CIPS News
NATIONAL HEALTH REFORM
AND WHAT IT MEANS FOR PSYCHOANALYSTS
Jim Pyles, Principal
Theresa Morgan, Legislative Director
Powers, Pyles, Sutter and Verville, P.C.
1501 M Street, N.W.
Washington, D.C. 20005
(202) 466-6550
jim.pyles@ppsv.com
January 13, 2012
I. THE SIGNIFICANCE OF HEALTH REFORM LEGISLATION
On March 23, 2010, President Barack Obama signed into law the Patient Protection and Affordable Care Act (PPACA), Pub. L. 111-148 (H.R. 3590), and on March 30, he signed into law the Health Care and Education Reconciliation Act (H.R. 4872) which made several revisions to the prior legislation. Together, the two bills comprise the most sweeping health reform legislation ever enacted in the United States.
When fully implemented they will provide health insurance for an additional 34 million Americans and reduce the deficit by $143 billion over the 2010-2019 period, principally by cutting projected payments to Medicare providers reducing payments to Medicare Advantage programs and increasing taxes.
In mid-November, the U.S. Supreme Court granted three of five separate appeals cases on the constitutionality of the historic healthcare reform bill passed in 2010, the Patient Protection and Affordable Care Act (ACA). To date the Court has scheduled five and a half hours (as opposed to the usual one) in March of 2012 for oral argument, and the entire case will be argued over two days. The Court will likely have a decision in June, meaning the outcome could significantly affect the politics of the 2012 presidential election.
MoreRemembering Ernest Lawrence
and
Leo Rangell
By Terrence McBride, PhD, FIPA
As was announced in the November, 2011 CIPS News Brief, Ernest S. Lawrence, PhD, FIPA died on August 13, 2011 in Santa Monica, California with his wife Anne by his side.
Ernie was a pillar of the psychoanalytic community in Los Angeles and nationally. His numerous leadership roles, awards and honors in the fields of psychology and psychoanalysis are too many to mention, but several stand out. Among them, Ernie was a driving force in the founding in 1970 of the Los Angeles Institute and Society for Psychoanalytic Studies (LAISPS). It was the first interdisciplinary psychoanalytic institute on the West Coast. He was integrally involved in every aspect of the Institute's development and administration for the next 40 years. He was also the first President of LAISPS, with a second term from 1999 to 2001, the first Dean and Director of Training for two terms from 1977 to 1983, and Chairperson of the Committee for Training Analysts, from 1994 to 1996. In all of the positions that Ernie held he was innovative and indefatigable in his leadership and efforts to make LAISPS a rigorous and scholarly, yet open and welcoming organization.
Unique features of this Congress were tied to the Local Arrangement Committee (LAC), which was headed by three chairs. Two of them—Rosalba Bueno (PSM and LAISP) and Raquel Berman (MAPPTR and IPTAR)—are longtime members of CIPS. This is noteworthy and not coincidental. They are founding members of the two Mexico City societies that integrated into IPA in the l990s. These events ended the hegemony of one psychoanalytic society (MPA) that had since 1957 maintained a monopoly on psychoanalytic training in Mexico City.
The three-headed LAC model prevailed in spite of recurrent opposition to it and efforts to dissolve it. We wanted to insure horizontality and equality for the new IPA societies in the local organization of the upcoming international IPA congress—the first in Mexico although psychoanalysis has existed for sixty years—as well as to affirm the plurality of IPA societies in contemporary Mexico. Rosalba Bueno and Raquel Berman felt a great affinity with Steve Ellman, who chaired the Scientific Program committee, because of the key role he played during our Societies’ early struggles to join the IPA (see Berman, R, 2010*).ico City. More
Chair: Nancy Goodman
Panelists: Batya Monder, Enactment: An Expanding Concept; Raquel Berman, Enactment and the Cruel Maternal Super-Ego; Elizabeth Fritsch (reader of Batya's paper).
Discussant: Antonino Ferro
Our panel was made up of three members of the CIPS study group on the topic of “enactment.” Nancy Goodman introduced the panel by speaking briefly about the history of the group and what we have been uncovering about the enactment process. The two papers are richly based on clinical experience as well as understanding of the literature on enactments. Batya Mondar and Raquel Berman truly brought the audience into the feel of the consulting room when action is a mode of communication. Elizabeth Fritsch joined us by reading Batya's paper and adding to the discussion. More
For the sake of people in emotional pain who are wondering if they can be helped, it is important to counter the misleading opinions about individual psychotherapy presented in the interview with Dr. Alan Kazdin (Healthland, Sept. 13). We are wholeheartedly in agreement with Dr. Kazdin’s opinion that effective mental health treatment needs to be made more widely available. However, his comments about individual psychotherapy are wildly inaccurate and ignore current research. Ironically, as he speaks out to try to help suffering people, Dr. Kazdin’s remarks may damage people’s chances of receiving the most helpful treatment.
MoreNumerous media outlets are reporting on a survey published by the Centers for Disease Control and Prevention which shows that nearly half of Americans will develop at least one mental illness during their lifetime. See, e.g., "CDC: Half of Americans Will Suffer From Mental Health Woes", USA Today (Sept. 5, 2011).
Below you will find a link to the CDC report and an excerpt from the Introduction that contains the reported finding as well as other findings in the report. These findings are based on one of the largest surveys ever conducted. These statistics would seem to make a strong case that treatment of mental illness is cost effective. You may want to put these links on the website for APsaA members to use.
Moreedited by Michael J. Diamond and Christopher Christian
CIPS is proud to announce the release of the fourth book in its Karnac book series,The Boundaries of Psychoanalysis.
More
by Leo Rangellby Steven J. Ellman.Publisher: Karnac Books
Published in the Weekend Edition of Counterpoint, May 22/23, 2004 More
Published in the Los Angeles Times OPINION Section on January 24, 1999 More
Alan Bass is philosopher and psychoanalyst, a professor at the New School for Social Research, and a Fellow at IPTAR. He the author of two books, Difference and Disavowal: The Trauma of Eros (2000) and Interpretation and Difference: The Strangeness of Care (2006), He is interviewed by Jared Russell, a senior candidate at IPTAR.
MoreJustin Frank M.D. is an expert in the field of psychoanalysis. A clinician with more than thirty year's experience, Dr. Frank has also been a former columnist for Salon magazine and is a frequent writer on topics as diverse as politics, film, and theater. He is the co-director of the Metropolitan Center for Object Relations in New York, a clinical professor in the Department of Psychiatry at George Washington University Medical Center, and a teaching analyst at the Washington Psychoanalytic Institute.
MoreDr. Leo Rangell is honorary president of The International Psychoanalytic Association, succeeding Anna Freud in that position. He was twice president of The American and International Psychoanalytic Associations. He is one of the most prolific writers in the psychoanalytic literature of the 2nd half-century. Among his central themes are unconscious decision-making and an emphasis throughout his entire career on a unitary theory of psychoanalysis.
MoreThe Second Century in Psychoanalysis: Evolving Perspectives on Therapeutic Action
edited by Michael J. Diamond and Christopher Christian
MoreWhen Theories Touch: A Historical and Theoretical Integration of Psychoanalytic Thought,
by Steven J. Ellman.Publisher: Karnac Books
January 2010
Series: CIPS Series on the Boundaries of Psychoanalysis
Steven Ellman was Professor in the Graduate School of City University of New York (CUNY) where he was Director of the Ph.D. program in Clinical Psychology. He is now, after 30 years as a Professor at CUNY, Professor-Emeritus. He has published more than 70 papers in psychoanalysis, sleep and dreams the neurophysiology of motivation. He has published several books including Freud’s Technique Papers: A Contemporary Perspective and The Mind in Sleep (with Antrobus). He has been President of IPTAR twice, Program Chair and he is training and supervising analyst at IPTAR. He is also Clinical Professor at New York University Post-Doctoral Program in Psychoanalysis and Psychotherapy. He was the first President of the Confederation of Independent Psychoanalytic Societies (CIPS). CIPS is the national professional organization of the independent International Psychoanalytic Association (IPA) societies of the United States. He is member of the IPA and was previously on the Executive Council of the IPA.
When Theories Touch is the first book in the CIPS book series. It reviews the thought and work of the great theorists of psychoanalysis. Dr. Ellman has a remarkable ability to dwell within the psychic reality of each of the great theorists he discusses, and to make it feel as if each one were explaining his or her theory in person.
MoreThe Soldiers Project is a group of licensed mental health professionals who offer free psychological treatment to military service members (active duty, National Guard, Reserves and veterans) who have served in support of the conflicts in Iraq and Afghanistan. They also provide treatment to their families and other loved ones. Treatment is conducted in private offices, their therapists are all volunteers, and services are entirely confidential.
The Soldiers Project is a 501(c)(3) non-profit and part of our member society LAISPS. For more information please visit their website at www.thesoldiersproject.org.
MoreLAURENCE J. GOULD, Ph.D.
The entire CIPS community mourns the loss of Dr. Laurence J. Gould who died on May 26th ofnatural causes. Larry was an esteemed and central member of IPTAR, Director of IPTAR’sSocio-Analytic Organizational Consultation Program, a member of IPTAR’s Board of Directorsand Chair of the Organizational Review Committee as well as the Allied Training Programs. Larry was...
MoreRUTH LAX, Ph.D.
Dr. Ruth Lax passed away in her home the morning of January 31, 2010. She was a training andsupervisory analyst as well as a member of the faculties of both IPTAR and the NY FreudianSociety. In addition, she belonged to 17 other professional organizations. She had recently retiredfrom her practice in New York City. The author of several books, Dr. Lax also publishednumerous articles in psychoanalytic journals. She chaired a study group investigating thepsychoanalytic causes of socially sanctioned violence against women. Her first...
MoreRUTH STEIN, Ph.D.
The entire psychoanalytic community was shocked and saddened at the news of Dr. Ruth Stein’ssudden death in NYC on January 17, 2010. Dr. Stein had been attending APsaA’s 2010 NationalMeeting at the Waldorf Astoria Hotel in NYC, where she was awarded the JAPA Prize for herpaper, “The Otherness of Sexuality: Excess”, first published in JAPA in 2008. Tragically, shesuffered a massive stroke shortly after she received this honor. At the end of one of the sessions,she suddenly lost consciousness and was rushed to the hospital. She died two days later.
Dr. Stein had been a member of IPTAR and was on their faculty. In addition, she was...
MoreOn the Front Lines of Public Policy Advocacy
An Interview with Dr. Fredric Perlman, Ph.D., F.I.P.A.
What is your role in health care legislation?
I understand from the preliminary communications we’ve had that you are interested in my role as an advocate for professional interests in the legislature and other social contexts. Let me begin by identifying myself a little more fully. I have been the chairman of the Public Policy Committee of the Confederation of Independent Psychoanalytic Societies (CIPS) for the last seven years, and for four of those years I was also president of that association. As a leader of that organization, I was very concerned about...
MoreThe CIPS Book Series, entitled "The Boundaries of Psychoanalysis," is making its debut this month with the publication of a major new work on comparative psychoanalysis, "When Theories Touch," by Steven J. Ellman. Dr. Ellman's book examines the interface of Freudian theory with the theoretical systems of D.W. Winnicott, Melanie Klein, Wilfred Bion, and a variety of contemporary schools of psychoanalytic thought.
MoreThe CIPS book series was planned by the CIPS Book Series Committee in conjunction with the CIPS Board over the course of three years. The idea for the series was first articulated by Norbert Freedman, who thought it would be valuable for CIPS to have its own publication outlet with a CIPS imprint.
MoreThe book series will open with seven planned volumes, and continue in an open-ended fashion thereafter, enabling us to publish books that represent the work of our members and our professional community. The series, which is entitled "Boundaries of Contemporary Psychoanalysis", will feature books that address differences and similarities in schools of psychoanalytic thought, as well as the relationship of psychoanalysis to adjacent disciplines.
MoreCIPS is committed to promoting both the creativity of our members and the development of new volumes for the new series. The theme of our book series is intentionally broad so that we can accommodate a wide range of books in the series.
MoreRespectfully submitted, Victor P. Bonfilio, JD, PhD
Secretary/Treasurer
The Proven Value of Individual Psychotherapy John Rosegrant, Ph.D.
For the sake of people in emotional pain who are wondering if they can be helped, it is important to counter the misleading opinions about individual psychotherapy presented in the interview with Dr. Alan Kazdin (Healthland, Sept. 13). We are wholeheartedly in agreement with Dr. Kazdin’s opinion that effective mental health treatment needs to be made more widely available. However, his comments about individual psychotherapy are wildly inaccurate and ignore current research. Ironically, as he speaks out to try to help suffering people, Dr. Kazdin’s remarks may damage people’s chances of receiving the most helpful treatment.
Two recent review articles, in the flagship journals of the American Psychological Association and the American Medical Association, document the effectiveness of psychodynamic psychotherapy (which is what Dr. Kazdin appears to mean when he speaks of “individual psychotherapy”):
The article in the American Psychological Association journal (Shedler, J., 2010, The efficacy of psychodynamic psychotherapy, American Psychologist, 65:98-109), demonstrated in an extensive review of psychotherapy research that 1) psychodynamic psychotherapy and cognitive-behavioral therapy are both quite effective 2) after therapy ends, the results of psychodynamic psychotherapy are maintained better for a longer time than the results of cognitive-behavioral psychotherapy, and 3) even when practicioners intend to use cognitive-behavioral therapy, they sometimes use psychodynamic psychotherapy techniques, and their patients are helped more by the psychodynamic techniques.
The American Medical Association journal article (Leichsenring, F., & Rabung, S. Effectiveness of long-term psychodynamic psychotherapy: a meta-analysis, Journal of the American Medical Association, 300:1551-1565) reviewed research done on long-term (at least 50 sessions or one year in length) psychodynamic psychotherapy, and compared it to short-term treatments. The authors demonstrated that long-term psychodynamic psychotherapy is more helpful than the kinds of short-term psychotherapy that are usually called “evidence-based”. This was shown to be true for people with many kinds of emotional problems, and it was especially true for more severe problems.
We hope that you will publish this information so that Dr. Kazdin’s outdated opinions do not mislead people and frighten them away from the help they need.
To contact Dr. Rosegrant: 4031 E. Sunrise Dr., Suite 101 Tucson, AZ 85718 520-529-4055
