| An
Open Letter to Students and Recent Graduates in Mental Health and
Related Fields
By
Marylou Lionells, Ph.D.
Former Director, William Alanson White Institute
Do you remember why you decided on this course of study? Can you
recall what you wanted and expected in your career?
If you are anything like me, you were interested in people and
what makes them tick. You wanted to understand the meanings and
causes of psychological problems, and you wanted to help people
feel better. Despite tight finances, Managed Care, and “manualized”
treatment, there are still options you might have to fulfill these
wishes.
Well, on behalf of the White Institute, I am making an offer you
shouldn’t refuse.We will designate interested individuals
to be "Affiliates of the Institute:"
- Affiliates
will be invited to selected meetings, and be eligible to attend
certain courses and workshops.
- Affiliates
receive a one year complimentary subscription to Contemporary
Psychoanalysis, the internationally acclaimed journal representing
Interpersonal-Relational psychoanalysis, and will also receive
the Institute newsletters.
- Affiliates
will be invited to at least one yearly meeting devoted to contemporary
developments and training opportunities in psychoanalysis.
- Affiliates
will be invited to assist in Institute projects (such as the yearly
conference sponsored by the PEP-CD-ROM, or the interdisciplinary
conference being planned by the Child and Adolescence Treatment
Program).
- Affiliates
will have opportunities to discuss individual research plans,
consider how to obtain clinical experience, obtain referrals for
low-cost psychotherapy or psychoanalysis, and receive advice in
career planning from a graduate analyst in one’s own professional
field.
I will personally
be available to talk or meet, to discuss individual educational
or professional questions, and, upon request, I will arrange an
introduction to an Institute graduate who is willing to serve as
an advisor, sounding board, informant, supervisor, or professional
contact. Such interactions may occur in person for those in the
New York metropolitan area, or by telephone or e-mail.
Does this sound
too good to be true? You are probably wondering why the White Institute
would make such an offer. The answer is simply that we are concerned
about the lack of information and opportunity offered to students
and graduates, as outlined in the attached fact sheet We are proud
of our history, our heritage, and the variety of services we offer.
We want you to know about who we are and what we do.
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The Hard Facts facing Psychoanalysis Today
Contemporary
university education in all branches of mental health has taken
a sharp detour from serving those interested in psychoanalytic theory
and practice.
Two very different
forces are responsible for this shift. First, advances in neuro-physiology, biochemistry and
other hard sciences have been phenomenal. Research minded educators
are thrilled with the possibilities engendered by recent findings.
And these “hard data” seemingly promise to open up new frontiers
of understanding that accounts of psychotherapy treatments cannot
address. While undergraduates still are offered a rudimentary introduction
to psychological development and psychopathology, most coursework,
and most faculty excitement centers on the experimental area.
At the same time
that scientism became dominant in the universities and medical schools,
social action initiatives focusing on the well being of individuals
were being attacked as wrong headed and ineffective. Programs that
serviced psychological needs gave way to those that promised wider
impact and involved goals defined in socio-political terms. Treatment
and rehabilitation gave way to punishment and retraining.
The second pressure against psycho-therapeutic
interventions is financial. Insurance companies, currently
dominated by a managed care orientation, have virtually ended payments
for psychotherapy and psychoanalysis. In the absence of funding,
interns and residents often are unable to have any first hand experience
of working with people in talking therapies. Hospital programs are
closing, opportunities for training are disappearing, and executives
are lauding the cost savings. We are becoming a society looking
for quick fixes, behavioral routines that train compliance, pharmacological
plans that purport to revolutionize personality without self-awareness,
and self-help regimes that depend on group support.
But you already know all of this. Indeed you
may even think that this is how every one in mental health is currently
thinking. After all, the media regularly report that the wave of
the future is counseling, coaching, training, medication or nutrition.
But, psychoanalysis is not dead. It is not even dying.
I can introduce you to a large community of professionals who believe
that the most effective way to treat the problems of the human mind
is through the uniquely personal, intimate interaction of the psychoanalytic
relationship. Despite what the critics wish or the cynics imagine,
this is perhaps the richest, most exciting period in psychoanalysis
since the movement began, just about a century ago.
Contemporary psychoanalysis is in a state of dynamic
flux, involving rethinking every major tenet of theory and technique.
This turmoil is not fueled by economic pressure. Quite the contrary.
It has been generated by new insights into the mysteries of the
human mind, involving how personality develops and how it may be
changed. The basic conceptual model of the psychoanalyst as a silent
figure, hidden behind a formidable facade of technical rules and
unintelligible jargon, is evolving into a model of interacting personalities,
influencing each other to achieve dynamic impact.
Even the most
traditional psychoanalytic schools are undergoing major revision.
Interpersonal psychoanalysis, such as that traditionally taught
at the White Institute, is becoming recognized as offering a conceptual
base for a new vision of analytic theory and therapeutic action.
Another major
shift in analytic thought involves the usefulness of medication
and other conjoint therapeutic modalities. No longer believing it
is necessary to work in isolation from other factors that effect
human life, psychoanalysts are rapidly expanding collaboration with
other professionals.
In addition,
admittedly a bit late, psychoanalysis is offering new hope for dealing
with the most pressing contemporary psychological problems. Acknowledging
the effects of early trauma has transformed psychoanalytic theory,
while psychoanalytic treatment provides a powerful tool to alleviate
the suffering of those who experienced all manner of psychological
distress in childhood.
Psychoanalysis is expanding. It is exploring new realms
of understanding, discovering new clinical techniques, and finding
wholly new applications. Psychoanalysis is no longer restricted
to the elite few. It is reaching new treatment populations, being
used for every age group and diagnostic category, and joining with
medication and other modalities.
And finally,
on a more personal note, I must add that psychoanalysis remains
one of the most exhilarating, transforming, and inspiring of life’s
experiences. And it works! As an elderly practitioner at this institute
said recently, “A person who has never been in analysis can never understand
it, but anyone who has ever been psychoanalyzed will never forget
it!”
So how does this
relate to you?
Even though it
is difficult to incorporate dynamic thinking into undergraduate
and even graduate training programs, we can help you find possibilities
for learning about these ideas, becoming part of a professional
community committed to exploring the vast unknown of the human unconscious.
It is even possible to begin planning to pursue psychoanalytic training
and to obtain assistance in doing so. The White Institute has made the commitment that every
qualified professional who wishes to pursue psychoanalytic treatment
or psychoanalytic training should be helped to do so.
If you
still long for a meaningful career, one that will be endlessly fascinating
and deeply fulfilling; if you remain curious about the human psyche;
if you are willing to question the conventional wisdom and confront
cynical stereotypes, then we at the William Alanson White Institute
are available to help.
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