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<strong>Academy</strong> News<br />
Published by:<br />
<strong>The</strong> <strong>American</strong> <strong>Academy</strong> <strong>of</strong> <strong>Psychoanalysis</strong> <strong>and</strong> Dynamic Psychiatry<br />
One Regency Drive, Bloomfield, CT 06002<br />
Phone: 888.691.8281<br />
Fax: 860.286.0787<br />
Email: info@AAPDP.org<br />
Website: www.AAPDP.org<br />
Contributions <strong>of</strong> news, information <strong>and</strong> articles are welcome!<br />
Editor: Shelly Galler, M.D. Executive Assistant: Jacquilyn A. Davis<br />
M e s s a g e f r o m t h e E d i t o r<br />
By: Shelly Galler, M.D.<br />
Winter, 2011-2012<br />
All the complicated details<br />
<strong>of</strong> the attiring <strong>and</strong><br />
the disattiring are completed!<br />
A liquid moon<br />
moves gently among<br />
the long branches.<br />
Thus having prepared their buds<br />
against a sure winter<br />
the wise trees<br />
st<strong>and</strong> sleeping in the cold.<br />
„Winter Trees‟ by William Carlos Williams (1883-1963)<br />
FamousPoetsAndPoems.com<br />
<strong>The</strong> above poem uses evocative imagery to allude to the<br />
necessary preparation for the winter season <strong>and</strong> the<br />
peace <strong>and</strong> calm that ensue once everything is ready <strong>and</strong><br />
in place. While each one <strong>of</strong> us has to confront different<br />
hardships depending on where we may live, the metaphor<br />
is still a valuable one. I wish all <strong>of</strong> you a calm <strong>and</strong><br />
tranquil winter; may you all experience at least a glimpse<br />
<strong>of</strong> that elusive yet inviting ―… liquid moon‖ that will keep<br />
a watchful eye <strong>and</strong> herald serenity.<br />
I hope that the summer months were enjoyable <strong>and</strong> reju-<br />
venating for everyone. It is remarkable that we are once<br />
again approaching the eve <strong>of</strong> winter. As will become clear<br />
from the various contributing articles penned by our<br />
members, everyone has been busy contributing to the<br />
<strong>Academy</strong> in a myriad <strong>of</strong> ways <strong>and</strong> done so with unwavering<br />
enthusiasm <strong>and</strong> steadfastness. <strong>The</strong> energy is palpable<br />
<strong>and</strong> the sense <strong>of</strong> commitment unmistakable. I am<br />
certain that we are all grateful for all the hard work <strong>and</strong><br />
dedication put forth by our colleagues. Some <strong>of</strong> us may<br />
even be inspired to become more involved in areas that<br />
are new to us.<br />
<strong>The</strong> annual meeting in Philadelphia in May 2012 promises<br />
to be an exciting one indeed. I look forward to what<br />
is certain to be a fascinating event <strong>and</strong> gathering. As<br />
well, the collegiality <strong>and</strong> warmth that greet us yearly have<br />
become a staple <strong>and</strong> an ever-exciting object <strong>of</strong> anticipation.<br />
We may meet again even earlier, in Washington DC<br />
or New York City.<br />
Until then, keep warm <strong>and</strong> dry. I don‘t expect that any <strong>of</strong><br />
you will find yourselves ―…sleeping while st<strong>and</strong>ing in the<br />
cold…‖ <strong>The</strong> image, however, might be a helpful one to<br />
hold on to as we count our blessings <strong>and</strong> truly appreciate<br />
our bounty <strong>and</strong> daily comforts.<br />
T h e F u t u r e o f t h e A A P D P :<br />
P o s s i b i l i t i e s a n d C h a l l e n g e s<br />
By: César Alfonso, M.D.<br />
When Joseph Merlino called to tell<br />
me in 2007 that the AAPDP Nominating<br />
Committee recommended me for<br />
the Presidency I experienced a surge<br />
<strong>of</strong> multiple affective states- extreme<br />
joy, pride, apprehension, anxiety,<br />
gratitude, inspiration, honor <strong>and</strong> humility.<br />
I thought <strong>of</strong> the parting words<br />
<strong>of</strong> my analyst upon terminating my<br />
training analysis with Marvin Drellich,<br />
who was the <strong>Academy</strong> President 20 years ago, encouraging<br />
me ―to become more active‖ in the organization. After<br />
co-chairing <strong>Academy</strong> meetings in Toronto, San Juan <strong>and</strong><br />
New York, I was the AAPDP Secretary from 2000-2003<br />
<strong>and</strong> Past Secretary from 2003-2004, served as President-Elect-Designate<br />
from 2008-2009, President-Elect<br />
from 2009-2010, <strong>and</strong> President since 2010.<br />
<strong>The</strong> road to the Presidency has been a long journey <strong>of</strong><br />
humbling compromise, collaboration, generativity, chal-<br />
(Continued on page 2)
<strong>Academy</strong> News<br />
Winter, 2011-2012<br />
T h e F u t u r e o f t h e A A P D P ( c o n t i n u e d )<br />
lenges <strong>and</strong> accomplishments. I am grateful to have the<br />
best group <strong>of</strong> <strong>of</strong>ficers to work with anyone could wish<br />
for: our able, affable <strong>and</strong> indefatigable Secretary- Jerry<br />
Perman, our fiscally conservative, experienced <strong>and</strong> wise<br />
Treasurer- Ann Price, <strong>and</strong> our enthusiastic, creative <strong>and</strong><br />
connected President Elect- Michael Blumenfield. Our<br />
elected Trustees (Mariam Cohen, Scott Schwartz, Joseph<br />
Silvio, Kim Best, Debra Katz, Helen Ullrich, Abby<br />
Altman, Eugenio Rothe, Crittenden Brookes), under the<br />
leadership <strong>of</strong> their representative Mariam Cohen, have<br />
efficiently <strong>and</strong> thoughtfully tackled complex projects, in<br />
near perfect alignment, to be able to accomplish the<br />
implementation <strong>of</strong> transformative initiatives that have<br />
positioned the <strong>Academy</strong> as a more visible, prominent,<br />
<strong>and</strong> vibrant institution, reclaiming our place at the forefront<br />
<strong>of</strong> <strong>Psychoanalysis</strong>, Psychodynamic Psychiatry, <strong>and</strong><br />
General Psychiatry, as an active affiliate organization <strong>of</strong><br />
the APA; <strong>and</strong> as a vehicle to fulfill training in psychodynamic<br />
psychotherapy competency in underserved<br />
areas through our fortified liaison with AADPRT (the<br />
<strong>American</strong> Association <strong>of</strong> Directors <strong>of</strong> Psychiatric Residency<br />
Training) - largely due to the leadership <strong>of</strong> Sherry<br />
Katz-Bearnot, <strong>and</strong> Gene Beresin.<br />
Lastly, we have been able to work collaboratively <strong>and</strong><br />
improved the quality <strong>of</strong> our communication with our<br />
magnificent <strong>and</strong> wise Executive Director Jackie Coleman,<br />
<strong>and</strong> our extraordinarily responsive, meticulous,<br />
creative <strong>and</strong> efficient Executive Assistant Jacqui Davis.<br />
Those <strong>of</strong> us who have had the pleasure to rely on their<br />
support <strong>and</strong> follow their guidance appreciate the immense<br />
help that they provide in a responsive, consistent<br />
<strong>and</strong> attentive way. Our appreciation also extends to<br />
other staff that may not be as visible but do a great deal<br />
for the <strong>Academy</strong>- Marie Westlake <strong>and</strong> Sara Elsden.<br />
As you will read in this newsletter in individual reports,<br />
our committee chairs <strong>and</strong> members are hard at work<br />
<strong>and</strong> deserve our greatest admiration <strong>and</strong> appreciation. I<br />
will not repeat in this column membership <strong>and</strong> committee<br />
achievements to date to avoid being duplicative. I<br />
deeply appreciate how our task forces <strong>and</strong> committee<br />
leaders <strong>and</strong> members harmoniously orchestrate the<br />
work delegated by our Board.<br />
In this editorial I wish to raise awareness <strong>of</strong> future possibilities<br />
<strong>and</strong> challenges, rather than being retrospectively<br />
self-congratulatory <strong>and</strong> simply list all we have accomplished<br />
together over the past few years. In other words,<br />
allow me to be prospective <strong>and</strong> perhaps even provocative,<br />
sharing my personal views (not the views <strong>of</strong> the<br />
Executive Council but strictly my private thoughts <strong>and</strong><br />
ideas). Hopefully I will stimulate a thoughtful discussion<br />
<strong>of</strong>fering my views <strong>of</strong> directions or changes we may consider<br />
as an organization. It will be up to our next leaders<br />
to debate, deliberate <strong>and</strong> act upon my suggestions if<br />
they feel that these are meritorious. By the time this<br />
feature will appear in print I will be close to the conclusion<br />
<strong>of</strong> my service as President, a journey I have thoroughly<br />
enjoyed.<br />
I underst<strong>and</strong> that some <strong>of</strong> the ideas I present herein will<br />
stir controversy, but urge you to ponder about them <strong>and</strong><br />
consider their possible relevance <strong>and</strong> usefulness.<br />
Governance<br />
One <strong>of</strong> the most valuable lessons I have learned in the<br />
past few years is the importance <strong>and</strong> wisdom <strong>of</strong> term<br />
limits m<strong>and</strong>ated by the Constitution <strong>and</strong> Bylaws. We<br />
must allow others to take charge, <strong>and</strong> learn to humbly<br />
take a step back <strong>and</strong> observe, <strong>of</strong>fering advice only when<br />
asked, without interfering with the democratic process.<br />
Having said this, we are one <strong>of</strong> the few pr<strong>of</strong>essional<br />
organizations where Past Presidents remain members<br />
<strong>of</strong> the Board in perpetuity, albeit without a vote. While I<br />
greatly value the wisdom <strong>and</strong> experience <strong>of</strong> our elders,<br />
there are times in our Board meetings where we have<br />
as many nonvoting members as voting members present.<br />
This, in my personal opinion, has the potential to<br />
create an imbalance <strong>of</strong> power, especially if the Trustees<br />
<strong>and</strong> Officers (voting members) are younger <strong>and</strong> less<br />
experienced <strong>and</strong> may be unduly influenced <strong>and</strong> pressured<br />
by the opinions <strong>of</strong> their mentors <strong>and</strong> senior colleagues.<br />
A more classless process, such as that followed<br />
by other non-pr<strong>of</strong>it pr<strong>of</strong>essional associations,<br />
would be to create term limits for Past Presidents' participation<br />
in Executive Council, rather than allowing participation<br />
in perpetuity. I underst<strong>and</strong> that this has the<br />
potential to radically change the culture <strong>of</strong> our governance,<br />
but I urge you to consider the pros <strong>and</strong> cons <strong>of</strong><br />
this idea.<br />
Membership Categories<br />
Most pr<strong>of</strong>essional organizations our size have fewer<br />
membership categories. Stratification <strong>of</strong> membership<br />
may lead to inactivity, feelings <strong>of</strong> alienation <strong>and</strong> inequality.<br />
Currently, our membership categories include: medical<br />
student members, psychiatric associates, psychiatric<br />
members, psychiatric fellows, psychoanalytic fellows,<br />
scientific associates, <strong>and</strong> honorary members. Most psychiatric<br />
organizations have a less stratified system – an<br />
example would be simply to have MITs (members in<br />
training, including students <strong>and</strong> residents), scientific<br />
associates, members, <strong>and</strong> fellows. A challenge that simplification<br />
<strong>of</strong> membership categories would pose would<br />
be how to determine which membership categories<br />
(Continued on page 3)<br />
2
<strong>Academy</strong> News<br />
Winter, 2011-2012<br />
T h e F u t u r e o f t h e A A P D P ( c o n t i n u e d )<br />
would have voting privileges. Currently, only roughly<br />
60% <strong>of</strong> <strong>Academy</strong> members have voting privileges.<br />
National Outreach <strong>and</strong> Recruitment<br />
58% <strong>of</strong> our membership resides in the Northeast <strong>of</strong> the<br />
United States, with the South, Midwest <strong>and</strong> West being<br />
disproportionally represented in our roster. We must<br />
make efforts to try to increase recruitment in underrepresented<br />
areas <strong>of</strong> the country.<br />
International Outreach <strong>and</strong> Recruitment<br />
Originally born as the <strong>Academy</strong> <strong>of</strong> <strong>Psychoanalysis</strong>, we<br />
changed to the <strong>American</strong> <strong>Academy</strong> <strong>of</strong> <strong>Psychoanalysis</strong>,<br />
<strong>and</strong> then to the <strong>American</strong> <strong>Academy</strong> <strong>of</strong> <strong>Psychoanalysis</strong><br />
<strong>and</strong> Dynamic Psychiatry. To my knowledge, there are no<br />
international organizations representing psychodynamic<br />
psychiatry. At present, 8% <strong>of</strong> the <strong>Academy</strong>‘s total membership<br />
is composed <strong>of</strong> international members. With<br />
initiatives that look to both increase our presence in<br />
international forums <strong>and</strong> recruit international members,<br />
such as those currently being pursued in various task<br />
forces by our President–Elect, Michael Blumenfield, the<br />
percentage <strong>of</strong> international members may grow, <strong>and</strong> we<br />
may find ourselves in a position, in this era <strong>of</strong> globalization<br />
<strong>and</strong> blurring <strong>of</strong> symbolic geographical boundaries,<br />
questioning our cultural identity (national vs. international)<br />
as a group.<br />
Publications <strong>and</strong> Online Presence<br />
Many medical organizations are giving prominence to<br />
<strong>and</strong> enhancing their Internet presence. This includes<br />
productive use <strong>of</strong> membership list serves, electronic<br />
newsletters, e-Journal features such as on-line prepublication<br />
<strong>of</strong> selected articles, free electronic access to<br />
selected articles <strong>and</strong> special issues, using social media<br />
to post academic events <strong>of</strong> interest to our constituents,<br />
etc. Although our three publications, the <strong>Academy</strong><br />
<strong>Newsletter</strong>, <strong>Academy</strong> Forum, <strong>and</strong> Psychodynamic Psychiatry<br />
can all be accessed on-line, we may want to<br />
think <strong>of</strong> ways to further increase our Internet visibility<br />
that could ultimately positively influence the impact factor<br />
<strong>of</strong> our journal, increase communication, citations,<br />
<strong>and</strong> visibility.<br />
Maintaining ACCME Self-Accreditation<br />
Our CME m<strong>and</strong>ates specify that our academic activities<br />
must improve our members‘ competence <strong>and</strong> performance.<br />
This is usually best accomplished by using meeting<br />
formats that are more interactive, dynamic <strong>and</strong> clinically<br />
relevant. In our annual meetings we should continue<br />
to place greater emphasis on clinically relevant<br />
scientific presentations.<br />
<strong>The</strong> <strong>Academy</strong> has always been a self-accrediting organization.<br />
I urge our future leaders to maintain this paradigm,<br />
rather than sub-contracting with other organizations<br />
or institutions to be responsible for granting our<br />
CME credits. <strong>The</strong> advantages <strong>of</strong> being self-accrediting<br />
are multiple, allowing for greater flexibility <strong>and</strong> freedom<br />
in determining content <strong>of</strong> our programs <strong>and</strong> establishing<br />
flexible submission deadlines. It is an arduous task to<br />
remain self-accrediting, but one definitely worth our<br />
efforts.<br />
Mentorship <strong>and</strong> Career Development<br />
Most individuals belong to pr<strong>of</strong>essional organizations<br />
because these add value to their clinical <strong>and</strong> academic<br />
practices. We must continue to think creatively <strong>of</strong> ways<br />
to make membership in the AAPDP more valuable. Mentorship<br />
leading to career development should be systematized<br />
in ways that would increase members‘ satisfaction<br />
<strong>and</strong> membership retention.<br />
Academic Activities<br />
A small core group <strong>of</strong> approximately 75 individual members<br />
regularly participate as presenters in our thoroughly<br />
enjoyable annual meetings. <strong>The</strong> small <strong>and</strong> intimate<br />
setting <strong>of</strong> our meetings allows for the development<br />
<strong>of</strong> effective networks, collegiality <strong>and</strong> friendship.<br />
Other psychiatry subspecialty organizations have figured<br />
out ways to have a larger percentage <strong>of</strong> their members<br />
both attend <strong>and</strong> participate as presenters in annual<br />
meetings. Careful thought should be given to try to figure<br />
out ways to increase meeting registration, which has<br />
consistently averaged 150 registrants per meeting over<br />
the last decade.<br />
In addition to investing effort in our annual meetings, I<br />
am a strong proponent <strong>of</strong> reaching out <strong>and</strong> having an<br />
academic presence in other venues. A way to easily accomplish<br />
this is to have <strong>Academy</strong> sponsored workshops,<br />
symposia <strong>and</strong> lectures at the annual meetings <strong>of</strong> diverse<br />
psychiatric organizations, national <strong>and</strong> international,<br />
<strong>and</strong> in academic university <strong>and</strong> medical school<br />
settings throughout the world.<br />
Being AAPDP President has been the highlight <strong>of</strong> my<br />
pr<strong>of</strong>essional career. I truly hope I have satisfactorily represented<br />
the <strong>Academy</strong>‘s constituents dutifully <strong>and</strong> with<br />
fairness. I welcome an open dialogue with all members<br />
<strong>and</strong> can be easily reached by electronic mail at<br />
cesaralfonso@mac.com.<br />
3
<strong>Academy</strong> News<br />
Winter, 2011-2012<br />
M e s s a g e f r o m t h e P r e s i d e n t - E l e c t<br />
By: Michael Blumenfield, M.D.<br />
<strong>The</strong> world is flat <strong>and</strong> probably getting<br />
flatter everyday meaning that<br />
we are in a global era where it is<br />
easier than ever to instantly exchange<br />
ideas <strong>and</strong> communications<br />
as well as travel throughout<br />
the world . Dr. Alfonso has reported<br />
on the symposium sponsored<br />
by the <strong>Academy</strong> at the<br />
World Psychiatric Association in<br />
Buenos Aires in September. <strong>The</strong><br />
panelists were Drs. Rothe, Olarte,<br />
Goethe <strong>and</strong> Silvio. In October the<br />
International Psychoanalytic Society will meet in San<br />
Francisco with a workshop sponsored by the <strong>Academy</strong><br />
<strong>and</strong> chaired by Dr. Alfonso which also includes <strong>Academy</strong><br />
members Drs. Miriam Cohen, Laura Kent <strong>and</strong> Sheila<br />
Hafter Gray. Also in October <strong>The</strong> Chinese <strong>American</strong> Chinese<br />
Psychoanalytic Alliance (CAPA) which is founded<br />
<strong>and</strong> directed by <strong>Academy</strong> member Dr. Elise Snyder will<br />
take <strong>of</strong>f for their 3 rd Study Tour in China. I had the pleasure<br />
<strong>of</strong> being a co-leader on last year‘s tour <strong>and</strong> gave two<br />
lectures <strong>and</strong> witnessed the first graduation <strong>of</strong> Chinese<br />
students who were trained by <strong>American</strong> psychoanalysts<br />
<strong>and</strong> psychodynamic therapists via Skype many <strong>of</strong> whom<br />
are <strong>Academy</strong> members. In November the 13 th joint<br />
meeting between the <strong>Academy</strong> <strong>and</strong> the Organizzazione<br />
di Psicoanalisti Italiani-Federazione e Registro (OPIFER)<br />
will be held in Rome. Former <strong>Academy</strong> President Dr.<br />
Joan Tolchin with participation <strong>and</strong> attendance by many<br />
<strong>Academy</strong> members has spearheaded these meetings. In<br />
addition Dr. Alfonso is planning an <strong>Academy</strong> study tour<br />
to Thail<strong>and</strong> where <strong>Academy</strong> members will be participating.<br />
<strong>The</strong>se activities are just the tip <strong>of</strong> the iceberg as<br />
many <strong>Academy</strong> members are having pr<strong>of</strong>essional interactions<br />
with our international colleagues through various<br />
other meetings <strong>and</strong> organizations, journals, telepsychiatry<br />
teaching, visiting lectures <strong>and</strong> travel.<br />
We are learning <strong>of</strong> the practice <strong>of</strong> psychoanalytic <strong>and</strong><br />
psychodynamic therapy throughout the world <strong>and</strong> how<br />
many psychiatrists share the interests <strong>of</strong> our organization.<br />
This was the impetus for Dr. Alfonso appointing me<br />
the Chair <strong>of</strong> a task force to examine international membership<br />
in our organization. After some rounds <strong>of</strong> email<br />
correspondence with this group I was appointed Chair<br />
<strong>of</strong> second task force <strong>of</strong> international members to look at<br />
this issue. We had a few more email rounds with this<br />
group. Many ideas are emerging from these discussions<br />
concerning mentorship, mutual hospitality arrangements,<br />
a speakers list to encourage presentations<br />
at international members <strong>and</strong> other ideas to facilitate<br />
membership in the <strong>Academy</strong>. In addition our dues<br />
structure was examined by the Executive Council since<br />
the cost <strong>of</strong> living <strong>and</strong> income varies in different countries<br />
throughout the world. We looked specifically at the<br />
dues structure used by the APA which assigns reduced<br />
dues based on a ranking by the World Bank. We decided<br />
at this time to use a two tier system where we<br />
would keep the current reduced international membership<br />
dues structure <strong>of</strong> $225 for countries <strong>of</strong> upper <strong>and</strong><br />
middle income levels rated by the World Bank while<br />
those rated as having lower middle <strong>and</strong> lower income<br />
levels will have membership dues <strong>of</strong> $40 per year. We<br />
know that in many <strong>of</strong> the latter countries the preferred<br />
method for receiving journals <strong>and</strong> newsletters is the<br />
electronic mode which will make the reduced dues<br />
structure feasible for the <strong>Academy</strong>.<br />
While I am very excited about the upcoming <strong>Academy</strong><br />
meeting in Philadelphia, it<br />
becomes my responsibility to<br />
look ahead to the San Francisco<br />
meeting in 2013.<br />
I have been having discussions<br />
with Dr. Eugenio Rothe<br />
our <strong>Academy</strong> Program Chair<br />
<strong>and</strong> we have appointed Dr.<br />
Mary Ann Cohen as the San<br />
Francisco Program Chair. We<br />
are in the process <strong>of</strong> putting<br />
together the planning committee<br />
<strong>and</strong> <strong>of</strong> course it<br />
should be a great meeting in<br />
a wonderful city.<br />
I am happy to report that there is a generation <strong>of</strong> young<br />
psychiatrists who are joining the <strong>Academy</strong>. Drs. Scott<br />
Schwartz <strong>and</strong> César Alfonso have recruited several<br />
whom I have met <strong>and</strong> am quite impressed. During a<br />
recent Gr<strong>and</strong> Rounds presentation at New York Medical<br />
College I met with the residents <strong>and</strong> several seemed<br />
interested in joining the <strong>Academy</strong>. I will continue the<br />
<strong>Academy</strong> tradition <strong>of</strong> appointing Early Career Psychiatrists<br />
to various committees. We also have a thriving<br />
mentorship program which gives our more seasoned<br />
members a chance to interact with new members. I<br />
know that both groups have things that they can teach<br />
each other.<br />
We are very fortunate to have so many Past Presidents<br />
<strong>of</strong> the <strong>Academy</strong> who continue to be very active in our<br />
(Continued on page 5)<br />
4
<strong>Academy</strong> News<br />
Winter, 2011-2012<br />
P r e s i d e n t - E l e c t<br />
( c o n t i n u e d )<br />
organization today. I will call upon them to assist me<br />
when I assume the presidency <strong>and</strong> use their experience<br />
<strong>and</strong> creative juices to continue to develop the <strong>Academy</strong>.<br />
Dr. Alfonso has been doing an outst<strong>and</strong>ing job in leading<br />
the <strong>Academy</strong> during his two years as President. He<br />
had kept me closely involved in the workings <strong>of</strong> our organization<br />
<strong>and</strong> I know he will be a valuable advisor after<br />
I take over following our Philadelphia meeting. I also<br />
want to welcome each <strong>of</strong> you to not only attend our<br />
meetings, contribute to our publications <strong>and</strong> become<br />
involved in our mentorship program but to also let me<br />
know <strong>of</strong> any new ideas that you may have about how<br />
the <strong>Academy</strong> can serve our pr<strong>of</strong>ession.<br />
Michael Blumenfield, M.D.<br />
President- Elect<br />
Tel : 818 564-4207<br />
Email: mblumenfield@aol.com<br />
19 th Annual<br />
Consortium for Psychoanalytic Research<br />
(CPR) Conference<br />
Sunday, February 5, 2012<br />
8:30 AM - 4:00 PM<br />
Hospital Auditorium<br />
George Washington University Hospital<br />
Blind Men, Elephants <strong>and</strong> Psychotherapy<br />
Effectiveness: How Ignoring Severity <strong>of</strong><br />
Impairment <strong>and</strong> Co-morbidity Skews our View<br />
<strong>of</strong> Treatment Realities<br />
J. Christopher Fowler, Ph.D.<br />
Visit www.cprincdc.org<br />
for additional information<br />
1 9 t h A n n u a l C o n s o r t i u m f o r<br />
P s y c h o a n a l y t i c R e s e a r c h ,<br />
F e b r u a r y 5 , 2 0 1 2<br />
By: Gerald P. Perman, M.D.<br />
J. Christopher Fowler, Ph.D., Deputy Director <strong>of</strong> Research<br />
at the Menninger Clinic in Topeka, KS will be the<br />
presenter at the 19 th Annual Consortium for Psychoanalytic<br />
Research (CPR) on Sunday, February 5, 2012 from<br />
8:30 AM until 4:00 PM. His topic will be Blind Men, Elephants<br />
<strong>and</strong> Psychotherapy Effectiveness: How Ignoring<br />
Severity <strong>of</strong> Impairment <strong>and</strong> Co-morbidity Skews our<br />
View <strong>of</strong> Treatment Realities. Jointly-sponsored by the<br />
<strong>Academy</strong> <strong>and</strong> the Jungian Analysts <strong>of</strong> Washington Association,<br />
CPRinc is composed <strong>of</strong> organizations <strong>of</strong> psychoanalysts<br />
<strong>and</strong> psychodynamic clinicians from classical to<br />
Jungian to relational <strong>and</strong> is the only U.S. organization <strong>of</strong><br />
its kind. It <strong>of</strong>fers inexpensive CME credits (CME is pending)<br />
<strong>and</strong> a good lunch! <strong>The</strong> February CPR conference is<br />
the de facto winter meeting <strong>of</strong> the <strong>Academy</strong>.<br />
<strong>The</strong> research community has tended to view treatment<br />
resistance as a function <strong>of</strong> a single psychiatric disorder.<br />
But this does not comport with the experience <strong>of</strong> clinicians<br />
who work with individuals who do not get well despite<br />
their best efforts, particularly since individuals with<br />
treatment resistant conditions have consistently been<br />
excluded from efficacy studies. This conference will attempt<br />
to bridge gaps in our underst<strong>and</strong>ing <strong>of</strong> the cross-<br />
cutting dimensions <strong>of</strong> ―severity‖ <strong>and</strong> ―dysfunction‖ <strong>and</strong><br />
test whether these phenomena are clinically relevant<br />
behavioral markers for treatment resistance. Attendees<br />
will anonymously rate two <strong>of</strong> their cases on scales provided<br />
in advance <strong>of</strong> the meeting <strong>and</strong> the data will be<br />
analyzed by psychology students during the morning<br />
presentations. Dr. Fowler will present his relevant clinical<br />
research on treatment resistant psychiatric disorders,<br />
describe a global measure <strong>of</strong> psychiatric severity<br />
(Global Psychiatric Severity Index; GPSI) <strong>and</strong> discuss the<br />
benefits <strong>of</strong> a Practice Research Network (PRN: Morey,<br />
1988; Westen, Dutra <strong>and</strong> Shedler 2005) for clinicians in<br />
private practice. <strong>The</strong> afternoon session will include an<br />
interactive discussion <strong>of</strong> the results <strong>of</strong> the morning research<br />
exercise that will allow participants to selfassess<br />
their approach to their patients. <strong>The</strong>re will be<br />
two clinician-researcher discussants.<br />
<strong>The</strong> conference will be held in the Hospital Auditorium<br />
<strong>of</strong> the George Washington University Hospital from 8:30<br />
AM until 4:00 PM. It is being hosted by the G.W. Department<br />
<strong>of</strong> Psychiatry <strong>and</strong> the Behavioral Sciences. Additional<br />
information about the conference can be found<br />
on the CPR website at www.cprincdc.org.<br />
5
<strong>Academy</strong> News<br />
Winter, 2011-2012<br />
P h i l a d e l p h i a w i l l H o s t t h e A c a d e m y ’ s<br />
5 6 t h A n n u a l M e e t i n g , M a y 2 0 1 2<br />
By: Eugenio M. Rothe M.D., Chair <strong>of</strong> Scientific Programs<br />
<strong>The</strong> city <strong>of</strong> Philadelphia will host the 56 th<br />
Annual Meeting <strong>of</strong> the <strong>Academy</strong> <strong>of</strong> <strong>Psychoanalysis</strong><br />
<strong>and</strong> Dynamic Psychiatry on<br />
May 3 rd to the 5 th . 2012. <strong>The</strong> theme <strong>of</strong><br />
the meeting is: “Psychodynamics in Contemporary<br />
Psychiatry: Mutual Influences”.<br />
Join us in Philadelphia, PA<br />
May 3-5, 2012 for the 56th<br />
Annual Meeting <strong>of</strong> the AAPDP<br />
Under the leadership <strong>of</strong> local chairs Kim<br />
Best, M.D. <strong>and</strong> Eugene Della Badia, D.O.<br />
<strong>and</strong> <strong>Academy</strong> President Cesar Alfonso<br />
M.D., the meeting promises a rich scientific<br />
program in a culturally exciting city.<br />
<strong>The</strong> choice for Opening Speaker is John<br />
Oldham M.D., the president <strong>of</strong> the APA.<br />
Debbie Katz M.D., who is training Director<br />
<strong>of</strong> Child Psychiatry at the University <strong>of</strong><br />
Kentucky will deliver this year‘s Presidential<br />
Lecture. <strong>The</strong> Keynote Speaker<br />
will be the highly sought-after Salman<br />
Akhtar M.D. <strong>of</strong> Jefferson Medical College<br />
in Philadelphia. He will present on the<br />
theme <strong>of</strong> his latest book: Psychodynamics<br />
<strong>of</strong> Altruism. Plenary speakers will include Henri<br />
Parens M.D., also <strong>of</strong> Jefferson Medical College. He is a<br />
well renowned psychoanalyst, scholar <strong>and</strong> author <strong>and</strong> a<br />
child survivor <strong>of</strong> the Holocaust. He will present on the<br />
topic <strong>of</strong> resiliency in the face <strong>of</strong> adversity. <strong>The</strong> other plenary<br />
speaker will be our own Clarice Kestenbaum M.D.,<br />
who will discuss the precursors to personality disorders<br />
in children <strong>and</strong> adolescents. This year, the theme <strong>of</strong><br />
psychodynamics <strong>of</strong> psychopharmacology will be represented<br />
by Drs. Mintz <strong>and</strong> Kalman, who will present on<br />
the meaning <strong>of</strong> medications to patients, <strong>and</strong> on the<br />
medication management <strong>of</strong> patients, when the patient<br />
is concurrently being seen by a non-medical therapist.<br />
Other presenters will include Doug Ingram M.D. who will<br />
focus on peer supervision. <strong>The</strong>re will also be a workshop<br />
led by Cesar Alfonso M.D. on transcultural<br />
issues <strong>and</strong> globalization. Andres<br />
Pumariega M.D., Chairman <strong>of</strong> Psychiatry<br />
at the very new Cooper Medical School<br />
in Camden, N.J. will lead a panel addressing<br />
psychotherapy issues with minority<br />
<strong>and</strong> underprivileged children <strong>and</strong><br />
families. Also, there will be a continuation<br />
<strong>of</strong> last year‘s very well-received<br />
workshop on the changing paradigms in<br />
psychotherapy, led by Crittenden Brooks<br />
M.D. <strong>and</strong> also co-chaired by Clay Whitehead<br />
M.D. This year, Jennifer Downey<br />
M.D. <strong>and</strong> Richard Freidman M.D. will<br />
introduce a new workshop to teach<br />
<strong>Academy</strong> members <strong>and</strong> other attendees<br />
about the requirements necessary to<br />
submit papers to the <strong>Academy</strong> journal.<br />
Erminia Scarcella M.D. will present a<br />
workshop on the works <strong>of</strong> Carl Jung,<br />
commemorating the 100 anniversary <strong>of</strong><br />
the publication <strong>of</strong> his classic work titled:<br />
―<strong>The</strong> Red Book‖. Also, there will be papers<br />
on topics such as psychoanalysis <strong>and</strong> politics by<br />
Ruth Lijtmaier Ph.D; ―Life <strong>and</strong> Death in Japanese Art‖ by<br />
Ron Turco M.D.; psychotherapy issues with adopted<br />
patients by Eugenio Rothe M.D. <strong>and</strong> other exciting presentations<br />
by well-regarded speakers, such as Scott<br />
Schwartz M.D., Joe Silvio M.D., Raul Condemarin M.D.<br />
<strong>and</strong> many others.<br />
I encourage you to attend this very exciting <strong>and</strong> scientifically<br />
rich meeting, which promises to deliver the same<br />
depth <strong>and</strong> high quality presentations by the innovative,<br />
scholarly <strong>and</strong> forward-thinking clinicians that the <strong>Academy</strong><br />
is well-known for. This will all take place against the<br />
backdrop <strong>of</strong> a culturally rich historical city, where there<br />
will be a myriad <strong>of</strong> interesting things to discover <strong>and</strong><br />
enjoy.<br />
Registration for the AAPDP’s 56th Annual<br />
Meeting in Philadelphia, PA is now OPEN!<br />
For additional information on the Annual Meeting or to register online, go to<br />
www.AAPDP.org.<br />
A registration form is listed on page 19 <strong>and</strong> may also be obtained by contacting the<br />
AAPDP Office at 888-691-8281 or emailing info@AAPDP.org.<br />
6
<strong>Academy</strong> News<br />
Winter, 2011-2012<br />
M e m b e r S p o t l i g h t :<br />
A m a u r y D e l g a d o H e r n á n d e z , M . D .<br />
I was born in Cuba where I trained as<br />
an MD. I lived there until 1996 when I<br />
moved to the UK. Upon my arrival in<br />
Engl<strong>and</strong> <strong>and</strong> before regaining my registration<br />
to practice medicine, I undertook<br />
a significant number <strong>of</strong> nonmedical<br />
jobs. It was during this period<br />
that I became acquainted with psychoanalytic<br />
thinking. This began initially by<br />
working in a therapeutic community<br />
with a psychoanalytically informed<br />
framework. During this time, I also began<br />
attending a number <strong>of</strong> psychoanalytic<br />
events at different institutions,<br />
including the Tavistock Clinic <strong>and</strong> the<br />
Institute <strong>of</strong> <strong>Psychoanalysis</strong> (both in<br />
London); in addition, my involvement<br />
deepened as a result <strong>of</strong> my own therapy.<br />
This journey lasted a number <strong>of</strong><br />
years. Subsequently, after beginning<br />
my training as a psychiatrist, my interest<br />
in psychoanalysis grew further by<br />
undertaking training in brief dynamic<br />
psychotherapy as well as attending a course in Group<br />
Analytic Psychotherapy at the Group Analysis South<br />
West. I also continued to take an active role in performing<br />
a number <strong>of</strong> individual <strong>and</strong> group therapies.<br />
My interest has centred mainly on the management <strong>of</strong><br />
severe psychiatric disturbances such as personality disorders<br />
<strong>and</strong> eating disorders as well as on the underst<strong>and</strong>ing<br />
<strong>of</strong> their impact on multidisciplinary teams. During<br />
my career as a resident in psychiatry, I have always<br />
tried to ensure that my use <strong>of</strong> descriptive psychopathology<br />
also included a strong psychoanalytic perspective.<br />
Of course, achieving this has been rather arduous<br />
in a pr<strong>of</strong>ession that at times appears dominated by a<br />
body mind split. However it was my encounter with the<br />
writings <strong>of</strong> Pr<strong>of</strong>essor Glen O. Gabbard that gave me the<br />
language <strong>and</strong> the insight to integrate descriptive <strong>and</strong><br />
explanatory psychopathology in a way that was accepted<br />
by my more biologically-minded colleagues.<br />
During my search for further underst<strong>and</strong>ing <strong>of</strong> dynamic<br />
psychiatry, I came across the AADPD. It was very exciting<br />
when, after contacting the <strong>Academy</strong>‘s executive, I<br />
was <strong>of</strong>fered the possibility to benefit from their thinking<br />
<strong>and</strong> creativity. Following an interview with Dr. C. Alfonso,<br />
it became clear to me that the <strong>Academy</strong> was not<br />
an elitist institution but rather an open <strong>and</strong> welcoming<br />
body <strong>of</strong> psychiatrists interested in psychodynamic theory<br />
<strong>and</strong> practice. I felt a tremendous sense <strong>of</strong> belonging<br />
when the AAPDP <strong>of</strong>fered me a Psychiatric Associate<br />
membership, not only to learn from what the <strong>Academy</strong><br />
had to <strong>of</strong>fer but also to contribute to it.<br />
In my short period as an Associate <strong>of</strong> the <strong>Academy</strong>, I<br />
have joined the Task Force to attract new International<br />
Members led by Dr Blumenfield. At present, we are developing<br />
ways to bring the AADPD to the attention <strong>of</strong> UK<br />
psychiatrists. I am also planning an AADPD study-tour to<br />
Havana, Cuba for 2015-2016 entitled <strong>Psychoanalysis</strong><br />
<strong>and</strong> Creativity, along with Dr Cesar Alfonso. This is going<br />
to be an extraordinary journey for many reasons.<br />
At present I am a Resident in General Adult Psychiatry,<br />
<strong>and</strong> a Member <strong>of</strong> the Royal College <strong>of</strong> Psychiatrists, undertaking<br />
a 12 month placement in Eating Disorders<br />
(inpatient <strong>and</strong> community) at the National Health Service.<br />
I am expected to finish my training in July 2013<br />
when I will be able to work as a Consultant Psychiatrist<br />
(Attending equivalent).<br />
I am also involved in medical education where I teach<br />
other psychiatry residents <strong>and</strong> <strong>of</strong>fer a Special Study Unit<br />
to medical students on Cinema <strong>and</strong> Psychiatry. Here we<br />
explore the representation <strong>of</strong> mental illness in Cinema<br />
<strong>and</strong> also provide a forum to think about the psychoanalytic<br />
processes that take place.<br />
My goals for the future are to finish the group <strong>and</strong> individual<br />
psychoanalytic trainings, as well as to continue<br />
developing my special interest in Eating Disorders from<br />
a psychoanalytic perspective. I also look forward to developing<br />
stronger links with my <strong>American</strong> <strong>and</strong> international<br />
colleagues at the <strong>Academy</strong>.<br />
7
<strong>Academy</strong> News<br />
Winter, 2011-2012<br />
T r u s t e e U p d a t e<br />
By: Mariam Cohen, M.D., PsyD<br />
As Trustee Representative I brought three items to the<br />
agenda <strong>of</strong> the Executive Council meeting on October 15,<br />
2011, in New York City.<br />
<strong>The</strong> implementation <strong>of</strong> a Gr<strong>and</strong> Rounds Speakers list on<br />
the Education page <strong>of</strong> the website.<br />
<strong>The</strong> Executive Council approved the proposed text for<br />
this section <strong>of</strong> the website. We are asking those AAPDP<br />
members who are interested in being listed as possible<br />
Gr<strong>and</strong> Rounds speakers to submit a brief description.<br />
<strong>The</strong> description would then be linked to their name on<br />
the list. <strong>The</strong> description should be no more than 250<br />
words, should include your contact information, <strong>and</strong><br />
your academic affiliations, <strong>and</strong> topics you have presented<br />
on previously or would be able to present on.<br />
You can include a photograph as well. On the website<br />
you can find some names <strong>and</strong> descriptions that have<br />
already been posted. If you are contacted by a residency<br />
program as a possible speaker, all arrangements,<br />
including reimbursement, will be between you <strong>and</strong> the<br />
residency director.<br />
You can send your description for posting to me at<br />
mariamcohen@cox.net.<br />
Beginning regular presentations at the APA‘s IPS meetings<br />
in October<br />
<strong>The</strong> second item that I brought to the Executive Council‘s<br />
attention involved the possibility <strong>of</strong> the <strong>Academy</strong>‘s<br />
starting regular presentations at the APA‘s Institute for<br />
Psychiatric Services meetings, which are usually held in<br />
October. Dr. Alfonso had discussed with some <strong>of</strong> us a<br />
proposal that responsibility for organizing regular presentations<br />
at these meeting be given to the President<br />
Elect (or Designate). This responsibility would parallel<br />
that <strong>of</strong> the Past President, who for two years after a<br />
term <strong>of</strong> service as President organizes a panel at each<br />
APA convention. <strong>The</strong> motion to initiate these regular<br />
presentations was passed unanimously. This responsibility<br />
will start with the new President Designate who will<br />
be elected this spring.<br />
On October 27, 2011, Cesar Alfonso, Sheila Hafter Gray,<br />
Laura Kent, <strong>and</strong> I held a workshop at the APA‘s IPS in<br />
San Francisco, on using a psychodynamic formulation in<br />
brief psychiatric encounters with patients. This workshop<br />
was very well attended; the 40 copies <strong>of</strong> our h<strong>and</strong>out<br />
that Dr. Alfonso had prepared were all taken away,<br />
<strong>and</strong> there was considerable discussion after our brief<br />
presentations. At the start <strong>of</strong> the workshop, Dr. Alfonso<br />
described the <strong>Academy</strong> <strong>and</strong> our relationship to the APA;<br />
several people expressed an interest in joining. I hope<br />
we can look forward to more such successful presentations.<br />
Possible video conferencing for EC meetings<br />
As Trustees <strong>and</strong> <strong>of</strong>ficers <strong>of</strong> the <strong>Academy</strong>, many <strong>of</strong> us<br />
bear a considerable financial burden to attend Executive<br />
Council meetings. I discussed this issue in e-mails<br />
with the Trustees before the EC meeting. Trustees were<br />
not favorably inclined toward any sort <strong>of</strong> stipend for attending<br />
EC (or other meetings) for <strong>of</strong>ficers or Trustees.<br />
However, there was discussion <strong>of</strong> whether any sort <strong>of</strong><br />
video conferencing could be arranged for those EC<br />
meetings that are not held along with AAPDP meetings.<br />
No one knows much about how feasible – logistically<br />
<strong>and</strong> financially – such distance meeting would be.<br />
<strong>The</strong>refore, at the October EC meeting I asked if our incoming<br />
President, Michael Blumenfeld, would consider<br />
appointing a task force to look into the possibility <strong>of</strong><br />
using some sort <strong>of</strong> video conferencing to alleviate the<br />
financial burden <strong>of</strong> traveling to EC meetings for Trustees<br />
<strong>and</strong> Officers who do not live near the AAPDP <strong>of</strong>fices.<br />
Such a Task Force should, <strong>of</strong> course, consist <strong>of</strong> AAPDP<br />
members who have some expertise in this sort <strong>of</strong> technology.<br />
Since this request did not require a motion, it<br />
has been taken under advisement, <strong>and</strong> I will check in<br />
with Dr. Blumenfeld at the May EC meeting in Philadelphia.<br />
Have you paid your 2011-2012 AAPDP membership dues<br />
Go to www.AAPDP.org <strong>and</strong> click on the Dues <strong>and</strong> Donations button on the top right <strong>of</strong> the page to log in <strong>and</strong> pay today!<br />
You may also call 888-691-8281 to check on your membership status <strong>and</strong> obtain an invoice.<br />
8
<strong>Academy</strong> News<br />
Winter, 2011-2012<br />
E x e c u t i v e C o u n c i l S o c i a l E v e n t<br />
By: Michael Blumenfield, M.D.<br />
On October 15, 2011<br />
following the Executive<br />
Council Meeting <strong>of</strong> <strong>The</strong><br />
<strong>Academy</strong> <strong>of</strong> <strong>Psychoanalysis</strong><br />
<strong>and</strong> Dynamic<br />
Psychiatry, a reception<br />
was held in the home <strong>of</strong><br />
Dr. Scott Schwartz honoring<br />
Dr. Miltiades L.<br />
Zaphiropoulos, one the<br />
Founding Members <strong>and</strong><br />
a Past President <strong>of</strong> the <strong>Academy</strong>. Dr. Schwartz graciously<br />
opened his home for this reception at no cost to<br />
the <strong>Academy</strong>. Current President Dr. César Alfonso expressed<br />
his admiration for Dr. Zaphiropoulos <strong>and</strong> also<br />
read a letter from another Founding Member <strong>and</strong> Past<br />
President, Dr. Marianne H. Eckardt, who was also honored<br />
by the <strong>Academy</strong> at the recent Hawaii meeting. Dr.<br />
Schwartz then presented Dr. Zaphiropoulos with a certificate<br />
from the <strong>Academy</strong> which he had h<strong>and</strong>crafted.<br />
Past President Silvia Olarte read a poem which she<br />
composed <strong>and</strong> captured how the honoree has always<br />
taught by example. Dr. Ann Turkel, another Past President,<br />
reflected that her biggest regret was never being<br />
supervised by Dr. Zaphiropoulos <strong>and</strong> Past President<br />
Ingram noted how he was impressed when he first encountered<br />
the Founding Member <strong>and</strong> he used the word<br />
meretricious <strong>of</strong> which Dr. Ingram didn't know the meaning.<br />
Dr. Michael Blumenfield President-Elect told how<br />
he was a member <strong>of</strong> Dr. Zaphiropoulos‘ local Westchester<br />
(NY) District Branch <strong>of</strong> the APA where Dr. Zaphiropoulos<br />
is also a Founding Member, Past President<br />
<strong>and</strong> held in great esteem. Dr. Zaphiropoulos graciously<br />
accepted the certificate <strong>and</strong> all the tributes which were<br />
paid to him. He also stated how he was looking forward<br />
to many more years contributing to the <strong>Academy</strong>. <strong>The</strong><br />
warm feeling, congenial talk <strong>and</strong> good food continued<br />
after the ceremony. (For a 6 minute video clip <strong>of</strong> the<br />
highlights <strong>of</strong> the reception go to www.youtube.com/<br />
watchv=sLYxTgJAh2U) article <strong>and</strong> photos by Michael<br />
Blumenfield, M.D.<br />
Dr. Blumenfield (left) <strong>and</strong> Dr. Zaphiropoulos (right)<br />
I n M e m o r i a m : P a u l C h o d o f f , M . D .<br />
By: Peter Olsson, M.D.<br />
Paul Chod<strong>of</strong>f was a silver-haired, silver-tongued iconoclast<br />
but a true gentleman <strong>of</strong> the finest caliber. I attended<br />
a panel about "How Women Are treated in Psychotherapy"<br />
in Toronto many years ago. Gloria Steinhem<br />
was at her loveliest <strong>and</strong> angriest. During the panel Paul<br />
Chod<strong>of</strong>f discussed the case <strong>of</strong> a woman he had seen in<br />
3x week psychotherapy for 3-4 years . At the close <strong>of</strong><br />
the panel Gloria Steinhem commented that, "If more<br />
women had therapists like Paul Chod<strong>of</strong>f, psychiatry<br />
would have a better reputation among effective <strong>and</strong><br />
knowledgeable women."<br />
Paul Chod<strong>of</strong>f, Lawrence Kubie <strong>and</strong> Ralph Romeo<br />
Greenson were three giants in our field <strong>and</strong> remind me<br />
<strong>of</strong> this poem:<br />
IN MEMORY OF Chod<strong>of</strong>f, Kubie <strong>and</strong> Greenson<br />
A graceful combination <strong>of</strong> empathy <strong>and</strong> insight.<br />
providing many minds with wings to fly freely.<br />
<strong>The</strong>ir rapier wits punctured pompous balloons,<br />
<strong>of</strong> pseudo-scientific psychoanalytic sanctimony.<br />
If wisdom <strong>and</strong> compassion could form a science,<br />
<strong>The</strong>se men were the founders <strong>and</strong> gracious leaders.<br />
You may read a recent column he wrote for Psychiatric<br />
News by visiting the following link: http://<br />
pn.psychiatryonline.org/content/40/11/17.2.full <strong>and</strong><br />
an article in Psychiatric Services: http://<br />
www.psychservices.psychiatryonline.org/cgi/content/<br />
full/53/5/627<br />
9
<strong>Academy</strong> News<br />
Winter, 2011-2012<br />
I n M e m o r i a m :<br />
A l f r e d M . F r e e d m a n , M . D .<br />
By: Mary Ann Cohen, M.D.<br />
Dr. Alfred M. Freedman, leader in psychiatry, lifelong<br />
human rights activist, advocate for social justice, psychoanalyst,<br />
<strong>and</strong> academician who led the <strong>American</strong> Psychiatric<br />
Association in 1973 when, overturning a century-old<br />
policy, it declared that homosexuality was not a<br />
mental illness, died on April 17, 2011 at the age <strong>of</strong> 94.<br />
His death followed hospitalization <strong>and</strong> surgery for a hip<br />
fracture.<br />
In 1972, Dr. Freedman was approached by a group <strong>of</strong><br />
young psychiatric activists, members <strong>of</strong> the Committee<br />
<strong>of</strong> Concerned Psychiatrists, <strong>and</strong><br />
asked to run as a petition c<strong>and</strong>idate<br />
for the presidency <strong>of</strong> the<br />
<strong>American</strong> Psychiatric Association.<br />
He won the presidency <strong>and</strong> during<br />
his tenure, supported a resolution<br />
to delete homosexuality from the<br />
list <strong>of</strong> mental illness diagnoses. On<br />
December 15, 1973, the APA's<br />
board <strong>of</strong> trustees voted 13—0 in<br />
favor <strong>of</strong> the resolution, which stated<br />
that "by itself, homosexuality does<br />
not meet the criteria for being a<br />
psychiatric disorder" <strong>and</strong> that "We<br />
will no longer insist on a label <strong>of</strong><br />
sickness for individuals who insist<br />
that they are well <strong>and</strong> demonstrate<br />
no generalized impairment in social<br />
effectiveness." LGBT rights organizations<br />
have hailed this decision as<br />
one <strong>of</strong> the greatest advances for<br />
gay equality in the United States.<br />
Dr. Freedman himself believed that<br />
passing this resolution was the most important accomplishment<br />
<strong>of</strong> his one-year tenure as president. A second<br />
resolution called for an end to discrimination based on<br />
sexual orientation <strong>and</strong> the repeal <strong>of</strong> laws against consensual<br />
sex. During his 1973 term as President <strong>of</strong> the<br />
APA, Dr. Freedman also spoke out against the Soviet<br />
Union‘s use <strong>of</strong> psychiatric abuse <strong>of</strong> prisoners <strong>of</strong> war.<br />
Dr. Freedman‘s human rights activism has made a major<br />
impact on children, adolescents, <strong>and</strong> adults <strong>and</strong><br />
spanned his entire pr<strong>of</strong>essional lifetime for 70 <strong>of</strong> his 94<br />
years. He focused on children <strong>of</strong> poverty, underserved<br />
populations, addicted persons, gay men <strong>and</strong> women,<br />
oppressed or incarcerated individuals, persons on death<br />
row, persons who are severely <strong>and</strong> chronically mentally<br />
ill, Soviet dissidents <strong>and</strong> persons who are victims <strong>of</strong><br />
international torture. While many <strong>of</strong> us are distressed<br />
about human rights violations, it is only the rare individual,<br />
the one in a million, who remains active over the<br />
course <strong>of</strong> more than 70 years <strong>and</strong> attains reachable<br />
goals through a systematic approach toward eliminating<br />
or ameliorating violations <strong>of</strong> human rights. Dr. Freedman<br />
was such a person.<br />
As a child psychiatrist, Dr. Freedman‘s human rights<br />
activism made a major impact on the care <strong>and</strong> teaching<br />
<strong>of</strong> underserved children <strong>and</strong> contributed to the development<br />
<strong>of</strong> Headstart. Dr. Freedman had also worked to<br />
protect the rights <strong>of</strong> mentally ill persons including addicted<br />
individuals. His human rights activism has been<br />
effective <strong>and</strong> focused <strong>and</strong> continued on a national <strong>and</strong><br />
international level until his death. A<br />
graduate <strong>of</strong> Cornell University <strong>and</strong><br />
the University <strong>of</strong> Minnesota Medical<br />
School, Dr. Freedman joined the<br />
New York Medical College faculty in<br />
1960 <strong>and</strong> became the first full-time<br />
chair <strong>of</strong> the psychiatry department.<br />
Dr. Freedman realized that the residency<br />
training program would benefit<br />
from a more comprehensive approach<br />
to psychiatry <strong>and</strong> with Dr.<br />
Harold Kaplan was founding editor<br />
<strong>and</strong> editor <strong>of</strong> the first three editions<br />
<strong>of</strong> the Comprehensive Textbook <strong>of</strong><br />
Psychiatry. First published in 1967<br />
at a cost <strong>of</strong> $24.75, this text is now<br />
in its ninth edition <strong>and</strong> edited by<br />
Drs. Benjamin J. Sadock, Virginia A.<br />
Sadock, <strong>and</strong> Pedro Ruiz. Generations<br />
<strong>of</strong> psychiatrists have studied<br />
this text to learn psychiatry <strong>and</strong> to<br />
pass their boards.<br />
Dr. Joseph T. English, current Pr<strong>of</strong>essor <strong>and</strong> Chair <strong>of</strong> the<br />
Department <strong>of</strong> Psychiatry at New York Medical College<br />
states: ―It is with deep sadness that the New York Medical<br />
College, Department <strong>of</strong> Psychiatry <strong>and</strong> Behavioral<br />
Sciences mourns the loss <strong>of</strong> Alfred M. Freedman, M.D.,<br />
Pr<strong>of</strong>essor <strong>and</strong> Chair 1960-1988, Pr<strong>of</strong>essor <strong>and</strong> Chairman<br />
Emeritus, 1988-2011. Dr. Freedman was a distinguished<br />
<strong>and</strong> recognized leader in the psychiatric community<br />
who brought great honor <strong>and</strong> esteem to our pr<strong>of</strong>ession.<br />
He served as President <strong>of</strong> the <strong>American</strong> Psychopathological<br />
Association, 1970; the <strong>American</strong> College<br />
<strong>of</strong> Neuropsychopharmacology in 1971; <strong>and</strong> as<br />
President <strong>of</strong> the <strong>American</strong> Psychiatric Association, 1973<br />
-1974. A member <strong>of</strong> the Ethics Committee <strong>of</strong> the APA,<br />
he was a leader in the APA‘s work on ethical issues,<br />
especially the abuse <strong>of</strong> psychiatry in the former Soviet<br />
Union. He was the recipient <strong>of</strong> the APA‘s 2008 Human<br />
Rights Award recognizing his outst<strong>and</strong>ing contribution to<br />
human rights <strong>and</strong> mental health throughout the world.‖<br />
10
<strong>Academy</strong> News<br />
Winter, 2011-2012<br />
I n m e m o r i a m ( c o n t i n u e d )<br />
Concerned with the high levels <strong>of</strong> alcoholism, drug<br />
abuse, <strong>and</strong> crime in the medical school‘s impoverished<br />
East Harlem neighborhood, he established drug treatment<br />
programs for adults <strong>and</strong> adolescents in the community<br />
<strong>and</strong> created a social <strong>and</strong> community psychiatry<br />
division at the school to serve neighborhood residents.<br />
After his retirement as Chair <strong>of</strong> the New York Medical<br />
College Department <strong>of</strong> Psychiatry, he became a vocal<br />
opponent <strong>of</strong> the death penalty. With fellow psychiatrist<br />
Dr. Abraham Halpern, he encouraged the <strong>American</strong><br />
Medical Association to enforce a provision in its code <strong>of</strong><br />
ethics prohibiting doctors from participating in executions.<br />
In recent years, Dr. Freedman has focused on<br />
ethical <strong>and</strong> human rights violations <strong>of</strong> death row inmates.<br />
He has publicized the inhumane attitudes <strong>and</strong><br />
practices involved with declaring death row prisoners<br />
competent to be executed, the inhumanity <strong>of</strong> the methods<br />
<strong>of</strong> execution, as well as the tragic use <strong>of</strong> psychiatrists<br />
as ―hangman‘s assistants.‖ Dr. Freedman noted<br />
that when antipsychotic medications are used by psychiatrists<br />
to treat a delusional <strong>and</strong> psychotic prisoners<br />
prior to an evaluation for competency to st<strong>and</strong> trial or<br />
be executed, that the prisoner‘s right to treatment in a<br />
mental health facility <strong>and</strong> to be found not guilty by reason<br />
<strong>of</strong> insanity is clearly violated. <strong>The</strong> psychiatrists who<br />
do this are in his words hangman‘s assistants because<br />
they are preparing mentally ill prisoners, who should be<br />
pardoned <strong>and</strong> found not guilty by reason <strong>of</strong> insanity <strong>and</strong><br />
cared for in a psychiatric facility, to stay on death row,<br />
st<strong>and</strong> trial, <strong>and</strong> be executed.<br />
Dr. Freedman has been vociferous in his concern for the<br />
violation <strong>of</strong> human rights <strong>and</strong> the importance <strong>of</strong> the prevention<br />
<strong>of</strong> physicians from participating in torture.<br />
His most recent article on this topic was published in<br />
2009 when he was 92 years <strong>of</strong> age. This article, Medical<br />
Ethics <strong>and</strong> Torture: Revising the Declaration <strong>of</strong> Tokyo,<br />
called for changes in the code <strong>of</strong> ethics to make it<br />
readable for persons with only 12 years <strong>of</strong> education<br />
<strong>and</strong> also to emphasize prevention <strong>of</strong> physician participation<br />
in torture <strong>of</strong> any kind. This important paper was coauthored<br />
with Dr. Steven H. Miles <strong>and</strong> published in <strong>The</strong><br />
Lancet (2009; 373: 344-348).<br />
I will miss Dr. Freedman <strong>and</strong> his wife Mrs. Marcia Freedman,<br />
who died after a long illness on September 9,<br />
2011. It was Dr. Freedman‘s wish to remain alive for at<br />
least another three years to be able to take care <strong>of</strong> her.<br />
<strong>The</strong>y celebrated their 68 th wedding anniversary together<br />
in their home only one month before his death <strong>and</strong> five<br />
months before hers. My initial acquaintance with Dr.<br />
Freedman began when I bought his textbook in 1967 in<br />
its very first edition. I worshipped him from afar, <strong>and</strong> did<br />
not get to meet him until he was close to his retirement<br />
from New York Medical College. Since that<br />
time I was fortunate to get to know Dr. Freedman<br />
<strong>and</strong> his family. He was a remarkable psychiatrist,<br />
husb<strong>and</strong>, brother, father, <strong>and</strong> gr<strong>and</strong>father. Dr. <strong>and</strong><br />
Mrs. Freedman have left an important legacy <strong>of</strong><br />
love. <strong>The</strong>ir son, Dr. Paul Freedman, is Pr<strong>of</strong>essor <strong>of</strong><br />
Medieval History at Yale University. <strong>The</strong>ir son, Dan<br />
Freedman, is the National Editor <strong>of</strong> Hearst Newspapers‘<br />
Washington Bureau. Mr. Dan Freedman‘s son,<br />
Jacob, may have summarized it best in the eulogy<br />
that he gave for his gr<strong>and</strong>father: ―In the course <strong>of</strong><br />
reflecting on my gr<strong>and</strong>father‘s life ahead <strong>of</strong> this occasion<br />
- as a leader in psychiatry <strong>and</strong> an advocate<br />
for social justice, as a devoted husb<strong>and</strong>, father, <strong>and</strong><br />
gr<strong>and</strong>father - I naturally struggled to find the right<br />
story or anecdote that would capture the richness<br />
<strong>and</strong> meaning <strong>of</strong> our relationship.<br />
For my entire life, my gr<strong>and</strong>father‘s influence on me<br />
has been formidable. He was a source <strong>of</strong> wisdom<br />
<strong>and</strong> humor, a motivating example <strong>of</strong> what you can<br />
accomplish through persistence <strong>and</strong> hard work, <strong>and</strong><br />
- above all - a loving family man who found great joy<br />
in spending time together.‖<br />
In addition to his legacy to the worlds <strong>of</strong> psychiatry<br />
<strong>and</strong> human rights, Dr. Freedman leaves behind a<br />
legacy <strong>of</strong> love to his sons, Paul <strong>and</strong> Dan Freedman,<br />
his gr<strong>and</strong>children, Andrew Freedman, Jacob Freedman,<br />
Sasha Johnson, his brother, Aaron Freedman,<br />
his family <strong>of</strong> relatives <strong>and</strong> friends including his close<br />
friends, Dr. Abraham Halpern, Dr. Max Fink, <strong>and</strong><br />
trainees <strong>and</strong> colleagues.<br />
As both his friend <strong>and</strong> colleague, I can recall Dr.<br />
Freedman‘s concerns that he had not done enough<br />
for the family or for social justice. He wanted those<br />
three more years for his wife <strong>and</strong> was concerned<br />
because <strong>of</strong> the continuing human rights violations<br />
throughout the world <strong>and</strong> complained that he had<br />
not written another paper for <strong>The</strong> Lancet in the past<br />
two years. <strong>The</strong>re is no question in my mind that his<br />
contributions to his family, community, psychiatry,<br />
<strong>and</strong> the world have been prodigious. It was a pleasure<br />
<strong>and</strong> an honor to have known him. Through his<br />
tireless, systematic, erudite, <strong>and</strong> effective efforts,<br />
Dr. Freedman has illuminated <strong>and</strong> eradicated many<br />
human rights violations both nationally <strong>and</strong> internationally.<br />
Dr. Freedman‘s work continues to have a<br />
substantive impact on protecting the rights <strong>of</strong> persons<br />
throughout the world.<br />
11
<strong>Academy</strong> News<br />
Winter, 2011-2012<br />
T e i c h n e r S c h o l a r s P r o g r a m<br />
By: Sherry Katz-Bearnot, M.D. <strong>and</strong> Eugene Beresin, M.D.<br />
It is my pleasure to report to the AAPDP membership<br />
that the Teichner Visiting Scholar Program is doing well.<br />
For those <strong>of</strong> you unfamiliar with the program, please<br />
view the Teichner Scholar Program section <strong>of</strong> the AAPDP<br />
website at www.AAPDP.org for up-to-date information as<br />
well as a history <strong>of</strong> the Program.<br />
Dr. Richard Brockman, the Teichner Scholar for the<br />
2010/2011 cycle, will make his visit to the Indiana University<br />
campus on April 18-20 2012.<br />
Joanna Chambers, Training Director at Indiana University,<br />
has assembled a panel <strong>and</strong> submitted the panel for<br />
consideration for the 2012 meeting <strong>of</strong> AADPRT in March<br />
2012. <strong>The</strong> topic <strong>of</strong> the panel is ―Distance Learning initiatives<br />
in Psychodynamic Education,‖ <strong>and</strong> will feature<br />
<strong>Academy</strong> <strong>and</strong> AADPRT members who have been using<br />
Skype <strong>and</strong> other telecommunication programs for<br />
teaching <strong>and</strong> supervision.<br />
If our panel is accepted for the meeting, <strong>and</strong> a quorum<br />
<strong>of</strong> Committee members <strong>and</strong> former program <strong>and</strong><br />
scholar winners can be present, it is our hope that we<br />
might, once again, have a face-to-face meeting at the<br />
AADPRT meeting. This was an interesting <strong>and</strong> productive<br />
meeting last year.<br />
AADPRT has revised their administrative procedures in<br />
order to bring all awards <strong>and</strong> Fellowships into a uniform<br />
timetable. We polled the members <strong>of</strong> the Committee<br />
<strong>and</strong>, finding no objections, agreed to the revised timetable:<br />
All fellowships will be announced in September,<br />
<strong>and</strong> the closing date for applications will be moved from<br />
December 15 to November 1. Committee members are<br />
prepared to deliberate during November, so that the<br />
winner <strong>of</strong> the award can be announced December 1.<br />
Along with these changes, we have revised <strong>and</strong> updated<br />
the information about the program on both the AADPRT<br />
<strong>and</strong> AAPDP websites, <strong>and</strong> improved the appearance <strong>of</strong><br />
the information describing the Teichner program. We<br />
would particularly like to recognize Jacqui Davis for her<br />
efforts on our behalf. Her administrative <strong>and</strong> aesthetic<br />
support has been flawless.<br />
We continue to recruit new members to the <strong>Academy</strong><br />
who wish to join the list <strong>of</strong> Teichner Scholars Nominees,<br />
<strong>and</strong> we continue to recruit longst<strong>and</strong>ing members <strong>of</strong> the<br />
<strong>Academy</strong> to the list <strong>of</strong> Teichner Scholar Nominees. We<br />
encourage all members to join this growing list. Visit<br />
www.AAPDP.org for details.<br />
<strong>The</strong> PR&I Committee consists <strong>of</strong> Gerald P. Perman, M.D.<br />
<strong>and</strong> Michael Blumenfield, M.D. (co-chairs); Mariam<br />
Cohen, M.D., Mary Ann Cohen, M.D., Maurice Preter,<br />
M.D., <strong>and</strong> Joseph R. Silvio, M.D.<br />
<strong>The</strong> PR&I Committee has worked closely with the President<br />
<strong>and</strong> Staff mostly via email to further the publicity<br />
<strong>and</strong> information needs <strong>of</strong> the <strong>Academy</strong>. We had a phone<br />
conference on June 19, 2011.<br />
1. Completed Tasks<br />
P u b l i c R e l a t i o n s & i n f o r m a t i o n<br />
C o m m i t t e e U p d a t e<br />
a. Jacquilyn Davis did an excellent job updating the<br />
Media <strong>and</strong> Information page on our website that<br />
includes links to ―Members in the News,‖<br />
―Interviews <strong>and</strong> Video Segments,‖ <strong>and</strong> ―Books by<br />
<strong>Academy</strong> Members.‖ <strong>The</strong> ―Members in the News‖<br />
section includes news articles <strong>and</strong> obituaries about<br />
<strong>Academy</strong> members from 2009, 2010 <strong>and</strong> 2011.<br />
Each entry includes a link to the article referred to.<br />
<strong>The</strong> ―Interviews <strong>and</strong> Video Segments‖ includes<br />
video clips <strong>of</strong> Dr. Glucksman, Silver, Blumenfield<br />
<strong>and</strong> Eckardt. <strong>The</strong> Book section has 13 pages <strong>of</strong><br />
By: Gerald P. Perman M.D. & Michael Blumenfield, M.D.<br />
nicely presented books with photos <strong>of</strong> their covers.<br />
2. Tasks in Progress<br />
a. <strong>The</strong> ―Gr<strong>and</strong> Rounds Speaker‖ website page is a<br />
work in progress. A number <strong>of</strong> entries have been<br />
received by members to be included on this page<br />
when it is ready to go.<br />
3. Suggested Future Tasks: Consider appointing Task<br />
Force(s) to work on these proposals.<br />
a. We believe that the <strong>Academy</strong> should have a social<br />
media networking presence including Linked-In,<br />
Facebook <strong>and</strong> Sina Weibo. Although this could potentially<br />
be time consuming, perhaps we could get a<br />
short Facebook page that would direct people to<br />
our website. A Youtube presence on the web with a<br />
brief video by the president about the <strong>Academy</strong><br />
could also direct viewers to the <strong>Academy</strong> website.<br />
<strong>The</strong>se should both be accessible from the Media/<br />
Public Information link on our website.<br />
b. We recommend that biographical information be<br />
12
<strong>Academy</strong> News<br />
Winter, 2011-2012<br />
P u b l i c R e l a t i o n s & i n f o r m a t i o n<br />
C o m m i t t e e U p d a t e ( C o n t i n u e d )<br />
added to the Teichner webpage <strong>and</strong> this will be<br />
taken up by Dr. Mariam Cohen with Ms. Jacquilyn<br />
Davis.<br />
c. <strong>The</strong> issue <strong>of</strong> Media Spokespersons is complicated<br />
<strong>and</strong> needs to be discussed in Council. We could<br />
direct the media to the <strong>Academy</strong> President who<br />
could speak for the <strong>Academy</strong> or refer the media to a<br />
best person within the <strong>Academy</strong> for that particular<br />
topic.<br />
d. <strong>The</strong> APA provides media training for District<br />
Branches. Michael Blumenfield will find out if the<br />
APA will <strong>of</strong>fer this to us at the Philadelphia meeting.<br />
This could generate additional PR for the <strong>Academy</strong><br />
<strong>and</strong> its members.<br />
e. We would like to improve the relevancy <strong>of</strong> the <strong>Academy</strong><br />
to current <strong>and</strong> potential members: what‘s in it<br />
for them <strong>The</strong> ―chatter‖ in medicine is in Social Media<br />
– we must find additional <strong>and</strong> up-to-date ways<br />
for members to connect with one another. Should<br />
we try to find an ECP to join the PR&I Committee<br />
How can we help members more with their private<br />
practices<br />
O P I F E R U p d a t e<br />
By: Joan Tolchin, M.D.<br />
<strong>The</strong> <strong>Academy</strong> is holding its Thirteenth Joint Meeting with<br />
OPIFER (Organizzazione di Psicoanalisti Italiani-<br />
Federazione e Registro) in Rome, November 12-13,<br />
2011. <strong>The</strong> theme <strong>of</strong> the meeting is "Psychoanalytic<br />
Training Today: In the Footsteps <strong>of</strong> Silvano Arieti." This<br />
meeting honors the memory <strong>of</strong> Dr. Jules Bemporad,<br />
esteemed Past President <strong>and</strong> Past Journal Editor <strong>of</strong> the<br />
<strong>Academy</strong>, who played an instrumental role in helping to<br />
establish these yearly meetings in Italy.<br />
<strong>The</strong> Keynote Speaker is Dr. John T. Walkup, Vice Chair,<br />
Department <strong>of</strong> Psychiatry <strong>and</strong> Director, Division <strong>of</strong> Child<br />
<strong>and</strong> Adolescent Psychiatry at New York-Presbtyerian<br />
Hospital/Weill Cornell Medical Center. He will talk on<br />
"Challenges <strong>of</strong> Teaching Psychodynamics in Modern<br />
Psychiatry Training Programs." <strong>Academy</strong> Fellow Dr. Erminia<br />
Scarcella will present "Training in Jungian Analytic<br />
Psychology: A Quick Overview." Dr. James Eaton, also an<br />
<strong>Academy</strong> Fellow, will present "Using a Consultation-<br />
Liaison Service to Begin Teaching Principles <strong>of</strong> Psychodynamics<br />
<strong>and</strong> Countertransference."<br />
This is the first time the Joint Meeting has been held in<br />
Rome. <strong>The</strong> meeting venue is the Centro di Formazione<br />
"Polo Didattico" situated in the Piazza Oderico da Pordenone,<br />
easily reached by public transportation or taxi<br />
from central Rome.<br />
We have held 12 Joint Meetings with OPIFER so far. As<br />
a result 14 members <strong>of</strong> OPIFER have joined the <strong>Academy</strong>.<br />
<strong>The</strong>se Italian members have included such prominent<br />
psychiatrists as Dr. Adolfo Pazzagli, the past Chair<br />
<strong>of</strong> the Psychiatry Department at the University <strong>of</strong> Florence,<br />
<strong>and</strong> Dr. Giovanni Corsini, the leading psychopharmacologist<br />
in Italy. Additionally, because <strong>of</strong> their participation<br />
in the Joint Meetings, at least 4 <strong>American</strong> psychiatrists<br />
became <strong>Academy</strong> members, including David<br />
Lopez, S<strong>and</strong>ra Park, Craig Katz <strong>and</strong> Charles Nemer<strong>of</strong>f.<br />
Dr. Deborah Rose, recently became a Psychiatric Fellow,<br />
in part because she was enthusiastic about our meetings<br />
in Italy.<br />
OPIFER's Meeting Planning Committees contribute an<br />
enormous amount <strong>of</strong> work in arranging the meetings<br />
abroad, at no cost to the <strong>Academy</strong>. We do share the<br />
cost <strong>of</strong> the meeting venue with OPIFER but the Joint<br />
Meetings have always made money for the <strong>Academy</strong>.<br />
Visit www.AAPDP.org for the most up to date information<br />
on this <strong>and</strong> other <strong>Academy</strong> meetings.<br />
13
<strong>Academy</strong> News<br />
A c a d e m y M e m b e r s<br />
G i v e G r a n d R o u n d s a t C h u l a l o n g k o r n<br />
U n i v e r s i t y M e d i c a l S c h o o l i n T h a i l a n d<br />
By: Luis Angel Garza, M.D. <strong>and</strong> Christina Kitt Garza, M.D.<br />
<strong>The</strong> <strong>American</strong> <strong>Academy</strong> <strong>of</strong> <strong>Psychoanalysis</strong> <strong>and</strong> Dynamic<br />
Psychiatry, AAPDP, is pleased to announce our participation<br />
in a psychiatric conference at the Chulalongkorn<br />
University Medical School‘s Department <strong>of</strong> Psychiatry.<br />
Chulalongkorn University Medical School is the secondoldest<br />
<strong>and</strong> most prestigious medical school in Thail<strong>and</strong>.<br />
King An<strong>and</strong>a Mahidol established the University <strong>of</strong><br />
Medical Sciences to educate doctors to meet the dem<strong>and</strong>s<br />
<strong>of</strong> the public in 1947. <strong>The</strong> University <strong>of</strong> Medical<br />
Sciences became a part <strong>of</strong> the Chulalongkorn University<br />
in 1967 at which time the medical school was renamed<br />
the Faculty <strong>of</strong> Medicine, Chulalongkorn University. <strong>The</strong><br />
three-day conference will take place from January 25-<br />
27, 2012 in Bangkok, Thail<strong>and</strong>. Our goal is to establish<br />
an ongoing collaborative academic relationship between<br />
the two organizations. <strong>The</strong> conference will consist<br />
<strong>of</strong> both early career psychiatrists <strong>and</strong> more senior<br />
members <strong>of</strong> the AAPDP giving Gr<strong>and</strong> Rounds presentations<br />
on various topics in the fields <strong>of</strong> psychoanalysis<br />
<strong>and</strong> dynamic psychiatry to the psychiatry residents <strong>and</strong><br />
attending psychiatrists at the Chulalongkorn Faculty <strong>of</strong><br />
Medicine. <strong>The</strong> following AAPDP members will be presenting<br />
at the Chulalongkorn Psychiatric Conference:<br />
César A. Alfonso, M.D. is the President <strong>of</strong> the AAPDP.<br />
He is Psychotherapy <strong>and</strong> Psychopharmacology Supervisor<br />
in the Department <strong>of</strong> Psychiatry at Columbia University<br />
College <strong>of</strong> Physicians <strong>and</strong> Surgeons. He is also a<br />
Training <strong>and</strong> Supervising Analyst at the New York Medical<br />
College Psychoanalytic Institute. Dr. Alfonso‘s Gr<strong>and</strong><br />
Rounds presentation will be on the topic ―Contributions<br />
<strong>of</strong> <strong>Psychoanalysis</strong> <strong>and</strong> Psychodynamic <strong>The</strong>ory to the<br />
Contemporary Practice <strong>of</strong> Psychotherapy in the United<br />
States.‖<br />
Christina Kitt Chayada Garza, M.D. is a Psychiatric Associate<br />
Member <strong>of</strong> the AAPDP. She is a fourth year psychiatry<br />
resident in the Department <strong>of</strong> Psychiatry <strong>of</strong> Columbia<br />
University College <strong>of</strong> Physicians <strong>and</strong> Surgeons.<br />
She is also a Psychoanalytic Fellow at the Columbia University<br />
Center for Psychoanalytic Training <strong>and</strong> Research.<br />
Dr. Garza‘s Gr<strong>and</strong> Rounds presentation will be on the<br />
topic ―Psychiatric Residency Training in the United<br />
States.‖<br />
Luis Angel Garza, M.D. is a Psychoanalytic Fellow <strong>of</strong> the<br />
AAPDP. He is an Assistant Clinical Pr<strong>of</strong>essor <strong>of</strong> Psychiatry<br />
at the Columbia University College <strong>of</strong> Physicians <strong>and</strong><br />
Surgeons. He is also a faculty member <strong>of</strong> the Institute<br />
for Psychoanalytic Education affiliated with the NYU<br />
School <strong>of</strong> Medicine. Dr. Garza‘s Gr<strong>and</strong> Rounds presentation<br />
will be on the topic ―Psychodynamic <strong>and</strong> Psychiatric<br />
Aspects <strong>of</strong> Medical Illness.‖<br />
Winter, 2011-2012<br />
Megan T. Marumoto,<br />
M.D. is a Psychiatric Associate<br />
Member <strong>of</strong> the<br />
AAPDP. She is a Clinical<br />
Associate Pr<strong>of</strong>essor <strong>of</strong><br />
Psychiatry at the University<br />
<strong>of</strong> Hawaii <strong>and</strong> Clinical<br />
Faculty at the Uniformed<br />
Services University <strong>of</strong> the<br />
Health Sciences. She is<br />
also Board Certified in<br />
Adult <strong>and</strong> Child <strong>and</strong> Adolescent<br />
Psychiatry. Dr.<br />
Marumot o‘s Gr<strong>and</strong><br />
Rounds presentation will<br />
be on the topic <strong>of</strong> ―Psychodynamic Treatments in Child<br />
<strong>and</strong> Adolescent Psychiatry.‖<br />
Silvia Olarte, M.D. is a Psychoanalytic Fellow <strong>and</strong> Past<br />
President <strong>of</strong> the AAPDP. She is a Clinical Pr<strong>of</strong>essor <strong>of</strong><br />
Psychiatry at New York Medical College. She is also a<br />
past president <strong>of</strong> the Association <strong>of</strong> Women Psychiatrists.<br />
Dr. Olarte‘s Gr<strong>and</strong> Rounds presentation will be on<br />
the topic ―<strong>Psychoanalysis</strong> <strong>and</strong> Psychodynamic Psychiatry<br />
in the United States.‖<br />
Christopher Perry, M.D. is a Psychiatric Member <strong>of</strong> the<br />
AAPDP. He is a graduate <strong>of</strong> the Washington Baltimore<br />
Fellowship in <strong>Psychoanalysis</strong> <strong>and</strong> a graduate <strong>of</strong> the International<br />
Institute for Psychotherapy in Bethesda,<br />
Maryl<strong>and</strong>. He graduated from the Addiction Psychiatry<br />
Fellowship <strong>of</strong> the University <strong>of</strong> Hawaii. Dr. Perry‘s Gr<strong>and</strong><br />
Rounds Presentation will be on the topic<br />
―Psychodynamic Aspects <strong>of</strong> Addiction.‖<br />
Elise S. Snyder, M.D. is a Psychoanalytic Fellow <strong>of</strong> the<br />
AAPDP. She is a Clinical Associate Pr<strong>of</strong>essor <strong>of</strong> Psychiatry<br />
at Yale University. She is a past president <strong>of</strong> the<br />
<strong>American</strong> College <strong>of</strong> Psychoanalysts <strong>and</strong> President <strong>and</strong><br />
Founder <strong>of</strong> the China <strong>American</strong> Psychoanalytic Alliance.<br />
Dr. Snyder‘s Gr<strong>and</strong> Rounds presentation will on the<br />
topic ―<strong>Psychoanalysis</strong> <strong>and</strong> Psychoanalytic Psychotherapy<br />
Training in China.‖<br />
Wendy M. Waits, M.D. is a Psychiatric Associate Member<br />
<strong>of</strong> the AAPDP. She is Chief <strong>of</strong> Behavioral Studies at<br />
Tripler Psychiatry in Hawaii. She is also a Fellow <strong>of</strong> the<br />
<strong>American</strong> Psychiatric Association. Dr. Waits‘s Gr<strong>and</strong><br />
Rounds presentation will be on the topic ―Ego Integrity<br />
<strong>and</strong> the Aging Adult.‖<br />
14
<strong>Academy</strong> News<br />
Winter, 2011-2012<br />
C A P A i s T h r i v i n g<br />
By: Elsie Snyder, M.D.<br />
CAPA (China <strong>American</strong> Psychoanalytic Alliance) is thriving<br />
<strong>and</strong>, most especially, growing. As Cesar Alfonso said<br />
in his Presidential address…‖altruism requires empathy<br />
coupled with action.‖ CAPA members demonstrate the<br />
most extraordinary level <strong>of</strong> altruism. As physicians, we<br />
are sworn to teach the ―sons <strong>of</strong> our teachers.‖ Indeed,<br />
most <strong>of</strong> us volunteer at hospitals <strong>and</strong> medical schools.<br />
In return we <strong>of</strong>ten receive an academic appointment.<br />
Such work fosters collegial relations <strong>and</strong> <strong>of</strong>ten brings<br />
referrals. <strong>The</strong> people volunteering with CAPA, engaging<br />
in the tasks <strong>of</strong> teaching, supervising, treating <strong>and</strong> working<br />
in CAPA administration <strong>of</strong>ten donate 8-20 hours a<br />
week—some more. This is an astonishing outpouring <strong>of</strong><br />
generosity. <strong>The</strong>y receive no perks, no formal honors, no<br />
career or practice advancement. <strong>The</strong>re is collegiality<br />
(most <strong>of</strong> us have made new friends) but it is nevertheless<br />
a virtual experience. What there is--- is an exciting<br />
adventure: an opportunity to do good while having a<br />
fascinating experience <strong>and</strong> being a part <strong>of</strong> the wave <strong>of</strong><br />
the future.<br />
We now have more than 300 psychoanalyst <strong>and</strong> psychodynamic<br />
psychotherapist members from the USA, Canada,<br />
Mexico, Argentina, Engl<strong>and</strong>, France, Italy, Germany,<br />
Israel <strong>and</strong> Thail<strong>and</strong>. Our Chinese student members<br />
come from a fairly diverse geographical area, spanning<br />
a number <strong>of</strong> Chinese cities, ten to be precise. Invitations<br />
for interviews, publishing <strong>and</strong> speaking about CAPA arrive<br />
almost daily. Usually, invitations to speak come with<br />
plane fare, a hotel room, a dinner <strong>and</strong> occasionally an<br />
honorarium. Given that CAPA specializes in distance<br />
training <strong>and</strong> treatment, I imagine a future where there<br />
will be invitations to address a group on Skype. <strong>The</strong> audience<br />
will bring their own food <strong>and</strong> the organizer will<br />
call my local take-out Chinese restaurant <strong>and</strong> have<br />
them deliver a banquet for me. We will then be able to<br />
eat <strong>and</strong> speak with each other before the presentation.<br />
CAPA now has a four-year psychotherapy training program<br />
(the third year began in the<br />
fall <strong>of</strong> 2011). <strong>The</strong>re are 160 students;<br />
only about half those applying<br />
are accepted. Good English is<br />
one or the prerequisites for acceptance.<br />
Our students are psychiatrists,<br />
psychologists <strong>and</strong> counselors.<br />
<br />
<br />
<br />
<br />
4 Sites for each year <strong>of</strong> classes<br />
10 Students at each site<br />
4 hours <strong>of</strong> class each week for<br />
3 trimesters <strong>of</strong> 10 weeks each<br />
<br />
3 courses (<strong>The</strong>ory, Technique, Continuous Case<br />
Seminar) each Trimester<br />
<br />
<br />
<br />
1 hour individual supervision/week<br />
53 Students in 3-5 session/week analysis<br />
54 Students in 1-2 session/week psychotherapy<br />
<strong>The</strong>re are more than 100 teachers, 160 supervisors<br />
<strong>and</strong> 100 people providing treatment. Some CAPA members<br />
do more than one thing. <strong>The</strong>se staggering numbers<br />
remind us <strong>of</strong> how vast a country China is <strong>and</strong> also that<br />
almost every one <strong>of</strong> the 1.3 billion people seems to<br />
want training <strong>and</strong> treatment.<br />
All classes use ooVoo (a video conferencing s<strong>of</strong>tware).<br />
<strong>The</strong> readings for each class are either on PEPWeb or<br />
available as PDFs. <strong>The</strong> students receive ―report cards‖<br />
at the end<br />
<strong>of</strong> each trimester as do their teachers. Several CAPA<br />
students have visited America <strong>and</strong> attended various<br />
pr<strong>of</strong>essional meetings. Other students are working at<br />
<strong>American</strong> universities <strong>and</strong> medical schools doing post<br />
docs <strong>and</strong> research.<br />
All treatments employ Skype (which<br />
is secure). Several CAPA analysts<br />
have presented case material to<br />
colleagues with all references to<br />
Skype <strong>and</strong> China removed. <strong>The</strong>ir<br />
colleagues were startled to learn<br />
that these were Skype analyses<br />
with patients in China.<br />
CAPA has twice-yearly meetings,<br />
with each one <strong>of</strong>fering two discussion<br />
groups. Each meeting is fol-<br />
(Continued on page 16)<br />
15
<strong>Academy</strong> News<br />
Winter, 2011-2012<br />
C A P A i s T h r i v i n g ( C o n t i n u e d )<br />
lowed by a Dim Sum lunch. At these meetings (the next<br />
one will be in New York on Saturday January 14, 2012),<br />
the discussions have included topics such as ‖Ethical<br />
problems <strong>of</strong> Treating <strong>and</strong> Supervising in China,‖<br />
―Problems in Supervision in China,‖ <strong>and</strong><br />
―Countertransference Issues in China‖ (a recording <strong>of</strong><br />
these last two is available).<br />
And last but not least, the third annual CAPA tour <strong>of</strong><br />
China will take place this October 2011. Twenty-five<br />
CAPA members <strong>and</strong> some significant others will visit<br />
four cities in China (Beijing, Xi‘an, Chengdu <strong>and</strong> Shanghai)<br />
<strong>and</strong> Tibet. As well as visiting the usual tourist sites,<br />
they will meet with patients, supervisees <strong>and</strong> their<br />
classes. <strong>The</strong>y will give lectures, supervisions <strong>and</strong> consultations.<br />
<strong>The</strong>y will be honored guests at CAPA‘s second<br />
graduation where CAPA students will present papers.<br />
I hope you will consider joining CAPA <strong>and</strong> participating in<br />
this adventure. Please contact: elise.snyder@yale.edu.<br />
M e n t o r s h i p P r o g r a m U p d a t e<br />
By: Kimberly Best, M.D.<br />
Embedded in the<br />
culture <strong>of</strong> AAPDP is a<br />
rich history <strong>of</strong> experienced<br />
clinicians supporting<br />
the pr<strong>of</strong>essional<br />
development<br />
<strong>of</strong> more junior colleagues.<br />
Many members<br />
can tell story<br />
after story <strong>of</strong> the<br />
guidance <strong>and</strong> practical<br />
support that influenced<br />
their growth.<br />
For regions rich in<br />
dynamically-oriented psychiatrists, it can be easy to find<br />
a mentor. However, for some parts <strong>of</strong> the country, or for<br />
some interest areas, it can be more difficult. Hoping to<br />
extend the benefits <strong>of</strong> mentorship, AAPDP has created a<br />
structured mentorship program.<br />
Most people seeking mentorship are medical students,<br />
psychiatry residents, fellows or early career psychiatrists,<br />
but the program is open to all members. <strong>The</strong><br />
application process is designed to be simple, <strong>and</strong> is<br />
outlined on the website. http://aapdp.org/index.php/<br />
education/mentorship-program/<br />
<strong>The</strong> Future Leaders in Dynamic Psychiatry Committee<br />
provided excellent suggestions for what applicants<br />
might want from a mentor. <strong>The</strong> program was designed<br />
to be very individualized, with frequency <strong>of</strong> contact <strong>and</strong><br />
topics discussed agreed upon by the mentorship pair.<br />
Members <strong>of</strong> AAPDP have been very generous in volunteering<br />
to serve as mentors.<br />
An application deadline is listed for July in order to encourage<br />
individuals to apply early in the academic year,<br />
but the Education Committee will accept applicants on a<br />
rolling basis.<br />
<strong>The</strong> Education Committee will gather data on how the<br />
mentorship was used by current pairs in order to develop<br />
the Mentorship Project further next year. Questions<br />
can be directed to Kim Best, MD at<br />
bestk@einstein.edu<br />
Interested in Contributing to <strong>Academy</strong> News<br />
Contact the <strong>Academy</strong> Office at info@AAPDP.org for details.<br />
<strong>The</strong> <strong>Academy</strong> News invites all members <strong>of</strong> the AAPDP to contribute an article, poem, photo,<br />
or personal announcement for publication.<br />
16
<strong>Academy</strong> News<br />
Winter, 2011-2012<br />
N e w s F r o m M e m b e r s<br />
Special Interests:<br />
Amaury Delgado Hern<strong>and</strong>ez MD, MRCPsych, Devon, UK is interested in the<br />
underst<strong>and</strong>ing <strong>of</strong> team dynamics through the use <strong>of</strong> group psychoanalytic ideas<br />
particularly those dynamics recreated when working with severe disturbances such<br />
as personality disorders <strong>and</strong> Eating Disorders. I am also interested in the use <strong>of</strong><br />
Cinema in the teaching <strong>of</strong> psychiatry for medical students <strong>and</strong> to facilitate the<br />
underst<strong>and</strong>ing <strong>of</strong> psychoanalytic ideas for psychiatric residents (Specialty Registrars<br />
in the UK)<br />
Pr<strong>of</strong>essional Appointments:<br />
Amaury Delgado Hern<strong>and</strong>ez MD, MRCPsych, Devon, UK is currently a psychiatric<br />
resident in Eating Disorders (Specialty Registrar year 5) in the UK. He started the<br />
psychiatric residency in 2005, since then he has undertaken various appointments<br />
on a rotational basis in General Adult Psychiatry, Old Age Psychiatry, Child <strong>and</strong><br />
Adolescent Psychiatry, Drug <strong>and</strong> Alcohol Psychiatry <strong>and</strong> Eating Disorders. He became<br />
a member <strong>of</strong> the Royal College <strong>of</strong> Psychiatrists in 2010. He is expecting to obtain the<br />
Certificate <strong>of</strong> Completion <strong>of</strong> Training (CCT) in July 2013 <strong>and</strong> to practice as a Consultant in General Psychiatry<br />
equivalent to an Attending physician in the US.<br />
He undertook basic medical training in Havana, Cuba. After an internship he practiced in Emergency Medicine. In<br />
1996 he moved to the UK <strong>and</strong> undertook a number <strong>of</strong> non medical appointments in various settings including<br />
therapeutic communities.<br />
He is an Associate <strong>of</strong> Group Analysis South West (GASW), where he recently undertook an Introductory training in<br />
Group Analysis.<br />
Medical/Psychodynamic/Psychoanalytic Presentations:<br />
Amaury Delgado Hern<strong>and</strong>ez MD, MRCPsych, Devon, UK I have undertaken various presentations at national <strong>and</strong><br />
international events on topics such as ‗Patient‘s satisfaction with the information provided by doctors on the<br />
medication prescribed‘, as well as compliance with physical health monitoring <strong>of</strong> patients on the caseload at the Crisis<br />
Resolution Teams. I conducted presentations on Group Analytic Psychotherapy <strong>and</strong> the use <strong>of</strong> Group analytic ideas in<br />
working with people <strong>and</strong> underst<strong>and</strong>ing team dynamics while working with severe disturbances (Borderline<br />
Pathologies <strong>and</strong> Eating Disorders)<br />
I am also closely involved in medical education especially with medical students <strong>and</strong> Psychiatric trainees.<br />
Ann-Louise S. Silver, M.D., Columbia, MD "'<strong>The</strong> Early Psychosis Syndrome' in San Francisco, October 14-16, 2011<br />
Medical/Psychodynamic/Psychoanalytic Publications:<br />
Community/Popular Appearances/Publications:<br />
Personal Events:<br />
Amaury Delgado Hern<strong>and</strong>ez MD, MRCPsych, Devon, UK I have worked with charitable organizations in London<br />
providing support to staff working with rough sleepers <strong>and</strong> homeless people. I am also currently involved in developing<br />
forums that use cinema to facilitate the dialogue between the general public, service users (patients) <strong>and</strong> carers with<br />
the psychiatric community.<br />
Ann-Louise S. Silver, M.D., Columbia, MD honored at the annual meeting <strong>of</strong> <strong>The</strong> U.S. Chapter <strong>of</strong> <strong>The</strong> International<br />
Society for the Psychological treatments <strong>of</strong> the Schizophrenias <strong>and</strong> other psychoses.<br />
17
N e w M e m b e r s o f t h e A c a d e m y<br />
Amaury Delgado Hernández, M.D. Exeter, Devon, UK Resident<br />
Douglas G. Foster, M.D. Leesburg, VA Psychiatric Member<br />
Veronique J. Haymon, B.S. Kenner, LA Medical Student<br />
Carolina Jimenez-Madiedo, M.D. Brooklyn, NY Resident<br />
Lucy L. Magcalas, M.D., MPH Brooklyn, NY Medical Student<br />
Megan T. Marumoto, M.D. Honolulu, HI Psychiatric Associate<br />
Eugene D. Mindel, M.D. Winston-Salem, NC Psychiatric Member<br />
Kiyoko Rachel Ogoke, M.D. Bronx, NY Resident<br />
Olumide O. Oluwabusi, M.D. Jenkintown, PA Resident<br />
Anjela K. Rahimova, M.D. Roanoke, VA Resident<br />
Deborah S. Rose, M.D. Palo Alto, CA Psychiatric Fellow<br />
Scott S. Shapiro, M.D. New York, NY Psychiatric Member<br />
Deepan Singh, M.D. Arverne, NY Resident<br />
Jamuna <strong>The</strong>venthiran, M.D. New York, NY Resident<br />
Wendi M. Waits, M.D. Kailua, HI Psychiatric Associate<br />
M. Jody Whitehouse, M.D. Philadelphia, PA Psychiatric Member<br />
Deval D. Zaveri, M.D. Bridgewater, NJ Resident<br />
Do you know someone interested in joining the<br />
<strong>American</strong> <strong>Academy</strong> <strong>of</strong> <strong>Psychoanalysis</strong><br />
<strong>and</strong> Dynamic Psychiatry<br />
If so, be sure to direct them to www.AAPDP.org for the most<br />
up to date information on the <strong>Academy</strong>, its meetings, <strong>and</strong><br />
benefits <strong>of</strong> membership.<br />
Application forms can be obtained online from the home page<br />
or under the “Membership” section <strong>of</strong> the website.<br />
18
Register for Psychodynamic in Contemporary Psychiatry: Mutual Influences today. Complete the below form or<br />
register online at www.AAPDP.org.<br />
If you are not an AAPDP member, please tell us how you heard <strong>of</strong> this meeting:<br />
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Please type or print clearly:<br />
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Advance On-Site<br />
□ Member <strong>of</strong> the <strong>Academy</strong> $245.00 $295.00<br />
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AMERICAN ACADEMY OF PSYCHOANALYSIS AND DYNAMIC PSYCHIATRY<br />
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Phone: (888) 691-8281 Fax: (860) 286-0787<br />
Email: info@aapdp.org Website: www.aapdp.org<br />
19
<strong>Academy</strong> News<br />
<strong>American</strong> <strong>Academy</strong> <strong>of</strong> <strong>Psychoanalysis</strong> <strong>and</strong> Dynamic Psychiatry<br />
One Regency Drive<br />
Bloomfield, CT 06002<br />
Phone: 888.691.8281 Fax: 860.286.0787<br />
Email: info@AAPDP.org Website: www.AAPDP.org