Psychoanalytic Center of the Carolinas
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Analytic Approach to Treatment, Part 2 (formerly Analytic Attitude)
Center for Psychological and Family Services (CPFS)
501 Eastowne Drive, Suite 220
Chapel Hill, NC 27514

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Tuesday, May 07, 2019, 5:30 PM - 7:00 PM EST
Category: Courses

Analytic Approach to Treatment, Part 2 (Formerly Analytic Attitude, Part 2)
Instructors: Lida Jeck, MD and Donna Stanley, LCSW

Remote Learners Welcome

This 16 session course is the second part of a year long sequence aimed at helping the psychoanalytic therapist conceptualize an intense therapeutic relationship that is at the core of the psychoanalytic process. As a process aimed at freeing the patient’s inner life, psychoanalysis and psychoanalytic psychotherapy are distinguished by the principle that has been termed the analytic attitude. It is this principle that differentiates psychoanalytic treatments from those therapies in which the focus is generally limited to symptom relief and behavioral change. 

This course is intended to deepen the student’s capacity to conceptualize, listen and intervene in an analytic fashion-both in exploratory interventions and in supportive ones. Class readings and discussion will explore the conditions under which the therapist and patient meet with their own needs and expectations some of which naturally foster an exploratory process. Attention will be paid to the practical considerations required for facilitating a holding environment; the patient’s strengths, limitations, and needs for attachment, safety, and mastery. We will explore the creation of an atmosphere of non-intrusive curiosity and non-judgmental acceptance as well as how to help the patient to engage in treatment, the use of transference and counter-transference, how to address resistances, and the promotion of free association.

Classes will include discussion of clinical material of both the instructors and the participants. 

In addition to the objectives listed separately, we have some overall goals for the class:

 The student will deepen his or her capacity to listen to and to intervene with patients in an analytic manner by growing in his or her ability to:

  • Recognize and work with the affective tone in clinical encounters.
  • Recognize and work with resistance in both the patient and the clinician.
  • Identify the primary defense mechanisms employed by patients and with this understanding provide the appropriate treatment recommendations for individual patients.
  • Have an attitude of free floating attention and fostering free association in the patient

The student will establish and utilize the therapeutic relationship more effectively in his or her work by learning to:

  • Foster the patient’s use of transference and enable the patient to develop a deeper self-observing capacity.
  •  Use his or her countertransference in understanding the patient and in making interventions.
  • Assess the readiness for termination in treatment and facilitate the process in a therapeutic manner.

This course is intended for clinicians at beginning through intermediate levels.

Prerequisite:  This course has the prerequisite of Analytic Approach to Treatment, Part 1 (or earlier versions of that course)  Applicants who don't meet this requirement can register for the course with permission of the instructors.

Register Here

Where:   Center for Psychological and Family Services (CPFS)
When:     Tuesdays, January 15 - May 7, 2019 (no class Feb 5, tentative)
Time:       5:30pm - 7:00pm
CME Credits: 24 / CE: 24 clock hours / NBCC: 24 clock hours / All others: Letter of Attendance

Training Program Credit: Students who successfully complete this course can earn credit in both the psychoanalysis and psychoanalytic psychotherapy training programs.

About the InstructorsLida Jeck, MD and Donna Stanley, LCSW

 Required Text: The required texts are listed below. They are available through Other bookstores also carry copies of these texts (e.g., alibris online books).

 Required Texts:

Novick, J., and K.K.Novick, 2006.Good Goodbyes: Knowing How to End in Psychotherapy and Psychoanalysis. Landham: Jason Aronson.

Busch, Fred. 2014.Creating a Psychoanalytic Mind: A Psychoanalytic Method and Theory. London: Rutledge, Taylor and Francis Group

Syllabus:   click here

 Registration and Tuition Deadline deadline is January 8.  $25 Registration Fee is due at time of application.

Tuition: $650  
$485 for students matriculated in the training programs 
$600 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.

Course Cancellation Policy

Register Here
Course Learning Objectives: 
Class participants will be able to
  1. Describe three possible analytic surfaces and their role in choosing interpretations.  
  2. Describe what is necessary to focus on the unconscious mind of the patient. 
  3. Apply the concept of a transference neurosis to a clinical case. 
  4. Describe free association and how it might be used in psychoanalysis and psychoanalytic psychotherapy.
  5. Compare and contrast the role of free association and the role of self-observation in a psychoanalytic treatment.
  6. Present written clinical material that demonstrates an ability to follow a patient’s process. 
  7. Present written clinical material demonstrating an understanding of the nature of the therapist’s intervention and the patient’s response.
  8. Present case material demonstrating the student’s capacity to observe his or her countertransference.
  9. Explain how a therapist’s defenses and resistances can impede psychoanalytic treatment.
  10. Describe two different approaches to using countertransference in treatment. 
  11. Explain the meaning and use of ‘reverie’ according to Ogden.
  12. Describe two metaphors that communicate to a new client how psychoanalytic therapy can help.
  13. List three shifts that indicate therapy is moving into a middle phase.
  14. Describe how anticipating termination issues can be helpful in the beginning and middle phases of treatment.
  15. List three important considerations for deciding to terminate.
  16. Write a fantasy termination for one of your current patients using concepts from our readings.
  17. Compare and contrast the role of neutrality and the role of abstinence in a psychoanalytic treatment.
  18. Present an example of an unconscious fantasy emerging in treatment. 
  19. Explain the meaning of ‘reconstruction’ in psychoanalytic treatment.
  20. Define the term ‘working through’ as it applies to psychoanalysis.
  21. Explain the idea of making upward and/or downward interpretations and when each might be used.

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 24 AMA PRA Category 1 Credits ™. 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 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]