Feeding the Dragon

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2016-2017 One Year Comprehensive Program

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"Feeding the Dragon" EDCAS Program 2016-2017

Classes generally meet at the White Institute on Fridays from 2:00 PM until 3:30 PM The program is comprised of three sections. Eating Disorders are examined during weeks two through 20. Compulsions are the focus of classes 21 through 24. The Addictions segment of the program is included during weeks 25 through 34.

 

Application deadline is September 2, 2016. If you have any questions about the program, please contact Dr. Jean Petrucelli at 212-724-9447 or drjpetrucelli@speakeasy.net.

 

 

 

 

 

 

 

 

 

 

 

 

 

Week 1: Friday Evening Event 6:00 - 8:00 PM | September 9th

Wine & Cheese Reception

INTRODUCTION - THE INTERPERSONAL PERSPECTIVE ON EATING DISORDERS, COMPULSIONS & ADDICTIONS.

Welcome by:
Jean Petrucelli, Ph.D., Director and Co‐Founder of EDCAS, Supervising Analyst


Donnel Stern, Ph.D., Training & Supervising Analyst, William Alanson White Institute ‐ The Interpersonal Perspective in Clinical Treatment

 

Orientation: Meet and greet participants and faculty

Eating Disorders | Weeks 2-20

Weeks 2 & 3: September 16th and 23rd

EATING DISORDERS: CLINICAL APPLICATIONS UTILIZING THE INTERFACE OF CONCEPTS OF ATTACHMENT, SELF REGULATION, AFFECT REGULATION, NEUROBIOLOGY AND THE ANALYTIC RELATIONSHIP

Jean PetrucelliCourse Instructor: Jean Petrucelli, Ph.D.

 

Using clinical case material, this course will present a detailed, practical exploration of how one works analytically with anorexic, bulimic, and binge-eating patients beyond symptom alleviation.  Understanding the neurobiological underpinnings and the implications of these findings in clinical treatment, the concepts of attachment theory, self regulation and affect regulation will be viewed as interpersonal constructs. The need for novelty will be illustrated in clinical moments where the relational field shifts. The ongoing exploration of interactions between patient and therapist, the many "bodies" in the room, why a particular intervention is chosen, as well as transferential and countertransferential concerns will be discussed. Issues of the often neglected work with male eating disordered patients, body obsession, diagnosis, assessing the level of care, and techniques involving contracts, food charts, and food language as metaphor, will be viewed as part of the bridge one builds to enter the ritual-filled world of the eating disordered patient.

Week 4 & 5: September 30th and October 7th

EATING DISORDERS: THE INTERPERSONAL TREATMENT OF THE INDIVIDUAL AND THE FAMILY

Judith BrismanCourse Instructor: Judith Brisman, Ph.D.

This class will present an interpersonal approach to the treatment of anorexia, bulimia, and binge eating disorder, with a particular focus on the role of the family in the treatment  of children, adolescents and young adults. Because of the complexity of eating-disordered patients' dynamics and the urgency of life-debilitating symptoms, treatment often involves extension of the boundaries of traditional analytic work-- both with the individual and the family. An approach is offered in which direct symptom intervention occurs within the framework of an interpersonally-based analytic approach. Work with the family in that regard will be considered, contrasting it to the evolving family-based treatment models in which direct re-feeding by parents is urged. When is direct re-feeding helpful?  When does it hurt?   Questions regarding treatment choice will be explored and discussed. Complications, roadblocks, and treatment goals will be considered in developing an understanding of how best to reach these often unreachable patients.

Week 6: October 14th

UNDERSTANDING AND DEALING WITH OBESITY: PSYCHOLOGICAL FACTORS IN BARIATRIC SURGERY AND THE IMPACT OF CHANGES IN THE PHYSICAL SELF

Janet TintnerCourse Instructor: Janet Tintner, Psy.D.

 

This class will present the basics of how to assess suitability for, and treat the sequelae of, bariatric surgery, including a review of available surgeries. Bariatric surgery is viewed as a tool (not a solution) in working with desperation and intractability in the treatment of obesity. Examining the choice for surgery and the responses to weight loss is a vehicle for approaching the broader question of how one works with a problem (obesity) that is stigmatizing, extremely difficult to treat, and where issues of maintenance are paramount.

 

Week7: October 21st

BINGEING: WHEN TOO MUCH IS NOT ENOUGH AND NOT ENOUGH IS TOO MUCH

Course Instructor: Anne F. Malavé, Ph.D.

 

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

Jean PetrucelliCourse 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

Sharon KofmanCaryn GordenCourse 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

Sarah  SchoenCourse 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

BODY IMAGE

Elizabeth HalsteadCourse 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

Sue KolodCourse 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.

Week 17: January 20th

ANGER AND SOMATIZATION

Elizabeth HalsteadSue KolodCourse Instructor: Sue Kolod, Ph.D. & Elizabeth Halsted, Ph.D.

 

In this course we will explore how unexpressed and dissociated anger can be held in the body and manifested in somatic symptoms. We will present the history of this formulation from Freud to the present. A case reading will serve as an in depth example of how this dynamic can be worked with in psychotherapy. We will focus on the emotional cues in the treatment interchange that indicate the presence of unexpressed and dissociated anger.

Week 18: Janunary 27th

EMOTIONAL MODULATION

Sandra BuechlerCourse Instructor: Sandra Buechler, Ph.D.

 

Emotions are a primary means of intrapersonal and interpersonal communication. As clinicians  and as human beings, how can we best hear and use their messages? How can we learn to modulate them, to bring out their potential to enhance life, rather than detract from it? These questions will be explored in this course, with an emphasis on their clinical applications and a focus on the emotional cues that form a vital part of the fabric of the treatment interchange, as well as the rest of human experience.

Week 19: February 3rd

THE PSYCHOPHARMACOLOGY OF EATING DISORDERS AND ADDICTIONS

Course Instructors: Zev Labins, M.D. & Mittsi Crossman, M.D.

 

The psychopharmacology of substance disorders, including those involving food, encompass a complex interplay between biological, psychological, and sociological factors intrinsic to the disorders and to their treatments. This course will address the indications and contraindications for the application of a variety of psychopharmacological agents as a component of treatment. Participants will be encouraged to present questions from their own practices.

Week 20: February 10th

CASE PRESENTATION AND DISCUSSION BY CANDIDATES

Course Instructors: Discussion by EDCAS Faculty members and class participants

 

Compulsions | Weeks 21-24

Week 21: February 17th

COMPULSIVE SEXUALITY

Mark BlechnerCourse Instructor: Mark Blechner, Ph.D.

 

This course will explore the treatment of people with primary symptoms of compulsive sexual behavior. The focus will be on a clarification of the meaning of the behavior for the patient in conjunction with the development of alternative means of sexual expression.

 

Week 22: February 24th

CULTIVATING CURIOSITY IN EXERCISE ADDICTION

Anton HartCourse Instructor: Anton Hart, Ph.D.

 

This course will present an overview of the concept of cultivating curiosity. It will address the ways in which addictive and compulsive symptoms can be seen as problematic ways of dealing with the difficulties of lived experience. Practical considerations for cultivating curiosity in patients with addictive and compulsive exercise and body-image symptoms will be presented.

 

Week 23: March 3rd

INTERNET ADDICTION AND THE USE OF TECHNOLOGY MEDIATED COMPULSIVE RELATIONSHIPS

Course Instructor: Phillip Blumberg, Ph.D.

 

This class will situate on-line addictions within the broader context of sexual compulsions. Psychobiological and psychodynamic processes, including impairments in self-regulating systems, as well as separation-individuation conflicts which have been associated with on-line compulsions, will be reviewed. The class will examine the “virtual” nature of cyber sexuality--including chat rooms, interactive games, erotic e-mail, and web cams--and what it indicates about the changing nature of the contemporary American social character.

 

Week 24: March 10th

WHEN COMPULSIONS ARE SOLUTIONS: CYBERSEX AND INTERNET PORN

Course Instructor: Todd Essig, Ph.D.

 

This course will explore clinical examples in which seemingly compulsive technologically-mediated sexual activity is later understood to have served crucial developmental and transitional functions. A treatment strategy is presented in which both the gains and losses of technology-mediated sexual experiences are explored. Three general questions are addressed: How does it work that technology can successfully mediate relationship experience? How and when does such mediation fail? What are the important differences between technologically-mediated relationship experiences and those experiences that come from being bodies together?

 

Addicitions | Weeks 25-34

Week 25: March 17th

TREATING ADDICTIONS FROM AN INTERPERSONAL & RELATIONAL APPROACH

Course Instructor: Jean Petrucelli, Ph.D.

 

The treatment of substance abuse, be it alcohol or drugs, presents clinicians with patients who are psychotherapeutically difficult to reach and who create unique transference/countertransference patterns. Case material will be used to explore the interplay between attending directly to the addiction and disengaging from the pull to do so between therapist and patient. The emphasis in treatment is on how relational interactions contribute to and maintain addictive patterns. Using a multiple states dissociative model, this class will focus on various treatment issues and concerns including: how the addiction functions as an attempt to repair, the myths of addiction, affect regulation, and the concepts of mindfulness, helplessness and powerlessness.

Week 26: March 24th

THE CONVERGENCE OF HARM REDUCTION THERAPY AND RELATIONAL PSYCHOANALYSIS IN TREATING SUBSTANCE MISUSE

CourseDebra Rothschild Instructor: Deborah Rothschild, Ph.D.

 

Harm Reduction Therapy is a form of treating substance misuse that expands the traditional "disease concept" model to one that allows for an individualized approach based on the needs of each patient. Harm Reduction Therapy aims to reduce any harm or risk that substance use may impose on the user or on others, and its practice is collaborative and emphasizes respect for the individual and treatment of a whole person in context. In this respect, it differs from the traditional treatment of alcoholism or substance abuse that has focused on the elimination of misuse or addiction. We will introduce and review psychoanalytic theories specifically relevant to the treatment of substance misuse and show how they dovetail with Harm Reduction therapy. Clinical material will be used to demonstrate an integrated approach to treatment based on the converging principles of Harm Reduction and Relational Psychoanalysis.

 

Week 27: March 31st

WORKING WITH WEED: TREATMENT IMPLICATIONS OF CANNABIS USE AMIDST CULTURAL AND LEGAL SHIFTS

Course Instructors: Steven Tublin, Ph.D.

 

After many decades of prohibition, cannabis use seems to be heading toward widespread legalization.  Already, states where cannabis is legal have seen changes in patterns and methods of use. Increased availability throughout the country will likely lead to decreased cost which will lead to increased use and misuse. This may lead to unique psychotherapy challenge as cannabis poses relatively little health risk to users. Indeed, some users rely on it daily to work well and include it in most leisure activities with little regret. This class will address the ramifications of cannabis misuse and the challenges of working with patients reluctant to limit their intake.

 

Week 28: April 7th

INTEGRATING 12-STEP PROGRAMS INTO A PSYCHOANALYTIC THERAPY


Course Instructors:
Elizabeth Halsted, Ph.D. and Gayle Lewis, Ph.D.

 

The use of adjunct modalities in the treatment of addictions is often essential to the recovery process. This course will explore the 12-step model and offer a conceptual approach to usefully think about its strengths and weaknesses.  A case that includes Overeaters Anonymous will be presented in order to discuss the specifics of an integrated treatment.

Week 29: April 14th

TREATING ADDICTION IN THE ADOLESCENT AND COLLEGE STUDENT

Course Instructors: Miri Abramis, Ph.D. and Patricia Bellucci, Ph.D.

 

This course will address questions of use and abuse of drugs and alcohol among young adults and adolescents. Developmental conflicts, self-medication, and the social context in which this population functions --i.e., school, peer group, family-- will be discussed. The use of consultation, transference, countertransference, and referral to adjunct treatments will be considered.

 

Week 30: April 21st

THE INTERFACE OF SPRITUALITY, PSYCHOANALYSIS AND ADDICTION IN WORKING WITH PATIENTS IN RECOVERY

Ann ChanlerCourse Instructors: Ann B. Chanler, Ph.D.

 

This class will focus on the interface of spirituality, with particular attention paid to mindfulness and psychoanalysis when working with patients in recovery. We will consider the value of loving kindness while peeling away the layers of deeply embedded feelings of inadequacy, pain and anger. Spirituality helps addicts connect to suffering with compassion. Like psychoanalysis, it encourages reflection and non-judgmental self-awareness. It creates an internal spaciousness through non-reaction and helps build self-respect. Both inspire a generosity towards self, self-confidence and a positive self-identity. Discussion of how the interpretation of events-- not the events themselves-- that cause distress will be explored.

 

 

WEEK 30 April 21st

THURSDAY 6:00 - 8:00pm

SPECIAL EVENING EVENT

DISSOCIATIVE IDENTITY DISORDER: THE REAL MAGICAL MYSTERY TOUR

PRESENTER: Sheldon Itzkowitz, Ph.D.

In practice, clinicians can miss the subtle state changes that accompany dissociation. Patients at the extreme end of the continuum of dissociative disorders can help us understand pathological dissociation as a means of maintaining rigid boundaries around self-states for the purpose of emotional survival. Traumatic dissociation results when the normal process of dissociation becomes rigidified and the child's mind becomes structuralized in such a way that the developing sense of "me-ness"or "I" that leads us all to feel as if our minds are singular, unitary, and bounded, is derailed. The result is, depending on the level and intensity of trauma and dissociation, the emergence of multiple centers of experience or self-states.

Dr. Itzkowitz will present a series of video clips of his work with patients who suffer from DID to show how shifts in self states occur.   He will demonstrate how he engages these states and uses his experience intersubjectively to help patients loosen their defensive reliance on dissociation.

 

 

Week 31: April 28th

ENSLAVED BY DESIRE: RELATIONSHIP ADDICTION

Jill  HowardCourse Instructor: Jill Howard, Ph.D.

 

This course will use Fairbairn’s theory of the exciting-rejecting object as a way to think about addictive relationships. We will consider this theory as one explanation for people being unable to sustain long-term monogamous relationships. This issue will be explored, through readings and case material, as a dynamic that helps explain the difficulty we see with patients getting married and with people having extra-marital affairs.

 

 

Week 31: May 5th

ELUSIVE LOVE IN LOVE AND FANTASY

PART ONE: SEARCHING FOR LOVE FROM THE OUTSIDE IN
Course Instructor: Sivan Baron, J.D., LCSW

Part one will explore the ways in which patients with eating disorders, compulsions and addiction are in "relationship" with their object of abuse/addiction. We will also look at the way that fantasies about romantic love/partnership operate as solutions to conscious and unconscious depressive anxieties.  In fantasy the romantic partner becomes the object that magically delivers happiness, wholeness and even thinness. Case material will be presented for discussion.

 

 

 

Evelyn HartmanPART TWO: IN LOVE AND FANTASY
Course Instructor: Evelyn Hartman, Ph.D

This course will examine addictions and obsessions with different types of fantasies of love, whether actualized or not, that impede having fulfilling love relationships. The focus will be on understanding the factors that contribute to creating these fantasies as well as the power that sustains them.

 

 

 

 

Week 33: May 12th

COUPLES UNCONSCIOUS COLLUSION IN COMPULSIONS

Course Instructor: Shelly Goldklank, Ph.D.

 

Birds of a feather flock together and opposites attract. Clinical couples often present with a similarity of underlying fears and a complementarity of styles in dealing with those fears. Thus, in some clinical couples, addictions or eating disorders present in one partner are consistent with attributes that initially attracted that partner to the other because of shared unresolved dilemmas. They have fundamentally similar issues which they have coped with in opposite styles. The complaints about the disorder are, therefore, not only telling about the partner who has them, but also about unresolved issues in the mate. Participants in this class will use this understanding to gain leverage in helping the couple change.

Week 34: May 19th

RELATIONAL SUMMARY

Emily Kuriloff Course Instructor: Emily Kuriloff, Psy.D.

 

Designed to follow basic grounding in theory and technique, this course will provide a closer, more in-depth look at theory and praxis regarding the understanding and treatment of eating disorders, addictions, and compulsions. The work of current interpersonal, feminist, post-modern, and "queer" clinicians will be discussed and applied to interesting and challenging clinical case material from both students and the instructor.

Week 35: June 2nd

CASE PRESENTATION AND DISCUSSION BY STUDENTS

 

Time: 2:00-3:45 PM followed by

 

GRADUATION CEREMONY 4:00 to 5:30 PM

 

 

 

 

EDCAS: Feeding the Dragon Learning Objectives

EDCAS Feeding the Dragon: Program wide learning Objectives

  1. Develop an awareness of the underlying issues involved with eating disorders, compulsions and addictions and specifically the use of interpersonal perspectives in this area.
  2. Develop skills necessary to hear verbal and interpret non-verbal communications when working with eating disordered, compulsive and addicted patients.
  3. Expand and deepen his/her knowledge of interpersonal perspectives and its impact on the clinical issues presented in the treatment of the eating disorders population. Learn to utilize the interpersonal psychological approach as a framework for the treatment of patients with eating disorders, compulsions and addictions.
  4. Increase his/her professional competency by developing awareness of the underlying issues involved with variations in the analytic frame for eating disordered, compulsive and addictive patients.
  5. Improve his/her professional clinical practice by developing an understanding of an interpersonal perspective on clinical issues related to the relationship one has with food as it relates to their relationships in life with the eating disordered population.
  6. Further his/her knowledge by utilizing the interpersonal psychological approach as a framework to understanding the transference/countertransference matrix in the treatment of patients with eating disorders.
  7. Increase his/her professional competency by developing awareness of the underlying issues involved with variations in the analytic frame for eating disordered compulsive and addictive patients.
  8. Improve his/her professional clinical practice by developing an understanding of how an interpersonal perspective allows for an incorporation of other treatment modalities, such as action oriented behavioral techniques (detailed inquiry, contracting, journaling) as they illuminate clinical issues with the eating disorder population.
  9. Further his/her knowledge by utilizing the interpersonal psychological approach as a framework to understanding the transference/ countertransference matrix in the treatment of patients with compulsions and addictions.

4. Course Specific Learning Objectives: First Trimester

  1. Dr. Brisman:  Develop a greater understanding of the etiology of eating disorders and consequent treatment considerations, including an interpersonal approach to treatment.
  2. Dr. Petrucelli:  Expand and deepen knowledge of biopsychosocial determinants, prevalence, culture, neurobiology, attachment, affect and self regulation and the use of action oriented techniques that allow one to think analytically and work interpersonally with anorexic, bulimic or binge-eating patients.
  3. Dr. Petrucelli:  Increase understanding and appreciation of the science of food, demystifying food myths, and experientially practicing mindful eating.
  4. Dr. Tintner:  Increase competencies in understanding and treating obesity, including bariatric surgery and working with desperation and intractability in the treatment of obesity.
  5. Dr. Malave:  Further one’s knowledge of the range of bingeing experiences, from bingeing that follows anorectic constraint, to full-blown bulimia to binge-eating disorder, with the aim of connecting behaviors with underlying psychic phenomena.
  6. Dr. Ferraro: Better understand issues in pre-adolescence and adolescence connected with puberty, development and disordered eating patterns and eating disorders, including familial and societal and interpersonal factors.
  7. Dr. Schoen : Develop an awareness of how cultural, developmental and psychological factors influence the relationship between eating and gendered identity, including how feelings about eating and bodies are tied to a person’s experience of themselves  as a man or woman.
  8. Drs. Kofman and Gorden: Develop a greater understanding of the increased incidence of eating disorders within the Orthodox Jewish population from a psychoanalytic perspective.

 

 

Second Trimester:

Course Specific Learning Objectives:

  1. Dr. Schoen and members of EDCAS Committee: Develop further awareness, in the discussion of clinical conundrums raised by students, integrating interpersonal and relational concepts in the work with eating disordered patients and bridge theoretical knowledge and clinical experience.
  2. Dr. Halstead:  Increase understanding and appreciation of the key ingredients contained in a body image and their functions in affect regulation and character.
  3. Dr. Gottleib: Examine the similarities and differences between cognitive behavioral and dialectical behavior therapies and interpersonal psychotherapy, and increase ways to integrate these therapies in the treatment of individuals with eating disorders.
  4. Dr. Kolod:  Further one’s knowledge of the impact of hormones on the psyche, with particular relevance to sexuality, appetite and self experience and how the body can affect the mind.
  5. Drs. Kolod and Halsted: Better understand how unexpressed and dissociated anger can be held in the body and manifested in somatic symptoms.
  6. Dr. Buechler : Develop an awareness of emotions as a primary means of intrapersonal and interpersonal communication with an emphasis on their clinical applications.
  7. Dr. Crossman: Further one’s knowledge of the psychopharmacology of substance disorders, including those involving food, and the complex interplay between biological, psychological, and sociological factors intrinsic to the disorders and to their treatment.
  8. Candidate Case presentation and EDCAS Faculty: Increase and deepen the understanding of clinical material, integrating an interpersonal perspective with material from classes in clinical case material.
  9. Dr. Blechner: Further one’s knowledge of the treatment of people with primary symptoms of compulsive sexual behavior, the meaning of the behavior, and the development of alternative means of sexual expression.
  10. Dr. Hart:  Expand and deepen the ways in which addictive and compulsive symptoms can be seen as problematic ways of dealing with the difficulties of lived experience with a view to cultivating curiosity.
  11. Dr Blumberg:  Develop a greater understanding of  internet addiction and the use of technology mediated compulsive relationships, including the “virtual” nature of cyber sexuality.
  12. Dr. Essig: Develop further awareness of compulsive technologically-mediated sexual activity, including internet porn and cybersex.
  13. Dr. Petrucelli:  Examine the treatment of addictions from an interpersonal and relational approach using a multiple states dissociative model and case material.
  14. Dr. Rothschild: Further one’s knowledge of the convergence of harm reduction therapy and relational psychoanalysis in treating substance misuse.

 

3.Course Specific Learning Objectives: Third Trimester

 

  1. Drs. Halstead and Lewis:  Increase understanding and integration of the use of adjunct modalities in the treatment of addictions, including the strengths and weaknesses of 12 step programs.
  2. Drs. Abramis and Bellucci: Examine the use and abuse of drugs and alcohol among young adults and adolescents, including developmental conflicts, self-medication and the social context of peers, family and school.
  3. Dr. Chanler:  Further one’s knowledge of the interface of spirituality, with particular attention paid to mindfulness and psychoanalysis when working with patients in recovery; spirituality helps addicts connect to suffering with compassion and psychoanalysis encourages reflection and non-judgmental self-awareness.
  4. Dr. Itzkowitz: Better understand pathological dissociation as a means of maintaining rigid boundaries around self-states for the purpose of survival, through examining patients at the extreme end of the dissociation disorder.
  5. Dr. Howard : Further one’s knowledge of addictive relationships using Fairbairn’s theory of the exciting-rejecting object.
  6. Drs. Baron and Hartman: Develop an awareness of the ways in which eating disorders, compulsions and addictions are in “relationship” with their objects of abuse/addiction and ways that different types of fantasies of love can impede having fulfilling love relationships.
  7. Dr. Goldklank: Better understand clinical couples who often present with a similarity of underlying fears and a complementary style in dealing with those fears.
  8. Kuriloff : Expand and connect a more in-depth look at theory and praxis regarding the understanding and treatment of eating disorders, addictions and compulsions by examining the wok of current interpersonal feminist, post-modern and “queer” clinicians.
  9. Candidate Case presentation and EDCAS Faculty: Increase and deepen   the understanding of clinical material, integrating an interpersonal perspective with material from classes in clinical case material.