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DSPP is a Local Chapter of Division 39 (Psychoanalysis)
of the American Psychological Association

2012-2013 PROGRAM YEAR INTRODUCTION
Treating Impaired Mentalization via Containment and Attunement


Reflective function, or the capacity to mentalize internal states in ourselves and others, is a key determinant of self-organization and affect regulation (Fonagy et. al., 2004). As children in healthy environments become aware of and interpret their own or another’s actions, they begin to experience behavior as meaningful and predictable, and develop organized responses. In neglectful or abusive environments caregiver misattunement can impair the ability to mentalize and mental space can collapse, leading to loss of impulse control and feelings of emptiness. In our program this year we will explore the processes of therapeutic containment and attunement in working with impaired reflective functioning.

In Fall 2012, Dr. Maxine Anderson, Founder and Training & Supervising Analyst, Northwestern Psychoanalytic Society, will share how she has used Bion’s views on containment in her clinical practice. She will explore how therapeutic containment helps develop frustration tolerance and reflective thinking in patients suffering from early trauma.

Throughout the year we will consider containment and attunement from the perspectives of the process of listening to patients; the cultivation of mental states in clinicians; working with erotic feelings; early childhood experiences with primary caregivers; and the technological values that dominate mental health practice.

In Spring 2013, Dr. Alexandra Harrison, a Training & Supervising Analyst with the Boston Psychoanalytic Society and Institute and Assistant Clinical Professor of Psychiatry at Harvard Medical School, will present her view that “something more” than interpretation is needed in psychoanalytic therapies to bring about change (Lyons-Ruth, 1998). Her perspective on attunement will focus on the intersubjective field and implicit relational knowing that exists between patient and therapist, and how “moments of meeting” can catalyze change.

DSPP Co-Presidents - Tedi Koehn, Psy.D., LPC & David M. Young, Ph.D.

Fonagy, P., Gergely, G., Jurist, E.L., and Target, M. (2004). Affect regulation, mentalization, and the development of the self. London: Karnac Books.

Lyons-Ruth, K. (1998). Implicit relational knowing: Its role in development and psychoanalytic treatment. Infant Mental Health Journal, 19(3): 282-289.
2012-2013 PROGRAM YEAR
Treating Impaired Mentalization via Containment and Attunement
Fall Workshop
Sep 22, 2012

Saturday 9am – 4pm
(Registration at 8:30am)
Grievance as a Container for the Negative
Maxine K. Anderson, M.D., FIPA

Founder and Training & Supervising Analyst, Northwestern Psychoanalytic Society, Seattle; Training & Supervising Analyst, Seattle Psychoanalytic Society & Institute; and Canadian Psychoanalytic Society; Full Member, British Psychoanalytical Society

Entrenched grievance provides a seeming protection from deep trauma and loss. But if unattended by the reverie function, it may become a hard-shelled rind into which pain, rage, and righteousness are poured, and concretized as Truths. Detailed illustrations of both the patient’s entrenchment and the analyst’s attempts to aid emergence are presented.

Case Presentation: Laurel Bass Wagner, Ph.D.

Anderson, M.K. (2011). Concretisation and envy. Canadian Journal of Psychoanalysis, 19: 125-131.

Anderson, M.K. (2012). Concretisation, reflective thought, and the emissary function of the dream. In A. Frosch (Ed.), Absolute truth and unbearable psychic pain: Psychoanalytic perspectives on concrete experience (pp. 1-16). London: Karnac Books.
October 17, 2012
Wednesday 7 – 9pm
Listening to Listening: The Evolution of Reverie: Through Attachment and Mentalization to Implicit Relational Knowing
Myrna Little, Ph.D.

Winnicott said the therapist’s task is to stay alive, stay well, and stay awake. Dr. Little will talk about listening processes that, for her, allow the therapist to remain vitally alive; to remain physically and emotionally healthy; and to stay awake through listening to the collaborative echoes of patient, therapist, and all the competing psychoanalytic theories.
Peltz, R. (2012). Ways of hearing: Getting inside psychoanalysis. Psychoanalytic Dialogues, 22: 279-290.

Boston Change Process Study Group (2007). The foundational level of psychodynamic meaning: Implicit process in relation to conflict, defenses, and the dynamic unconscious. The International Journal of Psychoanalysis, 88: 843-860.
November 28, 2012
Wednesday 7 – 9pm
Cultivating Psychodynamic Virtues: Clinical Development Beyond Knowledge and Skills
Adam Brenner, M.D.

Being a psychodynamic therapist involves more than technical skills. It requires the development (or strengthening) of a set of personal qualities and mental states, such as emotional attunement, embrace of complexity, tolerance of negative affects, capacity for playfulness, tolerance of the blurring of the ‘real’, unending curiosity, restraint of one’s own gratifications, etc. Dr. Brenner will explore how we foster the development of these qualities in clinicians-in-training and in general clinical work.
Radden, J. & Sadler, J.Z. (2008). Character virtues in psychiatric practice. Harvard Review of Psychiatry, 16(6): 373-380.

Shafer, R. (1983). The Analytic Attitude. London: Karnac Books.
January 16, 2013
Wednesday 7 – 9pm
Wild Civility: Working with Erotic Feelings in Therapy and Supervision
Melissa Black, Ph.D., CGP and Dale Godby, Ph.D., CGP, ABPP

Have you ever lost a patient by being too civil? Too wild? The tension wild-civility offers us a useful dialectic when navigating the perilous waters of desire, intimacy, and eros in our daily work as therapists and supervisors. We invite you to engage with the material and take a few risks as we create a dialogue of understanding for this sensitive topic.
Davies, J.M. (1998). Between the disclosures and foreclosures of erotic transference-countertransference: Can psychoanalysis find a place for adult sexuality? Psychoanalytic Dialogues, 8: 747-766.

Kledzik, R.B. (2005). The valorized shadow in the image of Jung. Unpublished manuscript.

Russ, H.G. (1999). Leaving chastity behind: The analyst’s use of her sexual response. Psychoanalytic Psychology, 16: 605-616.
February 20, 2013
Wednesday 7 – 9pm
Early Childhood Experiences and the Later Development of Symptoms that may Lead to the Diagnosis of Attention Deficit Hyperactivity Disorder and Attention Deficit Disorder
Sarah Rabb-Bennett, LCSW and Jim Bennett, M.D.

On the effects of early childhood experiences (attachment/attunement) between parents/caregivers and their children leading to the development of symptoms often seen and diagnosed as ADD and/or ADHD. The presentation will include how to help children resume age appropriate developmental track and realign their relationships with their parents/caregivers.
Furman, E. (1992). Toddlers and their mothers: A study in early child personality development (pp. 111-130). Connecticut: International Universities Press.

Rosenblitt, D.L. (1996). States of overstimulation in early childhood. Psychoanalytic Study of the Child, 51: 542-561.
March 20, 2013
Wednesday 7 – 9pm
The Instrument Metaphor, the Generic Clinician, and Attunement
John Z. Sadler, M.D.

Technical reason and the use of technologies in mental health care not only shape practice but how we think about ourselves and our patients. Drawing from the philosophy of technology literature, Dr. Sadler will argue how the technological values that dominate mental health practice diminish our engagement and attunement to the aspects of human life that are among the most essential to human flourishing: that of creativity, emotional connections, and tradition.
Sadler, J.Z. (2008). The instrument metaphor, hyponarrativity, and the generic clinician. In J. Phillips (Ed.), Philosophical perspectives on technology and psychiatry (pp. 23-33). United Kingdom: Oxford University Press.
Spring Workshop*
April 20, 2013

Saturday 9am – 4pm
(Registration at 8:30am)
The Music and The Dance of Therapeutic Action
Alexandra Harrison, M.D.


Training and Supervising Analyst, Adult and Child and Adolescent Supervisory Analyst, Boston Psychoanalytic Institute; Assistant Clinical Professor in Psychiatry, Harvard Medical School.

Psychodynamic play therapy uses a young child’s natural way of making sense of his inner world – imaginative play – to help him open up a set of rigid meanings about himself and those around him and create new, more flexible, and adaptive meanings that can allow him to move on in his psychological development. The usual way therapists communicate about therapy sessions is through the reconstruction of the narrative of a session from memory. The videotape of a play session provides a complementary perspective to this reconstructed information.The implicit, procedural second by second coordination of two partners occurs at the micro-level of communication, which is generally out of awareness. Video microanalysis is necessary to identify both patterns of coordination and moments of transformation in these patterns.

In this presentation, Dr. Harrison will use videotapes from play sessions of two preschool children to demonstrate how the story of the session and the music and the dance – the micro-process - of the session come together.

Case Presentation: To Be Announced

Harrison, A.M. (2003). Change in psychoanalysis: Getting from A to B. Journal of the American Psychoanalytic Association, 51: 221-257.

Harrison A.M. (2005). Herd the animals into the barn: A parent consultation model of child evaluation. The Psychoanalytic Study of the Child, 60: 128-157.

Harrison A.M. and Tronick, E.Z. (2007). Now we have a playground: Emerging new ideas of therapeutic action. Journal of the American Psychoanalytic Association, 55/3: 853-874.

Harrison, A.M. and Tronick, E.Z. “The noise monitor”: A developmental perspective of verbal and non-verbal meaning-making in psychoanalysis. Journal of the American Psychoanalytic Association. Accepted for publication.

Jaffe, J., Beebe, B., Feldstein, S., Crown, C., & Jasnow, M. (2001). Rhythms of dialogue in infancy. Monographs of the society for research in child development 66 (2, Serial No. 264), 1-132.
6 CMEs and CEUs provided for Fall and Spring Workshops, and 1.5 CEUs for Wednesday meetings.

WORKSHOP AND MONTHLY MEETING LOCATIONS

The Fall and Spring Workshops will be held at UT Southwestern Medical Center, Department of Psychiatry, 8th Floor, Room NC8.212, 2201 Inwood Road, Dallas, TX 75235.

All DSPP Wednesday evening monthly mini-workshops will be held at Pecan Creek Office Park, 8340 Meadow Road, Dallas, TX 75231. The Pecan Creek Office Park is near the intersection of Walnut Hill Lane and Greenville Avenue across from Presbyterian Hospital. Drinks and snacks will be served at 7pm, and presentations begin at 7:30pm. The mini-workshops are free to members and students. Non-member professionals may attend for $10 per workshop, payable on site. The fee includes CEUs, drinks & snacks.

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