PSYCHOANALYST Quarterly Magazine of the American Psychoanalytic Association
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the FALL/WINTER 2012 AMERICAN Volume 46, No. 4 PSYCHOANALYST Quarterly Magazine of The American Psychoanalytic Association INSIDE TAP… COPE National Meeting Highlights ........ 7–9 Continuing Challenge of Leaving a Landmark .... 13 Rehabilitating Boundary Violators Special Section on Marvin Margolis New Voices ..... 14–20 In 2007, the Committee on Psychoana- After six years, we still feel that we are a lytic Education (COPE) established a Study long way from the conclusion of our work. Autonomy for Group on Boundary Violations and Reha- The following is a brief interim overview. Analysts? ......... 24 bilitation to consider the rehabilitation of Most of our institutes, societies, and centers unethical colleagues. The members of our do not as yet have rehabilitation programs. APsaA’s Fabulous study group are indebted to the many cou- We have been studying the efforts of the Fellows ........... 26 rageous colleagues and patients who have minority who do have such programs. They shared their experiences of boundary viola- have initially been established to help deal tions and rehabilitation with us. We are also with colleagues who have been sanctioned deeply appreciative of the representatives of for major sexual boundary violations, but institutes and societies who have joined our they are structured to deal with a wider meetings to describe their creative efforts to range of boundary violations. These psycho- establish innovative structures to deal with analytic communities wish to devise pro- these issues. grams to provide a path back to full membership, if at all possible, since many of these colleagues have the potential to deal Marvin Margolis, M.D., Ph.D., is chair of successfully with their ethical problems. the Study Group on Boundary Violations and Rehabilitation. ANALYTIC COMMUNITY’S RESPONSE: All recognize our responsibility to help these Study group members are Sydney Arkowitz, SANCTIONS AND REHABILITATION patients find a new analyst and continue our Ph.D., Rita W. Clark, M.D., Suzanne Sexual boundary violations have been par- support as long as it is needed. M. Gassner, Ph.D., John M. Hall, M.D., ticularly shocking to the entire analytic commu- Understandably, colleagues’ shock soon Rion Hart, Ph.D., Ellen Helman, M.S.W., nity, especially when committed by prominent turns to anger. While this is not the appro- Elizabeth Hersh, M.D., Peter Kotcher, analysts in leadership positions. Their unethi- priate time for a decision about permanent M.D., Frederic Levine, Ph.D., Howard B. cal behavior has been a betrayal of our ana- membership status, there is an immediate Levine, M.D., Gayle E. Marshall, M.S.S.W., lytic ideals, an undermining of our effectiveness need to discipline the colleague usually by Lynne Moritz, M.D., Dushyant Trivedi, in the community, and, first and foremost, restriction of privileges and often by a sus- M.D., Vaia Tsolas, Ph.D., and Peggy very damaging to patients who had turned pension of membership. Warren, M.D. to our colleagues for help but were betrayed. Continued on page 23 THE AMERICAN PSYCHOANALYST • Volume 46, No. 4 • Fall/Winter 2012 1 CONTENTS: Fall/Winter 2012 THE AMERICAN PSYCHOANALYTIC ASSOCIATION President: Robert L. Pyles 3 Unfree Associations Bob Pyles President-Elect: Mark Smaller Secretary: Beth J. Seelig Treasurer: William A. Myerson 5 Fault Lines: What Kind of Organization Does APsaA Want to Be? Executive Director: Dean K. Stein Colleen L. Carney, Lee I. Ascherman, and Elizabeth A. Brett 7 2013 APsaA National Meeting Highlights: THE AMERICAN PSYCHOANALYST January 15–20 Christine C. Kieffer Magazine of the American Psychoanalytic Association Editor “Two Harmless Drudges” Revise Psychoanalytic Terms 10 Janis Chester and Concepts Elizabeth L. Auchincloss and Eslee Samberg Special Section Editor Michael Slevin A Dangerous Method: Notes on a Film about Freud and Jung 11 Editorial Board Lloyd I. Sederer Brenda Bauer, Vera J. Camden, Leslie Cummins, Phillip S. Freeman, Maxine Fenton Gann, Noreen Honeycutt, 12 From Behind the Couch: Greed in Bull Markets John W. Schott Sheri Butler Hunt, Laura Jensen, Navah Kaplan, Nadine Levinson, A. Michele Morgan, Julie Jaffee Nagel, Bittersweet Farewell to a Boston Landmark Alan Pollack 13 Marie Rudden, Hinda Simon, Vaia Tsolas, Dean K. Stein, ex officio SPECIAL SECTION Photographer Mervin Stewart New Voices Manuscript and Production Editors Michael and Helene Wolff, 14 New Voices: Introduction Michael Slevin Technology Management Communications The American Psychoanalyst is published quar- The Echo of Narcissus Adele Tutter 15 terly. Subscriptions are provided automatically to members of The American Psychoanalytic Asso- ciation. For non-members, domestic and Cana- Phoebe A. Cirio 17 Desire on Chincoteague Island dian subscription rates are $36 for individuals and $80 for institutions. Outside the U.S. and Canada, rates are $56 for individuals and $100 for institu- 18 Silence Melinda Gellman tions. To subscribe to The American Psychoanalyst, visit http://www.apsa.org/TAPSUB, or write TAP Subscriptions, The American Psychoanalytic 19 A Narrative of One’s Own: The New Voice of Alison Bechdel Association, 309 East 49th Street, New York, Vera J. Camden New York 10017; call 212-752-0450 x18 or e-mail [email protected]. Copyright © 2012 The American Psychoanalytic Poetry: From the Unconscious Sheri Butler Hunt 21 Association. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by Cases from the Frenkel Files: Control of the Suicidal Patient 22 any means without the written permission of The John C. West American Psychoanalytic Association, 309 East 49th Street, New York, New York 10017. Politics and Public Policy: MOC/MOL and Status of Consent 24 ISSN 1052-7958 in Certification Graham L. Spruiell The American Psychoanalytic Association does not hold itself responsible for statements made in 26 APsaA’s Excellent New Fellows for 2012-2013 The American Psychoanalyst by contributors or advertisers. Unless otherwise stated, material in The American Psychoanalyst does not reflect the endorsement, official attitude, or position of The Correspondence and letters to the editor should be sent to TAP editor, American Psychoanalytic Association or The Janis Chester, at [email protected]. American Psychoanalyst. 2 THE AMERICAN PSYCHOANALYST • Volume 46, No. 4 • Fall/Winter 2012 FROM THE PRESIDENT Up to this Unfree Associations point, the IPA Bob Pyles had always for- mally recog- I have just As many of you know, the PPP (Perlman- nized only a returned from Pyles-Procci) Proposal was introduced in single system of the 29th Con- September of 2011. This has sparked an education, the gress of the ongoing discussion, which culminated in our Eitingon, based Latin American last meeting with the Executive Council pass- on the original Psychoanalytic ing a resolution that the selection of training model of the Group held in analysts should be based on objective criteria. Berlin Institute, Sao Paulo, Brazil. Naturally, this has created a tremendous though others It was a remark- amount of confusion, consternation, and mis- were known able meeting and understanding about the meaning of the to exist “under Bob Pyles I will write more Executive Council’s action and the meaning the radar,” similar to our own situation. about it in my next column. What I would of the PPP Proposal. One of the wonderful achievements that like to focus on here is that the International Although this was simply a proposal put the IPA was able to accomplish was to get Psychoanalytical Association seems to have forward for the purpose of discussion and away from the narrow legalistic way of think- been able to accomplish something that we consideration, it would seem that there is ing, and focus on the larger educational pic- in our Association thus far have been unable something in the very nature of our group ture and the larger issues. Up to that point, to do. That is, to consider and discuss a cen- that prevents us from being able to tolerate the IPA was focused, as we are now, on a tral idea, an idea that is at the core of our actually discussing these ideas without feeling very legalistic way of thinking that was highly philosophy, without reaching for lawyers or a kind of annihilatory anxiety. polarizing and problematic. threatening to split. The title of this column is taken (with per- mission) from a remarkable book of the The most impassioned and damaging of these same name, published in 2010, written by conflicts were animated by perceived inequities Douglas Kirsner, an Australian professor of philosophy and psychoanalytic studies at in the TA system. Deakin University. The book is based on a series of inter- views with faculty members of four institutes, At the heart of this discussion is the ques- My committee hit upon the idea of sur- New York, Boston, Chicago, and Los Angeles, tion of authority: Who has it and what place veying the training practices in all of the soci- and describes in riveting fashion the bitter it has in a psychoanalytic education system. eties around the world and came up with internecine political struggles, marked by The Presidential Plenary at the January 2013 the concept of “models of education.” The intolerance and polarization and often result- National Meeting, which will be given by past- willingness of the committee to collect and ing in splits. This book is a “must read” for any- president, Warren Procci, will focus on one assess objective data was key in breaking the one involved in psychoanalytic administration aspect of this issue in his address, “The Second impasse. Then by moving to the concept of or education. Century for Psychoanalysis and for APsaA: models, we were able to rise above narrow Their Fates May Differ.” Otto T. Kernberg will issues and look at educational systems in CLEAR AND COMPELLING take up the TA system directly in an address, their entirety.