Winter Clinical Intensive: Accessing the Symbolic in an Age of Managed Care
This two day Intensive will focus on how clinicians can bring an appreciation and attention to psychic dynamics and symbolic capacity in our patients in the context of managed care requirements. Presenting analysts will provide specific approaches and clinical material that address this clinical challenge. Course participants will be encouraged to share their vignettes from their own work to further our inquiry into our approach to treatment. The participatory structure of the Intensive is not meant to function as ‘case supervision,’ but to promote mutual inquiry and discovery into how we approach our practice with patients. Our emphasis is meant to increase the richness and value of the therapeutic experience for both patient and practitioner.
Friday, January 11, 2019
Fostering the Symbolic in our Clinical Work
Lucia Maneri, LMHC, IAAP, and Brian Hobbs, M.Ed., CAGS, IAAP
9 am – 1 pm
Our clients come to treatment because they are struggling in their
lives, often stuck in self-defeating patterns. While these outward
circumstances can become the focus of treatment, what therapy
can address is the client’s ability to manage his/her life situation.
This ability, as research has demonstrated, is based on a capacity
to reflect on, or symbolize, experience. The development of this
capacity allows our clients to become ‘authors’ of their
experience, conscious of the stories they make and their
contribution to those stories. An analytic approach focuses directly
on this symbolic capacity, yet other non-analytic approaches,
such as CBT and Mentalization-Based Treatment, are also
structured to promote this capacity. We believe that the
development this ability is one of the basic and most important
tasks in psychotherapy, and that this approach grows directly out
of the psychoanalytic tradition as exemplified by Jungian or
Analytical Psychology. In this workshop we will explore how
deficits in this capacity impact our clients lives, and how we can
promote the growth and development of this capacity within the
confines of managed care.
- To develop an understanding of how Brief and In-Depth analysis, is versatile
enough to encourage analysts and psychotherapists to be creative and
inventive in their approach to brief work.
- To develop an understanding of the Brief and In-Depth model of short-term
work. Clinical examples will be presented.
- To discuss the concept of Dream Incubation and its implementation as an
essential part of the process of Brief and In-Depth.
- To participate in incubating and working a dream using the embodied
approach practiced in the Brief and In-Depth model of short-term work.
Cavelli, A. (2012) ‘Transgenerational transmission of indigestible
facts: from trauma, deadly ghosts, and mental voids to
meaning-making interpretations.’ Journal of Analytical
Psychology, 57, 597-614.
Stern, D. (2009) Partners in Thought: Working with Unformulated
Experience, Dissociation and Enactment. New York:
Willemsen, H. (2014) ‘Early trauma and affect: the importance of
the body for the development of the capacity to symbolize’.
Journal of Analytical Psychology, 59, 695-712.
( 12 pm – 1 pm : Lunch break )
Brief and In-Depth Analytical Psychology
Jill Fischer, PsyA, APRN, IAAP
1 pm – 4 pm
The tradition of psychoanalysis, with its emphasis on the
importance of dreams, started as “brief work” and surprisingly
might have met the requirements of today’s managed care model.
This presentation will briefly focus on the early contributions of
Jung, Freud, Ferenczi, Rank, Alexander, and French as well as
the historical events that precipitated the movement away from,
and then a resurgence of, short-term therapy models.
Clinical examples as well as the material of course participants
will demonstrate how a Brief and In-Depth analytical approach
focuses on ground-up unconscious processes rather than a topdown
cognitive approach to brief treatment. With the help of
ancient Asklepian dream incubation techniques and an embodied
way of working with dreams and memories, the creative
imagination leads the way. The analyst does not provide the
answers. The intelligence inherent in the dream images and their
associated bodily responses illuminate the analysand’s situation
and bring new insights that overtime disclose previously
unconscious points of view, and, in the words of CG Jung, “new
ways of getting over a dreaded impasse”(CW8: para 549).
Brief and In-Depth, with its emphasis on traditional Jungian
concepts, is both versatile and resilient enough to encourage
analysts and/or psychotherapists to be creative and inventive in
their approach to brief work.
- Participants will learn to appreciate and take advantage of unexpected
moments in their work to foster patient growth.
- Participants will be able to discuss the difference between empirical and
mythic accounts of the patient’s life, and the application of these accounts to
- Participants will be able to discuss the emotional and psychological
importance of transferential cooperation.
Bosnak, R. (2007) Embodiment: Creative Imagination in
Medicine, Art and Travel. London: Routledge.
Chodorow, J. (Ed). (1997) Jung on Active Imagination. Princeton,
New Jersey: Princeton University Press.
Fischer, J. (2016, August) ‘Brief and In-Depth: Analytical
Psychology in the 21st Century’. Presentation at IAAP
Congress, Kyoto Japan.
Harvey, M. M., Rauch, S.A.M., Zalta, A.K., Somborger, Pollack,
M.H., Rothbaum, B.O, Laifer, L.M. & Simon, N.M. (2017)
“Intensive Treatment Models to Address Postraumatic Stress
Among Post-9/11 Warriors: The Warrior Care Network”.
Psychiatry online, retrieved from https://doi.org/10.1176/
Lippmann, P. (2000). Nocturnes: On Listening to Dreams.
Hillsdale, NJ: Analytic Press.
Peterson, A. (2018, August 13) “With Short, Intensive Sessions,
Some Patients Finish Therapy in Just Weeks”. The New York
White, J. and Fischer, J. (2012) ‘Embodied Imagination’. In The
Encyclopedia of Sleep and Dreams, eds. D. Barrett and P.
McNamara. Santa Barbara: Greenwood Press, 244-247.
Schooler, J.W., Mrazek, M. D., Franklin, M. S., Baird, B.,
Mooneyham, B., W., Zedelius, C., & Broadway, J. M. (2014).
“The Middle Way: Finding the Balance Between Mindfulness
and Mind-Wandering”. Psychology of Learning and
Motivation, 60, 1-33.
Saturday, January 12, 2019
Grace and the Emerging Unconscious in Psychoanalytic Process
Annette Hanson, LCMHC, IAAP
9 am – 12 pm
“It is important to have a secret, a premonition of things unknown.
It fills life with something impersonal, a numinosum … [we must]
live in a world which in some respects is mysterious;… not
everything which happens can be anticipated. The unexpected
and the incredible belong in the world. Only then is life whole”
–Carl Jung, Memories, Dreams and Reflections
Carl Jung, along with contemporary psychoanalytic thinkers,
came to understand that a fundamental aspect of the therapeutic
process contains a mystical element. Jung referred to this
element as the ‘religious function’, an innate desire to transcend
the profane and experience the divine. The experience of the
unknown as transcendent often arises in subtle moment to
moment interactions during the therapeutic hour, in images that
arise, in silence, and like grace, in states of mind that are open to
receive the imperceptible. Such experiences can be felt as a state
of grace, where the unconscious presents itself as ‘aha’ moments,
in sudden clarity of understanding the meaning of a dream,
synchronicities, intense moments of meeting between therapist
and client, and as an expanded sense of awareness.
Mainstream psychotherapy, on the other hand, with its culturally
sanctioned overlay of managed care systems, has evolved to be
ego-oriented and goal-driven, generally not acknowledging the
influence of unconscious in this process.
This seminar will explore the tension that needs to be tolerated in
order to provide a psychoanalytic process where healing emerges
at its own pace and in its own delineation, while at the same time
adhering to the requirements of managed care systems for a goal
directed, quantifiable treatment process based on the ‘medical
model’ which focuses on symptom reduction. Participants are
invited to share case material that exemplifies such moments of
grace, and have enhanced a treatment process.
- Participants will be able to describe how to practice psychotherapy so that
emerging unconscious content which may appear in the therapeutic process
as insight that is not consciously created but is graciously received by the
therapist and client.
- Participants will be able to describe the efficacy and value of goal-directed
and solution focused treatment versus process-oriented psychoanalytic
- Through clinical case material, participants will be able to critically discuss
and recognize subtle states of mind that may be experienced as unknown yet
heart-opening to the client.
Clark, A. (2010). ‘Fascination’, ‘contagion’ and naming what we
do: rethinking the transcendent function’. Journal of
Analytical Psychology, 55, 636-649.
Crowther, C. Schmidt, M. (2015). ‘States of Grace: Eureka
moments and the recognition of the unthought known’.
Journal of Analytical Psychology, 60 (1), 54-74.
Freddi, J. (2008). ‘Dodo Birds, Doctors and the Evidence of
Evidence’. International Journal of Applied Psychoanalytic
Studies, 5(4): 238-255.
( 12 pm – 1 pm : Lunch break )
Talking Cure: Understanding the Analytical Approach to
Transformation through the Unexpected, Stories and Myths
John R. Haule, PhD, IAAP
1 pm – 4 pm
In our insurance-based world of mental health, we expect that an
astute diagnosis will point us to a procedure to correct certain
trends in our patients’ lives and bring them to a much more
effective and satisfying way of life.
Analysis offers a different approach to the difficulties our patients
face. From the days of Freud and Breuer to the present, analysts
have been hearing and telling stories, and the best of them are
completely surprising and original tales that open up crucial
perspectives and transformative possibilities. In the words of
Breuer’s patient, Anna O., analytic patients have found a “talking
cure” in which a coherent and mythic life story assembles itself
over months and years and sketches out a new and unexpected
future for the analysand.
- Participants will understand specific approaches to foster symbolic capacity
- Participants will be able to establish/maintain a symbolic perspective while
working with client material that is concrete, unsymbolized.
- Participants will understand deficits in symbolic capacity and the impact of
such deficits on their clients’ psychological functioning.
Breuer, J., & Freud, S. (2004) Studies in Hysteria. Part II, “Case
Histories.” London and New York: Penguin Books.
Kradin, R. (2006) ‘The psychosomatic symptom an the self: a
siren’s song.’ Journal of Analytical Psychology, 42, 405-423.
Yarom, N. (2005) The Matrix of Hysteria. Psychoanalysis of the
Struggle between the Sexes as Enacted in the Body. London
& New York: Routledge.
Haule, J. R. (1986) “Pierre Janet and Dissociation: The First
Transference Theory and Its Origins in Hypnosis.” American
Journal of Clinical Hypnosis 29(2): 86-94.
Jung, C. G.. (1963). Memories, Dreams, Reflections. Chapter
IV, “Psychiatric Activities.” New York: Pantheon Books.
Winter Clinical Intensive 2019 Faculty
Jill Fischer, PsyA, APRN, BC, IAAP, is a Jungian Analyst and a
board-certified advanced nurse practitioner who has developed a
unique method of working with individuals in Brief and In-Depth
analytic work. She works with dream groups around the world, is
a training analyst at the CG Jung Institute-Boston and is president
of the New England Society of Jungian Analysts (NESJA). Jill is
presently the Director of Clinical Services at the Santa Barbara
and Malinalco Healing Sanctuaries, and co-wrote the section on
Embodied Imagination in In The Encyclopedia of Sleep and
Dreams, edited by Dierdre Barrett and Patrick McNamara.
Annette Hanson, LMHC, IAAP, is a Licensed Mental Health Counselor in both
NH and MA. She is a senior analyst with the New England
Society of Jungian Analysts and the past president of the C. G.
Jung Institute – Boston, a post graduate Analytic training program.
Annette is on the faculty of the C. G. Jung Institute – Boston and
has taught seminars on Jungian analysis, Relational
psychoanalysis, and Self Psychologies. She has also conducted
several public lectures on psychoanalytic theory, attachment
theory and Jungian theory. Annette lives and has a private
practice in Newmarket, NH.
John Ryan Haule, Ph.D., IAAP, has a Ph.D. in Religious Studies from Temple
University (1973), is a graduate of the C. G. Jung Institute, Zurich,
and practices as an analyst in the Boston area. In addition to
many journal articles, he is the author of eight books. To learn
more, please check his website at www.jrhaule.net
Brian Hobbs, M.Ed., IAAP, is a Jungian Analyst and a graduate of the C.G. Jung
Institute, Boston. He is co-director of the Winter Clinical Intensive.
He has experience working with children, adults and families in
the mental health system, and has a private analytical practice in
Princeton, MA. Brian has taught courses through the Jung
Institute Boston’s Public Program, and has been an instructor for
candidates in the analyst training program at C.G. Jung Institute,
Lucia Maneri, LMHC, IAAP, is a Jungian Analyst graduated from
the C.G. Jung Institute-Boston. She is the co-director of the
Winter Clinical Intensive. She has extensive clinical experience in
both inpatient and outpatient settings as a clinical psychologist in
Venezuela. Lucia has been working for the last 22 years in
community mental health clinics in the US and has a private
practice in Worcester MA. Lucia has written on the subject of
bringing analytical work into the managed care system. She
supervises and teaches basic concepts of Jungian Psychology to
the interns from the doctoral program at the clinic where she
works. Her interests are in meditation Buddhism, Spirituality and
connection to nature.
January 11-12, 2019
9:00 am-4:00 pm
(Snow dates, January 25-26)
$250 for clinicians
$125 for students
11 Psychology, MHC, and SW CEs offered
REGISTER FOR CLINICIANS
The Winter Clinical Intensive is open to practicing clinicians in the mental health field.
REGISTER FOR STUDENTS
The Winter Clinical Intensive is open to students enrolled in a training program in a mental health field (social work, mental health counseling, or doctoral programs in psychology).