| For 56
years, having graduated over 550 psychiatrists and psychologists,
and currently boasting 325 active alumni, a building that is an historical
landmark, and a substantial endowment, the White Institute has stood
as the premier representative of the loyal opposition
to the psychoanalytic establishment in the United States. A multitude
of forces contributed to the Institutes success, however, in
what follows I will emphasize certain aspects of the Institutes
structure that, I believe, have especially facilitated its ability
to respond to change while maintaining a singular analytic identity.
In the
early 1940's Clara Thompson supported Karen Horneys departure
from the New York Psychoanalytic Society. In short, the decisive
split (as documented by Eisold 1998, and recently discussed by Richards,
1999) involved Horneys having been removal from the teaching
faculty. Not long after, personal difficulties between Horney and
Erich Fromm led Fromm to join Thompson and others to found the William
Alanson White Institute while Horney started a new school bearing
her own name. Thompson called upon Harry Stack Sullivan, her long
time colleague, to provide a conceptual center for the new venture,
and Freida Fromm_Reichmann and Janet and David Rioch were recruited
from Washington to form the core faculty. Thus a group of independent
minded practitioners joined in an experiment in psychoanalytic education.
They formed an unusual alliance, based more on respect for freedom
of thought than unanimity of perspective. What they did agree on
was a humanistic concern to alleviate suffering, a fervent commitment
to psychoanalysis as a response to human pain, a pro_active political
stance toward redefining social structures to support individualism
and personal freedom, and an abiding interest in the manifold interactions
between individuals and their interpersonal environment.
This
shared vision is crucial in understanding the Institutes past
and future. The new training center affiliated with the Washington-Baltimore
institute, and the first graduates were credentialed through that
group (and thereby APsaA members). Before long however the American
invoked the geographic rule, dissolving the long distance
sponsorship. White then applied to APsaA for independent membership.
The application was withdrawn when the head of the site visit team,
Merton Gill, advised that the inclusion of Ph.D.s would never be
sanctioned.
But the
heresy of our founders did not involve unraveling the interwoven
threads of analytic training. Candidates at White receive a thorough
grounding in the teachings of Freud and his followers, and undergo
an intensive experience of personal analysis and supervision, requirements
that parallel, and in some ways exceed those of the American. In
terms of the divisive and less than scientific numbers game,
White accepts a minimum of three sessions per week for personal
analysis and control cases, while requiring four rather than three
supervised patients. Given this commitment to excellence, White
supports the movement toward credentialing to ensure that practitioners
will be fully qualified. In the same vein, we recognize the importance
of a rigorous, non-anecdotal empirical study of the parameters of
analytic training as well as treatment and advocate jointly sponsored
scientific investigation of these matters.
Of the
founding group, Fromm (a psychologist-analyst, trained in Berlin)
was the most committed to political activism and the least comfortable
with organizational structure. His influence flowed from personal
magnetism as well as the force of his ideas which expanded in the
best oral tradition. Interestingly, Fromm's impact on our analytic
community remained strong although his work was not included in
the Institutes curriculum until quite recently. The other
Institute founders, notably Sullivan and Fromm-Reichmann, employed
analytic ideas in treating hospitalized patients. These efforts
broke with prevailing theory about psychopathology, and also involved
technical modifications that, at the time, were labeled heretical.
Such experiments led Interpersonalists to discover the implications
of countertransference as early as the 1950's (see Tauber 1952,
1954, Tauber and Green 1959, Wolstein 1959). They also expanded
analytic methods to a broad range of patients, anticipating later
discoveries concerning borderline and narcissistic phenomena.
Work with such non-traditional patients illustrated how intense
analytic scrutiny could sometimes have negative impact, while utilizing
a more active analytic stance demonstrated how a meaningful analytic
process could be achieved and resolved with less than four or five
weekly sessions. In this regard it might be noted that Clara Thompson
had traveled to Budapest to be analyzed by Ferenczi, and was deeply
impressed by his personal and professional risk_taking as well as
his openness to new methods. A spectrum of analytic stars emerged
from this early period including Ernst Schachtel, Silvano Arieti,
Salvador Minuchin, Rollo May, Erwin Singer, Ed Tauber, Jack Schimel,
Ralph Crowley, Ruth Moulton, David Schecter, Harry Bone, Milt Zaphiropoulos
and Geneva Goodrich. In addition, later theorists of note include
Ed Levenson, Jerome Singer, Ben Wolstein, Emmanuel Ghent, Arthur
Feiner and Lawrence Epstein. In 1964 Rose Spiegel and Max Deutscher
started the journal, Contemporary Psychoanalysis (currently available
on the PEP-CDROM) as a forum for interpersonal and other alternative
psychoanalytic views.
From
the very beginning, the personal characteristics of the founders
translated into inventive professional activities as well as innovative
organizational structures. For example, White was among the first
institutes to establish a low cost clinic for both psychoanalytic
treatment and psychoanalytically informed psychotherapy. Students
were (and still are) supervised in psychotherapy at the end of their
analytic training, in order to accommodate the differing needs of
specific patients. This clinic is currently a model for psychoanalytic
centers throughout the country, embodying the application of analytic
techniques to diverse populations, and offering opportunities for
candidates to finance training, and for graduates to expand their
skills. From its inception the Institute created opportunities to
study analytic ideas for members of the related professions including
teachers, health workers, dentists and the clergy. The founder of
psychiatric nursing, Henrietta Peplau, was an early participant
in one of these programs. White pioneered in presenting psychoanalytic
ideas to the public, creating awareness of the potentials of analytic
treatment as a liberating as well as a healing experience.
So, started
by a group of splendid iconoclasts, the Institute was, from its
inception, propelled into uncharted waters which were navigated
in very effective ways. Accepting its first candidates in 1943,
and having enjoyed 53 consecutive graduations, applications remain
substantial. White has a solid tradition and a sturdy economic base.
As is true for most psychoanalytic centers, many graduates remain
deeply involved with the institute and volunteer to maintain its
programs. Of the 325 members of the graduate society, about 170
participate as faculty. In addition, its long history has produced
professionals working in a broad range of college and university
programs, mental health centers, and other institutions throughout
the United States and around the globe. At one time virtually every
major academic and hospital program in New York was directed or
staffed by White graduates. Graduates were instrumental in founding
the Academy of Psychoanalysis, the International Federation of Psychoanalytic
Societies, Division 39 of the American Psychological Association,
and the Psychoanalytic Consortium. White graduates were also involved
in starting other analytic centers including NYU Postdoc,
Adelphi, the Westchester Center, the Institute of Contemporary Psychotherapy,
the Manhattan Institute, the Colorado Center for Psychoanalytic
Studies, and the Northwest Center for Psychoanalysis. This wide
dispersion of alumni is one source of the profound, yet largely
unacknowledged, influence of Interpersonal theory, bearing on Leston
Havens' often quoted remark that Sullivan is the major underground
influence in American psychoanalysis.
I have
emphasized the intellectual tradition at White because this underpinning
in interpersonal theory provided an essential body of knowledge
concerning the two-person model which has emerged as the foundation
for post-modern psychoanalytic theory. The Interpersonal focus on
the individual within the socio-cultural matrix fostered study of
the analytic dyad, the real relationship, the pervasiveness of countertransference,
the narrative quality of reconstruction, the difficulty of defining
truth or reality, the multiplicity of self, the reconceptualization
of the unconscious, and so on. Indeed, among our graduates are some
of the seminal theorists fueling the current revolution in psychoanalytic
thought. Greenberg, Mitchell, Levenson, Ehrenberg, Stern and Bromberg,
to name a few, have achieved international acclaim for their contributions.
Perhaps
paradoxically, our concern about the vagaries of the human condition
fostered an appreciation of heterodoxy, while at the same time strengthening
convictions about the centrality of experiential input. Although
often defined as the home of Interpersonal psychoanalysis, White
takes pride in its broad curriculum, its acceptance of a diversity
of viewpoints, and its tolerance for a range of techniques and practices.
This intellectual tradition prepared us for the current revolution
in theory and practice, allowing us to flexibly expand while retaining
core values.
How does
an analytic organization accommodate differences without becoming
divided? The Institutes founders were well aware that political
concerns often dominated, and sometimes decimated, psychoanalytic
societies. Clara Thompson wished to devise a structure that might
attenuate the pressures of personal interests. White was created
as an independent non-profit center, governed by a Board of Trustees
selected from an informed lay community. To maintain a firm connection
between the institute and its alumni, the faculty is selected from
the graduate society, but administration remains the province of
the Institute as a separate professional entity, a unique system
that has successfully protected the internal integrity of the training
process.
The organization
was especially tested in the 1960's. From the Institutes beginning
MDs and Ph.D.s were co-equals in the training program although they
received different certificates. The recommendation that they be
awarded identical credentials carried the potential for explosive
divisiveness. Eventually the Trustees affirmed the principles upon
which the Institute was founded and, although a handful of members
resigned, the training program remained intact. Currently, White
is also open to doctoral level social workers. The interdisciplinary
background of candidates has had a vital impact on the Institute,
fostering a rich dialogue between medical and psychological viewpoints
on the human condition, challenging to students and faculty alike.
Such diversity enlarges perspectives, questions assumptions and
traditions, and enlivens training. White is one of the few venues
which has long ensured these issues a consistent focus.
For the
greater part of our long history, the Board of Trustees has been
a quiet presence. Trustees defer to professionals concerning educational
matters, only springing into action when the possibility of crisis,
political or financial, internal or external, has appeared. The
Board has bridged factions, opened channels for dialogue, and maintained
our core mission and identity. It has also raised money! Some nodal
points of intervention included purchasing a building, expanding
services into non_traditional areas, facilitating involvement of
younger graduates in the training process, and insuring orderly
transitions. The Board also sponsored new analytically informed
programs making White the first psychoanalytic center to initiate
a program in Organizational Consultation. And this year we graduated
the inaugural class of professionals treating children and adolescents.
To keep
pace with the electronic revolution, we have experimented with interactive
TV and initiated a series of mini-courses over the Psychoanalytic
Connection, a computer based communication network (incidentally
started by one of our graduates). We have also devised intensive
seminars on Interpersonal ideas offered to visiting foreign nationals.
Several years ago, over 900 mental health professionals attended
a conference celebrating the Institutes fiftieth anniversary.
True to our heritage, the meetings featured dialogues between graduates
and distinguished representatives from other analytic centers, illustrating
the role of Interpersonal psychoanalysis as formidable challenger
and serious alternative in the analytic world. In 1997 we sponsored
a ground-breaking conference that posed searching questions of common
concern to psychoanalysts and scholars from across the intellectual
spectrum. This fall, we sponsored meetings that demonstrated how
sophisticated psychoanalytic concepts may be applied to problems
of addiction and substance abuse, drawing an audience of over 600
professionals.
The underlying
thread here, carried forward from the days of our founding and infusing
the current spirit at the Institute, is an abiding interest in social
issues, humanitarian concerns, and political activism. Throughout
its history, analysts at White found innovative opportunities to
demonstrate the effectiveness of psychoanalytic ideas. In the 1960's
when teenagers were leaving school to "tune in" and "turn
on", the Institute sponsored the "College Drop _Out Project",
an inquiry into the dynamics of adolescence in a changing society.
Interest in working with non_traditional groups resulted in the
"Union Therapy Project co-sponsored with a branch of
the United Auto Workers. Special clinics have been established for
creative and performing artists, for those in mid_life crisis and
for the elderly, and for Hispanics and other minorities. Recently
the Institute established the "Center for the Study of Psychological
Trauma". Under this conceptual umbrella, graduates and candidates
treat people who are affected by the scourge of HIV, victims of
sexual abuse, political refugees and other immigrants, and people
who are struggling with infertility or with recovery from substance
abuse. Such study is a natural extension of the Institutes
Interpersonal perspective in which experience is recognized as inevitably
interactive with intra_psychic forces in the formation of personality
and of psychopathology. Specialized clinics, offering a unique opportunity
for psychoanalytically informed treatment, performed by trained
psychoanalysts at reduced or subsidized fees, involve a significant
number of our graduates. We are offering training opportunities
to our alumni in these various areas of contemporary patient care,
supporting a sort of analytic specialization. Through such programs
we attract new patients, train graduates to teach and supervise
new generations of professionals from the wider community, and attract
attention, and eventually supportive funding to the Institute. In
the process we increase awareness of the potentials of analytic
treatment, and, as an added benefit, create a new population of
patients, and of course, analytic candidates from the ranks of those
attracted to these ancillary programs.
I like
to imagine that a survival mechanism is handed on in the White Institute
through our organizational genes. Our founders after all were rebels.
They prepared themselves, and the Institute, for a bumpy ride. They
found groundbreaking invigorating, adversity stimulating, and the
impossible was not to be missed. The Institute certainly faces problems
that beset all analytic centers, and economic pressures inevitably
challenge the organization as well as its graduates. However the
White Institute survives, and thrives, by continuing to do what
it has always done, responding to the concerns of students as well
as the wider society, while fostering a richly stimulating professional
community, emphasizing rigorous training, and maintaining stringent
standards of excellence.
REFERENCES;
Eisold,
K. 1998, The splitting of the New York Psychoanalytic Society and
the construction of psychoanalytic authority. Internat. J. of Psychoanal.
79: 871-885.
Richards,
A. 1999, A.A.Brill and the politics of exclusion. J. Amer. Psychoanal.
Asso. 47:22-27.
Tauber,
E. 1952 Observations on counter-transference phenomena: The supervisor-therapist
relationship. Samiska, 6:220-228.
----------
1954, Exploring the therapeutic use of counter-transference data,
Psychiat., 17:38-47.
Tauber,
E & Green, M. 1959. Prelogical Experience. New York: Basic Books.
Wolstein,
B. 1959, Countertransference. New York: Grune & Stratton.
|