THE BOSTON PSYCHOANALYTIC SOCIETY AND INSTITUTE, INC.
15 Commonwealth Avenue, Boston, Massachusetts 02116
Telephone: 617.266.0953 Fax: 617.266.3466 Email: office@bostonpsychoanalytic.org
Website: www.bostonpsychoanalytic.org
SPECIAL OPEN MEMBERS SEMINAR
Jack Beinashowitz, PhD and Patricia Wright, MD, Co-chairs
MONDAY, APRIL 5, 2010
8:00 pm at 15 Commonwealth Avenue, Boston
ELVIN SEMRAD POETIC INTERVIEW MEETS DSM PROSAIC BULLET POINTS
Chair
Harold Bursztajn, MD
Panelists
Steven Ablon, MD; Stephanie Adler, PhD; Thomas Gutheil, MD; William Massicotte, PhD
The American Psychiatric Association’s Diagnostic and Statistical Manual (DSM) has widely impacted clinical training and practice. At this meeting, questions which will be explored include:
1. Does the DSM lead to pseudopsychopharmacological reductionism in evaluation and treatment?
2. Can psychodynamically informed evaluation and treatment save the DSM from the reductionism of its “pill for every ill” trajectory?
3. Wlhat are the implications of the changes proposed for the DSM V?
4. How can a clinician proceed ethically to treat patients outside of the DSM taxonomy, reduce the risks to patients of being stigmatized by the use of DSM taxonomy, or of being accused by third party reviewers of failure to diagnose?
A twenty minute film clip of a classic interview by a master clinician, Elvin Semrad, will be shown and then analyzed to illustrate what information from psychodynamically informed interviewing gets lost in the translation to the DSM. We will also explore how the proposed changes in the DSM V pose additional ethical and risk management conundrums and what is to be done. Participants are encouraged to bring their own ongoing cases to explore how third party insistence on DSM categorization can be addressed even now in clinical practice encounters.
Educational objectives:
1. To compare DSM driven and psychodynamically informed diagnostic systems.
2. To explore how the DSM’s diagnostic taxonomy can be informed by psychodynamically informed interviewing.
3. To explore implications for further revision of DSM substance and process for the forthcoming DSM V.
4. To learn how clinicians proceed ethically outside the DSM taxonomy, reduce risk of stigmatizing patients, and prevent failure to diagnose claims by third party reviewers.
Faculty:
Harold J. Bursztajn, MD: Co-Founder, Harvard Medical School Program in Psychiatry and the Law
Steven A. Ablon, MD: Training and Supervising Analyst, Boston Psychoanalytic Society and Institute
Stephanie Adler, PhD: Consultant, Psychoanalytic Couples and Family Instituteof New England
Thomas Gutheil, MD: Co-Founder, Harvard Medical School Program in Psychiatry and the Law
William Massicote, PhD: Faculty, Canadian Psychoanalytic Society
References:
1. Learning to Do Psychotherapy With Psychotic Patients: In Memory of Elvin Semrad, MD Stephanie Adler, PhD and Max Day, MD, February 5, 2010 Psychiatric Times
http://www.psychiatrictimes.com/display/article/10168/1519938?CID=rss&verify=0
2. Elvin Semrad’s contributions to the everyday practice of psychotherapy. Adler G., Harv Rev Psychiatry. 1997 Jul-Aug; 5(2):104-7.
3. The psychotherapy of schizophrenia: Semrad’s contributions to current psychoanalytic concepts. Adler G. Schizophr Bull. 1979; 5(1):130-7.
4. Gopal A, Bursztajn HJ. DSM biases evident in clinical training and courtroom testimony. Psychiatr Ann. 2007; 37:604-617. also on the web at http://www.psychiatricannalsonline.com/view.asp?rID=23800
5. Elvin V. Semrad (1909-1976): Experiencing the heart and core of psychotherapy training.Good MI. Am J Psychother. 2009:63 (2):183-205.
For those wishing to make comments on the new DSM as well as to look at the proposed changes, Dr. Bursztajn has a link on his web site for each. People can feel free to look and comment whether or
not they can attend this meeting. He will use any comments received in advance to inform the panel and the discussion. http://www.forensic-psych.com/articles/artDSMVComment.php
The American Psychoanalytic Association’s complementary diagnostic manual can be previewed at: http://www.pdm1.org/ And a New York Times article about it can be found at:http://www.pdm1.org/The%20New%20York%20Times%20Book%20Review.pdf
Continuing Education
Physicians: This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Psychoanalytic Association and the Boston Psychoanalytic Society and Institute. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians and takes responsibility for the content, quality, and scientific integrity of this CME activity. The American Psychoanalytic Association designates this educational activity for a maximum of 1.5 hours in category 1 credit towards the AMA Physician’s Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity. IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters of this CME program have any relevant financial relationships to disclose. Psychologists The Boston Psychoanalytic Society and Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. The Boston Psychoanalytic Society and Institute maintains responsibility for this program and its content. This program fulfills the requirements for 1.5 hours of CE. Social Workers Please contact the Boston Psychoanalytic Society and Institute’s Administrative Office at 617/266-0953 oroffice@bostonpsychoanalytic.org for more information.
Under Massachusetts Law Chapter 351, the Massachusetts Board of Registration in Medicine now requires Massachusetts physicians to include “Risk Management” study as part of their 100 hours of continuing medical education (CME) [243- CMR-206(5)]. This program is designed to meet the requirements for 1.5 hours of Risk Management Credit in Massachusetts.
Boston Psychoanalytic Society and Institute, Inc.
15 Commonwealth Avenue, Boston, MA 02116
617.266.0953
office@bostonpsychoanalytic.org
www.bostonpsychoanalytic.org