New York, New York 10024 January 2009 Barbra Zuck Locker Ph. D., ABPP One West 81
Course Outline: Doing the Work: Clinical Seminar
This course is a case seminar/ group discussion format that will use case
material and readings to explore the experience of the patient and the analyst in
the treatment situation. Special attention will be paid to the uniquely
“interpersonal” approach to the analytic encounter, but the course will primarily
be concerned with “doing the work” and it’s underlying meaning. Students will be
asked to think about their own psychoanalytic participation, and what they bring
to the analytic situation as individuals. Candidates will be encouraged to consider
the analytic relationship in terms of the mutual impact of analyst and patient, in
both conscious and unconscious realms.
Class meetings will be organized around particular aspects of the analyst/patient
relationship, with questions aimed at generating class discussion and the sharing
of experiences. Students will be asked to present case material, both clinically
challenging, and uniquely rewarding. In addition to assigned theoretical readings,
film and works of fiction will be used to highlight aspects of “the interpersonal”.
The syllabus below is not meant as a strict outline, but rather as a suggested
sampling of class discussion topics built around practice issues. Since this is a
seminar, it is expected that there will be flexibility in the organization of topics and
assignments based on the case material presented and the class discussion.
Readings and assignments will be selected from the bibliography below, and
distributed in advance. Readings are meant as guideposts. The focus of the
class will be on the experience of being an analyst and being a patient.
Week 1: Getting to Know You: The Initial Encounter
The first session will be an introductory session for the class, and will also begin
to explore the vicissitudes of the initial encounter between patient and therapist.
This will include aspects of the referral process, the telephone encounter, and the
topic of “first impressions”.
From the bibliography (FTB): Pipher, (2003).
Weeks 2 & 3: Do we meet again? The Initial Encounter Continued
What exactly is a consultation? The detailed inquiry and taking a history.
Of all the gin joints in the world, why did you walk into mine?
Are you the one? How do we determine whether to start a treatment? How do
we decide how often to meet?
When do we talk about the “business” of therapy? Should there be policies? What about money?
FTB: Cooper, A. (1995); Josephs(2004).
Week 4: The Electronic Analyst and the Wired Patient and Both:
A slow speed practice in a high-speed world. Does technology affect the
analytic relationship? Should it? How does it affect the “business” plan?
FTB: Parker, (1997.
Weeks 5 & 6: What are we doing anyway, and how do we work together?
What is psychoanalysis? What is therapy? Are we counselors? Is there a
difference? What makes this work, work? Is change possible?
What do we two do now? Is history necessary? What is memory? What is truth?
The intimidation of the dream: Are night dreams more important than day
FTB: Aron, (1997); Bromberg, (2006); Carr, (2008); Imber, (1995);
*Two For the Road, Peggy Sue Got Married
Week 7: I know you! I’ve heard this all before: Assumptions, values and prejudices.
Treatment biases. The analyst’s judgments. What’s culture got to do with it? The
role of labels and diagnoses. What is Character? The tyranny of the familiar.
FTB: Barnett, (1981); Goren, (1995).
*Crash; The Visitor.
Week 8: I don’t know you at all…you’re freaking me out! The new and the unfamiliar. Further notes on character and diagnosis.
FTB: Grey, C. (1993); Jones, D.F. (1995).
* Zelig; Midnight Cowboy
Week 9: I know how you feel.
What is empathy? What is shared experience? What is pain?
What is knowing?
FTB: Itzkowitz, (2006); Kates, (1997).
* Cinema Paradiso,
Week 10: What’s love got to do with it?
What do we feel for each other? What kind of relationship is this anyway?
This can’t be attraction…it must be counter-transference.
FTB: Hirsh, (2008); Lesser, (1978b).
Weeks 11 & 12: What am I supposed to do here?
Is there such a thing as technique? Can I learn it?
The analyst’s participation in the treatment. What exactly is mutuality?
Authenticity? How about self-disclosure? What about analytic neutrality?
The patient as “co-worker”.
Both weeks, students are asked to bring in one “clinical vignette” of the week, and one “real life” vignette of the week.
FTB: Ehrenberg, (1995); Fiscalini, (2004); Renik, (1995).
* Lars and the Real Girl; Talk to Her.
Week 13: Stuff happens.
Life emergencies during the treatment. Yours, mine and ours: Are we in this
FTB: Locker, B. (2007); Singer, E. (1977).
Week 14: Little or no side effects: The Role of Psychopharmacology in
When is medication helpful? How are we involved? How much do we need to
FTB: Friedman, R.A. (2008).
Week 15: How will I learn to live without you? Is there termination? How and when? Saying Good-bye.
FTB: Ragan, T, (2008).
* Finding Nemo.
Aron, L. (1996). A Meeting of Minds. Hillsdale, NJ: The Analytic Press
Aron, L. (1997). Are We to Have a Meeting of the Minds? Psychoanalytic
Aron, L. (2005). On the Unique Contributions of The Interpersonal Approach to
Interaction: A Discussion of Steve Mitchell’s “Ideas of Interaction in Psychoanalysis.” Contemporary Psychoanalysis, 41:21-34.
Barnett, J. (1981). Interpersonal Processes, Cognition and the Analysis of
Character. Contemporary Psychoanalysis.16:397-416.
Bass, A. (2001). It takes One to Know One, or, Whose Unconscious Is It Anyway?
Psychoanalytic Dialogues. 11:683-702.
Basescu, S. (1977). Anxieties in the Analyst: An Autobiographical Account.
In K. Frank (Ed.), The Human Dimension in Psychoanalytic Practice (pp153-163). New York: Grune and Stratton.
Basescu, S. (1987). Behind the Seens. Psychoanalytic Psychoanalysis 4:255-265.
Berman, E. (2001). Psychoanalysis and Life. Psychoanalytic Quarterly, 70: 34-65.
Bromberg, P. (2006). Awakening the Dreamer: Clinical Journeys. Hillsdale, NJ: The Analytic Press.
Carr, D. (2008). The Night of the Gun. New York: Simon and Shuster.
(Or, New York Times Magazine excerpt, July 20, 2008.)
Cooper, A. (1995). The Detailed Inquiry. In: The Handbook of Interpersonal
Psychoanalysis. (Eds,) Lionells, M., Fiscalini, J. Mann, C. & Stern, D. Hillsdale,
(pp. 679-695). NJ: The Analytic Press.
Cooper, S.H. (2000). Objects of Hope: Exploring Possibility and Limit in
Psychoanalysis. In: Handbook of Interpersonal Psychoanalysis. (Eds,) Lionells, M. Fiscalini, J. Mann, C. & Stern, D, Hillsdale, NJ. Analytic Press.
Crowley, R. (1952/1995). Human reactions of analysts to patients. In D. Stern,
C.H. Mann, S. Kantor and G. Schlesinger (Eds.), (pp. 73-81). Hillsdale, NJ:
The Analytic Press.
Ehrenberg, D.B. (1992). The Intimate Edge. New York: Norton.
Ehrenberg, D. (1995). Self-disclosure: Therapist’s Tool Or Indulgence? Countertransference Disclosure. Contemporary Psychoanalysis, 31:213-221.
Fiscalini, J. S. (2004). Co participant Psychoanalysis. New York: Columbia University Press.
Friedman, R.A. (2008). Take Two Prozac and Call Me in the Morning. New York Times, July 15, pF5.
Gerson, B. (1996) The Therapist as a Person: Life Crises, Life Choices, Life
Experiences, and Their Effects on Treatment. Hillsdale, NJ: The Analytic Press.
Gill, M. (1994) Psychoanalysis in Transition. Hillsdale, New Jersey: Analytic
Goren, E.R. (1995). Review essay: Narcissism and the Interpersonal self. J. 4 Fiscalini and A. Grey (Eds.) Psychoanalytic Psychology 12: 329-342
Grey, C.C. (1993) Culture, charter and the analytic engagement: Toward a
subversive psychoanalysis. Contemporary Psychoanalysis, 29: 487-502.
Greenson, R. (1977). The “Impossible” Profession. K. Frank (Ed.), The Human Dimension in Psychoanalytic Practice (99-114). New York: Grune and Stratton.
Havens, L. (1993). Coming to Life: Reflections on the Art of Psychotherapy
Cambridge, MA, Oxford University Press.
Helm, F.L., (2000). A Continuum of Listening and Interventions. Psychoanalytic Psychology, 17: 730- 749.
Hirsch, I. (2008). Coasting in the Countertranference. New York: The Analytic Press.
Hoffman, I.Z. (1998). Ritual and Spontaneity in Psychoanalytic Practice. Hillsdale, NJ: Analytic Press.
Hoffman, I. Z. (1999) At death’s door: Therapists and patients as agents.
Psychoanalytic Dialogues. 10: 823-846.
Hunter, V. (1994). Psychoanalysts Talk. New York: The Guilford Press.
Personal Factors Subjectively Influencing Interpretation (pp. 6-13).
Imber, R.R. (1995). The Nature and Use of Historical Data. Handbook of Interpersonal Psychoanalysis. (Eds,) Lionells, M.,
Fiscalini, J. Mann, C. & Stern, D. (pp. 695-708). Hillsdale, NJ: The Analytic
Itzkowitz. S. (2006). Discussion of Fiscalini’s “Co-participant Inquiry”.
Contemporary Psychoanalysis, 42:453-462.
Jones, D.F. (1995). Conceptions of Diagnosis and Character. In: Handbook of Interpersonal Psychoanalysis. (Eds,) Lionells, M., Fiscalini, J. Mann, C. & Stern,
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Josephs, L. (2004). Seduced by affluence: How material envy strains the
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Kates, E. (Ed.) (1997). On the Couch: Great American Stories About Therapy. New York: The Atlantic Monthly Press.
Levinson, E. (1983). The Ambiguity of Change. Northvale, NJ: Jacob Aronson.
Levinson, E. (2000). An Interpersonal Perspective on Dreams. Psychoanalytic. Dialogues. 10: 119-125.
Interview with Edgar Levenson, Contemporary Psychoanalysis (2005). Volume 41, Number 4 Special Issue
Lesser, R. (1978) Theory of the self in contemporary psychoanalysis (a
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Lesser, R. (1978). Sibling transference and countertransference. Journal of the American Academy of Psychoanalysis, 6:37-49.
Lesser, R. (1992) Frommian therapeutic practice: “A few rich hours”.
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Lesser, R. (1994). Conceptions of structure in interpersonal psychoanalysis: A
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Lionells, M., Fiscalini.J. Mann, C.H. & Stern, S.B. (Eds.). (1995). Handbook of Interpersonal Psychoanalysis. Hillsdale, NJ: The Analytic Press.
Locker, B. (2007). The End of Mommy: What happens in psychoanalysis when
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Relational Psychoanalysis and psychotherapy, Athens. Greece.
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Maroda, K. (1999). Reflections on Benjamin Wolstein, Personal Analysis and
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Mitchell, S.A. (1995) Interaction in the Kleinian and Interpersonal Traditions.
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Empire of the Sun
Lars and the Real Girl
Peggy Sue Got Married
Talk to Her
Two For the Road