the SPRING/SUMMER 2012 AMERICAN Volume 46, No . 2 PSYCHOANALYST Quarterly Magazine of The American Psychoanalytic Association INSIDE TAP… POLITICS and PUBLIC POLICY Election Results . 4 Annual Meeting Fiducia, SCOTUS, and the in Chicago Therapeutic Dyad June 12–17 . 6 –11 Graham L. Spruiell Analytic Reflections It did not matter if Dr. Harold Eist was right information, with rare exception, clinicians on Mad Men . 13 or wrong: The Supreme Court of the United would decline. This decision would be based States (SCOTUS) declined to consider his upon professional ethics, the patient’s right to Special Section appeal. It was a blow to patient confidentiality. confidential treatment and physician-patient on Psychoanalysis Consequently, in Maryland if there is a com- privilege. The same privilege would exist if a & Psychosis plaint by a third party to the medical board, third party requested or demanded pro- the board can legally demand personal health tected information about a lawyer’s client or (Part 3) . 17–20 information (PHI) from individual patients’ a priest’s penitent, although the legitimacy of medical records, without obtaining consent, such designations may be on the decline. Child Psychoanalysis . 21 even if the patient objects. The board’s demand was in conflict with In the Eist case, the Maryland Board of everything Eist Physicians investigated psychoanalyst and understood child psychiatrist Harold Eist after receiving about his ethi- a frivolous complaint from the estranged cal obligations husband of his patient. Board investigators to his patient. demanded that Eist disclose confidential It also contra- records without his patient’s knowledge or dicted recom- consent, information that could be used mendations by against the complainant’s wife in a divorce his legal coun- proceeding. sel, advice ten- Besides affecting patients, the Eist case also dered despite a has implications for clinicians. Traditionally, if a Maryland stat- third party requests or demands confidential ute permitting board access to medical Graham L. Spruiell, M.D., is co-chair of the records during an investigation. Eist con- Committee on Government Relations and ceded and eventually complied with the Insurance and a member of the Program in board’s subpoena after informing his patient Psychiatry and the Law, Beth Israel Deaconess that he would do so unless she objected. Medical Center, Boston. Continued on page 26 THE AMERICAN PSYCHOANALYST • Volume 46, No. 2 • Spring/Summer 2012 1 CONTENTS: Spring/Summer 2012 THE AMERICAN PSYCHOANALYTIC ASSOCIATION President: Warren R. Procci 3 Farewell after 10 Years of APsaA Leadership Warren R. Procci President-Elect: Robert L. Pyles Secretary: Beth J. Seelig Treasurer: William A. Myerson 4 APsaA Elections Executive Director: Dean K. Stein Honorary President 5 Historic Invitation to William Alanson White Institute Leo Rangell Colleen L. Carney and Beth Seelig THE AMERICAN PSYCHOANALYST 2012 Annual Meeting Highlights: June 12–17 Christine C. Kieffer 6 Magazine of the American Psychoanalytic Association 8 University Forum on Immigration Stanley Coen Editor Janis Chester Come to Chicago: 101st APsaA Annual Meeting: Editorial Board 9 Brenda Bauer, Vera J. Camden, June 12–17 Caryle Perlman Leslie Cummins, Phillip S. Freeman, Maxine Fenton Gann, Noreen Honeycutt, Sheri Butler Hunt, Laura Jensen, Film Workshops at Annual Meeting in Chicago 11 Navah Kaplan, Nadine Levinson, A. Michele Morgan, Julie Jaffee Nagel, Marie Rudden, Hinda Simon, Vaia Tsolas, Film: Parenting Lessons from Mad Men’s Betty Draper Frances 13 Dean K. Stein, ex officio Stephanie Newman and Bruce H. Sklarew, Film Column Editor Photographer Mervin Stewart COPE: The Female Body: Integrating Psychoanalytic 15 Manuscript and Production Editors and Biological Concepts Malkah Tolpin Notman Michael and Helene Wolff, Technology Management Communications Candidates’ Council: Candidate Connection Hilli Dagony-Clark 16 The American Psychoanalyst is published quar- terly. Subscriptions are provided automatically to members of The American Psychoanalytic Asso- SPECIAL SECTION ciation. For non-members, domestic and Cana- dian subscription rates are $36 for individuals and Psychosis $80 for institutions. Outside the U.S. and Canada, rates are $56 for individuals and $100 for institu- tions. To subscribe to The American Psychoanalyst, Psychoanalytic Treatment of Psychosis: 17 visit http://www.apsa.org/TAPSUB, or write TAP Part Three of a Three-Part Series— Subscriptions, The American Psychoanalytic Introduction Michael Slevin and Eric R. Marcus Association, 309 East 49th Street, New York, New York 10017; call 212-752-0450 x18 or e-mail [email protected]. Working at the Limits of Human Experience Danielle Knafo 17 Copyright © 2012 The American Psychoanalytic Association. All rights reserved. No part of this publication may be reproduced, stored in a Creativity in Psychosis Eric R. Marcus 19 retrieval system, or transmitted in any form or by any means without the written permission of The American Psychoanalytic Association, 309 East Aspects of Child Analysis Anita Schmukler and Paula Atkeson 21 49th Street, New York, New York 10017. 23 Cases from the Frenkel Files: A Case of Matricide John C. West ISSN 1052-7958 The American Psychoanalytic Association does not hold itself responsible for statements made in Poetry: From the Unconscious Sheri Butler Hunt 24 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. 2 • Spring/Summer 2012 FROM THE PRESIDENT TIME TO RECONSIDER OUR Farewell after 10 Years LEADERSHIP MODEL A third point is that we will need mecha- of APsaA Leadership nisms in place to assure that we can succeed Warren R. Procci in advancing our profession. With some per- sonal misgivings, I think APsaA needs more This is my last to be a most powerful method, albeit in the than a “volunteer” president and officers. opportunity to right hands and most certainly with the right Yes, I am paid a stipend, but it is not at all write to you as patients. Most of us who have been doing this commensurate with the task, and certainly president of work for any length of time have seen analy- the nominal salaries of the other officers do APsaA. A role I sands who make spectacular life changes, so not at all match their efforts. The world our have much en- our first and overwhelming concern is still to organization faces has changed. Once upon a joyed. It has not do what we have not been able to do in our time volunteer leaders could devote a few been without its hundred-year-plus history, and that is to make hours a week to APsaA and enough new tribulations, but the “unconscious conscious,” make the public candidates and patients came our way so it has always aware that we are a powerful tool for a dis- that we continued to grow and develop. That Warren R. Procci been an honor tinct group of patients. time is not now. Just as we decided, and in to be a leader of an organization that sup- A second task necessitated by my first retrospect quite wisely so, to move from an ports so noble an endeavor as psychoanaly- point is also something we have not done, at administrative director to an executive direc- sis. I will use my valedictory to describe some least during my tenure. My services as an tor several years ago, I believe it is now time of what I have learned during my tenure APsaA leader began with six years as your to have officers who do not attempt to fit and provide some strong recommenda- treasurer (2002-2008), a job that delighted the work of APsaA into busy clinical and tions that I have for all of you, as well as for me. It is always said that if you look at an teaching schedules. This is our equivalent of my successors. organization’s budget, you will understand its “the kindness of strangers.” We can no longer rely on the “tired energies of tired men” and that of tired women as well. … it has always been an honor to be a leader of an I’ll make one addendum to the above organization that supports so noble an endeavor point. We need a board of directors that can be the appropriate balance and catalyst for as psychoanalysis. our officers. We need a board that can meet more than twice a year and whose meetings allow time for ample opportunity to consider PUBLIC AWARENESS AND purpose and priorities. Unfortunately, this some critical issues in detail. We also need STRATEGIC PLANNING was not so clearly the case with APsaA. I well opportunities for board members to bond First of all, we are still a very well kept recall my first Budget and Finance Commit- with each other and build relationships. This secret. I was recently a discussant for the tee meeting. We considered requests for can help undermine the kind of fractiousness USC Residents’ Movie Night, remarking on funding from our melting pot of committees. and minority group efforts that have ham- David Cronenberg’s film “A Dangerous It seemed to me almost a “first come, first pered board function in recent years. Our Method.” There is a powerful scene where serve” process in our consideration for fund- Council has been hampered by its current Ferenczi, Freud, and Jung are on the deck of ing. There was little or no overall planning on structure, rather than any lack of good will. As the George Washington, the steamer that how best to utilize our limited funds in the a result, it has not been able to do those brought them to the United States for their service of an overarching APsaA purpose.