Psychoanalytic Center of the Carolinas
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On Ending Treatment: Clinical and Conceptual Considerations
Tuesday, May 09, 2017, 7:10 PM - 8:40 PM EST
Category: Courses

On Ending Treatment: Clinical and Conceptual Considerations
Instructor: Dorothy Holmes, PhD

The word “termination” ill-fits the various aspects of concluding psychoanalytic treatment.  It derives from Freud’s early and scant considerations of the conclusion of psychoanalytic work.  In fact, some treatments do end abruptly, unilaterally, and/or with intense affective aspects and/or with results that fall short of the treatment goals.  Still, the word “termination” is an unsatisfying shortcut for these possibilities and for the more optimal ones that are often achieved.  This course will consider the history of “termination” in terms of older, classical views, including but not limited to Freud’s. More contemporary Freudian and relational/interpersonal points of view will also be reviewed.  The course will also consider points of view about who decides the ending (patient; analyst; joint and enacted). The process work involved in various kinds of analytic endings (planned and mutual; impasses) will be covered in this course, including clinical manifestations of analytic progress, the challenges in such work, and inevitable incompleteness of such work.  Some specific clinical issues that may complicate endings will be considered, including a history of trauma and attachment issues.  

Preparation for Classes
: We will illustrate treatment ending processes and techniques through vignettes provided by the instructor and class members. For each class, each member is asked to complete the assigned readings, be prepared to critique the readings and to present a brief vignette. The vignette should illustrate the topic for the class and raise or answer a question or two about the class topic. Each class will be divided equally between review of literature and discussion of vignettes.

NOTE: The course description and readings were adapted from recent termination courses offered at the Newport Psychoanalytic Institute in Tustin, CA and in the NYU Postdoctoral Program in Psychotherapy and Psychoanalysis.

This class is open to matriculated Psychoanalytic Adult or Adult/Child students who have completed all or nearly all of the Core Curriculum. Some exceptions to the requirements that the psychoanalytic student has finished all or nearly all of the Core Curriculum may be made by the psychoanalysis program.

Register Here

Where:    Chapel Hill
When:     March 21 - May 9, 2017  
Time:       7:10pm - 8:40pm

CME Credits: 12 / CE Credits: 9 / NBCC: 12 clock hours / All others: Letter of Attendance

Training Program Credit: Students who successfully complete this course earn advanced curriculum credit in the psychoanalysis training program.

About the Instructors: Dorothy Holmes, PhD

: Click Here

Registration and Tuition Deadline deadline is March 14. 
$25 Registration Fee is due at time of application.

Tuition: $315 
$235 for students matriculated in the training programs 
$290 for residents and graduate students
Payment plans can be arranged with the Administrator

Matriculated students aren't charged a course registration fee.  Students who register for more than one course in a semester pay only one registration fee.  In special circumstances we may accept registrations after the registration deadline, but there will be an additional $20 late registration fee.

Register Here

Course Learning Objectives: 
Class participants will be abl
e to:
1: Identify concepts and technique applied to treatment endings that Freud and other early analysts espoused.
2: Describe and assess the utility of early criteria for terminating treatment.
3: Explain and critique how the Freudian perspective on termination was elaborated as a mourning process.
4: Describe readiness to end treatment in relation to good enough accomplishment of analytic goals and to what additional analytic work might be done.
5: Describe the conceptual differences between relational/interpersonal perspectives and classical ones.
6: Discuss the complexity of what might be a “good-enough” ending in relation to the difficulties in terminating a positive attachment relationship.
7: Identify and distinguish between impasse and readiness to end.
8: Think critically whether and how the ending was co-constructed, about the role of self-analysis, and about the possibility/necessity of post-termination contacts with patients.
9. Recognize how one’s own perfectionistic tendencies as an analyst may interfere in achieving a “good enough” ending to treatment.
Note: These objectives were adapted from those offered in the Treatment Endings course offered Spring, 2015 in the NYU Postdoctoral Program in Psychotherapy and Psychoanalysis.

CE & CME Information

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of American Psychoanalytic Association and Psychoanalytic Center of the Carolinas. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians.

The American Psychoanalytic Association designates this Live Activity for a maximum of 12 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters of this CME program have any relevant financial relationships to disclose.

The Psychoanalytic Center of the Carolinas is approved by the American Psychological Association to sponsor continuing education for psychologists. The Psychoanalytic Center of the Carolinas maintains responsibility for this program and its content.

The Psychoanalytic Center of the Carolinas has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6518. Programs that do not qualify for NBCC credit are clearly identified. The Psychoanalytic Center of the Carolinas is solely responsible for all aspects of the program.

Contact: [email protected]