This class will examine the range of bingeing experiences, from the bingeing that follows anorexic constraint, to full-blown bulimia, to binge-eating disorder, with the aim of connecting behaviors with underlying psychic phenomena. We will use clinical material to illustrate techniques that engage patients in connecting the surface behavior with its emotional sources.
Week 8: October 28th
GIRLS! DEVELOPMENTAL CHALLENGES FROM PUBERTY TO ADOLESCENCE
Course Instructor: Jacqueline Ferraro, D.M.H.
This class will focus on puberty and developmental issues in girls, taking into account efforts to develop an identity and sense of self as girls move through this critical period in their lives. The transition through puberty into adolescence involves significant changes in their physiology, body image, and cognition, with accompanying social and emotional elements. Coping with all of these changes can involve efforts to control weight (restricting and/or bingeing), cutting, drug and alcohol use, and sexual experimentation and activity. Relevant vignettes will be incorporated into class discussion.
Week 9: November 4th
'EVERY BITE YOU TAKE': THE SCIENCE OF FOOD
Course Instructor: Jean Petrucelli, Ph.D.
The brain in your gut exerts a powerful influence over your head. But the gut may have a physiological and psychological response that relates to the science of food itself. Why sugar and why salt? When you take a bite of food you experience the physical and chemical interaction in your mouth. Simultaneously, you are evaluating the sensation of food from the initial anticipation to the perception of its arrival on your palate to the first bite, chewing and swallowing. Your mouth 'feels' food. People eat mindfully and mindlessly as they hunger for connection, creativity, aliveness, peace and solace. When are cravings emotionally based and when are they confused with physical hunger, and what does the science of food have to do with it? This class will explore how we recognize and demystify food myths; experientially practice mindful eating; understand the science of food; and use food discourse in creative embodiments of subjectivity.
Week 9 Special Event EVENING: November 4th 6:00 to 9:00 PM
LOCATION: The Institute of Culinary Education, 225 Liberty St., New York, NY
Each student will have the opportunity to participate in a networking and interactive dinner event hosted by the Institute of Culinary Education, from 6:00-9:30pm. This unique hands-on event involves cooking as the entertainment. The evening will begin with hors d'oeuvres or an antipasto platter, open bar of wine and soft drinks, and the class will be split into groups to begin cooking. When finished, students are seated and served the meal that the group prepared....and of course...no one will leave hungry!
Week 10: November 11th
EATING AND THE GENDERED SELF
Course Instructor: Sarah Schoen, Ph.D.
This course will consider how cultural, developmental, and psychological forces influence the relationship between eating and gendered identity. The focus will be on how feelings about eating and bodies are tied to a person’s experience of themselves as a man, or as a woman. For people with eating problems, experiences of self as desiring and desirable are often played out in relationship to food and body size. Clinical material will be used to explore how both the patient’s and therapist’s gendered selves, including feelings about their bodies and appetites, shape and transform the interpersonal field.
Week 11: November 18th
EATING DISORDERS AND THE ORTODOX JEWISH COMMUNITY: IT'S COMPLICATED
Course Instructors: Sharon Kofman, Ph.D. & Caryn Gorden, Psy.D.
This course will explore the increased incidence of eating disorders within the Orthodox Jewish population from a psychoanalytic perspective. Contemporary socio-cultural, historical, and religious factors that contribute to Jewish identity will be examined. The role of ritual and eating practices, family and gender dynamics, and cultural issues specific to the body, desire, and sexuality will be discussed. We will consider the role of unconscious historical influences, such as the legacy of persecution, genocide, and intergenerational transmission of trauma, as critically contributing to this symptom picture in survivor families. Discussion will involve noteworthy clinical features, treatment dilemmas and countertransference experiences.
Week 12: December 2nd
INVITED GUEST SPEAKERS *EXTENDED TIME SESSION* 2:00-4:30 PM
THE ROLE OF THE NUTRITIONIST & MEDICAL PRACTITIONERS IN THE TREATMENT OF EATING DISORDERS
Moderator: Jean Petrucelli, Ph.D.
Guest Speakers will include: Judy Schwartz, MD; Karen Rosewater, MD; Wendy S. Ziecheck, MD; Theresa Kinsella, MS, RD,; Robin Millet, MS, RD, CDN; Marina S. Kurian, MD, FACS
A multi‐disciplinary approach to treatment involving the use of adjunct modalities will be examined in a roundtable discussion. Guest Speakers will include Nutritionists, Internists, Gynecologist and a Bariatric Surgeon.
Week 13: December 9th
BRIDGING THEORY AND PRACTICE: CLINICAL CONUNDRUMS
Course Instructor: Sarah Schoen, Ph.D; Jean Petrucelli, Ph.D. and members of the EDCAS Steering Committee
This course will use transference and countertransference data to bridge theoretical knowledge and clinical experience. Students will be encouraged to raise clinical dilemmas in an informal and spontaneous discussion. Themes in clinical material that integrate interpersonal and relational concepts in work with eating disordered patients will be highlighted.
Week 14: December 16th
Course Instructor: Elizabeth Halsted, Ph.D.
What are the ingredients in a body image and how is it made? As a psychological term, body image has had significant obstacles in definition and conceptualization, limiting its usefulness in psychoanalytic formulations and interventions. We will explore conceptual tools that address this deficit in order to deepen our appreciation of the key ingredients contained in a body image and their functions in affect regulation and character. We will explore clinical material to unpack the components of body image, formulate interventions aimed to increase integrative capacity, and generate the creation of new and more robust body images.
Week 15: January 6th
BLENDING CBT/DBT AND INTERPERSONAL PSYCHOTHERAPY IN THE TREATMENT OF EATING DISORDERS
Course Instructor: Carrie Gottleib, Ph.D.
This course will examine the similarities and differences between cognitive behavioral and dialectical behavior therapies and interpersonal psychotherapy. The integration of these therapies will be explored as they pertain to treatment and conceptualization of individuals with eating disorders. Discussion will focus on the blending of these approaches in treatment.
Week 16: January 13th
THE HORMONAL BODY AND ITS IMPACT ON THE PSYCHE
Course Instructors: Sue Kolod, Ph.D.
The impact of hormones on the psyche, of particular relevance to sexuality, appetite and self experience, has been largely avoided in contemporary psychoanalytic thought. Psychoanalytic treatment has focused on the ways in which the mind affects the body, i.e., how psychological conflict can be expressed through physical symptoms. This class will explore how the body can affect the mind. Research will be cited from evolutionary biology and endocrinology and case material will be used to demonstrate how an inquiry into hormonal experience can inform clinical work.