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!

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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

Click here for ABSTRACT


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