Discussion Group 71: Privacy and Electronic Records

DISCUSSION GROUP 71 will meet at our usual time slot 4:45-7:15 PM on Thursday,
January 18, at the APsaA Meetings at the Waldorf Astori in New York City.  All attendees at the Winter Meeting are cordially invited to attend up to the space limits of our assigned room.

As momentum continues to build for the wide-spread conversion of medical records to electronic form, increasingly complicated and confusing issues arise as to if and how we can translate our traditional methods of maintaining the privacy of patient information into what may well become mandatory arrangements in the coming new world of health care.  If we hope to maintain the status of psychoanalysis as part of the health care system, we must face these challenges head on.

Continuing with our overall theme of exploring and discussing broad issues of psychoanalytic confidentiality in an interdisciplinary context, the Jaffee-Redmond The Discussion Group’s January meeting will again focus on the transition to the new world of electronic record-keeping and the challenges to privacy that we will be facing as a result.

We are most fortunate in having as our Guest Discussant for this meeting ROBERT PLOVNICK, M.S., M.D., Director, Dept. of Quality Improvement and Psychiatric Services, American Psychiatric Association.  Rob is both a psychiatrist and an “informatics” expert and is especially sensitive to the special privacy needs of psychiatric patients.  He has represented the APA in a wide variety of national forums where the actual structures of the electronic medical records systems of the future are NOW being negotiated. 

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Discussion Group 11: Conversations with Doctors: From Balint Groups to Narrative Medicine

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DG #11. Conversations with Doctors:  From Balint Groups to Narrative Medicine
Wednesday, January 16 at the APsaA Meetings at the Waldorf Astoria in New York City at 2:00-4:30 PM

Co-chair and Facilitator:  Fred L. Griffin, M.D.  (Birmingham)
Co-chair and Presenter:  Randall H. Paulsen, M.D. (Boston)
Presenter:  Nina Calabresi, M.D. (Boston)

     Narrative medicine is an emergent field in which clinicians creatively write about their subjective experiences with patients and reflect upon what they learn about themselves and about clinical process.  The act of writing generates a reflective space, and seeing oneself with a patient on the written page may create a very powerful self-analytic process that increases the capacities for self-awareness and self-reflection.  Time-honored Balint Group work results in similar achievements by way of case presentations that are discussed by groups of physicians. 

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Discussion Group #86: Deepening the Treatment

Discussion Group #86:  Jane Hall and Liz Fritsch announce the discussion group: Deepening the Treatment (#86)  at the APsaA meetings at the Waldorf Astoria in New York City on January 18 at 7:30PM. This year we feature presentations by Debra Gill and Ellen Sinkman on how their patients shifted from psychotherapy to psychoanalysis. This is the fourth year the group has been offered and we have been sold out in New York each  time. We also discuss how to deepen psychothereutic work in general.
Please join us.

Review of Brooklyn by Selma Duckler

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Brooklyn, a sensitive and aware film  shows themes of separation and identity in the  struggles of a young woman who leaves Ireland in 1950 for Brooklyn.

Ellis Lacey  lives with her widowed mother, and loving competent older sister,Rose in a small town in Ireland.

The mother is very dependent on her daughters, especially on Rose who is the caretaker of both of them. The mother says of the death of her husband, that it wasn’t so bad because she has her daughters.They have become providers and protectors. Rose has bookkeeping skills and works in an office. Continue reading Review of Brooklyn by Selma Duckler

Discussion Group #90 on Loneliness and Alone

We invite you to our discussion group #90 on Loneliness and Aloneness on Thursday January 17 from 7:30 to 10 pm at the Waldorf Astoria in New York City at the ApsaA meetings.

We will have a presentation of a four times per week analytic treatment of a young woman with a schizo-affective disorder who is using anti-psychotic medication. The problem most prominent in her life is fear of loneliness combined with fear of intimacy. Careening between these dangers, she had become unable to function. Understanding her feelings, wishes, moral scruples, and defenses is demonstrated to have an effect on her life choices and the satisfaction she can derive from them.

Those interested in a review of the literature please see our paper “On being lonely, socially isolated and single” on www.internationalpsychoanalysis.net.
Lucille Spira and Arlene Kramer Richards

212-371-1550 212-369-1379

Some are More Equal than Others: Oedipus, Dominance, and the Family Caroline Garland, Speaker

Some are More Equal than Others: Oedipus, Dominance, and the Family

Speaker:  Caroline Garland
Caroline Garland is a Psychoanalyst in private practice and a Consultant Clinical psychologist at the Tavistock Clinic in London. She has had a long-term interest in group dynamics and in psychoanalytic group therapy, which she has practiced and taught for many years. She is the author of the book “Understanding Trauma,” and has written more than 20 articles on the understanding and treatment of post-traumatic conditions.

Continue reading Some are More Equal than Others: Oedipus, Dominance, and the Family Caroline Garland, Speaker

Myron S. Lazar: Letter to the Editor of the Washington Post

Mike Jolkovski’s alert regarding a misguided article about dreams in the Washington Post resulted in my writing the following letter that was printed yesterday.

Much Ado About Dreams

The article’s discussion of the dream process was tilted toward sources representing only one side of an ongoing scientific controversy: reports mainly from non-clinicians who don’t deal with dreams on a daily basis.

While dream interpretation is no longer the centerpiece of psychoanalysis as it was during Freud’s time, it is still useful in understanding the human psyche. For example, revisiting the writer’s Ang Lee dream you might discover the hidden meaning by employing the procedure Freud used to decode his own dreams.
 
After writing down your dream, start at the beginning and, word by word, associate freely (without judging anything as silly or without potential meaning) and note whatever images and thoughts come to mind. Eventually,with practice and willingness to accept unpleasant and surprising thoughts about yourself, you can discover a dream’s meaning.

Myron S. Lazar, PhD
Clinical Professor
Departments of Psychiatry and Clinical Psychology
University of Texas Southwestern Medical
Center

Myron S. Lazar, Ph.D.
Training & Supervising Analyst
Dallas Psychoanalytic Center
8215 Westchester Dr.
Suite 316
Dallas, Texas 75225
214-691-1153