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The Analytic Observer
Newsletter of the Chicago Psychoanalytic Society
VOLUME 7, NUMBER 1
March 1999
Contents
The President's Message by Henry Evans, MD
The Institute Connection by Jerry Winer
Institute Clinics News by Barry L. Childress, M.D.,
Director of Clinical Services
From the Institute/Society Archives: Sigmund Freud's Letters to R.R. Grinker Sr.,
1933-4
Plans for a Personal Analysis By Jerome Kavka, M.D. Archivist
Report from the Candidates' Association Joanne Marengo, Ph.D.
Coming Events!
President's Message by Henry Evans, MD
Winter weather notwithstanding, a variety of
plans and program initiatives are in process. Under President-Elect Phil
Lebovitz's leadership, the Program Committee is actively engaged in
preparing the scientific meetings for the 1999-2000 year. He is also
working with his Planning Committee in preparation for the
Society-sponsored conference to be held a year from now. They are
working out a topic and speakers that promise to be of considerable
interest to our members and to the wider psychoanalytically- oriented
community. In my last column I mentioned plans to explore and foster
establishment of a freestanding multidisciplinary organization of
individuals interested in psychoanalytic thinking and its applications
in different fields. The impetus for such programs on a national level
comes from the Ad Hoc Committee on Psychotherapy Associates of the
American Psychoanalytic Association. Membership in these local
organizations, which are being titled The Association (or Alliance) for
Psychoanalytic Thought and promoted through local Societies, is
generally open to all individuals interested in psychoanalytic thought.
In already established programs, members include students,
psychotherapists with at least masters' level training, educators,
psychoanalysts, people interested in social and organizational
functioning and/or policy, members of the legal, arts, and religious
communities, administrators, childcare specialists, physician and
nonphysician healthcare professionals, et cetera.
In the most long-established programs, Michigan
and San Francisco, membership numbers about 250 and 400, respectively.
Recently formed or just forming branches now exist in
Baltimore/Washington, Philadelphia, Cincinnati, Cleveland, Pittsburgh,
Denver and Los Angeles. In several cities an affiliate relationship has
been established between the Psychoanalytic Society and the new
organization. A national database of psychoanalytically-informed
psychotherapists has also been created and the Executive Council of the
APA has just established a new, nonmember category of affiliation, that
of Psychotherapist Associate. Activities of such groups have been quite
varied, including workshops and speakers for the members,
community-centered programs, e.g., psychoanalytic perspectives on
childcare, education and violence, multidisciplinary panels for the
general public, such as one on assisted suicide, programs on film and
literature, et cetera.
On March 7 sixteen of us met for an exploratory
discussion, an 80% turnout of those contacted. They were: William Clark
(NW, practice), Bert Cohler (U of C, Institute), Mary Lou DeNardo
(Pres.-Elect, Assoc.. of Child Psychotherapists), Daniel Frank (Assoc.
Principal, Francis W. Parker School), Connie Goldberg (Ctr. for Religion
and Psychotherapy), Sally Hoit (Psychoeducational Services, Inc.),
Daniel Lewis (NW, School of Education and Social Policy), Carole
Mitchener (DePaul, head of Human Development and Learning program),
Susan Scheffler (NW, practice), Allan Scholom (practice), Daniel Shannon
(Dean, Graham School of General Studies, U of C), Herman Sinaiko (U of C
- Humanities), Richard Spatafora (grad. of Adult Psychotherapy Program,
practice), Renee Summers (Pres., Assoc. of Child Psychotherapists),
Karen Weber (Adult Psychotherapy Program, Institute Clinic) and myself.
Conversation was lively and enthusiasm for
forming an Association for Psychoanalytic Thought was considerable. In
brief, reasons given included (1) increased opportunities for contact
with like-minded people from different fields or institutions; (2)
finding a home for the many analytically-oriented therapists now
disenfranchised by managed care; (3) opportunities for increased
visibility and influence of analytically-informed approaches through
combining voices; (4) further means to perpetuate application of
analytic thinking in many fields through involvement of students; (5)
demonstration of analytically-informed approaches at a community level,
including possible use of analytically-informed, multidisciplinary
teams; (6) possible synergism of interests across fields, enriching the
work of individual members.
The meeting ended with formation of a
preliminary steering group which will meet, gather further ideas and
plan another meeting. If you know people who may be interested in such
an organization please discuss this prospect with them; call me
(312/922-6060) with the names of those who are interested and encourage
them to do the same. Our public relations effort continues. The Society
has ongoing visibility through participation on radio shows, quotes in
articles and letters to the editor. Work is ongoing to expand visibility
through speeches given to various groups, involvement on panels, et
cetera. If you know of opportunities for such presentations or plan to
give any yourself, please contact Mark Smaller.
Although the Society Matinees program has been
quiescent so far this year, we are planning two gatherings during the
spring. As noted in my last column, participation will be on a
pay-as-you-go basis from here on. Discussion continues concerning
interest in forming a program of small dinner parties, quite possibly
potluck, as opportunities for informal interaction amongst Society
members. If you are interested in participating in such a program,
please contact me.
We will hold our semi-annual Business Meeting on
Tuesday, April 27 at 7:00 PM at the Institute. In addition to our usual
business we will have (1) an update on relevant legislative and
government programs and rulings; (2) a discussion of making a
recommendation that all Society members establish a professional will,
following the example from TAP which you received in your January
mailing. This is an important agenda item for all members and I strongly
encourage you to attend the meeting.
The Institute Connection by Jerry Winer
The Institute has enjoyed a productive and busy
period since my last column written shortly after I assumed the
Directorship. We have three new Board Members from the community, Hershy
Pappadis, Allen Smart, and Marvin Zonis. Hank Evans has joined the Board
as a Faculty member. Contributions still arrive honoring the memory of
Tom Pappadis and plans for an ongoing, annual scholarly program
dedicated to him are underway. Our Annual Benefit is scheduled for May
4, 1999, a Tuesday evening. Rather than a dinner dance format we will
have a very brief awards program and an address by Marvin Zonis that
will combine his expertise in Political Science/World Events with his
psychoanalytic insight. Choice of location will be made with excellence
of cuisine a predominating factor. A hardworking Board Committee headed
by Mara Blumenthal will have more details soon. Hershy Pappadis has
graciously agreed to serve as Honorary Chairperson and we are most
appreciative.
The Institute's Sixteenth Biennial Conference on
Psychoanalytic Psychotherapy is scheduled for March 20 and is also
dedicated to the memory of Thomas J. Pappadis, Director 1992-1998. Its
Program Committee, chaired by Saul Siegel, continues the concentration
of recent years on the interaction between therapist and patient.
Entitled "Critical Moments Between Therapist and Patient: Authenticity,
Spontaneity, and Change," the featured speakers will be Alexandra
Harrison of the Boston Psychoanalytic Institute together with Jim Fisch
and Mark Gehrie. Discussion groups are to be co-led by eleven faculty
members and five advanced candidates. The Conference takes on the
problem of the tension between the need for guidelines for interpretive
work and the knowledge that change often comes about through "critical
moments" that arise spontaneously and are characterized by their
authenticity.
The Institute is now on E-mail (you will need to
remove the spaces before and after the @ sign in the following email
addresses): Chris Susman is csusman @ ifp-chicago.org, Mary Pirau is
mpirau @ ifp-chicago.org and Pat Rueckheim is prueckheim @
ifp-chicago.org. Helen Davis is hdavis @ ifp-chicago.org Nancy Harvey is
nharvey @ ifp-chicago.org Bill Kelly is bkelly @ ifp-chicago.org. I am
jwiner @ psych.uic.edu. It is my plan to have as many of the Institute
family on E-mail "broadcast lists" as possible so that communications
can be expedited and their costs reduced. Electronic communication would
eventually extend to all students of the various programs and maybe even
consumers of our educational efforts aimed at the public at large.
We have had some very distinguished visitors
during Winter quarter. Both candidates for President of the
International Psycho-Analytical Association presented papers at our
Wednesday research seminars: In January, Jacqueline Amati-Mehler of Rome
and in February, Daniel Widlocher of Paris. On January 20, Glen Gabbard
of the Topeka Institute and the Menninger Clinic was the Edith Sabshin
Memorial Scholar. He presented a paper on his work with boundary
violations as well as hearing a case presented by our Candidate
Association President, Joanne Marengo. It was particularly rewarding to
have Mel Sabshin with us who made this program possible with a generous
grant in Edie's memory. Throughout this academic year, the Wednesday
research presentations have been excellent thanks to Steve Flagel and
his committee. We are in the process of restoring the awarding of
Category I Continuing Education Credit for attendance. All Society
members are warmly invited. The first Wednesday of each month is devoted
to "The Dean's Dialogue" with Ken Newman's teaching skill regularly
filling the room.
I have reconstituted negotiations with the
University of Chicago to develop a joint Ph.D. program in psychoanalytic
studies. There is considerable enthusiasm for such a venture, but
problems of funding and provision of prerequisite basic clinical
training remain formidable. We are also looking into the feasibility of
re-aligning the Institute with the field of Education, an interface for
which the Chicago Institute has long been noted.
I have asked a committee to create a job
description for an Institute Development Officer that would include fund
raising efforts aimed at better funding of our ongoing programs.
I have been personally involved with a number of
psychoanalytic matters. At the American Psychoanalytic Meetings in New
York in December, I presented the work of the COPE Study Group I have
chaired on The Impaired Faculty Psychoanalyst. I then introduced a
motion to establish a Standing Committee of The Board on Professional
Standards to advise Institutes throughout the country on this difficult
and sensitive problem. I also taught about the same topic in an Ethics
Course at those meetings. My article on the Impaired Faculty Analyst
will appear in the first number of The American Psychoanalyst for 1999.
In February, I attended the annual meeting of the American College of
Psychiatrists in San Francisco coupled with the Board Meeting of the
American College of Psychoanalysts. Virginia Barry and Phil Lebovitz
were elected to membership in the latter at that time. I will be
attending The American Psychoanalytic Association's Committee on
Foundations meeting in New Orleans at the end of March to explore the
possibilities for strengthening the Institute by establishing a
foundation.
Also at the American Psychoanalytic Association
meetings in December, Jerry Beigler chaired an interdisciplinary seminar
"Clinical Applications of Self Psychology, Intersubjectivity, and
Relational Analysis." He also served as a consultant to the Committee on
Confidentiality of the American. Candidate Christine Kieffer represented
our Institute on the Affiliate Council. Prudy Leib chaired the
American's Fellowship Committee and continues the fine work of that
group. And several other faculty played key roles at the American
Psychoanalytic Association New York meetings: Bob Galatzer-Levy
Councilor-at-Large and Mark Smaller, Co-Chair of the Committee on
Foundations. Ernie Wolf presented a paper on "The Unconscious" at a
panel.
Finally, I am delighted to report that one of
our faculty, Jon Meyer, is a candidate for President of the American in
the upcoming election!
Institute Clinics News by Barry L. Childress, M.D., Director of Clinical Services
There have been several changes in the structure
and operations of the Institute Clinics over the past four years. Here
is a summary of the major divisions and their functions.
The Candidates' Clinic
The goal of the Candidates' Clinic is twofold.
First to connect patients who can benefit from analysis with candidates.
Secondly to provide for candidates' educational needs. There has been
considerable revision in this process. We call it the "geographic
model", in this model candidates do their own diagnostic evaluations and
decide with their supervisors as to whether or not to offer an analysis.
The patient is registered in our clinic once such an offer is accepted.
Patients who call the Institute for service can
be another source for the Candidates' Clinic. Each patient is screened
by phone as to their interest in and understanding of psychoanalysis as
a treatment process. Any patient who has an informed interest in
analysis is seen for one screening interview with me at no charge. In
that interview, I look for contra-indications for a candidate analysis,
both personal and logistical, and answer any questions the patient might
have. A general impression about fees is obtained by having the patient
estimate what their budget would allow on a weekly basis. Our clinic
applicants are a population with limited financial capacities. In most
cases, they are students working on a graduate degree and are coming to
the Institute because of the reduced fee Candidates' Clinic. I have
tried to set a minimum fee of $20 per session and most of our referrals
are in this price range. Patients with means routinely seek private
referral from personal contacts within the community. Dr. Ruth Yanagi is
providing consultation services to both this clinic and the
Psychotherapy Clinic.
Psychotherapy Clinic
The Psychotherapy Clinic extends the idea of
service to patients not seeking an analysis or for whom an analysis is
not indicated. Polly Everett-Moline, L.C.S.W. , who is supervising the
program, directly screens psychotherapy calls and is consulted on other
cases where psychotherapy is indicated.
In the past, most of our callers were having
difficulty finding therapists willing to accept $25 or $30 fees and we
would refer these callers to other mental health programs or community
mental health centers. Most were young adults just starting careers and
students who could not afford an analysis or could not commit the time
needed for analysis. Instead of referring these callers to other
agencies, we saw this as an opportunity to develop a new program. We
began to increase the number of therapists available to serve these
patients who, we hope, will eventually allow some of these patients to
be transferred into the Candidates' Clinic for psychoanalysis. New to
the staff are David Myles, Robin M. Smith, Karen L. Weber and Sharon M.
Williams all L.C.S.W.s. The program was designed to pay for itself,
increase the visibility of our educational programs and generate revenue
for the Institute. We would like to remind you that we have a similar,
though at present, less formally organized set of diagnostic and
treatment resources for children. Please keep this in mind as there is
always a need for child control cases for our psychoanalytic candidates.
Referral Service
Finally, the Institute Clinic serves as a
community referral source. Some of our callers are patients or other
professionals who request a therapist who meets specific needs, i.e.,
location, types of treatment, language, specialty area etc. Referrals
are patient-driven. Patients who can afford moderate fees will be
brokered with those who will accept reduced fees and have matching
interests and logistics. The Institute referral service is also
available to you as a member of the psychoanalytic community when you
need to refer a patient. Patients who call the Institute for full fee
services are quite rare and they are given several names based on their
requests (e.g., gender, location, etc.) and service needs.
We would like to include as many members of our
psychoanalytic community in our referral network as we can. If you would
like to participate in this service, please contact the clinic office if
you have not received an application in the mail. You can also let me
know directly about your shifting needs, interests, and availability.
Such updated needs are kept on my computer for daily reference.
From the Institute/Society Archives: Sigmund Freud's Letters to R.R. Grinker Sr., 1933-4
Plans for a Personal Analysis By Jerome Kavka, M.D., Archivist
Dr. Roy Grinker, Sr. had the distinction of
being the only Chicagoan to have been analyzed by Sigmund Freud.
According to Dr. Roy Grinker's autobiography, his father, Julius, a
distinguished neurologist, was interested in psychoanalysis since 1911
when Ernest Jones came to lecture in Chicago. One year later, 1912,
Julius Grinker gave an academic lecture entitled "Freud's Psychotherapy"
before the South Side Branch of The Chicago Medical Society and said
"This new psychotherapy has as its basis a plausible psychology,
splendid reasoning and a profound acquaintance with the depths of human
nature." Julius Grinker ultimately became antagonistic towards
psychoanalysis, yet, ironically, he staked his son Roy to an analysis
with the master, although it lasted but one year.
Franklin McLean, Dean of the recently developed
University of Chicago Medical School, asked Roy Grinker to establish a
Department of Psychiatry, although he was a neurologist. He offered to
obtain a Rockefeller Fellowship and a two year stay in Europe where
Grinker wanted to be psychoanalyzed. Franz Alexander recommended he
contact Freud.
Our archives contain several letters written by
Freud to Grinker in anticipation of his analysis. Freud's charm and
personality as well as his tolerance are evident in these brief notes
some of which are reproduced below.
April 16, 1933 (in English) Dear Dr. Grinker, I
expect to have free hours in the fall this year and will be ready to
undertake your analysis provided my health continues as it is now. My
fee is $25.00 per hour but in consideration of the special interest in
your case I would agree to a reduction. Yet, I cannot give a definite
promise until I have got your kind information about three points: 1)
what your age is 2) how much time you intent to spend on your analysis
3) whether by some chance you speak German and can perform your analysis
in that language although the negative is no obstacle. If you find it
inconvenient to stick to me, you have the choice among several other
analysts, well known to your friend, Dr. Alexander. Sincerely Yours-freud
May 15, 1933 (translated from the German) You
are right to assume that my greedy instincts will be strongly influenced
by your future career in America. But, in addition, there are material
needs to be considered. I am still forced to make a living. I cannot do
more than five hours of analysis daily and I do not know how much longer
I shall work at all. Thus a fee of 15 dollars is my lowest rate per
hour. The amount of $1500 which you have proposed for your analysis
would cover 100 hours, that is four months. Even if for you I were to
decrease this to $10.00, this would result in 150 hours, which would be
about 6 months. I can make no other arrangements. Please consider the
situation and let me know. With best wishes, Yours, Freud
June 8, 1933 (translated from German) I am glad
to hear that it has been easier for you to be in analysis with me since
I myself care about it. The first of September would be a good time to
start; in August I would like to have a rest.
As concerns the fee you are rather too discreet
about it which is unjustified among analysts. You mention no figure. I
do not recall whether I have made you a positive proposal; I think I
have only illustrated the shortcomings of your calculations. Also the
circumstances have changed since then. The dollar has lost much of its
value and will perhaps drop further within the next few months. Thus we
have reached no agreement on this point. I expect to hear from you.
Yours Truly-Freud
Shortly after they started, Grinker's wife,
Mildred, wrote to Freud, "A couple of months of analysis have now passed
and I see no changes in him." At the end, Freud told Grinker "Your
analysis was one of my last remaining pleasures in life."
Report from the Candidates' Association Joanne Marengo, Ph.D.
The 1998-99 Candidates' Association officers are
Joanne Marengo, Ph.D., President; Joseph Cronin, M.S.W, Secretary; Karen
Martin, M.S.W, Treasurer; Judith Lichtenstein M.D., President-elect; and
Lauren Kern M.D., past-President. The Candidates' Association meets
every quarter to convey information on Institute activities and to
discuss issues relevant to the candidates' training experience.
Candidates who represent us to the Institute's faculty committees give
their reports at our quarterly meeting and convey information on the
issues raised within their respective committees.
The Progression Committee's experimental effort
to provide candidates with the option to have the candidate
representative present during Progression Committee discussions of
candidates' progress is an important new process this year. Thus far,
candidate support for this option has been positive and the initial
report on this experimental effort is optimistic. The November 1998
meeting between the Progression Committee and candidates also served to
open the communication and information flow between these groups. All of
the candidate representatives to the Institute's committees appear quite
involved in the activities of their respective committees, and the
broader candidate population has benefited from their involvement and
reports on Institute issues.
In the most recent meeting of the Candidates'
association, we re-engaged an ongoing discussion of the issues and
impact of the graduation requirement of a terminated case. Other issues
that were discussed included the methods of course evaluation, and the
Institute's response to the site visit report and its recommendations
regarding Preceptor roles. The Candidates' Association is working hard
to increase communication with the larger candidate population so as to
more accurately assess diverse candidate opinions. This year, an
increase in financial support for the Candidates' Association has been
accomplished through the success of the Fall Welcoming Party and
encouraging payment of Candidates' Association dues. It now seems viable
for the Candidates' Association to contribute to the educational
atmosphere of the Institute by underwriting a scholar/speaker or through
supporting an educational forum in the near future. The nature of this
educational effort will be discussed at our Spring meeting.
Editor.................Richard I. Herron, M.D.
Asst. Editor.........Phil Lebovitz, M.D.
Assistant to the Editors.... Ms. Eva Sandberg
Coming Events:
Chicago Psychoanalytic Society Meetings
OPEN TO ALL MEMBERS OF THE COMMUNITY
March 20, 1999
Sixteenth Biennial Conference on Psychoanalytic
Psychotherapy
Dedicated to the memory of Thomas J. Pappadis,
M.D.
April 9th at 10:00 am at the Institute
Perversions and Erotic Transference
Open to Society Members
Helen Meyers, M.D.
The First Traveling Woman Psychoanalytic Scholar
Open to Faculty and Candidates Only
1:00pm Case Presentation
April 27, 1999
Business Meeting
13th Floor, 122 S. Michigan
May 25 at the Dental School 7:30 pm
Presenter: Frank Summers, Ph.D.
The Analyst's Vision of the Patient and
Therapeutic Action
Discussant: Bonnie Litowitz, Ph.D.
Open to the Mental Health Community
The Analyst's Vision of the
Patient and Therapeutic Action
May 24, 1999
Northwestern Dental School
240 E. Huron Rm 3380
7:00 pm
Presenter: Frank Summers, Ph.D., ABPP
Abstract: As psychoanalytic therapy shifts from a conflict
resolution theory to a model of self realization, the analyst's vision
of the patient takes on a role in the process that did not exist in the
traditional psychoanalytic model. This paper builds on Loewald's (1960)
concept of the analyst as "behind" because he or she can only build from
the patient's spontaneous productions and yet "ahead" in that the
analyst goes beyond the patient's material to construct an image of whom
the analysand can become. In this way, the future becomes a prominent
component of the analytic process. The famous case of Ann O. is used to
demonstrate the deleterious effects of failing to include the analyst's
vision in the treatment process. This case is contrasted with the
contemporary treatment of a young woman that illustrates the use of the
analyst's vision in the conduct of psychoanalytic treatment.
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"..every
dream reveals itself as a psychical structure which has a
meaning and which can be inserted at an assignable point in the
mental activities of waking life."
Sigmund Freud - The Interpretation of Dreams, 1900
CPS Events |
Tuesday
May 25, 2010 Scientific Program
Note: Attendance at this evening’s meeting is restricted to clinicians and clinical trainees.
Tuesday Evening Presentation – 7:00 P.M.
National Louis University, 122 S. Michigan Avenue, Chicago, IL – Room 5006
Admission is free. No reservations are required.
The Limitations of Freud’s (1933) Bisexual Hypothesis to Explain Impediments to Creativity in a Woman
Presenter: Barbara Rocah, M.D. Discussant: Virginia Barry, M.D.
Find out more...
Plan Future Meetings..
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