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R A Glick

Publications and source records attributed to R A Glick.

5 recordsLinked to original sources

The Columbia Supervision Project: data from the dyad.

Anonymous questionnaires were sent to all candidates and supervisors at the Columbia University Center for Psychoanalytic Training and Research (hereafter "Columbia"). Questions focused on the four domains most emphasized in the literature on supervision: logistical issues; the "teach or treat" question; the evaluatory function of the supervisor; and the affective experience of supervision. By coding the questionnaires, anonymity of respondents was maintained while allowing for a matched pair of analyses of supervisors and supervisees. Return rate was over 85 percent. In general, rates of satisfaction with supervision were high, and candidates and supervisors agreed on such issues as the "teach or treat" question, as well as the technical and theoretical frame of reference of the supervisor. However, there were striking disagreements between candidates and supervisors as to the role of the supervisor, what candidates find useful in supervision, the evaluatory function, and the relation between supervision and progression to graduation. Although 50 percent of candidates reported anxiety about receiving credit for cases, this was not routinely discussed in supervision, and the supervisory relationship itself was not discussed in over 50 percent of dyads. Despite high overall satisfaction ratings, 25 percent of candidates said they wished they had a different supervisor for the case, and 75 percent believed that a candidate who asked to switch supervisors would be labeled problematic. In contrast, over 75 percent of supervisors reported that switching supervisors carries no stigma. In a follow-up study conducted one year later, many candidates reported that they feared reprisals for switching, and some reported that their training analysts advised against "rocking the boat." Candidates felt that participating in the study emboldened them to think more openly about supervision and in some cases to make changes.

Accreditation↗

The analyst's postgraduate development--rereading Freud and working theory through.

The authors believe that important aspects of a psychoanalyst's development can only be accomplished after the completion of training, that potential resistances to learning are not uncommon, and that the first five to ten postgraduate years are critical. A crucial acquisition of this developmental educational phase is a "theoretical identity," a personal theoretical synthesis which requires working through incompletely resolved transferences to Freud, to personal mentors and institutes, and to theory itself. The authors use the example of their own working through experiences while participating in a postgraduate Freud study group and show how a concurrent deepening of their theoretical identities contributed to their maturation as analysts and analytic teachers.

Curriculum↗

Forced terminations.

Forced terminations are common clinical experiences and pose particular challenges and opportunities. They fall into four categories: mutually agreed upon, unilaterally forced by the patient, forced by realistic external circumstances, and unilaterally forced by the therapist. These differing situations are examined and compared, with attention directed to the use of reality as resistance, to the narcissistic injury in forced terminations, and to the potential transference-countertransference collusions to avoid powerful reactions to separation and loss. Problems with masochistic patients are considered opportunities for "bad endings." Technical considerations are discussed.

Choice Behavior↗

The use of psychoanalytic concepts in crisis intervention.

Crises have a dynamic structure. Repressed neurotic conflicts and defects in ego organization determine vulnerability to specific stresses. Selection of focus in crisis intervention follows from the recognition of those rigid defensive patterns and adaptive incapacities which have either partially failed or been overwhelmed by the current stress. Aiming at the old problem in the new situation allows crisis work to go beyond symptom relief to improved conflict resolution and coping abilities. Therapeutic activity, rather than passivity, is the hallmark of crisis intervention and involves suggestion, abreaction, manipulation, clarification, and dynamic interpretation. Individuals in crisis are characteristically in a partially regressed state of transference readiness and availability, particularly as this involves intensified dependence wishes. Management of the transference requires recognition of negative, as well as positive, responses and the limitation of further regression that might lead to continual adaptive failure. A variety of specific countertransference responses are commonly evoked in crisis work. These must be recognized for effective treatment to proceed.

Adult↗