Psychologist– ψ Official Publication of Division 39 of the American Psychoanalyst Psychological Association VOLUME XXVII, NO. 3 SUMMER 2007 TABLE OF CONTENTs FROM THE PRESIDENT ARTICLES DIAGNOSIS AND ITS DISCONTENTS A MIND IS A WONDERFUL THING TO REACH NANCY MCWILLIAMS................................................................. 1 PRUDENCE GOURGUECHON AND JUDITH LOGUE............................... 61 LETTERS TO THE EDITOR NEGATIVE CAPABILITY AND THE EMPEROR OF ICE CREAM ROGER FRIE, DAVID WOLITSKY AND MRRIS EAGLE, EILEEN KOHUTIS....... 5 HENRY SEIDEN..................................................................... 64 PSYCHOANALYTIC RESEARCH THE CASE OF THE DISAPPEARING PROFESSION DEVELOPMENTAL AFFECTIVE NEUROSCIENCE AND CLINICAL PRACTICE GERALD J. GARGIULO............................................................. 65 ALLAN SCHORE…………..................................................... 6 PSYCHOANALYTIC BOOKS I FEEL STUPID AND CONTAGIOUS LEO RANGELL’S THE ROAD TO UNITY IN PSYCHOANALYTIC THEORY GEOFF GOODMAN…………................................................. 16 JEFFREY H. GOLLAND............................................................. 67 SPRING MEETING SUMMARIES DANIEL N. STERN’S THE PRESENT MOMENT IN PSYCHOTHERAPY IRWIN HOFFMAN..................................................................... 23 AND EVERYDAY LIFE RICARDO AINSLIE, ROBERT SKLAR AND DONNA BASSIN...................... 28 KAREN ZELAN...................................................................... 70 DAVID APPELBAUM, ANDREA CORN, TOM BARTLETT, ABBY HERZIG LAURA BARBANEL AND ROBERT STERNBERG’S PSYCHOLOGICAL & MARY BETH CRESCI............................................................ 29 INTERVENTIONS IN TIMES OF CRISIS STEPHEN COOPER & JODY MESSLER DAVIES................................... 30 HARRIETTE KALEY................................................................. 71 ANN D’ERCOLE, GARY WALLS, & IRWIN HOFFMAN........................... 32 BERND BOCIAN’S FRITZ PERLS IN BERLIN BATYA MONDER & ELLEN TORONTO............................................ 34 ZVI LOTHANE....................................................................... 74 ROBIN HOLLOWAY.................................................................. 36 AYAAN HIRSI ALI’S INFIDEL GEORGE AWAD, CARLO STRENGER, AFAF MAHFOUZ, AND IRA BRENNER.. 37 BARBARA EISOLD.................................................................. 75 PHILIP M. BROMBERG............................................................. 41 COMMITTEE REPORTS ANNA ARAGNO....................................................................... 41 CALL FOR SUBMISSION JESSE D. GELLER AND NORBERT FREEDMAN................................... 42 JOHN ROSARIO-PEREZ AND DOUGLAS DEVILLE............................... 78 SOPHIA RICHMAN................................................................... 42 PSYCHOANALYTIC PSYCHOLOGY IN CANADA VERONICA FISKE AND AMIRA SIMHA-ALPERN................................... 43 JON MILLS.......................................................................... 79 SALLY MOSKOWITZ, DONNA DEMETRI FRIEDMAN, RITA REISWIG, SUZI ETHICS COMMITTEE TORTORA, AND K. MARK SOSSIN................................................. 45 KAREN MARODA................................................................... 79 JANE KENNER & GLORIA GOLDEN................................................ 47 BECOMING CERTIFIABLE: HOW TO GET AN ABPP IN PSYCHOANALYSIS ROY MOODLEY AND RUTH M. LIJTMAER........................................49 BILL MACGILLIVRAY............................................................... 80 CHRISTINE KIEFFER AND PETER CARNOCHAN................................... 50 MULTICULTURAL COMMITTEE PHYLLIS COHEN..................................................................... 52 USHA TUMMALA-NARRA.......................................................... 81 ROBERT GROSSMARK & BRUCE REIS........................................... 54 SECTION REPORT ORNA GURALNIK, ET AL............................................................ 55 SECTION IX: PSYCHOANALYSIS FOR SOCIAL RESPONSIBILITY JENNIFER CANTOR, ELIZABETH GOREN AND KAREN J. MARODA............ 56 LU STEINBERG...................................................................... 82 MARSHA LEVY-WARREN AND EILEEN KOHUTIS................................ 57 DIRECTORY STEPHEN SCHLEIN.................................................................. 59 BOARD OF DIRECTORS........................................................... 83 Psychologist– ψ Official Publication of Division 39 of the American Psychoanalyst Psychological Association Volume XXVII, No. 3 Summer 2007 FROM THE PRESIDENT: Diagnosis and Its Discontents Nancy McWilliams PhD n my previous column, hospitals put out of business by the ubiquitous lie that there II advocated cooperative is no empirical evidence supporting psychoanalytically ventures between Division oriented treatments. His capacity to elicit cooperation from 39 and other psychoanalytic diverse members of a fractious discipline attests both to his organizations. One such leadership skills and to the depth of the dismay with which effort, an endeavor that has analytic clinicians view the contemporary mental health attracted both enthusiasm scene. The project was a labor of love pervaded by rescue and controversy, is the fantasies toward psychoanalysis itself. development, spearheaded Greenspan set up task forces to address (1) adult by the child psychiatrist personality structure and pathology, (2) adult symptom Stanley Greenspan, of the syndromes, (3) assessment of specific capacities implicated Psychodynamic Diagnostic in mental health and illness, (4) childhood and adolescent Manual (published June, syndromes, and (4) outcome research on psychotherapy. 2006). Supported by the In addition, he solicited original papers from noted Division 39 Board of Directors and influenced by many of psychoanalytic scholars on the conceptual and empirical our members (Sidney Blatt, Abby Herzig, Marvin Hurvich, foundations for a more inferential, contextual, dimensional, Bertram Karon, Herbert Schlesinger, Jonathan Shedler, holistic, biopsychosocial way of representing human Howard Shevrin, George Stricker, Joel Weinberger, Drew psychological suffering than contemporary taxonomies Westen), the PDM was a massive, daunting undertaking. permitted. Here I comment on its evolution and mention some of its assets and limitations. Limitations of the DSM for Practitioners Whatever our differences, all the contributors to the PDM Origins of the PDM tended to connect the horror stories of the past quarter- In what he was initially calling “an effort to devise a century (denial of care, overprescription of favored more clinically useful classification system,” Greenspan medications, demoralization of patients when their problems enlisted our support as well as that of the International fail to disappear after the six sessions they are told should Psychoanalytical Association, the American Psychoanalytic be adequate) not only to the insurance industry, Big Pharma, Association, the National Membership Committee on biological psychiatrists and anti-analytic psychologists, Psychoanalysis in Clinical Social Work, and the American but also to the putatively atheoretical direction of the DSM Academy of Psychoanalysis and Dynamic Psychiatry. I since its revision in 1980 (the shift from DSM-II to DSM- became involved when Jaine Darwin appointed me to a III). Reliance on descriptive psychiatry as it is embodied committee charged with representing a psychoanalytic in the DSM and ICD systems has allowed arguments that understanding of personality patterns and disorders. consistently favor chemical intervention and short, symptom- Shepherding the undertaking along with the patience focused therapies over more complex and open-ended of a saint and the perseverance of the possessed, Greenspan psychodynamic, family systems, and humanistic treatments. got the job done in a mere two years. His resolve was the Our gripes with the DSM included its reification of product of his seeing one too many high-quality psychiatric symptom syndromes as separate “disorder” categories, split PSYCHOLOGIST-PSYCHOANALYST, SUMMER 2007 off from conceptualization of the whole human being; its and have given practitioners of disparate orientations a deficient consideration of individual subjective experience; common language for psychological maladies, they have its inclusion of only some personality types (and those largely impoverished clinicians trying to understand only in their most pathological versions); its reliance on their clients. Construing our proposed classification as a conceptualizing via externally observable traits rather badly needed complement to existing systems, the PDM than inferred intrapsychic conflicts, developmental arrests, task forces developed sections on (1) adults, (2) children dissociated self-states, and problematic cognitions, affects, and adolescents, and (3) infants, followed by (4) a hefty and defenses; and its developmentally unsophisticated list of collection of articles by conceptually integrative practitioners the psychological problems of children and infants. We noted (e.g., Greenspan, Wallerstein) and cutting-edge researchers that unless one defines mental health as simply the absence (e.g., Blatt, Fonagy, Shevrin). of symptoms, the DSM and ICD systems have no concept of In the adult and child/adolescent sections, we positive mental functioning. Consequently, they implicitly presented (a) personality differences (in terms of both discourage