along.

12 THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 INTERVIEW WITH BOPS CHAIR ERIC NUETZEL

All the World’s a Stage: BOPS Chair Blends Psychoanalysis and Theater Michael Slevin

“It’s a psychologically risky profession,” said Eric Nuetzel, speaking of acting. He was winding up a discussion in San Francisco of his work as an actor, director, and producer. In the early 90s, after having become a psy- choanalyst, he returned to the theater as a graduate student at Washington University in St. Louis. “There’s something similar,” he said, “about acting and psychoanalysis, and it The most central paper of this time, he Their results show that improvements in doesn’t have to do with inauthenticity. It said, was “sort of a case study of my experi- their self-reports depend on their feeling has to do with authenticity and it has to do ence acting in [Sam Shepard’s play], Buried positively about their therapist and being with using yourself as an instrument, being Child.” In it he plays a priest engaged in an affair challenged by him or her. Neither by itself is able to go to the places that are very with the mother in “a very disturbed family,” sufficient. The research, while funded by a uncomfortable within yourself for a larger with themes of incest and infanticide. Lois grant to the St. Louis Institute by the Sum- purpose.” Smith, a noted New York actress then playing merfield Foundation through a local board Before attending medical school at St. the wife on Broadway, came to the APsaA member, is being carried out collaboratively Louis University and becoming a resident workshop at which Nuetzel presented a paper with the psychology department at Washing- and chief resident in psychiatry at Columbia on the subject and discussed it with the group ton University. Nuetzel said they are almost University, Nuetzel worked in the theater. in attendance. ready to pull their data together into what they He is currently an adjunct professor in the hope will be a publishable paper. Department of Performing Arts at Wash- POLITICAL THEATER Nuetzel pointed out that research is the ington University—where he is also on the Nuetzel said his work in the theater has mission of the Board Committee on Research faculty in the psychiatry department—and taught him “a great deal more about group Education (CORE), which is designed to teaches courses such as tragic drama and process and group dynamics. I also think of the increase awareness about the value of empir- psychoanalysis, and film and psychoanalysis. work in the association as political theater.” ical research and is also intended to help He intends to return to his work in the the- But he distinguishes sharply the roles of the- spearhead research efforts within institutes ater once he has served as chair of the atrical director and those of institute director and within the Board. Board on Professional Standards. and BOPS leader.“You have to have something *** “Trying to understand the psychology of in mind,” in each of these activities,“that you St. Louis in the nineteenth century was a key the production process,” Nuetzel says, is want to get to,” but sometimes the director of crossroads: the North, the South, the West, and how he got back into the theater after his a play has to “be a dictator,” while BOPS and the direction Neutzel says he has always, in his psychoanalytic training. His ideas about the institutes work necessarily by “consensus.” heart of hearts, favored, the East, meet there. transference and countertransference rela- *** It is a city where today a highway sign points tionship between actor and director helped Tur ning to his vision for psychoanalysis, one direction, Memphis, and the other, Chicago. propel his studies. He initially wrote about Nuetzel spoke of the necessity to have re- Nuetzel says that growing up and living at the theatrical experience from the point search play a greater role in the field. At the St. the confluence of cultures has influenced his of view of the director, but rediscovered Louis Psychoanalytic Institute, he has worked pattern of thought. One night in San Francisco the issue of confidentiality. He “offended” on a study in which 10 psychotherapy patients he had a very stimulating dinner with two his fellow actors by the personal material fill out questionnaires on their subjective cousins of his wife, one, a Jungian analyst, the expressed during the personally and affec- experiences weekly for one to three years. other a member of the Psychoanalytic Institute tively intense production process. So, in order The large number of data points, he said, of Northern California. He tends, he said, to to publish his ideas, he returned to acting and enables the researchers to draw statistically “take a broad perspective and think about wrote about himself. significant conclusions. different points of view.”

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 13 APsaA ELECTIONS: SECRETARY

Arthur J. Farleyelections Reorganization of APsaA is finally on our radar screen! I feel certain thoughtful changes My interest and younger members to offset our own aging must occur. I strongly support separation of qualifications in run- membership. our educational components from our guild ning for secretary of I have served as a councilor for over 10 (membership) organization. I strongly support the American Psycho- years, representing the Houston-Galveston the complete externalization of certification analytic Association are and the San Antonio/Austin Psychoanalytic for adult, child, and adolescent psychoanalysts multiple. For the past Societies, and I have seen the Executive Coun- who have met our established requirements for 20 years I have seen cil’s progress as the governing body of our the practice of psychoanalysis. I strongly support our organization strug- organization. It has been gratifying to be all efforts toward excellence in the training of Arthur J. Farley gle to maintain itself in elected by Council to the Committee on psychoanalysts and I am firmly convinced that the face of internal obstacles, and coupled Council, a group dedicated to improving the APsaA institutes are not the sole purveyors with external issues it faces extinction. APsaA governing functions of our organization. I am of training in our field.The accrediting process has been the only membership organization a child, adolescent, and adult psychoanalyst of psychoanalytic training programs also must be that posed potential members more obsta- and serve on COCAA and COCAP.I strongly externalized. I have outlined several things that cles to paying our high dues structure than support the admission to APsaA’s ranks of “must” change for APsaA to forge ahead and I any other professional organization to which those child psychoanalysts who have trained in am convinced this list is a short one. I hope each I belong. I strongly support the efforts to non-APsaA programs, for example, the pro- member will develop “a list” at this time of open our doors to appropriate potential gram at Hanna Perkins in Cleveland, Ohio. change, become involved, and vote.

view of the organization and helped me estab- Prudy Gourguechon lish relationships with—and listen to—many Outreach seems to the tasks spelled out in the bylaws, I will look members and APsaA leaders from diverse me, at this moment in out for the organization’s communications, constituencies. our history, the single morale, and member needs and benefits. My leadership skills have been tested with most vital mission of our As the current secretary, I have undertaken TAP and before that as chair of the Fellowship Association.We require a special project modeled on the successful ini- program, where I spearheaded and accom- a thoughtful strategic tiatives in science and psychotherapy that have plished the inclusion of social workers and plan for informing the helped turn our attention in a coordinated later academics. public about who we way towards key areas.The aim of my initiative One key controversy in our organization is Prudy Gourguechon are and what we do. is to analyze and implement ways in which whether our focus should be on internal change We may differ about many things, but we APsaA can impact the undergraduate experi- or externally directed activities. Obviously, both agree on a few core principles—that psycho- ence. The goal is simple but hard to accom- are necessary. Excessive internal strife can be analysis offers something unique and vital to plish—a greater percentage of smart, energetic demoralizing.We can’t waste short-lived oppor- the array of psychological healing arts, and undergraduates will know that modern psy- tunities to reach out to potential colleagues that it provides an exciting and invaluable tool choanalysis is alive and thriving, and will have and the thinking public. But we cannot ignore for understanding human motivation, devel- some idea of its usefulness both as treatment our governance problems either. Here’s what I opment, behavior, and passions. We must con- and as an explanatory intellectual tool. If re- support organizationally: actions and structures tinue to get these two messages out to a elected, I will continue this work just initiated that are inclusive, non-hierarchical, welcoming, wide segment of our culture—the educated in the summer of 2004. and user-friendly. I value and want to support public, which is our potential patient base, What qualifies me for this office? In June our educational components. I believe a strong mental health professionals, the academy, and 2004 I completed four years as editor of TAP, organization has the capacity and energy to other professional groups. and five years as membership services and address effectively the challenges it faces and The office of secretary holds specific then communications division chief. Both I’m committed to building that kind of organi- responsibilities. Generalizing only a bit from experiences have given me a broad and deep zational strength within APsaA.

14 THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 APsaA ELECTIONS: TREASURER

The treasurer also serves on our Executive Warren R. Procci Committee. Throughout my tenure, I have Once again it is elec- many, many other committees. I have been worked to bring about reform by consensus. tion time in our Associ- elected councilor-at-large and then treasurer, For example, I strongly supported Newell Fis- ation. Once again we the office I seek to hold for another term. cher’s bylaw proposal, which will allow us to face challenges both As your treasurer I have kept a watchful consider expanded membership criteria. When internal and external. eye on our expenses, balancing fiscal respon- an effort was made to modify this proposal to We always have, but sibility with a “big picture” awareness of our make it more acceptable to a broader portion those of today some- need to support basic, innovative, and gen- of our membership, I took the opportunity to how seem more daunt- erative activities. I have guarded our invested speak forcefully for its adoption in a variety of Warren R. Procci ing. So why am I running assets and have been alert towards corporate venues, including the Board on Professional for re-election as treasurer and what do I have compliance regulations. I have been ever vig- Standards (BOPS) and Executive Council to offer? ilant concerning your membership dues and meetings at our most recent gathering. I’ll start with something personal. I very benefits. Some things I am working on now to In sum, I have approached this job with great much enjoy and value being a psychoanalyst, insure our continued fiscal health include: enthusiasm, energy, and a desire to work with serving our Association, and trying to play a developing improved criteria to allow more a wide variety of our diverse constituencies. I role for the betterment of our profession and accurate prediction of our budget; formalizing have greatly enjoyed being your treasurer and our patients. Here are a few of my qualifica- a set of “Investment Objectives and Guide- I have a solid track record. We need further tions, which demonstrate an established history lines”; and establishing procedures to assure change to insure a fertile future. Our new pres- of service to the profession and to the organ- compliance with new, reform-minded cor- ident has a creative strategic vision. If re-elected, ization. I have been both president and dean of porate accounting requirements. Hopefully I’ll put my energies towards advancing these my local institute. I have chaired a major com- these initiatives will enhance a sense of trust ideas. I hope to continue to work with you and mittee in our Association (Government Rela- by our membership and by the public in our I’d enjoy hearing from any of you who may be tions and Insurance, CGRI) and have served on Association. interested in discussing my ideas.

also valued the reward of meeting many Sandra Walker APsaA members and community volunteers I am running for the merger with the larger organization, Family who have passionate commitment to the treasurer of APsaA. I Services of King County. future of psychoanalysis in their locales. In believe that, in this time For 10 years, I have enjoyed being a partic- Seattle, I have collaborated with psychoanalysts of organizational change, ipant observer in APsaA’s evolution. Now, I and community members in service on the my breadth of experi- want to use my experience to enhance the Board of the Seattle Psychoanalytic Society ence in leadership roles forward and outward movement of the Asso- and Institute, where I am also a faculty mem- in other organizations ciation through service on the Executive Com- ber and alternate delegate to APsaA’s Execu- can contribute to mittee as treasurer. tive Council. These associations have given Sandra Walker APsaA’s future. For 25 I began my association with APsaA as a fel- me a breadth of experience in the psychoan- years, I have grown personally through service low. I have deepened my involvement as first alytic world outside the consultation room. to professional, educational, and human service an affiliate member and now a general mem- Finally, as a contributor to the leadership of organizations.These include the American Psy- ber. Simultaneously, I have had the pleasure of APsaA, I can also bring experience gained in chiatric Association, Radcliffe College, the working with APsaA officers and staff as a my prior career in public television. As a pub- Pacific Science Center, the Seattle Girls’ School, Board member, secretary and Grants Com- lic television producer, project director, and the Seattle Chapter of Leadership Tomorrow, mittee co-chair of the American Psychoanalytic Community Relations director, I gained skills United Way of King County, Ryther Child Cen- Foundation, and as the first editor of FOR- in observation, project planning, fundraising, ter, Transitional Resources, Inc., the African- WARD!,APsaA’s “best practices” newsletter. I budget development and oversight, and broad American Community Health Network, and have also served APsaA as a co-chair of the communication in plain English. the John Cannon Assisted Living Residence. Public Information Committee, and as a mem- As APsaA treasurer, I hope to continue the As a member of many boards, I have reviewed ber of the Strategic Marketing Task Force, Stu- improvement in financial planning and man- financial and audit statements and approved dent Associates Committee, and Committee agement begun by my able predecessors and budgets. As Board treasurer of the Seattle on Racial and Ethnic Diversity. to contribute to the larger picture, including Child Guidance Center, I not only provided Through the APF, and in association with the helping to raise funds, to make APsaA’s future budget oversight, but also helped navigate its APsaA Committee on Foundations, I have a bright one.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 15 APsaA ELECTIONS: COUNCILOR-AT-LARGE

was then shared with the Council and the Barbara G. Deutsch local societies. One idea to boost practice The spirit of coop- I believe that this can be accomplished with- was to have a “rainmaker,” an analyst with a full eration at our meeting out sacrificing standards. I support the passage analytic practice, share his or her experience in San Francisco was of this amendment. at a local or national meeting. This has been gratifying. As a coun- I think that our preoccupation with internal very effective. cilor, I was pleased to struggles has distracted us from the problems I want to work to make things happen, to cast my vote for the that beset psychoanalysis externally.The accord address both our internal and external prob- new proposed bylaw of San Francisco was a significant step toward lems so that psychoanalysis can flourish. While amendment. It passed resolving our internal controversy. Certainly, there are many people working hard for the Barbara G. Deutsch unanimously. If it is thorny internal issues remain: certification, the APsaA, there are many talented people who approved by two-thirds of the membership, TA system, and membership.These will require are disaffected. We need to mobilize them at the Membership Committee will move from our best efforts. At the same time, the exter- the same time we invite others with strong the Board on Professional Standards to the nal problems are formidable. They include interest and commitment to analysis to join us Executive Council. I was especially pleased declining membership, the scarcity of patients, as new members. because this joint action by Board and Coun- the loss of prestige as a treatment modality, the My view of the future of the APsaA is one cil represented their working together for widespread use of psychchopharmacology, of vitality and change, openness to new ideas the common good of the Association. I con- often as a substitute for insight, managed care, in an environment which encourages open sider the Board to be an essential part of and privacy issues. discussion and debate. I believe that we can the APsaA. I consider our standards to be As a councilor, I am working hard on these achieve this. Opening up our membership to crucial to the life and meaning of our organ- problems. For example, I have been a member qualified applicants is an important step. An ization. In my view, our goal is to expand of the Committee on Psychoanalytic Prac- ingathering of the disaffected to join with us membership opportunities so that we can tice. Our survey of the membership gath- and with our new members will take us a open the APsaA to new and vital talent. ered important data about practice, which long step further.

we enact. In attempting to make the prom- Henry Friedman ulgation of standards more rational, it is Over the past sev- advancing psychoanalysis in the United States important that feedback from the member- eral years, the Ameri- through its status as the prime national organ- ship be included in arriving at any change in can Psychoanalytic ization speaking for psychoanalysis.To actual- current standards. Association has been in ize our historical primacy, however, we must The APsaA needs to change if it is to survive a welcome and much continue to leave behind the antiquated pre- as a vital force encouraging the growth of needed state of flux. occupation with excluding many well-trained psychoanalysis. To do so it will need the sup- The debates on the psychoanalysts who have achieved promi- port and interest of a large percentage of our openline have been nence and excellence in their analytic work membership. I intend to speak and vote for all Henry Friedman crucial in creating an without having trained at one of our Institutes. measures that will result in a larger organization atmosphere in which change has become, at While change has been slow and painful it in which all members are equal in status and first, possible and now inevitable, as we move has, nevertheless, moved us in the direction of where no area of service is off limits to any from an organization that has been hierarchical effectiveness when it comes to promoting of our members. A vote for me will guarantee in structure and directed at maintaining a psychoanalysis to the public and encouraging a voice for progressive and informed change gatekeeping function to one that is both dem- all of our members in their practice of clini- on the Council from an individual member ocratic and representative of the entire mem- cal psychoanalysis and psychoanalytic psy- whose ideas are informed by an active psy- bership. Those of our members who have chotherapy. If elected I will continue to work choanalytic practice. I profoundly believe that followed the discussions on the openline or towards the goal of a democratic member- intellectual freedom in the arena of psycho- have heard about them from colleagues will ship organization free of the hierarchical analysis is essential if we are to be competitive be familiar with many of the positions that I legacy of our past. For me this involves bring- in the psychotherapeutic marketplace. I hope have taken regarding the nature of past dif- ing the APsaA into compliance with the New that those members who share my enthusiasm ficulties that have stood in the way of the Yo rk State NFP laws so that a Board of Direc- for psychoanalysis as a clinical endeavor will APsaA functioning as a magnet capable of tors takes responsibility for all decisions that cast their vote for me.

16 THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 APsaA ELECTIONS: COUNCILOR-AT-LARGE

been eclipsed by structures, such as commit- Paul W. Mosher tees which it does not appoint (e.g., the Exec- During my first four- that our future strength will come from an affir- utive Committee and the Steering Committee) year term as councilor- mation of our traditional values and “stan- as the law requires.Virtually every officership at-large, I have tried to dards,” even if that means a smaller Association in the Association for the past 50 years has transform that position in future years. been held by a training analyst, a diminishing from an essentially “hon- We are an opinionated group. But, in truth, minority of our membership. This anachro- orary” office to one of none of us really can say that our opinions nistic overemphasis on the educational role of more activity with re- are based on special wisdom which is lacking in the Association has led to our becoming an gard to the issues faced those colleagues who disagree with us. Under aging, conservative, and somewhat stagnant Paul W. Mosher by our Association, and such circumstances, I believe that the best way organization. in particular by our Association’s Board of for us to chart the Association’s future is to rely To explain this situation, after studying the Directors, the Executive Council. The eight on the collective wisdom of the entire mem- history of our governance, I wrote a series of nationally elected councilors-at-large on our bership as expressed through the operation of “Civics Lessons” which I “published” on our Board of Directors represent the entire mem- democratic governance. Such democratic gov- openline e-mail list. Partially as a result of that bership in shaping APsaA policy rather than the ernance might allow the Association to evolve effort, the Association engaged a noted attor- interests of individual societies. I consider this to meet the necessities of changing times. ney who confirmed my view of our situation. an important role. During the early part of my first term, I We are now trying to work through the impli- Despite significant disagreements, we all observed that the governance of the Associ- cations of these events. It is my hope that share the hope of seeing psychoanalysis ation has in some important respects not whatever changes do take place will strengthen strengthened as both a profession and as an been democratic, despite the fact that we are the democratic institutions of the Association, intellectual pursuit. Some of us believe that an incorporated membership organization and I am asking you to elect me to a second such strengthening can occur by an expansion under a law which strongly supports democ- term as councilor-at-large so that I can continue of our membership base, while others believe racy. Our Board of Directors has for too long to work for democratic change.

data, and in structure, if decided by inclusive Mary Scharold group process. Since I first sought what his/her educational background, theory Believing in the power of information, I office in APsaA, now bias, or organizational position. Even if more endorse APsaA listservs highlighting issues, five years ago, I have time-consuming, membership decisions should although I’d like to hear from more than the 50 watched its mission be made by the members. or so faithful contributors. I subscribe to several evolve and felt its gen- As I said in my 1999 campaign statement, of the lists, occasionally offering my opinions. erativity within me. As “well-conceived structures in organizations are My personal familiarity with 21st century tools evidenced by the small, the essential foundation of creative play spaces is apparent in that I have developed an admin- although strongly posi- for the membership. Change is less threatening istrative database that streamlines function- Mary Scharold tive, vote for the mem- in structures that have an expanded but firm ing for institutes/societies, allowing additional bership of the Task Force on Reorganization, sense of boundaries.” I am in favor of a strong space and time for change and for creativity. I more of our members must be recruited into educational sector representing institutes, but also developed our institute’s Web site which, this exciting evolution. In my 2002 campaign I am equally in favor of a robust membership along with e-mail, is gradually replacing much statement, I “rejoiced that the importance of sector representing societies. Fortunately, in of our written material. One of my qualifica- transparency in our governance and visibility in many institutes and societies, representatives to tions for serving APsaA is that as Houston- the community is finally recognized. We must both bodies are elected by their constituents. Galveston’s institute president I presided over be inclusive in our membership, including non- I envision a newly constituted Board of Direc- a structural reorganization, including atten- medical mental health professionals, and no tors with equal representation from both these dant bylaws and policies, the only major one longer exclusive toward non-analysts and the sectors. Committees of BOPS should be open since our founding 30 years ago. For the past public”…continuing “to promote a balance to all APsaA institute faculty members, to 20 years I have served many organizations, among ingathering, outreach, and standards.” APsaA members who are respected educators but mostly that of American psychoanalysis. Today I say that, more than ever,APsaA needs from non-APsaA Institutes, and to candidates. Thankful for the opportunities I have had both to become an organization where each mem- I welcome the changes that reorganization to work and to lead in APsaA, I ask for your ber feels valued and represented, no matter may bring, in education, if based on solid patient vote to continue to serve.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 17 FROM THE PRESIDENT

Moving On need to offer flexible, individually tailored The point is that the president can begin a Continued from page 3 pathways into our education system. One process, but the real substance of it has to way we could think about this challenge is come from you, not from me. Gretchen • Expanding and enhancing membership to realize that institute training is not the Anderson, from Niko Canner’s management criteria: There is a consensus that APsaA entirety of lifelong analytic education but consulting firm, will help us be as effective as will extend a welcoming hand to serious just the beginning, so we have the latitude possible. The purpose of these working ses- colleagues whatever their pathway to to make the starting point user-friendly. sions will be to hear what you want for psy- psychoanalysis. A proposed bylaw amend- • Creating a vision for fund-raising: The choanalysis, what you think our priorities ment putting that potential into the Exec- problem in fund-raising has been less one should be for the next 10 years, and how you utive Council will soon be with you. One of commitment than of vision. I believe we think we should go about reaching the goals way or another, we will reach the goal of need a vision that appeals to donors and we evolve. expanded and enhanced membership cri- fits our national goals. If one of our goals Strategic planning is new for us, so we all teria, but here is one place where internal is to reach out, imagine what it would do have a lot to learn. With the environment we and external meet. In working toward if we had a 30-second spot supporting face, and the responsibilities we have across that goal, we must be sure that we bring psychoanalysis and psychoanalysts on the the country, we have our work cut out for us. everyone along. We must get to a more 700 National Public Radio outlets across We have to consider many options and they open and welcoming APsaA in a mutually the nation every month for a year. That are all on the table.The only option not on the respectful way. Since our institutes are the would reach a marvelous target audience table is failure. largest single source of new members and and show that psychoanalysis is very are the training sites of our affiliate mem- much alive. If we want to proactively reach bers, we need dialogue among our insti- underserved areas, imagine what it would tutes and societies, Council and Board, accomplish if there were a “psychoanalytic and the Affiliate Council. pioneers” start-up package and organiza- Certified in I will do all I can to bring us all together tional support for analysts moving to new by encouraging an in-depth conversation and promising areas. Psychoanalysis on expanded membership criteria so that by the Board all views are expressed and planning can MEMBER INPUT occur. If two-thirds of you pass the bylaws The challenges and vision I have outlined are on proposal, the goal will be implemented in just a start.They represent only my perspec- Professional the Council. In the meanwhile, we still tive. To work more broadly, I have asked the have the goal and we still need thoughtful Executive and Steering Committees to join Standards dialogue and input. me in working on a strategic framework for • Educational evolution. No educational APsaA’s future. I have undertaken this job, Wednesday institution can stand still and neither can however, knowing full well that no plan, goal, June 23, 2004 APsaA.The hearts and minds of the psy- or strategy can succeed unless ultimately it chodynamically-inclined need cultivation comes from you, you endorse it, and you put and encouragement; we can’t simply wait your shoulder to it. As soon as possible, a sur- Certified in Adult Psychoanalysis for them to come to us. Recruitment can- vey will be on its way to you to get your B. James Bennett, IV, M.D. not be left to chance and will require all views about APsaA’s priorities. Once we have Sally Clement, Ph.D. our best efforts, since we all meet poten- your views, they will be collated and organized. tial candidates in practice, teaching, and I will report back during the Winter Meet- Penny Freedman, Ph.D. social life. Our training programs are work- ing in New York on the priorities you have Stephen Seligman, D.M.H. ing hard to evolve more flexibly but, rightly outlined. I will then want your feedback on my Mark E. Ziegler, Ph.D. or wrongly, are viewed as strong but rigid. report and we will organize sessions at the We need to be viewed as strong, but meeting for you to talk over your reactions open, innovative, and welcoming. with members of the Executive and Steering Certified in Child and A possible step toward affirmation of our Committees. After all, the Executive and Steer- Adolescent Psychoanalysis next generation is to realize we cannot ing Committees have to reach out and engage, B. James Bennett, IV, M.D. turn away interested candidates because too. We will take the data and your feedback they don’t want to change analysts or have and do our best to turn it into a preliminary Christine Kieffer, Ph.D. some other reasonable variation from the working plan. At the Annual Meeting in Seattle, standard. One size does not fit all, so we I will report to you on that draft.

18 THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 WINTER MEETING

New York Continued from page 5 Just a Few Hours to Spare? Continued from page 5 THEATER JUST RIGHT FOR ANALYSTS Ye s, there is theater especially for analysts. Museum of Arts and Design (formerly known as the American Craft Museum), For a dramatic experience related to your 40 West 53rd Street, between 5th and 6th Avenues profession, New York will have the perfect American quilts, basket weaving, pottery, and textiles, to name just a few of the offering in January. Willy Holtzman’s Sabina, crafts featured. based on Aldo Carotenuto’s 1982 book, A The Museum of Television and Radio, 25 W. 52nd Street between 5th and 6th Avenues Secret Symmetry,will be in preview beginning 96 television and radio consoles can be used to view and listen to its vast collection January 19 at Primary Stages.The stormy rela- of programs. tionship between Carl Jung and Sigmund Freud, as we all know, has been well docu- New York Transit Museum, Gallery Annex at Grand Central Terminal, 42nd Street mented. But the story of Sabina Spielrein, between Lexington and Vanderbilt Avenues (located just off the main concourse the Russian-Jewish woman who brought them in the shuttle passage adjacent to the station master’s office) together, was nearly lost to history. As Pri- With a shop full of NYC related transportation memorabilia—a perfect place to shop mary Stages says:“Theirs was a psychological for take home gifts. and sexual triangle that has been played out Onassis Cultural Center, Olympic Tower, 5th Avenue between 51st and 52nd Streets many times since. The play presents the dra- Exquisitely displayed exhibits devoted to ancient, Byzantine, and modern Hellenic civilizations. matic portrait of the woman who helped Scandinavia House, 58 Park Avenue (between 37th and 38th Streets) change the course of a revolutionary science Brings to life the rich cultures and traditions of the five Nordic countries—Denmark, Finland, that nearly destroyed her.” Iceland, Norway, and Sweden. Operated by the celebrated restaurant,Aquavit, Scandinavia Often, members have a few hours to spare House’s AQ Café features a very reasonably priced menu of contemporary and traditional between meetings and sessions, but not Nordic dishes. enough time for a trip to the Met or other large museums. Take advantage of the many United Nations Gallery, 46th Street at 1st Avenue smaller museums and galleries in Midtown, A variety of exhibits from around the world. just a short walk from the Waldorf. The side- Whitney Museum of American Art at Altria, 120 Park Avenue at 42nd Street, bar on page 5 and this page gives you a list to just across from Grand Central Terminal get you started. A Midtown exhibition space often featuring large sculptural installations. Enjoy the Meeting. And make the most of your New York stay. See you in January!

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

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 19 MEMBERSHIP BYLAW

Board and Council Tango on Membership New Bylaw books by Michael Slevin members After five days of intense discussion, debate, and negotiation, the Executive Council and In 2003 and 2004, the Board on Professional Standards (BOPS) members of APsaA agreed to send to the members a com- booklist wrote or edited the promise version of then-president Newell following books. Fischer’s bylaw amendment on membership procedures. The bylaw would reaffirm that oversight of membership is in the hands of John Auerbach with K.N. Levy and C.E. David James Fisher, Romain Rolland Council. Schaffer, Relatedness, Self-Definition, and and the Politics of Intellectual Engagement. Further, if the compromise bylaw amend- Mental Representation: Essays in Honor of Transaction Publishers, New Brunswick, NJ. ment is approved by the APsaA membership Sidney J. Blatt. Brunner-Routledge, London. David James Fisher, Psychoanalytische in balloting this fall, a new Council Membership Jerome Blackman, 101 Defenses: Kulturkritik und die Seele des Menschen Requirements and Review Committee will be How the Mind Shields Itself. (Psychoanalytic Cultural Criticism and the set up to establish and conduct all membership Brunner-Routledge, New York. Soul: Essays on Bettelheim), Psychosozial procedures. This committee is also charged Verlag, Giessen, Germany. with considering and recommending changes Allen R. Dyer with L.W. Roberts, to the criteria for membership, which cur- A Concise Guide to Ethics in Mental Health Eric Marcus, Psychosis and Near rently require that new members either be Care. American Psychiatric Publishing, Psychosis: Ego Function, Symbol Structure, candidates at an APsaA approved institute, Washington, D.C. Treatment, Revised 2nd edition. IPA members, or graduates of an APsaA International Universities Press, Andrew Furman and Steven Levy, approved institute. Fischer envisioned that Madison, CT. International Journal of Psychoanalysis Key qualified analysts who are already members of Paper Series: Influential Papers from the Leo Rangell, My Life in Theory. our local societies would be one of the first 1950s. Karnac, London. Other Press, New York. groups we might open up to. Any changes recommended by the Mem- Stanley I. Greenspan with S.G. Shanker, Joseph Reppen with J.Tucker and M.A. bership Requirements and Review Commit- The First Idea: How Symbols, Language, Schulman, Way beyond Freud: Postmodern tee would be presented to the Council for and Intelligence Evolved from Our Primate psychoanalysis observed. Open Gate approval, to the Board for its opinion, and then Ancestors to Modern Humans. Da Capo Press, London. sent to the membership for approval. Like all Press, Cambridge, MA. Maria Ritter, Return to Dresden. bylaw changes, new membership criteria would James Hansell with L. Damour, University Press of Mississippi, need to be approved by two-thirds of mem- Abnormal Psychology. John Wiley & Sons, Jackson, MS. bers voting on the measure. Hoboken, NJ. At his farewell party in San Francisco, Fischer If you are the author of a book said that the compromise version of the bylaw Lee Jaffe, The Technique and Practice published in 2004, and would like to see “is a great opportunity to move forward.” of Psychoanalysis Volume 3:The Training it listed in TAP,please send the title with Eric Nuetzel, incoming chair of the Board Seminars of Ralph R. Greenson on your name, publisher, publisher’s location, on Professional Standards, and Lynn E. Moritz, Assessment and the Initial Interviews. and publication date to Michael Slevin incoming president-elect of the Association, International Universities Press, at [email protected]. each said that the cooperation between Board Madison, CT. and Council in passing a compromise bylaw amendment was a major achievement that was both “symbolic and substantive.”

20 THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 TASK FORCES

force would be free to add additional items Reorganization Task Force for consideration as needed.They are not “wedded to each word,” he said,“yet it is Begins Work absolutely essential the membership…have a good knowledge of what we are doing.” What started out as APsaA’s need to chairman, said that the “diverse” group, When a document is produced, he said, it better conform to New York State not-for- despite “some strong positions on APsaA will be transmitted to the membership at profit corporation law has blossomed into and how it should go,” had “real unity.” large as soon as humanly possible. an all-out effort to reorganize the Associ- Erasing initial concerns about their har- The task force will hold a retreat in New ation so that it functions more efficiently mony as a group, Galatzer-Levy said that Yo rk in October. Dean K. Stein, executive and more in line with other national mem- although representative of constituencies director of APsaA, because of his consid- bership associations. In the spring of 2004, “to a limited extent,” they primarily func- erable expertise directing non-profit groups members of a Task Force on Reorganization tioned as representatives of APsaA’s total and advising others on organizational issues, were endorsed by an overwhelming major- membership. Stephanie Dee Smith was was asked to be a consultant, present at all ity of the membership. The Task Force’s elected vice-chair. meetings. Gretchen Anderson, a manage- mandate is to address parameters set forth Reports, the task force decided, includ- ment consultant with Katzenbach Partners by the Executive Committee that define ing any interim conclusions, will be issued in New York, was also invited to participate. such issues as the board of directors, offi- at least quarterly.The task force mandate Galatzer-Levy, referring to the advice of cers, committees, and membership. requires that a reorganization plan be Niko Canner of Katzenbach Partners, said, The Reorganization Task Force met for completed by the Winter 2006 Meeting. “The perfect is the enemy of the good.” the first time at the Annual Meeting of Galatzer-Levy pointed out that there was He added that the goal is a “good enough the American Psychoanalytic Association. some “ambiguity” about the exact param- organization.” Robert M. Galatzer-Levy, who was elected eters of the mandate, and that the task —Michael Slevin

It is expected that the TFEMC, a diverse Task Force on Membership and representative group, will lead the way toward consensus on member- Reappointed ship requirements which embody the Jon Meyer and Eric Nuetzel welcoming spirit and psychoanalytic values of the American Psychoan- Although terms of APsaA task forces are These steps will take time alytic Association.The task force usually limited to the term of the appointing and, meanwhile, we must is charged with advising the officer, we consider the groundwork of the keep working toward the goal Executive Committee, Execu- Task Force on Expanded Membership Cri- of determining sound means of tive Council, and Board on Profes- teria (TFEMC) so important that we are expanding membership require- sional Standards. If the proposed bylaw is reappointing it and broadening its mandate ments. Whether or not the pro- passed, the TFEMC will also advise the Coun- and membership. posed bylaw amendment is ratified by the cil’s newly constituted Membership Require- By way of background, in June 2004, the Exec- membership, work on carefully considered, ments and Review Committee, working with utive Council with the support of the Board on expanded, and enhanced membership require- it to further define expanded and enhanced Professional Standards adopted a proposed ments must continue. membership requirements and to help draft bylaw amendment that would move Association In that spirit, we have jointly asked Harriet bylaws reflecting those requirements. The membership functions from BOPS to the Coun- Wolfe to provide continuity in leadership and TFEMC is also available to the Task Force on cil. There are a number of complex steps that experience by accepting joint reappointment Reorganization, at its option. must be taken before the vision in that bylaw as task force chair. Joining her as co-chairs In addition to the chair and co-chairs, the amendment can be realized. It must be ratified are Gail Reed, who is chair of the Membership membership of the expanded TFEMC are by two-thirds of the voting membership, and, Committee of the Board on Professional Paul Dewald, Susan Furman, Ethan Grumbach, if ratified, a new committee of Council must be Standards; Paul Mosher, councilor-at-large, Michael Harty, Ruth Karush, Jacqueline McGre- nominated, elected, and made operational to Executive Council; and Laura Jensen, soon gor, J. David Miller, Joanne Naegele, Kerry Kelly manage our membership functions. to be president-elect, Affiliate Council. Novick; Davis Sachs, and Myrna Weiss.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 21 BOPS

to participate is the Baltimore-Washington BOPS Report: New Initiatives and Institute for Psychoanalysis, which will be visited in the spring of 2005.The intention is to bet- Leadership Changes ter integrate research into candidate training. Michael Slevin Additionally, COI in its report did not sup- port the concept of a new status of associate In its most significant action at the San Prefatory to Michael Singer’s remarks on com- training analyst. The COI members believe Francisco meeting, the Board on Professional pleting his term as chairman of the Certification that institutes should instead encourage indi- Standards considered the bylaw amendment Committee, BOPS chair Ronald Benson com- viduals to become full training analysts. Benson proposed by then-president Newell Fischer mended Singer on remaining detached, involved, emphasized that a majority of those institutes and the compromise version then being devel- and steadfast despite working in the midst of a opposed the proposal for associate status. oped. The Board voted to support the com- hurricane. Looking back over his six years as Jon Meyer, however, asked that a successor promise version. (For further information on chairman of the Committee on Certification, group to the Task Force on Training Analyst this issue, see bylaw article, page 20.) Singer remarked,“Certification has not only sur- Standards take up the issue of providing a vived but has improved and is on a good track.” waiver for potential candidates who are in CHILD AND ADOLESCENT ANALYSIS He took issue with several arguments against productive analyses with non-training analysts. In other matters before the Board, the certification.The first argument, he said, states He believes that this situation will become Committee on Child and Adolescent Analysis that since there is no unified theory of psycho- more prevalent in the future. (COCAA) recommended that a candidate in analysis, the certification procedure must be a combined educational program in both adult flawed. Singer said that because there is no uni- BERKSHIRES NEW TRAINING FACILITY and child/adolescent psychoanalysis be per- fied theory, because psychoanalysis can mean The Berkshires New Training Facility has mitted to graduate from her or his institute as different things to different people, and risks accepted four candidates and will start its first a full graduate, if the child/adolescent training being everything and nothing, certification is class in the fall of 2004. is completed first. The motion passed with essential. It makes more sense for the proce- one opposed and no abstentions. The rec- dure to account for multiple points of view CORST ommendation does not cover eligibility for and be tested for reliability in that regard. The Committee on Research and Special full membership in APsaA. Second, Singer stated, some maintain that Training (CORST) is clarifying its policy on COCAA also reviewed the progress of the the validation graduation from an institute waivers, by which it grants permission to insti- four pilot programs for separate track training confers should be regarded as a stamp of tutes to provide full analytic training to aca- in child/adolescent psychoanalysis. St. Louis competency. He argued that as imperfect as demics without clinical degrees. The changes has three candidates in its pilot program; Hous- certification is, it is still a review by a diverse being stressed concern the rigors of the process. ton-Galveston has two candidates enrolled, group of peers independent of the home CORST wants applicants to be productive in with two candidates about to enter; Denver institute and establishes a national standard. research that will advance psychoanalysis. Melvin has one potential candidate who will begin in Singer closed his remarks stating his support Lansky pointed out that the Committee on the fall; and Columbia has one candidate and for recertification and for an independent Preparedness and Progress (COPAP) waiver is sees the possibility for another. credentialing board. for individuals who are seeking psychoanalytic CORE, the Committee on Research and training in order to change careers.The CORST Education, is conducting a study of candidates INTER-RATER RELIABILITY waiver, in contrast, is intended for scholars who in the pilot program. So far, there are five Stuart Hauser, reporting for the Committee will continue to work in their primary fields. candidates in these pilot programs from whom on Research Education, said CORE is involved data, both qualitative and quantitative, has in studying the reliability of the APsaA certifi- FAREWELL COMMENTS been obtained.These candidates feel positive cation procedure. He said that there have been Ronald Benson, in his parting remarks at about the programs and instructors are rat- encouraging results in studying the inter-rater the conclusion of his tenure as chairman of ing them as similar to or better than other reliability of members of the Certification Com- the Board of Professional Standards, said that members of the cohort. (See page 7 for more mittee. CORE will now see, he said, how senior his tenure seemed short but also seems to on child-centered training.) educators outside of BOPS and the Committee have encompassed an entire era. He took on Certification rate the same items. office during the Education and Membership CERTIFICATION Initiative. Beginning there, a comprehensive Michael Singer reported that there were SITE VISITS rethinking of APsaA’s identity as an organiza- 11 first-time applicants and 5 continued appli- Myrna Weiss, reporting for the Committee tion, culminating in the Executive Committee’s cants for certification at this meeting. Seven on Institutes (COI), said CORE will participate, Task Force on Reorganization has taken place. applicants were certified. for the first time, in a site visit.The first institute Continued on page 25

22 THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 COUNCIL

He also asked Council to consider changing Council Report: Membership Issues the process of choosing JAPA editorial board members. He requested that the Council Shape Council Meeting permit him and the JAPA Editorial Board to Brenda Bauer choose new members, a practice, he said, of other major scholarly journals. He said this Membership issues took center stage at Also reported on was the suit against would allow more in-depth review of prospec- the Executive Council meeting in San Francisco. HHS regarding HIPAA amendments, seen tive members’ qualifications and would allow A proposed bylaw amendment was approved as significantly eroding doctor-patient confi- for balancing the expertise required by a wide- unanimously placing responsibility for mem- dentiality. They said the recent ruling was ranging journal. These selections would be bership in the hands of Council. As is presently against the case presented by APsaA, which presented to Council for their approval. Some the case, any proposed changes in membership was one of a number of plaintiffs filing suit councilors objected to the proposal on the criteria would still need to be ratified by two- against HHS on both constitutional and legal grounds that it would circumvent local society thirds of the full voting membership. (For grounds. input, while others offered at least partial sup- detailed coverage, see bylaw article on page 20.) One other activity on behalf of patient pri- port of Levy’s proposal or suggested striking a vacy and confidentiality was APsaA’s en- compromise.The proposal will be taken up at TASK FORCE ON REORGANIZATION gagement early this year with Oxford Health the Council meeting next January. Jon Meyer responded to questions from Plan of New York. APsaA’s involvement was the floor of Council as to the extent to which prompted by Oxford’s demand that hun- POSTCARDS FROM THE IPA the Task Force on Reorganization must adhere dreds of therapists turn over treatment Nadine Levinson, treasurer of the Interna- to the guidelines the Executive Committee records to substantiate payments rendered tional Psychoanalytical Association, spoke on developed to steer its work. He clarified that for psychotherapy and psychoanalysis, without behalf of President Daniel Widlocher about the guidelines, which were ratified by the patient consent. Records reviews were used several IPA practice-related initiatives. The membership, are not intended to restrict or to justify the demand to impaneled thera- Developing Psychoanalytic Practice and Train- confine the task force. Rather, the guidelines’ pists to return fees. APsaA successfully nego- ing (DPPT) project is funding projects designed purpose was to inform and shape the agenda tiated with Oxford eight allowable categories to enhance members’ practices and candidate of the task force. of information, limited to clinician activities recruitment at the local and regional levels. (such as mental status examination) that do She reported that $50,000 was granted for MANAGED CARE AND HIPAA not infringe on patient activity, and only with APsaA’s Web site redevelopment. Levinson Robert Pyles and Jim Pyles,APsaA’s legisla- patient consent. Oxford agreed that infor- also noted that the IPA awarded a $6,000 grant tive consultant, updated the Council on several mation in these categories would be the max- to the Columbia Psychoanalytic Institute for a important cases involving infringements on imum sought for payment and routine health longitudinal study on career development. patient privacy and confidentiality with which care communications. Pyles reported that Levinson explained that the IPA is develop- APsaA has been involved. Among those was several other initiatives in other states and on ing a response to a Latin American request for the RICO class action suit against the managed Capitol Hill are underway to support pro- greater flexibility in training standards. She care industry.The suit, which represents over tective legislation. reported that an educational document was 900,000 physicians, seeks to recoup financial The importance of APsaA members’ con- prepared, but the issue of session frequency losses and to change the way managed care tributions to fund efforts to safeguard the has delayed consensus. Provisions for regional companies are allowed to conduct business. therapist-patient relationship against intrusions and societal protection and oversight have Robert Pyles reported that APsaA, along with by government and third party payers was been built into the document as it stands. state medical societies and other professional underscored. Pyles emphasized that 100 per- organizations, has been working closely with cent of all contributions go toward lobbying EXECUTIVE DIRECTOR’S REPORT RICO attorneys representing the interests of and litigation. Councilors discussed the nature Dean K. Stein addressed the Council as the psychiatry.Two of the ten managed care com- and extent of APsaA’s financial and political first executive director of APsaA. Central to panies named in the suit have settled instead involvement with these initiatives. Stein’s report was his observation that APsaA of facing court action. had the most active membership of any of the JAPA EDITORIAL BOARD many non-profit organizations that he has Brenda Bauer, M.S., is a predoctoral clinical SELECTION REVISITED advised or observed. psychology intern at the Karen Horney Clinic Steven Levy, the new editor of the Journal of He suggested that the benefits of mem- in New York City. She is co-chair of both the American Psychoanalytic Association, reported bership in the organization must be empha- APsaA’s Committee on Student Associates that new sections on education, research, and sized if APsaA is to experience future growth. and the Committee on Community Clinics. child psychoanalysis are being developed. Continued on page 25

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 23 FROM THE BOPS CHAIR

Still a candidate in seminars, I was impressed On Becoming Chair of the Board with the thoroughness and thoughtfulness Eric J. Nuetzel of the process. At the time the St. Louis Insti- tute was criticized for being too involved in Does the Board on Professional Standards institute of our the community. By the time of the next site (BOPS) represent the best of the American Association in St. visit this judgment changed. In the seven Psychoanalytic Association? Or does it repre- Louis made it years between visits, St. Louis had become a sent the worst of our Association? Working possible for me model for the country in terms of our en- with the BOPS throughout my psychoanalytic to consider and gagement with our larger community.There career has led me to feel each of these polar accept the offer. was real value in these site visits; not only was positions at times. In fact, the BOPS is a com- After moving to my own institute influenced by the feedback plex body that reflects the Association’s prin- St. Louis, the job (efforts were made to improve supervision ciples, values, and commitment to accountability did not work and didactic teaching), but ideas from my through self-examination and peer review.The out, but my psy- home institute seemed to have been dis- Eric J. Nuetzel BOPS sets educational standards, accredits choanalytic edu- seminated throughout the Association, partly institutes of our Association, and certifies the cation did.That experience proved invaluable. as a result of what the site visitors observed competency of our graduates. The nature of Why was training in an “American” insti- and reported. the work of the BOPS gives both welcome and tute so important to me? Bias toward what After graduation, it was natural for me to unwelcome news to our institutes and to our were then “medical” institutes was certainly a become certified. I prepared my cases, sub- graduate members. I have been on the receiv- factor. I started my premedical studies knowing mitted them, and awaited the judgment of the ing end of both kinds of news. As I take the that I wanted to become a psychoanalyst. Committee on Certification. I was deferred, reins as chair, I ask myself; how did I get here? Being the son of a physician, the medical route asked for more case material and to meet with members of the committee. I was not pleased with this turn of events, but com- The BOPS does a difficult job in a difficult era, and it plied with the requests. I became certified at must be transparent and accountable. Accountability, the next national meeting. Getting beyond the narcissistic wound was difficult, but my collectively and individually, is not popular or easy, but is case write-ups had received a deep and necessary for our profession to maintain its integrity. thoughtful review.The interviewers had ques- tions about aspects of my technique. I satisfied Our Association is a beacon for the profession because of their concerns. Yet this challenge led me to our commitment to this and other educational values. reflect more deeply and productively about my clinical work, an active process that con- tinues to this day. Like most members of our Association, I seemed natural for me. I grew up profession- I became a training and supervising psy- came of age as a psychoanalyst in an institute ally in medical settings, although I thought that choanalyst for St. Louis and later, chair of our accredited by the BOPS. As I began my train- the policy of denying training opportunities to Education Committee. Ex-officio, I became a ing, I had little knowledge of this body.What all but a few “non-medical” practitioners was fellow of the BOPS. I have served on the I did know was that I wanted to train in an wrong-headed and should change. Despite BOPS as a fellow, as a committee member, as institute affiliated with the American Psycho- this, the institutes of the American Psychoana- a sponsoring team member for a new training analytic Association. I was finishing my residency lytic Association seemed to have a commitment facility, as a committee and a task force chair, in New York, and was aware of the three to quality and to careful, serious psychoanalytic as secretary, and as chair-elect. I have come to “American” institutes there; one was housed education that was unparalleled.This was in the know and respect the BOPS, and the educa- in the same building as the department of 1980’s. My assessment of the high quality of tional values that it represents. I am proud to psychiatry in which I trained. I grew up in the the training seemed to be confirmed by the have been elected the chair of the BOPS. I Midwest, where I wanted to return after my people suing to have access to the education stand on the shoulders of giants in psychoan- residency. I considered all of my options and offered in our institutes.The Association wisely alytic education, and hope that I can do justice received an offer that was difficult to refuse in settled the suit and opened its doors. to the office. my hometown.The presence of an accredited My predecessor, mentor, and friend, Ronald RIPPLES FROM SITE VISIT Benson, began his tenure as BOPS chair with an Eric J. Nuetzel, M.D., is chair of the Board My contact with the BOPS deepened emphasis on the importance of self-examination. on Professional Standards. when I experienced my first institute site visit. Continued on page 25

24 THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 BOPS & COUNCIL

I wholeheartedly agree. The BOPS will con- tinue to thoroughly evaluate all of its procedures Training and Supervising Analyst Appointments and activities.The BOPS does a difficult job in a difficult era, and it must be transparent and Announced by the Board on Professional Standards accountable. Accountability, collectively and Wednesday, June 23, 2004 individually, is not popular or easy, but is neces- sary for our profession to maintain its integrity. Palace Hotel, San Francisco Our Association is a beacon for the profession because of our commitment to this and other Training and Supervising Analysts Geographic Rule educational values. Progress without principles Lee I. Ascherman, M.D. Training & Supervising Analysts is not progress. Principles and progress must New Orleans Psychoanalytic Institute Phil S. Lebovitz, M.D. go together, hand in glove, for our Association Ralph Beaumont, M.D. Wisconsin Psychoanalytic Institute to remain a world leader in organized psy- San Francisco Psychoanalytic Institute Nadine Levinson, D.D.S. choanalysis. I pledge to you that I will do my (Oregon Psychoanalytic NTF) Los Angeles Psychoanalytic best to see that we remain true to ourselves Lawrence D. Blum, M.D. Society & Institute and to our educational heritage. The Psychoanalytic Center of Philadelphia Geographic Rule Training Analysts David R. Dietrich, Ph.D. James P.Frosch, M.D. BOPS: New Initiatives Michigan Psychoanalytic Institute Psychoanalytic Institute of New England, Continued from page 22 Lance M. Dodes, M.D. East, Inc. He said the world does not stand still and Boston Psychoanalytic Society & Institute Jane Kite, Ph.D. standards need continued scrutiny and revision. Linda Garrity, Ph.D. Boston Psychoanalytic Society & Institute The functions of the BOPS, he said, must be Wisconsin Psychoanalytic Institute Jonathan E. Kolb, M.D. included in any reorganization process. Wendy Jacobson, M.D. Psychoanalytic Institute of New England, Benson received a standing ovation from the Emory University Psychoanalytic Institute East, Inc. fellows. Saida Koita, M.D. Florida Psychoanalytic Institute Geographic Rule Supervising Analysts Council Meeting Jon Meyer, M.D. The Washington Psychoanalytic Institute Erik Gann, M.D. Continued from page 23 Wisconsin Psychoanalytic Institute Dwarakanath G. Rao, M.D. He recommended the creation of a new ben- Michigan Psychoanalytic Institute Ethel Spector Person, M.D. efit: seminars at national meetings on practical, The Greater Kansas City Robin Renders, Ph.D. but much-overlooked, topics such as devel- Psychoanalytic Institute Berkshire Institute for Psychoanalysis (NTF) oping effective boards of directors, budgeting, M. Barrie Richmond, M.D. Beatrice Smirnow, Ph.D. hiring, and public relations for local institutes Wisconsin Psychoanalytic Institute and societies, and training on how to conduct The Washington Psychoanalytic Institute Irwin Rosen, M.D. successful meetings. Louis Spitz, M.D. San Francisco Psychoanalytic Institute The Washington Psychoanalytic Institute (Oregon Psychoanalytic NTF) NEW COUNCILOR-AT-LARGE Elizabeth Trawick, M.D. Richard Lightbody was elected to fill the Los Angeles Psychoanalytic Geographic Rule Child and Adolescent four-year councilor-at-large term of Prudence Society & Institute L. Gourguechon, who resigned when her term Supervising Analyst as APsaA secretary became effective. Lester Friedman, M.D. Supervising Analysts Berkshire Institute for Psychoanalysis (NTF) NEW TAP EDITOR Francis K. Millican, M.D. Michael Slevin was ratified as the new Seattle Psychoanalytic Society & Institute editor of The American Psychoanalyst (TAP). Fred Pine, Ph.D. He succeeds Prudence L. Gourguechon, who Columbia University Center for resigned when her election as new APsaA Psychoanalytic Training & Research secretary became effective.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 25 COMMITTEE ON FOUNDATIONS

solicitation. Development, on the other hand, is Tapping the Potential: the means for realizing the long-term potential of a funding source.With fundraising, an organ- Fundraising and Development ization might be able to secure a contribution The Committee on Foundations (CoF) held its CAMPAIGN READINESS from someone once, perhaps twice.With devel- 12th Annual Workshop April 30-May 2 in Port- Dean K. Stein, APsaA’s executive director; opment, donors become meaningfully involved land, Oregon—“Everything You Always Wanted Toni Doyle, former director of development in an organization in a way that encourages to Know about Fundraising and Development.” of the San Francisco Psychoanalytic Foundation; them to support it over a long period of time. The Oregon Psychoanalytic Center (OPC) and Andra Lichtenstein, principal and founder Stein remarked,“I have a colleague who is my was the proud local host; CoF, the national. of Capital Incubator, participated in a panel fundraising mentor. Almost 20 years ago, when Co-chaired by Selma Duckler and Mark discussion on fundraising and development. we first met and were working together, I was Smaller, CoF over the years has provided a Lichtenstein provided an orientation to always talking about ‘hitting people up for support system for members involved in fund- “Preparing for a Capital Project.” Lichten- money.’ He finally said one day, ‘Dean, in this raising or wanting to learn more about foun- stein, who has a background in both banking organization, we don’t hit anyone up for money. dation activities, including fundraising. More and non-profit finance, has overseen capital We give people the opportunity to participate than 20 persons—APsaA members, local projects at varying levels, including the pro- in our vision.’ I initially laughed at him, but he foundation board members, and professional cessing of tax-exempt bond financings from couldn’t have been more serious. He gave me fundraising staff from around the country— predevelopment through closing and debt a cliché that I use to this day to guide me in exchanged ideas and shared experiences. financing. fundraising. ‘If you want suggestions, ask for money. If you want money, ask for suggestions.’ ” For small organizations with little or no staff, With fundraising, an organization might be able to Stein advised: “Focus on the 10 potentially most helpful people in your constituency.” secure a contribution from someone once, perhaps twice. With development, donors become meaningfully involved COMMUNICATE THE VISION Dottie Jeffries, APsaA’s director of public in an organization in a way that encourages them to affairs, and Eileen Murray, director of the Foun- support it over a long period of time. dation on Research and Education of the American Health Information Management Association, presented their ideas on “Com- Recognizing the value of social events as For organizations considering a capital cam- munication, Public Relations, and Fundraising: an integral part of the workshop, CoF began paign, Lichtenstein stressed the importance An Integrated Approach.” Murray emphasized the weekend Friday evening with a reception of the organization’s vision versus its readiness the importance of reaching your constituents on the banks of the Willamette River at the to undertake a campaign, and the strategic and making sure that they understand the mis- home of one of OPC’s founders and friends, planning required for such an endeavor. Cap- sion of your foundation or fundraising entity. and a gracious hostess, Marianne Buchwalter. ital campaigns afford visibility for an organi- Those attached to the organization—whether Saturday’s program was a full day of inform- zation’s programs and build organizational they are members, faculty, board members, ative presentations. Lee Shershow, OPC pres- resources. Lichtenstein serves on the Board students or friends—are those with whom ident; Jim Grew, OPC board member; and of the San Francisco Foundation for Psycho- you need to communicate first. They are all Doris Jewett, head of the OPC Consultation to analysis and is well acquainted with the nuances potential donors, but won’t be prompted to Daycare Center Program, gave an overview of of psychoanalytic organizations and the chal- give without a full understanding of the mission the Center. Jewett’s presentation included the lenges they face. and programs. Jeffries stressed the impor- screening of a professionally produced video- Stein, who has an extensive background in tance of communication via the Web, including tape on the Daycare Program that is used in a fundraising, discussed what he considers the online giving opportunities. variety of ways throughout the community. two most important points of the workshop’s Smaller and Duckler closed the workshop The Portland Program, since its inception in topic: 1) understanding the difference between with an opportunity for participants to share 1998, has become a model of outreach for development and fundraising; and 2) under- their own endeavors in a roundtable fashion. other psychoanalytic groups. Shershow and standing development itself. The value of such a workshop is the ability Grew focused on the evolution of Oregon Stein pointed out that fundraising is a means to focus on one important topic. Participants from an institute to a center and on its various of asking for money that can be done in a vari- come away with not only helpful information fundraising activities, including the model OPC ety of ways: by letter, by an invitation to an but also a broader network of people they can membership program. event, a phone call, a raffle, or an in-person call on for assistance.

26 THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 STRATEGIC MARKETING

Q: Often our problem isn’t planning, it is Ins and Outs of Strategic Planning for money. How would paying another profes- sional help? Local Psychoanalytic Organizations A: A fundamental decision has to be Glenn Good made: Do you value your psychoanalytic organization? Does it contribute to your suc- More than 35 local society leaders attended The key to success is to develop an approach cess? Is it important for it to flourish, not only “Imagineering Your Future,” this year’s Strate- that ensures a more successful organization today but for future generations? If the gic Marketing Workshop held during the 93rd in the future. Success requires participation, answers are “yes,” then is it worth investing Annual Meeting in San Francisco. At the six- commitment, and an understanding that as now to help ensure a better organizational hour, information-packed session, Larry Walker, change occurs (and it will), so, too, should the future? The key is to use the right outside president of The Walker Company, a Lake plan be built for change. Planning should not resources in the right manner. A good pro- Oswego, Oregon-based health care man- be rigid and unbending. It should be viewed as fessional will work collaboratively with you to agement consulting firm, explored the ways a roadmap to the future, with many possible custom-develop a purposeful process with psychoanalytic organizations could develop routes, detours, and construction holdups, all meaningful outcomes at a manageable price. both a practical, progressive, and purposeful leading to an ultimate destination. It can be done. vision and a strategic plan to achieve that vision. As a demonstration, Richard Lightbody In many respects strategic planning is like the process presented Cleveland’s successful strategic planning experience. of psychoanalysis. It requires research and introspection, While most local leaders and executive a willingness to confront problems and issues, and a directors recognized the value of long-range strong desire to move forward to a better state. thinking and planning, it was noted that the realities of the present often seemed like insurmountable barriers to taking on the chal- Q: Many of our local societies are in trouble. Q: Organizational structure and governance lenge of effective strategic planning. I posed the Our numbers of patients and trainees are declin- are volatile issues in our organizations. How can following questions to Larry Walker following ing. Shouldn’t we stop talking and do something? we be sure that opening up these issues won’t the Meeting. A: Yes and no. It’s important to explore dif- create more problems than it solves? ficulties, disagreement, major issues, and chal- A: Opening the issues might initially sur- Q: Exactly what is strategic planning? lenges, but it’s only productive when it results face even more problems, which should be A: In many respects strategic planning is like in some positive action. The critical action viewed as a positive, not a negative.The unsur- the process of psychoanalysis. It requires step to take now is to come to a consensus faced problems may not be apparent, but that research and introspection, a willingness to about the reasons for the decline, define the doesn’t mean they don’t exist—they simply confront problems and issues, and a strong change desired, and determine the strate- haven’t bubbled to the surface. Good planning desire to move forward to a better state. gies (which may be difficult or unpopular should enable that to happen in a controlled, Recommendations and solutions are evidence- among some who are entrenched in the proactive, and solution-focused way. based, and in many cases the remedies for ways of the past) necessary to overcome problems are obscured by a lot of “clutter.” In the decline. Q: Finally, what have you observed about us its purest sense, strategic planning is simply a from the few hours you have spent with us? process through which an organization defines Q: When our own members are disagreeing, A: Based on questions, reactions, and brief its desired future position (the vision), conducts how can bringing in someone who doesn’t under- conversations during breaks and following the a diagnosis (examination of the environment, stand our issues possibly help? workshop, I found the participants to be bright, trends and issues, strengths, weaknesses, op- A: Internal strife and infighting are precisely insightful, and inquisitive, with a healthy sense of portunities, and threats), and determines a the situations that create the need to seek out- practical skepticism about the value and purpose course of treatment (strategies, objectives, side help. A qualified, experienced outside of strategic planning. Most health care profes- and action plans). resource can bring independence, new per- sionals are not fond of structured processes, and spectives and ideas, and organizational skills. they typically have little patience for the details Glenn Good, Ph.D., is on the faculty of These assets will contribute to an objective of strategic planning.They intellectually grasp the the Michigan Psychoanalytic Institute and examination, and clear, unbiased recommen- importance and value of planning, but they are of the Wayne State School of Medicine’s dations for change that may diffuse infighting, sometimes hesitant to undertake a compre- Department of Psychiatry. He is chair of and focus all stakeholders on the goal of build- hensive process due to a lack of experience, a APsaA’s Committee on Strategic Marketing. ing a better, stronger organization. Continued on page 28

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 27 POLITICS and Such reasoning seen in a clinical setting might be described as schizophrenogenic.The social PUBLIC POLICY costs of this decision are likely to be disastrous.

RICO PROTECTIONS HMOs 9, Patients 0 The physician class action suit accusing the Bob Pyles insurance industry of violating RICO (Racke- teer Influenced and Corrupt Organizations The Supremes HMOs have developed policies that deny reim- Act) laws takes on even more importance in have done it bursement for critical medical treatment. This light of the ERISA decision. ERISA does not again. In a recent leaves the professional with the choice of treat- protect the industry from the charges of con- stunning decision ing the patient at his own expense or not offer- spiracy and racketeering. Ironically,Aetna and the Supreme ing the treatment. The system is designed to CIGNA are the two companies that have Court has struck encourage rationing of care without limitation. settled rather than face charges in court. One a major blow of the hallmarks of the settlements is a defini- against patient STATES OVERRIDDEN tion of “medical necessity” derived from the rights. All nine In an attempt to protect patients and hold AMA definition, which rests squarely on clini- justices agreed the HMOs accountable, Texas, followed by cal standards of care. Both of these Texas Bob Pyles that patients do nine other states, enacted laws allowing mal- cases might have turned out differently under not have the right to sue their HMOs for practice suits for damages in the state courts. the terms of the settlements. malpractice, when they suffer harm due to The other states are Arizona, California, Geor- Physicians can use the RICO attorneys to the HMO’s refusal to pay for recommended gia, Maine, New Jersey, North Carolina, Okla- dispute denials made by Aetna and CIGNA. treatment.The justices issued a clear statement homa,Washington, and West Virginia. During As a signatory society, the American Psycho- about the protective role of ERISA (Employee his presidential campaign, George Bush boasted analytic Association can represent its members Retirement Income Security Act) for HMOs, that Texas was the first state to pass such a law. in such disputes. Members who need help in despite the mounting challenges from profes- He neglected to mention that he chose not filing a dispute, or who have other questions, sional associations, patients’ rights groups, and to sign this bill into law during his term as can reach me at [email protected], or state legislatures. governor. As president, he asked the Depart- contact the RICO attorneys directly at The ERISA laws of 1974, were originally ment of Justice to submit an amicus brief to www.hmosettlements.com. enacted to protect employee pension funds in the Supreme Court supporting the HMOs. employer-provided, self-insured plans.The laws The groundbreaking Texas law allowed have been used by managed care as a shield two patients to bring malpractice cases Strategic Planning to protect themselves against medical liability against Aetna and CIGNA, when payment for Continued from page 27 lawsuits. In other words, in cases of medical prescription medication and hospital stays malpractice, the HMOs are not liable; only were denied and, as a result, the patients fear of loss of “control,” comfort with the status the individual physicians involved are med- suffered harm. The Supreme Court upheld quo, an unwillingness to involve an “outsider” in ically liable and accountable. When managed ERISA, and did not allow either of these influencing organizational change, and a hesi- care bureaucrats deny the use of certain diag- patients to sue their HMOs for malpractice. tancy to invest the money required for a suc- nostic procedures or therapeutic techniques The Supreme Court decision voids all of the cessful effort. Some simply lack belief that defining for cost-containment (the hallmark of managed state ERISA laws, ending our best hope for a vision for the future and committing to a plan care), the plans and their administrators are ERISA relief. to achieve it is better than going along day to day. exempted from lawsuits of medical malprac- The Court held that HMOs are making That brings me back to my initial compari- tice. The officials say they are not practicing financial (not medical) decisions, and, therefore, son of psychoanalysis and strategic planning. medicine, only administering the fiduciary cannot be held liable for medical malpractice. I’m sure that many individuals have the same responsibility of their plans. The fact that the withholding of payment kind of fears and skepticism when they begin The ERISA shield has allowed the managed leads to the withholding of treatment did not analysis. But with a proper approach, a will- care industry to deny payment for care with impress the Court. According to the Court, ingness to confront difficult issues and the impunity. Using the term “medical necessity,” “The fact that a benefits determination is right time and attention, their lives improve. infused with medical judgments does not Organizations are the same—psychoanalysts Robert Pyles, M.D., is chair of the Committee alter this result.” The decision would appear to who have seen firsthand the positive results of on Government Relations and Insurance, and subject non-physicians who make medical their own work should be able to see a parallel a former president of APsaA. judgments to less liability than physicians. for their psychoanalytic organizations.

28 THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 EDUCATORS/ANALYSTS

interventions in K-12 schools as well as in the Educators and Analysts community at large and has done significant psychoanalytically-informed research on bul- Learning Together lying in schools. Twemlow agreed with the Stephen Kerzner other panelists about the need to identify the qualities of a school environment that promote Educator/analyst symposia focusing on school consultation to K-12 schools in the a culture of safety and mutual respect. He today’s challenging issues of K-12 education Boston area since the 1970’s. cited his research on bullying that demon- have become a regular feature at recent meet- Dr. Vanderpol led off the panel with an strated the effectiveness of a cognitive inter- ings of the American Psychoanalytic Associa- overview of his psychoanalytically-informed vention with teachers and students to enhance tion.The semiannual symposia, held under the approach. He compared the process of school mentalization and empathy. auspices of APsaA’s Liaison to Schools Com- consultation to working with a person in analy- mittee, have been well attended with a high sis, first establishing positive relationships with EMOTIONAL COMPETENCE degree of audience participation. school personnel, and then working with them The third Semiannual Educator/Analyst Sym- The Liaison to Schools Committee was to understand the nature of the school’s organ- posium, “Promoting Emotional Competence launched in 1997, as an ad hoc body, in ization and culture. Once the systemic conflicts and Academic Achievement: Psychoanalysts response to a perceived national need to and stresses in the school are clarified, change and Educators Working Together,” was held at improve social, emotional, and cognitive inter- is possible. the Winter 2004 Meeting in New York. This ventions for children and adolescents in schools The first educator panelist was Liz Arney, a symposium was organized by co-chair Jonathan via applied psychoanalytic interventions. The former classroom teacher and program asso- Cohen, president of the Center for Social and committee, which attained full status in 2002, ciate at Facing History and Ourselves (FHAO), Emotional Education (CSEE). Cohen reviewed spearheaded a new category of APsaA asso- a national organization based in Boston that the concept of “emotional intelligence,” noting ciate membership, the educator associate, to works with teachers in school systems around how current social and emotional educational meet the needs of educators who are inter- the country to promote active classroom efforts in K-12 schools have built on the child ested in the application of psychoanalytic prin- discussion about personal and social issues analytic tradition pioneered by Anna Freud.This ciples in the classroom. Jonathan Cohen and I relating to tolerance and conflict resolution. tradition promoted children’s ego capacities currently co-chair the committee. She called upon psychoanalysts to reach out to both in clinical work as well as in analytic- teachers who often work in isolation and educational collaborations. He cited exten- DISRUPTIVE AGGRESSION without support. She recounted an FHAO sive research that confirms how academic The second Semiannual Educator/Analyst intervention in an inner-city school classroom achievement goes up as social and emotional Symposium,“Coping with Disruptive Aggres- after one of the students in the class was capacities expand. sion in Schools: Educators and Analysts Learn killed intervening in a bullying incident, trau- Margaret Jo Shepherd, emeritus professor of from Each Other,” was held at the 92nd Annual matizing the other students. Arney helped the education at Teachers College, Columbia Uni- Meeting last year in Boston. The panel, com- teacher develop a practical model to restore versity, and a member of the CSEE faculty, posed for the first time of both educators the students’ sense of safety and to teach civil addressed the role of anxiety and motivation and analysts, considered some of the major responsibility. in learning. She attributed the failure of certain stressors facing school communities, includ- Matthew King, superintendent of the children to achieve reading fluency, in spite of ing violence, intolerance, and bullying, and Wellesley (Mass.) public schools, observed appropriate cognitive/biologic interventions, discussed how educators and analysts can that the national discussion about change in to emotional issues that interfere with work- enhance the learning environment in schools. schools over the past 10 years has focused on ing memory. Shepherd called for more atten- This symposium honored the contributions pedagogy and content. Achievement has been tion to students’ emotional lives. of one of the panelists, Maurice Vanderpol, a emphasized at the expense of the emotional Jennifer Allen, a former teacher and middle psychoanalyst who pioneered psychoanalytic life of schools. In King’s opinion, the fear of school principal and current director of edu- conflict and aggression and the “siege men- cation at CSEE, discussed the culture of schools Stephen D. Kerzner, M.D., is a tality” of teachers and administrators have and the need for schools to promote safety graduate of the Psychoanalytic Institute led to a lack of emotional responsiveness and through collaboration, communication, and of New England, East, in adult analysis and communication failures that have torn schools tolerance. She presented the ASSESS Survey of the Boston Psychoanalytic Society and apart. He advocated training educators to (Assessing Social Emotional School Safety) Institute in child analysis; clinical instructor respond to aggression and conflict in pro- developed at CSEE to measure the emotional of psychiatry at Harvard Medical School; active ways. climate of schools and the quality of social, and has a private practice in Brookline Stuart Twemlow, who served as the discus- emotional, and academic teaching and learning. and Duxbury, Massachusetts. sant, has been an advocate of applied analytic Continued on page 33

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 29 AWARDS

JAPA PRIZES Scholarship and Service Win Awards The JAPA Prize is awarded to the author of the best paper published in JAPA during the at 93rd Annual Meeting previous year.This year the prize was awarded L ynn Stormon to three authors: Rosemary H. Balsam, Richard M. Gottlieb, and Mitchell Wilson. The announce- Jonathan Shedler for “A New Language for The prize-winning authors graciously pro- ment of prizes Psychoanalytic Diagnosis,” published in JAPA, vided descriptions of their papers for this and awards at the 2002, 50/2. article. Business Meeting When asked to comment on the impor- of Members at tance of his paper, Shedler wrote,“There is a “The Vanished Pregnant Body” the 93rd Annual widespread belief within psychoanalysis that by Rosemary H. Balsam Meeting of the it is impossible to conduct empirical research JAPA, 2003, 51/4 American Psy- without trivializing or eviscerating psycho- “This paper is part of my ambition to choanalytic Asso- analytic concepts. This paper describes an increase a contemporary awareness of the ciation in San approach to studying personality organization body in mental life and to create a significant Lynn Stormon Francisco was a that preserves the richness and complexity place in psychoanalytic theory for the adult festive occasion for honoring individuals for of psychoanalytic case formulation while also female body in its most mature functional their outstanding contributions to scholarship providing reliable data for research. This capacities. I contend that the well-known, and service. same method also has direct application to eras-old unconscious phallocentricity in analytic training and supervision, leading to thought has contributed unwittingly to the COMMUNITY SERVICE CLINIC richer and more accurate case formulations. dominance and acceptance of a mentalized AWARD FOR 2004 I hope analysts who think empirical research is body theory emanating solely from the adult The mission of the Community Clinics Com- not relevant to psychoanalytic practice will male sexual body represented by the ‘phallus.’ mittee is to expand and enhance psychoana- read this paper and reconsider their views.” The theoretical concept of female ‘lack’ is lytic services to underserved communities Jonathan Shedler, Ph.D., is an associate professor viewed from the vantage point of adult preg- and individuals. This year the committee pre- in the Graduate School of Professional Psychology, nancy, which highlights the radical erasure sented the Community Clinic Service Award University of Denver, and has a faculty appoint- that exists. I suggest that one of the differ- to the Child Development Center of the ment in the Department of Psychiatry, University ences between men’s and women’s bodies Houston-Galveston Psychoanalytic Institute. of Colorado Health Sciences Center. Continued on page 31 The Child Development Center, which is directed by Diane Manning, is a multifaceted psychoanalytic community clinic that combats the influence of managed care by offering a preschool outreach program, a psychoanalyt- ically informed treatment service, and profes- sional training.The faculty donates nearly 8,000 volunteer hours of training time each year to the institute’s training programs, 5,000 hours to local educational institutions, and more than 2,000 volunteer hours in the community, for a total of more than $2.5 million in professional services each year.

FIRST SCIENTIFIC PAPER PRIZE The Committee on Scientific Activities awarded the first Scientific Paper Prize to

Lynn Stormon, M.A., is the first APsaA public service psychology intern and is Photo: Brian Canty currently a doctoral candidate in clinical depth Debra Eder (left) and Carolyn Gatto (right) each receive a special “Certificate of Appreciation” psychology at Pacifica Graduate Institute. for their many years of dedicated service.

30 THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 AWARDS may be understood in terms of the female ‘shifting’ form.” Rosemary H. Balsam, M.D., is a psychoana- lyst in private practice, a training and super- vising analyst at the Western New England Institute for Psychoanalysis, associate professor of psychiatry at the Yale Medical School, and on the staff of the Department of Student Men- tal Health. THE BODY IMAGE IN Meetings PSYCHOANALYSIS AND ART

“Psychosomatic Medicine: Calendar The Third International Symposium Psychoanalysis and Art

the Divergent Legacies of Freud and Janet” Upcoming Florence, Italy by Richard M. Gottlieb May 6-8, 2005 JAPA, 2003, 5/13 For information: “In the paper, I outline some specific dif- E-mail [email protected] ferences between the psychologies of Freud or [email protected] and his near-contemporary Pierre Janet, and trace the legacies of both sets of ideas down to the present day as these are reflected in CURE IN PSYCHOANALYSIS 94TH ANNUAL MEETING the sub-discipline of ‘psychosomatic medi- 2004 English-Speaking Weekend Conference AMERICAN PSYCHOANALYTIC cine.’ As we all know, the great era of psy- The British Psychoanalytical Society, London ASSOCIATION chosomatic medicine studies has passed. In London Seattle,Washington the end, the Holy Grail of these studies, the October 15-17, 2004 June 8-12, 2005 For information: For information: link between mental and emotional states Phone 44 (0) 20 75 63 5016 Phone 212-752-0450 and medical illnesses, was never found. In E-mail [email protected] Web site http://www.apsa.org the wake of the abandonment of this quest, and in part due to the stunning new inves- tigative technologies that have become avail- PSYCHOANALYSIS AND THE BIANNUAL CONGRESS able, a new paradigm of investigation and HUMAN BODY: BEYOND TRAUMA: NEW DEVELOPMENTS theory has emerged, currently somewhat THE MIND-BODY DUALISM IN PSYCHOANALYSIS clumsily referred to in the aggregate as 6th Delphi International Psychoanalytic International Psychoanalytical Association ‘neuroscience.’We hold out great hopes for Symposium Rio de Janeiro, Brazil developments in this area and for psycho- Delphi, Greece July 28-31, 2005 analysis to have an important role in its October 27-31, 2004 Web site http://www.ipa.org.uk/site/cms/ For information: achievements.” E-mail [email protected] Richard M. Gottlieb, M.D., is a faculty member Web site http://delphi.med.upatras.gr of the New York Psychoanalytic Institute and FERENCZI AND GRODDECK: founding group chairman of the Berkshire Psycho- MIND, BODY AND THE analytic Institute, where he is a training and BRIDGE BETWEEN WINTER 2005 MEETING The Clinical Sándor Ferenczi Conference supervising analyst. AMERICAN PSYCHOANALYTIC Baden-Baden, Germany ASSOCIATION August 31-September 4, 2005 “The Analyst’s Desire and Narcissistic New York, New York For information: Resistances” by Mitchell Wilson January 19-23, 2005 Web site www.clinicalferenczi.info JAPA, 2003, 51/1 For Information: “I try to show how the analyst’s inevitable Phone 212-752-0450 Web site http://www.apsa.org desire for particular experiences with their patients leads to resistances that have a nar- cissistic basis. These desires for particular ex- periences are often hidden from the analyst because they are clothed in the analyst’s tech- nical approach and theoretical point of view. Continued on page 33

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 31 ANALYSTS ON THE MOVE

Transplanting an Analyst Continued from page 1

Concurring with Gabbard, Jerry Fogel, who moved from New York to Portland, Oregon, also mentioned needing to hold a “tragic view of life in which you realize that you cannot control everything, even though you might wish to.” Many consultants helped with practical advice in addition to management of coun- tertransference feelings. Cecile Bassen, who relocated from Washington, D.C. to Seattle, found that speaking with a consultant before she notified her patients was helpful in alerting through with an experienced consultant, might PROFESSIONAL IDENTITY her to the option of continuing well estab- be a valuable treatment option. IN THE NEW SETTING lished treatments by phone, rather than ter- One analyst who continued a training analy- Glen Gabbard observed that moving minating with all of her patients. With this in sis by telephone supplemented by in-person “makes analysts aware of how embedded mind, she was better able to explore patients’ visits noted that important new material they have been in a given psychoanalytic wishes and fantasies about treatment op- emerged in this setting.The individual’s analy- culture.…Even if the new setting is receptive tions.These included requests to continue by sis deepened because of his profound feelings and open, one still needs to make a significant phone, challenging assumptions that this was about being abandoned, and about the ana- adjustment. And no matter how confident out of the question, and requests for referrals lyst’s response to his strong wish to continue. you are as a practitioner,” he observed, “an in tension with assumptions that the individ- He was also freed from inhibitions associated almost invisible support system becomes ual would or should stop treatment. Subse- with working in the same community as the lost to you.” Several analysts mentioned a quently, she used consultants to heighten her training analyst. painful loss of their analytic communities and awareness of transference and counter- Other analysts expressed concern, however, said it took three or four years to fully inte- transference reactions. about losing data in the middle phase of an grate themselves into a new professional community. Most analysts advocated speaking exten- Moving “makes analysts aware of how embedded they have been in a sively to people who have knowledge of the given psychoanalytic culture.…Even if the new setting is receptive new professional community before consid- ering relocation, noting, “It will matter that and open, one still needs to make a significant adjustment. people understand who you are and try to And no matter how confident you are as a practitioner, welcome and support you.” Fogel has con- an almost invisible support system becomes lost to you.” cluded that institutes that are trying to attract new analysts should be made aware of “the —Glen Gabbard need for welcoming and caretaking” of the new recruits. Others found it important to anticipate the kinds of competitive issues, Jerry Fogel emphasized this point: “One analysis, and advocated telephone contact largely mutual projections, and “cognitive dissonance” cannot underestimate the impact of the ana- for certain psychotherapy patients or analytic that might arise between the new and estab- lyst’s leaving. It is important to take full re- patients already in the termination phase. lished analysts. sponsibility for the decision, to not minimize its Every analyst interviewed voiced concerns Gabbard offered hopeful counsel for those impact, and to work with a consultant closely about the period of time available to terminate. relocating: “Moving an analytic practice is sur- about the attendant countertransference At least six months for analytic patients vivable, not a catastrophe. It can even be a reactions.” Fogel cautioned about counter- seemed to be optimal. Although Lisa Korman, renewing experience when one feels invigor- transference feelings—a need to hang on, for whom this had not been possible when ated by a new setting.” One dimension of this grandiosity, or guilt about leaving—that might she moved from New York to Chicago, found re-invigoration others cited was the opportunity prompt adopting phone work as a long-term her consultant’s comments quite helpful:“One to learn about different ways of thinking— solution, but did feel that in some circum- more month with this patient will neither about theory and practice, and about different stances, phone treatment, carefully thought assuage your guilt nor solve all his problems.” approaches to institute structure.

32 THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 TH TO E E S D R I E T O T

R Learning Together T 2004

E

Continued from page 29 L

The ASSESS Survey can be used both as a TO THE EDITOR: Also, it was beginning to be difficult springboard for schools to think reflectively As one of the older members (I’ll be 90 to find analytic patients, especially any will- about current teaching and school climate later this year) of the Association, I would ingto comeletters five or six days a week. I and as a pre/post test measure. like to respond to Newell Fischer’s recent found that three times a week was suffi- As the discussant, Leon Hoffman, a psy- letter in TAP (Winter/Spring 2004). In order cient to develop a transference neurosis. choanalyst and co-director, Pacella Parent to survive, I think psychoanalysis needs The requirements for performance of psy- Child Center of the New York Psychoanalytic much more than changing the require- choanalysis must be stated in terms other Society, emphasized the value of collaboration ments for the national Association, but at than number of times per week, or number as a unifying concept not only within school least it is a place to start, and I support his of years. systems, but also between parents, students, suggested changes. Interestingly enough, many years ago, and teachers. I think the Association needs to think when I applied to the Association, I was more in terms of minimal than optimal refused on the basis that my personal analy- EDUCATOR ASSOCIATE requirements. I recall once after the organ- sis was too long (rumor had it that I must The Liaison to Schools Committee urges ization for child analysts was formed that be psychotic). It was then required of me all APsaA members to spread the word to the practice requirements for that organi- that I must see a patient six times a week to educators about the category of educator zation, for the American, and the training be accepted. I was only able to keep a associate. Teachers, school counselors, and analysts were such that it would take 24 patient at that intensity for nine months.The administrators at all levels of education, pre- hours a day to fulfill! I could not, with the committee must have changed, as I was school through college, are eligible to join. best of intentions, fulfill them all. then accepted. Members are encouraged to nominate and/or I do want to say that I have learned mentor educator associates. Prospective much from my training and experience, educator associates must be sponsored by and have been able to translate psychoan- an active member of APsaA. TAP welcomes letters to the editor. alytic insights into many consulting areas, Please feel free to contact Jonathan Cohen Letters must be less than 350 words and even into evaluation of disabilities for or me for further information about the pro- long. Letters will be printed as space Supplemental Social Security. With such gram. Educators interested in applying should allows and at the discretion of the people as Newell Fischer, I have some hope contact Debra Steinke, APsaA membership editorial board. for the future of the profession. services manager, for details at 212-752-0450 —Helen R. Beiser X26 or [email protected].

Awards DISTINGUISHED SERVICE AWARD Continued from page 31 Robert M. Galatzer-Levy received the Amer- ican Psychoanalytic Association’s Distinguished Using Lacan’s ideas about ‘imaginary’ or ‘dual Service Award. Galatzer-Levy was science advi- relationship,’ I investigate the specific struc- sor to the Executive Committee for four years, ture of iatrogenic (analyst induced) and co- the first to serve in this capacity. The award created resistances.These resistances involve lauded him for “the thoughtful and eloquent way the analyst’s misrecognizing his or her own in which you represented the interest and point ideas and feelings for the patient’s ideas and of view of science with the Executive Com- feelings (either conscious or unconscious), and mittee. As its first science advisor, you showed intervening based upon these misrecognitions. how the perspective of science can be appli- I discuss the concept of the ‘analytic third’ as an cable in ways others might not see or speak to, attempted solution to the stalemate inherent and you carried out the mandate of this position in the dual relation.” with diplomacy, humor, and great intelligence.” Mitchell Wilson, M.D., is a psychoanalyst in Galatzer Levy, M.D., is a psychoanalyst in private Photo: Mervin Stewart Berkeley, California, and a faculty member of practice and a faculty member at the Institute for A quiet moment, Ruth Fischer in a sea of chairs the San Francisco Psychoanalytic Institute. Psychoanalysis, Chicago. at the 93rd Annual Meeting.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 33 To let you know who to contact as well as give you an overview of what we offer, we have provided the following summary of depart- membershipments and services: MEMBERSHIP AND Who Are “They” and How Can EDUCATION DEPARTMENT Membership information and queries; asso- “They” Be of Assistance? ciate programs; applications for certification or training analysts. Contact Debbie Steinke Debra Steinke ([email protected], [email protected]; They are advocates for psychoanalysis each staff works together to provide all of the x26) or her assistant,Alo Allik ([email protected]; day. Simply by doing their jobs, they provide “behind-the-scenes” services, from running x18) a collective home base for APsaA members, the scientific meetings to preparing important and their service is a valuable benefit of mem- ballot mailings or communicating member- PUBLIC INFORMATION bership. So, who are “they”? The 13 mem- ship initiatives to keeping you abreast of the Ideas on promoting your practice or an bers of APsaA’s National Office (N.O.) staff. latest privacy information to answering all event sponsored by your institute/society; The staff is a resource for all members and your questions. preparation for an interview by the media; provides both continuity and support to the When you call the N.O. (212-752-0450), tips on publicizing psychoanalysis. Contact organization. Under the helm of Executive our promise is to respond immediately or at Dottie Jeffries ([email protected]; x29) Director Dean K. Stein, APsaA’s professional least return your call within 24 hours. Please rest assured that messages left on our general COMPUTER SERVICES mailbox are listened to regularly and are for- Address and e-mail changes; assistance with For membership assistance, please contact warded to the appropriate party.The link on APsaA’s listservs or World Wide Web info. Debra Steinke, manager, Education & the apsa.org Web site—http://apsa.org/organiz/ Contact Brian Canty ([email protected]; x17) or Membership Services, 212-752-0450 staff.htm—lists the entire staff along with direct his assistant,Alo Allik, ([email protected]; x18) x 26 or e-mail: [email protected]. links to their e-mail addresses. Continued on page 35

TECHnotes

by a skilled person. In fact, even after the Disposing of Retired Computers old data are overwritten by new data, the Paul W. Mosher old data—which still leaves traces under the new data—may still be recovered using special If you use a computer to handle any sen- the breach of patient privacy can be attrib- techniques! sitive information, it is important to take spe- uted to plain carelessness. But a conscientious In order to make the data truly inaccessible cial care when you decide to give away, sell, or practitioner may also cause a privacy breach it is important to use a special erasing tech- discard the computer. Some of the most by not realizing that the usual technique of nique by which the data to be erased are egregious instances of public disclosure of “deleting” a computer file from a hard disk is overwritten multiple times. One very good confidential clinical information have taken not adequate when a computer leaves the program for this purpose is an open source place when computers were resold or dis- custody of the original owner. (free) program called “Eraser,” which can be carded. In some cases, where no attempt On Windows system, a deleted file is not found at http://www.heidi.ie/eraser/ or at was made to erase the computer’s hard disk, actually removed from the computer’s disk. http://www.freewarefiles.com/. Instead, the part of the disk where the file However, if the computer has broken so Paul W. Mosher, M.D., is a councilor- resides is marked as “unused,” but the data that it cannot be restarted to run an erasing at-large of APsaA, a founding board member remain intact until the computer decides to program, then it is important to remove and of Psychoanalytic Electronic Publishing, reuse all or part of that area of the disk. Until physically destroy the computer’s hard disk and a long time computer hobbyist. that happens, the data can be easily recovered before disposing of the computer.

34 THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 ELECTIONS,WAIVERS, LOANS, AND GOVERNANCE COMMITTEES Reports for fellows and councilors; vot- New Members (as of June 2004) ing/proxy questions; applications for the Committee on Research and Special Training ACTIVE MEMBERS Cynthia Mitchell, Ph.D. (CORST)/ Committee on Preparedness and Brian A. Aslami, M.D. David M. Moore, Ph.D. Progress (COPAP) waivers; and for psycho- Merrilee R. Atkins, M.S.W. Ken-Ichiro Okano, M.D. analytic research and Liddle & Hymowitz funds. Gail Barker, M.D. David Ott, M.D. Contact Tina Faison ([email protected]; x23) Svetlana Bonner, M.D. Mimi Pantuhova, Psy.D.,A.T.R. SCIENTIFIC MEETINGS DEPARTMENT Peter M. Bookstein, M.D. Eugene P.Pryor, Jr., Psy.D. Meeting and Program Committee ques- Paul M. Brinich, Ph.D. Lucy J. Puryear, M.D. tions; paper and discussion group submissions; Cynthia L. Carlson, M.S.W. Kelly Reams, M.S.W., L.C.S.W., B.C.D. continuing education credits. Contact Debra Steven E. Clarke, M.D. Anna Lisa Reisman, M.D., F.R.C.P.C. Eder ([email protected]; x21) or her assistant, Susan Cofsky, Psy.D. Walker Shields, M.D. Danise Malqui ([email protected]; x28). For registration questions, contact Chris Broughton Judith Felton, C.S.W. Phyllis L. Sloate, Ph.D. ([email protected]; x19). Shela Baskin Fisk, Ph.D. Linda Spero, M.S.S. Penny M. Freedman, Ph.D. Denis Walsh, M.D. COMMITTEE MEETINGS AND Robert L. Friend, M.D. Susan Warshaw, Ph.D. FELLOWSHIP DEPARTMENT Committee appointments and meeting Amarsingh Ghorpade, M.D. Andrea Weiss, Ph.D. schedules; society/institute officers and Ellen R. Golding, Ph.D. address information; fellowship applications. Richard Fisher Gomberg, M.D. AFFILIATE MEMBERS Contact Carolyn Gatto ([email protected]; Aviel Goodman, M.D. Kaye Bock, M.S.W., L.C.S.W. x20) or her assistant, Lyvett Velazquez Judit Gordon-Lendvay, M.D. Scott Boles, Ph.D. ([email protected]; x12) Elizabeth Haase, M.D. Gary R. Brendel, M.D. ACCOUNTING Elizabeth R. Hatcher, M.D. Stephanie Brody, Psy.D. Submission of expense reports; committee Ellen O’Neil Helman, M.S.W. Catherine Anne Corotis, Ph.D. budget questions; members’ journal subscrip- Lincoln R. A. Hess, M.D. Lilia Feinberg, M.D. tions and dues. Contact Nerissa Steele Ellen Hirsch, C.S.W. Edward Graham, D.S.W. ([email protected]; x16) or her assistant, Sherkima Edwards ([email protected]; x15) Sonia Ioannides, M.D. John M. Hayes, Ph.D. John M. Jemerin, M.D. Margarita Holsten, M.D. OFFICE OF THE Neal S. Kass, M.D. Saskia Hostetler Lippy, M.D. EXECUTIVE DIRECTOR Catherine Rising Kimble, M.D. Stephen Malach, M.D. Contact Dean K. Stein ([email protected]; x30) or his assistant,Tina Faison ([email protected]; Susan Kolodny, D.M.H. Catherine McKenzie, Ph.D. x23) Andreas K. Kraebber, M.D. William Olcott, M.D. Frances Lang, L.I.C.S.W. Dale Panzer, M.D. APsaA’s professional staff is ready to provide Cynthia Lee, Ph.D., J.D. Patricia Plopa, Ph.D. you with personal assistance. As nearly the Carol B. Levin, M.D. Lisa Francine Price, M.D. entire staff attends our biannual meetings, we are quite accessible. Please feel free to say E. Catherine Loula, M.D. Robin Rayford, M.A. hello as we would love to put a face to a name. Angela Carter Martin, M.S.N.,C.S.-P. Hilary Rubenstein, Ph.D. We welcome your ideas and suggestions for Scott R. Masters, M.D. Susan Scheftel, Ph.D. improving the services that we offer. Alo, Brian, Anna Miari, M.D. Jeffrey A. Seiden, Psy.D. Carolyn, Chris, Danise, Dean, Debra, Dottie, Richard G. Michael, Ph.D. Suzanne Rensel Thomas,M.S.W. Lyvett, Nerissa, Sherkima,Tina, and I are happy to give you the support that fosters the success Frederick C. Miller, M.D. of your psychoanalytic practice.

THE AMERICAN PSYCHOANALYST • Volume 38, No. 3 • Fall 2004 35 Associating with APsaA

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

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