"Appetites and Urges" EDCAS Program 2014-2015
Except for the evening event during the first week of the program, 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 July 25, 2014. If you have any questions about the program, please contact Dr. Jean Petrucelli at 212-724-9447 or firstname.lastname@example.org.
Week 1: Friday Evening Event 6:00 - 8:00 PM | September 12, 2014
Wine & Cheese Reception
INTRODUCTION - THE INTERPERSONAL PERSPECTIVE ON EATING DISORDERS, COMPULSIONS & ADDICTIONS.
Jean Petrucelli, Ph.D., Director and Co‐Founder of EDCAS ‐ Introduction to the Interpersonal Perspective on Eating Disorders, Compulsions, and Addictions
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
Week 2 & 3: September 19, 2014 & September 26, 2014
EATING DISORDERS I
Course Instructor: Judith Brisman, Ph.D.
This course will present an interpersonal approach to the treatment of anorexia, bulimia, and binge eating disorder. The etiology of these disorders will be examined with an eye towards consequent treatment considerations. Because of the complexity of eating‐disordered patients' dynamics and the urgency of life‐ debilitating symptoms, treatment often involves extension of the boundaries of the analytic work. An approach is offered in which direct symptom intervention occurs within the framework of an interpersonally‐based analytic approach. Complications, roadblocks, and treatment goals will be considered in developing an understanding of how best to reach these often unreachable patients.
Weeks 4 & 5: October 10, 2014 & October 17, 2014
EATING DISORDERS II:CLINICAL APPLICATIONS UTILIZING THE INTERFACE OF CONCEPTS OF ATTACHMENT, SELF REGULATION, AFFECT REGULATION, NEUROBIOLOGY AND THE ANALYTIC RELATIONSHIP
Course 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 dyadic interactions between patient and therapist, the many "bodies" in the room, why a particular intervention is chosen, as well as the 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 6: October 24, 2014
'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 6 EVENING 6:00 to 9:30pm: October 24, 2014
LOCATION: The Institute of Culinary Education, 50 West 23rd Street, NYC
Each student will have the opportunity to participate in a networking and interactive dinner event hosted by the Institute of Culinary Education, from 6:00pm to 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 7: October 31, 2014
UNDERSTANDING AND DEALING WITH OBESITY: PSYCHOLOGICAL FACTORS IN BARIATRIC SURGERY AND THE IMPACT OF CHANGES IN THE PHYSICAL SELF
Course 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.
Week 8: November 7, 2014
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 anorectic constraint, to full‐blown bulimia, to binge‐eating disorder, with the aim of connecting surface 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 9: November 14, 2014
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 10: November 21,2014
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: December 5, 2014
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 on the development of self will be discussed. 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, will be viewed. Discussion will involve noteworthy clinical features, treatment dilemmas and countertransference experiences in working with this population.
Week 12: December 12, 2014
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 19, 2014
BRIDGING THEORY AND PRACTICE: CLINICAL CONUNDRUMS
Course Instructor: Sarah Schoen, Ph.D. and various 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 challenges and 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: January 9, 2014
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 and we will formulate interventions aimed to increase integrative capacity and to generate the creation of new and more robust body images.
Week 15: January 16, 2015
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 23, 2015
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 our clinical work.
Week 17: January 30, 2015
ANGER AND SOMATIZATION
Course 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. Compulsive behavior and passive aggressive interpersonal styles such as gossip and false friendliness, are also common manifestations of dissociated anger. We will focus on the emotional cues in the treatment interchange that indicate the presence of unexpressed and dissociated anger.
Week 18: February 6, 2015
Course Instructor: Sandra Buechler, Ph.D.
Emotions are a primary means of intrapersonal and interpersonal communication. As clinicians and, more generally, 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 13, 2015
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, encompasses 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 20, 2015
CASE PRESENTATION AND DISCUSSION BY CANDIDATES
Course Instructors: Discussion by EDCAS Faculty members and class participants
Compulsions | Weeks 21-24
Week 21: February 27, 2015
Course 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: March 6, 2015
CULTIVATING CURIOSITY IN EXERCISE ADDICTION
Course 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 13, 2015
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 20, 2015
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 27, 2015
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: April 10, 2015
THE CONVERGENCE OF HARM REDUCTION THERAPY AND RELATIONAL PSYCHOANALYSIS IN TREATING SUBSTANCE MISUSE
Course Instructor: Deborah Rothschild, Ph.D.
Harm Reduction Therapy is a form of treating substance misuse that expands the traditional ʺdisease conceptʺ 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: April 17, 2015
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 28: April 24, 2015
INTEGRATING 12-STEP PROGRAMS INTO A PSYCHOANALYTIC THERAPY
Course Instructors: Elizabeth Halsted, Ph.D. and Olga Cheselka, Ph.D.
The use of adjunct modalities in the treatment of alcoholism and drug addiction is often essential in the recovery process. This course will focus on understanding the 12‐step programs, exploring similarities and differences, and developing a model whereby psychodynamic treatment and 12‐step programs are effectively integrated.
Week 29: May 1, 2015
THE INTERFACE OF SPRITUALITY, PSYCHOANALYSIS AND ADDICTION IN WORKING WITH PATIENTS IN RECOVERY
Course 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.
*****SPECIAL EVENING EVENT MAY 1, 2015
FRIDAY 6:00 - 8:00 PM May 1, 2015
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 childʹs mind becomes structuralized in such a way that the developing sense of ʺme‐nessʺor ʺIʺ 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 30: May 8, 2015
ENSLAVED BY DESIRE: RELATIONSHIP ADDICTION
Course 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 15, 2015
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 ʺrelationshipʺ 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.
PART 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 32: May 29, 2015
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 33: June 5, 2015
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 34: June 12, 2015
CASE PRESENTATION AND DISCUSSION BY STUDENTS
Time: 2:00-3:30 PM followed by GRADUATION CEREMONY 3:45-4:45 PM