CL 522
Clinical Process & Technique
II:
Therapeutic Response
Spring, 2008
Jennifer Tolleson, Ph.D., LCSW
3560 N. Pine Grove #2, Chicago, IL 60657
312/409-2851
Jentolleson@mindspring.com
Course Objectives
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To address the therapist’s differential use of self
within the context of the immediate (i.e., here and now) clinical interaction.
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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.
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To enhance the therapist’s flexibility, reflectivity,
and effective use of self within the clinical encounter.
Required Texts
Bollas, C. (1987). The shadow of
the object. New York: Columbia University Press.
Hammer, E. (1968) Use of interpretation in treatment:
Technique and art. New York and London: Grune & Stratton.
Symington, N. (1993). Narcissism:
A new theory. Karnac Books.
Symington, N. (1996). The making of a
psychotherapist. International Universities 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?
Essays 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 grade for each missed session. Students
who miss more than two 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 I: 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.
Class 3: Interpretation -- General Principles
Hammer, E.F. (1968). The role of interpretation
in therapy. (pp. 5-12); Interpretations: Where and when? (pp. 22-26); Interpretive
technique: A primer. (pp. 31-42); Interpretation: Science or art?
(pp. 372-374). In E.F. Hammer, Ed., Use of interpretation in treatment:
Technique and art. New York and London: Grune & Stratton.
Ogden, T. (1997). On the use of language
in psychoanalysis. In Reverie and interpretation: Sensing something
human, pp. 199-231. Jason Aronson, Inc.
Singer, E. (1968). The reluctance to
interpret. In E.F. Hammer, (Ed.) Use of interpretation in treatment:
Technique and art (pp. 364-371), 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. In Reverie and interpretation:
Sensing something human (pp. 23-63). Jason Aronson, Inc.
Contents Copyright, Institute for
Clinical Social Work
