CL 522 DL
Clinical Process and
Technique
II:
The Therapeutic
Response
Spring, 2008
Jennifer Tolleson, Ph.D., L.C.S.W.
312/409-2851
Jentolleson@mindspring.com
1 E. Superior #202, Chicago, IL 60611
I am rarely at the Institute; please do
not leave
messages for me there.
Course Objectives
- To address the therapist’s
differential use of self within the context of the immediate (i.e.,
here and now) clinical interaction.
- To explore, drawing from
psychoanalytic conceptions of technique, varieties of response
available to the therapist and the implications of these response modes
for either deepening or deadening the therapeutic process.
- To enhance the therapist’s
flexibility, reflectivity, and effective use of self within the
clinical encounter.
Required Texts
- Symington, N. (1993).
Narcissism: A New Theory. Karnac Books.
- Bollas, Christopher
(1987). The shadow
of the object. New York: Columbia University
Press.
Course Requirements
All readings are required.
Students
must
come to class prepared to reflect upon and integrate the readings into
the classroom discussion.
One essay (10-12 pages) will be
assigned, due the last class day. In the essay, please discuss
your clinical style, your characteristic way of using yourself in your
work. Drawing from the Bollas paper, “Figures and their
functions,” and the Carveth paper, “Is there a future in disillusion?”
are you more inclined towards a maternal (holding) or paternal
(interpretive), a constructionist or deconstructionist response
approach? Why is this? Provide an argument for why you lean
in the direction you do. Further, what does your clinical style
suggest about the assumptions you make about psychopathology (what is
wrong) and the curative process (how to help). Next, please
critique your clinical style. Are there certain ways of
responding and relating to your clients that you veer away from?
Why? Using a clinical example, think about how your style may
limit, impede, or deaden the process in some way. Where do you
think you need to grow? In what ways is your therapeutic
“repertoire” limited? What do you think might help you become
freer and more complex in your work?
The essay will be evaluated on quality
of writing,
complexity and independence of thought, and ability to express ideas
authentically
and honestly. Plagiarism of any kind will not be tolerated, and
ideas
belonging to others (including the internet) must be cited using APA
guidelines.
Overall class grades will be based on the following: Quality of
class
participation: 25%, Essay: 75%.
The course is taught in a
lecture/discussion format.
Therefore, class attendance is required. For students who miss
more
than one class session (excepting a personal emergency), the overall
course
grade will be lowered one level for each missed session. Students
who miss more than three class sessions will automatically fail the
course
(in cases of personal emergency, the student will be asked to withdraw
from the course and retake it the following year).
Except in cases of extreme personal
emergency (requiring
permission from the instructor before the last class day), there will
be
no ‘Incompletes’ given for the class. Assignments turned in late
will not be accepted.
Course Outline
Class 1: Varieties of Clinical Response
Bollas, C. (1996). “Figures
and their functions.” Psychoanalytic Quarterly, LXV, pp.
1-20. PEP Archive
Carveth, D.L. (1999). “Is there a future in
disillusion? Constructionist and deconstructionist approaches in
psychoanalysis.” www.yorku.ca/dcarveth/AAP.html.
Symington, Neville (1996). “Modes of cure in
psychotherapy”. In The Making of a Psychotherapist, pp.
99-109. International Universities Press.
Class 2: Empathy, Regression, and the Therapeutic
Environment
Balint, M. (1968). “Therapeutic
regression, primary love, and the basic fault” and “The unobtrusive
analyst.” In The Basic Fault: Therapeutic Aspects of
Regression, pp. 159-181. Northwestern University Press.
Bollas, C. (1987). “Ordinary regression to
dependence.” In The Shadow of the Object, pp.
256-276. Columbia University Press.
Bollas, C. (1987). “The transformational object.” In
The Shadow of the Object, pp. 13-29. Columbia University
Press.
Winnicott, D.W. (1954). “Metapsychological and clinical
aspects of regression within the psycho-analytical set-up.” In
Through Paediatrics to Psycho-Analysis, pp. 278-294.
London: Hogarth Press. PEP Archive
Class 3: Interpretation: General Principles
Ogden, T. (1997). “On
the use of language in psychoanalysis.” Reverie and
Interpretation: Sensing Something Human, pp. 199-231. Jason
Aronson, Inc.
Singer, E. (1968). “The reluctance to interpret.” In
Use of Interpretation in Treatment: Technique and Art (pp.
364-371), E.F. Hammer, Ed. New York and London: Grune &
Stratton.
Symington, N. (2004). “Psychoanalysis
and human freedom.” In The Blind Man Sees: Freud’s
Awakening and Other Essays, pp. 1740185. London and New
York: Karnac.
Class 4: Interpretation of Transference
Ogden, T. (1994). “Analyzing
the matrix of the transference-countertransference.” In Subjects of Analysis,
pp. 137-166. Northvale and London: Jason Aronson Inc.
Strachey, J. (1934). “The nature of the therapeutic action
of psycho-analysis.” International Journal of Psycho-Analysis,
15, pp.126-159. PEP Archive
Class 5: Working with Narcissism I
Hopkins, L.B. (1998). “D.W.
Winnicott’s analysis of Masud Khan.” Contemporary Psychoanalysis,
34, pp. 5-47. PEP Archive
Symington, N. (1993). Narcissism: A New Theory.
Karnac Books.
Class 6: Working with Narcissism II: Projective
Identification
Ogden, T. (1982). “Issues
of technique.” In Projective Identification and
Psychotherapeutic Technique (pp. 39-74). New York and
London: Jason Aronson Inc.
Sandler, J. (1976). “Countertransference and
role-responsiveness.” International Review of Psychoanalysis, 3,
pp. 43-47. PEP Archive
Class 7: Uses of Countertransference I
Bollas, Christopher (1987).
“Expressive uses of the countertransference: Notes to the patient
from oneself”. In Shadow of the Object: Psychoanalysis of
the Unthought Known, pp. 200-235. Columbia University Press.
Racker, H. (1968). “The
meanings and uses of countertransference.” In Transference
and Countertransference, pp. 127-173. Madison:
International Universities Press.
Class 8: Uses of Countertransference II
Bollas, C. (1999). “The
occasional madness of the analyst.” In The Mystery of Things
(pp.
140-148). Routledge.
Ogden, T. (1997). “Analyzing
forms of aliveness and deadness.” Reverie and
Interpretation: Sensing Something Human (pp. 23-63). Jason
Aronson, Inc.
Contents Copyright,
Institute for
Clinical Social Work
