臨床課程 






精神分析取向心理治療臨床課程 2014-2016

課程簡介:本課程持續兩年,共四學期。系統化介紹精神分析式心理治療的理論和技巧、精神病理、發展理論、治療倫理,以及臨床案例討論等課程。

上課時間:週六下午 12:30-17:30(每學期進行15週)

報名資格:領有證照且具實務工作經驗之心理治療相關領域專業人員(護理師、社工師、醫師、臨床心理師、諮商心理師、教師等)

報名方式:請詳細填妥本簡章所附之報名表,於2014/05/31前以掛號郵件方式寄至台北市復興南路2段35號2樓之1臺灣精神分析學會秘書處收(以郵戳為憑),若未收到報名手續完成通知,請透過電話02-27085670確認。

錄取通知:學會將於 2014/06/30 前經內部討論,確認錄取名單並個別通知。

課程附件&報名表:wordpdf

課程內容:

日期

上課時間

課程編號與名稱

主講人

2014.9

-

2015.1

12:30-14:00

理論1:古典精神分析

楊明敏

14:15-15:45

人類發展

許宗蔚

16:00-17:30

個案討論

楊明敏

許宗蔚

2015.3

-

2015.6

12:30-14:00

理論2:英國客體關係

游佩琳

14:15-15:45

治療技術1:治療結構、移情、反移情

白美正

16:00-17:30

個案討論

游佩琳

白美正

2015.9

-

2016.1

12:30-14:00

理論3:其他當代理論

周仁宇

14:15-15:45

個案討論

周仁宇

林怡青

16:00-17:30

治療技術2:詮釋、行動、阻抗、修通

林怡青

2016.3

-

2016.6

12:30-14:00

治療倫理

林玉華

14:15-15:45

個案討論

林玉華

盧志彬

16:00-17:30

精神病理

盧志彬

註:兩年後同樣課程將由不同講者講授

 

收費:

1.       繳費方式將在確定錄取後個別通知

2.      費用:兩年課程共 80,000(分析學會會員 60,000)

採每年繳費,每年 40,000(分析學會會員 30,000)

 

 

 

詳細課程說明:

 

第一學期(2014年秋季)

上課時間:10/04, 10/18, 10/25, 11/01, 11/08, 11/15, 11/22, 11/27, 12/06, 12/13, 12/20, 12/27, 01/10, 01/17, 01/24

 

【理論1:古典精神分析】:S. Freud, K. Abraham, S. Ferenczi, E. Jones, E. Glover

講師:楊明敏

協同講師:陳冠宇,李郁芬

1.       論歇斯底里, 精神分析的誕生:誘惑理論, 伊底帕斯情結的誕生 (S. Freud)

The Psychotherapy of Hysteria from Studies on Hysteria (1895)

EXTRACTS FROM THE FLIESS PAPERS, letters 69, 71 (1895)

說明:精神分析尚未誕生時,歇斯底里的患者,特別是女性患者,被當作詐病,透過催眠與宣泄療法,佛洛伊德逐漸開展了精神分析的治療法與核心概念

 

2.      夢的解析第七章,科學心理學的綱要(S. Freud)

PROJECT FOR A SCIENTIFIC PSYCHOLOGY(1895, 1950)

The Interpretation of Dreams Chapter VII. In THE PSYCHOLOGY OF THE DREAM-PROCESSES (1900)

ON DREAMS (1901)

說明:夢不再是被當做生理機制,無意義的活動,透過夢的解析,可知道這是做夢者慾望的滿足,症狀與夢有著相同的機轉,經由夢形成的詮釋,也得以瞭解致病的緣由

 

3.       性的理論(S. Freud, K. Abraham)

INFANTILE SEXUALITY, THE TRANSFORMATIONS OF PUBERTY in THREE ESSAYS ON THE THEORY OF SEXUALITY (1905)

On the Sexual Theories of Children. (1908)

K. Abraham (1925). The Influence of Oral Erotism on Character-Formation. Int. J. Psycho-Anal., 6:247-258.

說明:小孩不再是被認為朦朧無知,與此相反,是小孩的性特質,經由潛抑,壓抑,發展等過程,才逐漸成為成人所許可的生殖器的性

 

4.      個案朵拉(S. Freud)

   FRAGMENT OF AN ANALYSIS OF A CASE OF HYSTERIA (1905 [1901])

   朵拉—歇斯底里案例分析的片斷, 心靈工坊, 2006.

說明:透過罹患歇斯底里的少女的兩則夢的解析,得以瞭解夢的解析如何在精神分析中被操作

 

5.      個案小漢斯(S. Freud)

ANALYSIS OF A PHOBIA IN A FIVE-YEAR-OLD BOY (1909)

小漢斯—恐懼症案例的分析, 心靈工坊, 2006.

說明:五歲的小男孩罹患的恐懼症,父親透過通信與記錄的方式與佛洛伊德討論,這是歷史上的第一個個案督導

 

6.      個案鼠人(S. Freud)

NOTES UPON A CASE OF OBSESSIONAL NEUROSIS (1909)

鼠人—強迫官能症案例的摘錄, 心靈工坊, 2006.

說明:難能可貴的記載,發表於第一次世界精神分析大會的強迫性官能症,同時有佛洛伊德的逐日記載

 

7.       精神分析的技巧(S. Freud, S. Ferenczi)

S. Ferenczi (1909). On Introjection and Transference, pp. 31-66, in Selected Writings

THE HANDLING OF DREAM-INTERPRETATION IN PSYCHO-ANALYSIS (1911)

THE DYNAMICS OF TRANSFERENCE (1912)

RECOMMENDATIONS TO PHYSICIANS PRACTISING PSYCHO-ANALYSIS (1912)

ON BEGINNING THE TREATMENT (FURTHER RECOMMENDATIONS ON THE TECHNIQUE OF PSYCHO-ANALYSIS I) (1913)

說明:雖然屢次對有人與學生談及精神分析的技巧,但這方面的系列文章卻是姍姍來遲,其中討論的分析架構的設定,以及分析進行時所必然發生的移情與阻抗

 

8.      精神分析的技巧,積極的治療,縮短的治療(S. Freud, S. Ferenczi, Otto Rank, E. Glover)

REMEMBERING, REPEATING AND WORKING-THROUGH (1914)

OBSERVATIONS ON TRANSFERENCE-LOVE  (1915 [1914])

E. Glover (1924). 'Active Therapy' and Psycho-Analysis—A Critical Review. Int. J. Psycho-Anal., 5:269-311.

S. Ferenczi (1949). Confusion of the Tongues Between the Adults and the Child—(The Language of Tenderness and of Passion). Int. J. Psycho-Anal., 30:225-230.

精神分析的發展(The Development of Psychoanalysis), 遠流出版社, by O. Rank, S. Ferenczi (1925)

說明:佛洛伊德的第一代弟子,在他生前,紛紛表示要改良精神分析的技巧,以及為何要改善的理由與立論

 

9. 後設心理學(S. Freud, K. Abraham)

FORMULATIONS ON THE TWO PRINCIPLES OF MENTAL FUNCTIONING (1911)

INSTINCTS AND THEIR VICISSITUDES (1915)

REPRESSION (1915)

THE UNCONSCIOUS (1915)

Karl Abraham (1914). Review of C. G. Jung's Attempt at a Representation of Psycho-Analytical Theory'

說明:這些文章是理論中的理論,如果沒有這些“玄想”,那麼精神分析的理論寸步難行

 

10. 後設心理學,憂鬱(S. Freud, K. Abraham)

K. Abraham (1911, 1927).  ‘ Notes on the Psycho-Analytical Investigation and Treatment of Manic-Depressive Insanity and Allied Conditions.’ In Selected Papers in Psycho-Analysis.

A METAPSYCHOLOGICAL SUPPLEMENT TO THE THEORY OF DREAMS (1917 [1915])

MOURNING AND MELANCHOLIA (1917 [1915])

說明: 後設心理學中對夢的主張,更充分地說明了無意識的性質與運作,憂鬱的主題,則開啓了後世不同的理論發展

 

11. 超越享樂原則,自戀(S. Freud)

ON NARCISSISM: AN INTRODUCTION (1914)

BEYOND THE PLEASURE PRINCIPLE (1920)

說明:反駁榮格等人主張精神分裂患者沒有移情,自戀以及死亡驅力的主張,大大的擴展的精神分析理論的視野

 

12.   群體的心理學與自我(S. Freud)

GROUP PSYCHOLOGY AND THE ANALYSIS OF THE EGO (1921)

說明:群體是如何凝聚個人的呢?領導者吸納了群眾的自我理想,個人的心理與群體的心裡也就不是涇渭分明的

 

13.   第二個結構、焦慮與性違常(S. Freud)

The Ego and the Id (1923)

INHIBITIONS, SYMPTOMS AND ANXIETY (1926 [1925])

FETISHISM (1927)

說明:id ; ego以及superego這組結構的出現 ; 並非取代原來的無意識 , 前意識與意識 ;而是使得空間化的概念更為明顯 ;同時焦慮作為危險的信號 ;也是佛洛伊德晚年的又一個新的轉向 

14.   精神分析的末期,女性的問題,什麼是現實(S. Freud, E. Jones)

   FEMALE SEXUALITY (1931)

ANALYSIS TERMINABLE AND INTERMINABLE (1937)

CONSTRUCTIONS IN ANALYSIS (1937)

SPLITTING OF THE EGO IN THE PROCESS OF DEFENCE (1940[1938])

AN OUTLINE OF PSYCHO-ANALYSIS (1940 [1938])

E. Jones (1933). The Phallic Phase. Int. J. Psycho-Anal., 14:1-33.

說明:除了新開闢的方向與議題 ;佛洛伊德也遺留下了一些“懸而未決” 的問題;明顯地,他沒有要解決 ;而是希望精神分析能夠有更關闊的視野

15.   應用的精神分析:以繪畫為例(S. Freud, K. Abraham)

LEONARDO DA VINCI AND A MEMORY OF HIS CHILDHOOD (1910)

K. Abraham (1937). Giovanni Segantini a Psychoanalytic Essay. Psychoanal Q. 6:453-512.

說明:什麼是應用的精神分析?我們以繪畫與精神分析的交匯 ;作為例子來討論

註:所有S. Freud的文章,出自J. Strachey等人編的Standard Edition.

 

【人類發展】

講師:許宗蔚

此課程將探討人類自一出生後每個發展階段的內在心智狀態特色;並透過瞭解人類內在心智狀態,是如何在與外在環境互動的影響下不斷的變化、而逐漸形成長大後的我們,並雕塑我們人格特質的發展。

 

【個案討論】

講師:楊明敏

 

 

 

第二學期(2015年春季)

上課時間:03/07, 03/14, 03/21, 03/28, 04/11, 04/18, 04/25, 05/02, 05/09, 05/16, 05/23, 05/30, 06/06, 06/13, 06/27

 

【理論2:英國客體關係】

講師:游佩琳

Lect 1: 緒論

精神分析理論在英國深耕, 其中以客體關係理論發揚光大. 從佛洛伊德以降, 在精神分析發展的時間脈絡中, 客體關係與驅力理論之間的關聯性為何? 所謂客體, 客體選擇與自體等基本概念又是指甚麼?

Hamilton, N. Gregory (1987). Self and Others.

Lect 2: 佛洛伊德理論中客體關係概念的源頭

從19050性學三論, 1914論自戀, 1915 Mourning and melancholia, 再怎麼解釋心理運作都無法跳脫與客體的關係.

 Quinodoz, J-M. Ed. (2004) Reading Freud.

Lect 3:  Melanie Klein的貢獻

Klein的理論雖然根基在Freud的基本概念上, 但卻將這些概念加以衍申, 並推開新的向度. 也就是, 內在世界如何與客體關係互為因果, 互相型塑.

Mitchell, J. Ed. (1987) The Selected Melanie Klein.

Lect4: 克萊因學派的主要概念

Unconscious phantasy, Paranoid-schizoid position and Depressive position, Projective identification構成克萊因學派基本概念的鐵三角, 加上她們 (大部分是她們) 口中的伊底帕斯情節, symbolic functioning等概念, 到底如何建構英國客體關係理論的特色?

Klein, Melanie. (1946). Notes on Some Schizod Mechanisms.

Klein, Melanie. (1955) On identification.

Lect 5: 克萊因學派看移情

  分析師們總是開玩笑說克萊因學派的督導多兇, 分析進行多殺氣騰騰, 或者, 很多話? 但技術層面的文章有何獨到之處?

Spillius, E. B. Ed. (1988). Melanie Klein Today: Developments in Theory and Practice. Volume2.

Lect 6: 克萊因學派幾個重要人物 (1)

要說Wilfred Bion已經自成一派當然也可以. 當克萊茵理論被認為著重內在客體關係之時, Bion關於涵容 (containerand the contained) 的概念則補強了外在客體這一部分.

Symington, N. & Symington, J. (1996). The Clinical Thinking of Wilfred Bion.

Lect 7: 克萊因學派幾個重要人物 (2)

Hanna Segal的貢獻不侷限於客體關係的討論, 還豐富了如model of mind, mental process(symbolization) 等重要概念. 一代大師離世未久, 讓我們來了解她的著作.

Abel-Hirsch, Nicola. (2007). Yesterday, Today and Tomorrow: Hanna Segal.

Lect 8: 獨立學派 (1)

號稱最"純"的客體關係理論框架, W. R. D. Fairbairn除了遠在愛丁堡之外, 是否在學術的領域也是相對邊陲? 當他用複雜的理論試圖建立嬰幼兒的Ego development model, 到底與其他客體關係理論有何根本的差異?

St. Clair, Michael. (2004). Object Relations and Self Psychology.

Lect 9: 獨立學派 (2)

Winnicott不僅是獨立學派, 他根本是自己一派宗師. 作為小兒科醫師, 他的理論一半被認為最重視外在現實的影響. “good-enough mother”, “holding environment”, 都是他的話.

Caldwell, L. & Joyce, A. Ed. (2011) Reading Winnicott

Lec 10: 獨立學派 (3)

Winnicott一堂課講不完! 這次來談transitional object這個相關概念.

Winnicott, D. (1951). Transitional objects and Transitional Phenomena.

Lect 11: 獨立學派---The Psychoanalytic Process

所謂獨立學派其實是一人一派, 但他們可不可能由幾個技術概念串起來理解? 從分析師, 被分析者以及此二者的互動怎麼說? 當然不要錯過Harry Guntrip的現身說法.

Rayner, Eric (1991). The Independent Mind in British Psychoanalysis.

Guntrip, Harry. (1986). My Experience of Analysis with Fairbairn and Winnicott (How Complete a Result Does Psychoanalytic Therapy Achieve?) In Essential Papers on Object Relations. Ed. By Buckley, P.

Lec 12: 客體關係與發展理論

客體關係脫離發展理論是無法理解到全貌的. 這一次先來談Anna Freud 與 Joseph Sandler對發展理論的貢獻.

Fonagy, P. & Target, M. (2003) Psychoanalytic Theories: Perspectives from Developmental Psychopathology.

Sandler, J. & Sandler, M. (1986). On the Development of Object Relationships and Affects. In Essential Papers on Object Relations. Ed. By Buckley, P.

Lec 13: 依附理論

John Bowlby對兒童發展及兒童心理學是如此重要, 為何在精神分析理論中大家不太使用依附這個詞? 依附理論為基礎之下, 精神分析理論又有甚麼進展?

Fonagy, P. & Target, M. (2003) Psychoanalytic Theories: Perspectives from Developmental Psychopathology.

Lect 14: 心智化理論

當然我們會談到Fonagy and Target雙人組對心智化這個概念的努力.

Fonagy, P. & Target, M. (2003) Psychoanalytic Theories: Perspectives from Developmental Psychopathology.

Lect 15: 發展理論的角度談developmental failure

與客體的分化, 與第一個客體, 母親, 的分化需要父親的參與. 身體與心理界限的微妙辯證, 青少年期的獨特議題. 這些是從發展的角度來看我們如何離開課體又能得到我們的關係.

Pines, D. (1982). The Relevance of Early Psychic Development to Pregnancy and Abortion. Int. J. Psycho-Anal., 63:311-3

 

【治療技術1:治療結構、移情、反移情】

講師:白美正

學習心理治療不止是學會「正確」的技巧運用,而是去思考治療師和病人的行動(語言及非語言的)在治療中的意義以及對於彼此的影響。這一門課將有系統的討論在心理治療實務工作中一些重要的概念、這些概念在治療情境中的意義、以及操作的技巧。本學期涵蓋的範圍包括治療的開始、評估病人是否適合治療、治療結構、移情、以及反移情。

Freud, S. (1910). Wild Psycho-Analysis. S.E. XI., 219-228

Kernberg, O. F. (1999) Psychoanalysis, Psychoanalytic Psychotherapy and Supportive Psychotherapy: Contemporary Controversies.  Int. J. Psycho-Anal., 80:1075-1091

Fancher, E. (1990). A Training Analysis for Psychoanalytic Psychotherapists.  Psychoanal. Rev., 77: 41-57.

Beginning

Freud, S. (1913). On Beginning the Treatment (Further Recommendations on the Technique of Psychoanalysis III). S.E. XII,  Pp121-144.

Rycroft, C. (1995). On Beginning Treatment. Brit. J. Psychother., 11:514-521.

Grand, S. (1998). Difficulties on the Pathway to Establishing an Analytic Process: On Some Vicissitudes of Self-Reflection During the Opening Phase of Psychoanalysis. Psychoanalytic Psychology, 15:315-340.

Treatment Evaluation

Kernberg, O.F.(1970). A Psychoanalytic Classification of Character Pathology. J. Amer. Psychoanal. Assn., 18:800-822.

Arons, Z.A. (1962). Indications for Analysis and Problems of Analyzability. Psychoanal Q., 31:514-531.

Bachrach, H. M. (1983). On the Concept of Analyzability. Psychoanal Q., 52:180-203.

Setting

Oliner, M.M. (1966). External Reality: The Elusive Dimension of Psychoanalysis. Psychoanal Q., 65:267-300.

Fayek, A. (2002). Psychic Reality and Mental Representation: Contemporary Misapplications of Freud’s Concepts., Psychoanalytic Psychology. 19:475-500.

Kogan, I.(2004). The Role of the Analyst in the Analytic Cure During Times of Chronic Crises., J. Amer. Psychoanal Assn. 52:735-757.

Grand, S. (2002). Action in the Psychoanalytic Situation: Reflections on Its Relation to Internal and External Reality., Psychoanalytic Psychology. 19: 254-280.

Goldberg, A. (2008). Some Limits of the Boundary Concept. Psychoanal Q., 77:861-875.

Gabbard, G.O. (2001). Cyberpassion: E-Rotic Transference on the Internet. Psychoanal Q. 70:719-737.

Dimen, M. (1994). Money, Love, and Hate: Contradiction and Paradox in Psychoanalysis. Psychoanal. Dial., 4:69-100.

Myers, K. (2008). Show Me the Money:(the “Problem” of)the Therapist’s Desire, Subjectivity, and Relationship to the Fee. , Contemporary Psychoanalysis 44:118-140.

Shieldes, J.D.(1996). Hodtage of the Fee: Meanings of Money, Countertransference, and the Beginning Therapist. Psychoanalytic Psychotherapy. 10:233-250.

Transference and Countertransference

Freud, S. (1915). Observations on Transference-Love., S.E. XII, 157-171.

Rosenfeld, H. (1987). Impasse and Interpretation: Therapeutic and Anti-Therapeutic Factors in the Psychoanalytic Treatment of Psychotic, Borderline, and Neurotic Patients. New Library of Psychoanalysis, 1:1-318. London:Tavistock.

Haesler, L. (1991). Relationship Between Extratransference Interpretations and Transference Interpretations: A Clinical Study. Int. J. Psychoanal, 72: 463-477.

Katz, G.A. (1998). Where the Action is: The Enacted Dimension of Psychoanalytic Process. J. Amer. Psychoanal Assn., 4: 1129-1167.

Finell, J.S. (1987). A Challenge to Psychoanalysis: A Review of the Negative Therapeutic Reaction. Psychoanal Review, 74:487-515.

Bazilian, S.E.(1993). Iatrogenic Blocks to Therapeutic Progress: A Study of Countertransference Resistances. Mod Psychoanal, 18:157-178.

Couch, A.S. (1999). Therapeutic Functions of the Real Relationship in Psychoanalysis. Psychoanal. St. Child, 54:130-168.

 

【個案討論】

講師:白美正、游佩琳

 

 

第三學期(2015年秋季)

上課時間(共15堂):9/5, 9/12, 9/19, 10/3 ,10/17, 10/31, 11/7, 11/14, 11/21, 11/28, 12/5, 12/12, 1/9, 1/16, 1/23

 

【理論3:其他當代理論】

講師:周仁宇

協同講師:黃彥勳

本課程廣泛介紹當代精神分析理論,以及這些理論在精神分析取向心理治療實務工作上的應用。當代理論相當多元,本課程僅挑選其中較為重要之概念。包括佛洛依德晚期結構理論以來,世界各地對結構理論、拓璞理論、客體關係之間的矛盾點所提出的解決方案。這些理論皆從精神分析的臨床實務出發,因為不同的個案情境,發展出相當不同的理論觀點。

 

Structural Theory

1. Defense mechanisms

Sigmund Freud (1923). The ego and the id. Standard Edition, vol. 19, pp. 1–59.

Sigmund Freud (1926). Inhibitions, symptoms, and anxieties. Standard Edition, vol. 20, pp. 75–174.

Anna Freud (1936). Part I: Theory of the mechanisms of defense. In The Ego and the Mechanisms of Defense. Writings 2: 3-68.

2. The first year of life (Separation-Individuation)

Rene Spitz (1965). The first year of life. New York: International Universities Press.

Margaret Mahler (1967). On Human Symbiosis and the Vicissitudes of Individuation. J. Amer. Psychoanal. Assn., 15:740-763

3. Unconscious communication

Joseph Sandler (1993). On Communication from Patient to Analyst: Not Everything is Projective Identification. Int. J. Psycho-Anal., 74:1097-1107

Joseph Sandler (1976). Countertransference and Role-Responsiveness. Int. Rev. Psycho-Anal., 3:43-47

Ego Psychology

4. Adaptation

 

Heinz Hartmann (1958[1939]). Ego psychology and the problem of adaptation. Trans., David Rapaport. New York: International Universities Press, Inc.

5. Compromise formation

Charles Brenner (2002). Conflict, Compromise Formation, and Structural Theory. Psychoanal. Q., 71:397-417

Robert Wälder (1936). The Principle of Multiple Function: Observations on Over-Determination. Psychoanal. Q., 5:45-62

 

French school

6. Fantasy and sexuality

Laplanche, J. and Pontalis, J.B. (1968). Fantasy and the Origins of Sexuality1. Int. J. Psycho-Anal., 49:1-18

7. The dead mother and the negative

Green, A. (1997). The Intuition of the Negative in Playing and RealityInt. J. Psycho-Anal., 78:1071-1084

Green, A. (1973). The Dead Mother. In On Private Madness. Madison, CT: International University Press. Pp. 142-173.

 

Self psychology

8. Empathy

Heinz Kohut (1982). Introspection, Empathy, and the Semi-Circle of Mental Health. Int. J. Psycho-Anal., 63:395-407

Heinz Kohut (1971). The Analysis of the Self. New York: Madison

Heinz Kohut (1979). The Two Analyses of Mr Z. Int. J. Psycho-Anal., 60:3-27

9. Contemporary development

Robert Stolorow (1995). “Loyalists and Expansionism in Self Psychology,” Psychoanal. Dial., 5:3, pp. 427-430.

Paul Ornstein (2008). Heinz Kohut's Self Psychology—And Ours: Transformations of Psychoanalysis. Int. J. Psychoanal. Self Psychol., 3:195-214.

 

American Contemporary Freudian

10. Difficult patients

Otto Kernberg (2012). Suicide Prevention for Psychoanalytic Institutes and Societies. J. Amer. Psychoanal. Assn., 60:707-719.

Otto Kernberg (2007). The Almost Untreatable Narcissistic Patient. J. Amer. Psychoanal. Assn., 55:503-539.

Otto Kernberg (2007). The Therapeutic Action of Psychoanalysis: Controversies and Challenges. Psychoanal Q., 76S:1689-1723.

11. Analytic Process

Roy Schafer (2007). The Reality Principle, Tragic Knots, and the Analytic Process. J. Amer. Psychoanal. Assn., 55:1151-1168

 

Intersubjectivity, the relational school, mentalizing, and neuropsychoanalysis

12. The analytic third

Thomas Ogden (1994). The Analytic Third: Working with Intersubjective Clinical Facts. Int. J. Psycho-Anal., 75:3-19

Andre Green (2004). Thirdness and Psychoanalytic Concepts. Psychoanal. Q., 73:99-135

13. Interpersonal approach

Stephen Mitchell (1988). The Intrapsychic and the Interpersonal: Different Theories, Different Domains, or Historical Artifacts?. Psychoanal. Inq., 8:472-496

Daniel Stern (2007). A Felicitous Meeting of Attachment and Relational Psychotherapy. Att: New Dir. in Psychother. Relat. Psychoanal. J., 1:1-7

14. Mentalizing

Peter Fonagy and Mary Target (1998). Mentalization and the Changing Aims of Child Psychoanalysis. Psychoanal. Dial., 8:87-114

Peter Fonagy, Gyorgy Gergely, Elliot Jurist, Mary Target. (2004). Affect Regulation, Mentalization, and the Development of the Self. London: Karnac books.

15. Neuropsychoanalysis

George Northoff (2011). Neuropsychoanalysis in Practice: Brain, Self and Objects. London: Oxford University Press.

Allan Schore (2002). Advances in Neuropsychoanalysis, Attachment Theory, and Trauma Research: Implications for Self Psychology. Psychoanal. Inq., 22:433-484.

 

【個案討論】

講師:周仁宇、林怡青

 

【治療技術2:詮釋、行動、阻抗、修通】

講師:林怡青

協同講師: 李詠慧

Lect 1: 阻抗(Resistance)面面觀 (1)

這堂課將描述在精神分析中,「阻抗」常見的具體表現方式。

Greenson Ralph R. (1967)  Ch.2 Resistance.  In The technique and Practice of Psychoanalysis. pp59-70

Lect 2: 阻抗(Resistance)面面觀 (2)

佛洛伊德告訴我們「阻抗」是可以被分析的。如何分析心理治療中的阻抗?將是這堂課的重點。

Greenson Ralph R. (1967)  Ch.2 Resistance. In The technique and Practice of Psychoanalysis. Pp96-121

Lect 3: 阻抗(Resistance)面面觀 (3)

這堂課要帶領大家探討「移情阻抗」,作者強調這是影響精神分析式心理治療是否能繼續進行下去的最關鍵因素。

Greenson Ralph R. (1967)  Ch.3 Transference Resistances. In The technique and Practice of Psychoanalysis. pp247-266

Freud, S (1912)  The Dynamics of Transference. S.E.12. PP97--118

Lect 4: Freud 談精神分析的技術 (1)

這堂課回歸佛洛伊德,談精神分析治療初期與技術的兩篇重要文章。

Freud, S (1913)  On Beginning the Treatment. S.E.12. PP121--145

Freud, S (1912)  Recommendations to physicians Practicing Psychoanalysis. S.E.12. pp109—121.

Lect 5: Freud 談精神分析的技術 (2)

在分析中,童年的創傷為何總是在移情關係中反覆出現,治療師又該如何協助個案修通這一切。

Freud, S (1914) Remembering, Repeating and Working Through.SE.12. PP145--157

Freud, S (1919) Lines of Advance in Psychoanalytic therapy. SE.17. PP157--169

Lect 6: Freud 談精神分析的技術 (3)

這堂課要介紹Freud所提,治療者對於個案說出來的「夢」,該如何解讀、理解與詮釋。

Freud, S. (1911). The Handling of dream-interpretation in psychoanalysis. SE.12, PP89--97

Freud, S. (1923). Remarks upon the theory and practice of dream-interpretation. S.E. 19. PP109--123

Segal,H (2001) Ch 1.Interpretation of dreams—100years on. In Yesterday, Today and Tomorrow.PP14—25 (Routledge)

Lect 7: 永無止盡的精神分析?

這堂課要介紹佛洛伊德晚期的一篇與分析技術相關的重要文章: 「有止盡的與無止盡的精神分析」

Freud, S. (1937). Analysis terminable and interminable.SE.23. pp209--216

Lec 8:  Patient-centered Interpretation

這堂課將介紹克萊恩學派分析師John Steiner 所提出的假設: 以病人為中心的詮釋相對於以分析師為中心的詮釋。

Steiner, J.(1994) 'Patient-centered and analyst centered interpretations: some implications of “containment and countertransference”', Psychoanalytic Enquiry. 14, 406-422.

Lec 9: 僵局與詮釋~投射性認同與行動化(1)

在這堂課中,將帶大家認識何謂「毀滅性的自戀」,對精神分析的工作又將帶來多大的挑戰與僵局。

Rosenfeld. H (1987) Impasse and Interpretation: Therapeutic and anti-therapeutic factors in the psychoanalytic treatment of psychotic, borderline, and neurotic patients. CH7. The Problem of Impasse in Psychoanalytic Treatment.P133-157.

Lec 10: 僵局與詮釋 ~投射性認同與行動化(2)

在這堂課中,投射性—認同不僅僅是流行語,對於各種不同的投射歷程的辨識與涵容會一一做具體介紹。

Rosenfeld. H (1987) Impasse and Interpretation: Therapeutic and anti-therapeutic factors in the psychoanalytic treatment of psychotic, borderline, and neurotic patients. CH8. Projective Identification in Clinical Practice.pp157-190

Lect 11:  理解與修通 (understanding and working through )(1)

這堂課主要介紹在精神分析中,如何協助個案從「感覺痛苦」進階到「能夠承受痛苦」。

Joseph, B. (1981) Toward the experiencing of psychic pain. Pp88-100. In Psychic Equilibrium and Psychic Change: Selected Papers of Betty Joseph .

Lect 12: 理解與修通 (understanding and working through ) (2)

這堂課將介紹在精神分析中,個案真的想被我們理解與修通嗎?治療師又該如何容忍自己想理解與修通個案的渴望呢?

Joseph, B. (1989) On understanding and not understanding: some technical issues pp139-153. In Psychic Equilibrium and Psychic Change: Selected Papers of Betty Joseph .

Lect 13: 理解與修通 (understanding and working through ) (3)

 這堂課將介紹在了解個案的過程中,我們究竟是在幫助個案還是與個案在共謀?

Segal,H (1990) Ch 14 Model of mental functioning and psychoanalytic process. In Yesterday, Today and Tomorrow.PP139-150 (Routledge,2007)

Segal,H (1987) Ch15.What is therapeutic and countertherapeutic in psychoanalysis. In Yesterday, Today and Tomorrow.PP151-158 (Routledge,2007)

Lect 14:不一樣的聲音: 獨立學派觀點

       這堂課要帶領大家一起去探討: 移情詮釋必然是精神分析中的核心技術嗎?

Bollas, Christopher (2006) Ch.5 On Transference Interpretation as a Resistance to Free Association. In The Freudian Moment. Pp85-100

Lect 15:精神分析的另起爐灶: Mentalization-Based Treatment

這堂課跟大家介紹,如何將「以心智化為基礎的心理治療」運用於邊緣性人格個案,並瞭解其與精神分析的相關性。

Bateman, A., Fonagy, P. (2013). Mentalization-Based Treatment. Psychoanal. Inq., 33:595-613.

 

 

第四學期(2016年春季)

上課時間:待定

 

【個案討論】

講師:林玉華、盧志彬

 

【治療倫理】

講師:林玉華

協同講師:葉怡寧、盧志彬

 

課程目標:

本課程旨在培養受訓者熟悉辨識與思考心理治療運作中常遇到的倫理相關議題,提升對於心理治療歷程中倫理議題的敏感度;以心理治療助人專業倫理與相關法規,以及不同倫理概念與理論為基礎,學習思考、分析及評估不同論點和論據的優缺點,體會倫理議題的複雜以及決策的兩難,加強受訓者對心理治療倫理的思考、推理、判斷與抉擇能力。

 

上課方式:

本課程以個案研討方式進行。由講師或受訓者提供臨床案例,以團體討論方式進行,期能深度思考以下議題:

1.          保密的限度與危機處理

2.          專業能力與責任(包括,治療技術、訓練、個人分析、治療缺失等問題)

3.          治療情境(包括期間、頻率、費用、結構與界線)

4.          治療關係(包括移情詮釋、反移情的難題、診療室內與診療室外的關係等倫理議題)

5.          雙重關係的倫理議題

6.          兒童心理治療的倫理議題

7.          特殊個案的倫理議題

8.          團體治療的倫理議題

9.          結案的倫理問題

10.        資料保存、提供與運用

11.        研究與出版的倫理議題

 

參考資料

1.          希波克拉底(Hippocrates)誓言

2.          倫理理論與倫理決策相關書目

3.          各國精神分析學會所出版的倫理守則

4.          各國心理治療相關倫理守則

5.          The International Psychoanalytical Association's (IPA)Principles of Ethics

6.          The American Psychological Association's (APA) Ethical Principles of Psychologists and Code of Conduct

7.          Ethics Case Book: Of the American Psychoanalytic Association

8.          Bollas, C. On the Loss of Confidence in Psychoanalysis

9.          Bornstein, M. (1985). Freud's legacy: Science and humanism. Psychoanal. Inq., 5, 499-500.

10.        Fink B. (2012). A Psychoanalytic Ethics of Translation. The New Centennial Review. 12(2), 1-21

11.        Gordon, R. M. (1993). Ethics Based on Protection of the Transference. Issues in Psychoanalytic Psychology. 15(2), 95-105

12.        Hirsch, I. (2008). Coasting in the counter-transference: Conflicts of self-interest between analyst and patient. New York: The Analytic Press.

13.        Kavanaugh, P. B. (1999). An Ethics of Free Association: Questioning a Uniform and Coercive Code of Ethics. The Psychoanalytic Review. 86(4).

14.        台灣各相關學會專業倫理守則

15.        精神衛生法

16.        性侵害防治法

17.        性騷擾防治法

18.        兒童及少年福利法

 

 

【精神病理】

講師:盧志彬

此課程以精神分析觀點闡述各種心理病態之現象及其成因。其最初的經典範例即佛洛依德對歇斯底里症的研究。課程將以各式案例做說明,探討憂鬱,焦慮,精神病,精神官能症,邊緣型特質,慮病症,創傷,心身症,飲食疾患及成癮問題,解離,性功能障礙,倒錯,各種人格違常(如自戀,自虐,歇斯底里型等),以及自殺。

參考文獻:

1.          Freud, S. (1901)The Psychopathology of Everyday Life. (London: Hogarth Press and Institute of Psycho-Analysis, 1960. Int. J. Psycho-Anal., 42:288.

2.          Brenner, C. (1991). A Psychoanalytic Perspective on Depression. J. Amer. Psychoanal. Assn., 39:25-43.

3.          Gediman, H.K. (1984). Actual Neurosis and Psychoneurosis. Int. J. Psycho-Anal., 65:191-202.

4.          Bachmann, S., Resch, F., Mundt, C. (2003). Psychological Treatments for Psychosis: History and Overview. J. Amer. Acad. Psychoanal., 31:155-176.

5.          Kepecs, J.G. (1966). Theories of Transference Neurosis. Psychoanal Q., 35:497-521.

6.          Kernberg, O. (1967). Borderline Personality Organization. J. Amer. Psychoanal. Assn., 15:641-685.

7.          Stephanos, S. (1982). The Contribution of Psychoanalytic Object Theory to Psychosomatic Medicine. Ann. Psychoanal., 10:187-204.

8.          Williams, G. (1997). Reflections On Some Dynamics Of Eating Disorders: ‘No Entry’ Defences And Foreign Bodies. Int. J. Psycho-Anal., 78:927-941.

9.          Dodes, L.M. (2003). Addiction and Psychoanalysis. Canadian J. Psychoanal., 11:123-134.

10.       Marty, P. (2010). The Narcissistic Difficulties Presented to the Observer by the Psychosomatic Problem. Int. J. Psycho-Anal., 91:347-360.

11.       Rosenfeld, R (1984) Hypochondria, somatic delusion and body scheme in psychoanalytic practice in Int. J. Psychoana. 65, 4, pp. 377-388.

12.       Coopersmith, S.E. (1981). Object-Instinctual and Developmental Aspects of Perversion. Psychoanal. Rev., 68:371-383.

13.       Rosenfeld, H. (1964). On the Psychopathology of Narcissism a Clinical Approach. Int. J. Psycho-Anal., 45:332-337.

14.       Kohut, H. (1966). Forms and Transformations of Narcissism. J. Amer. Psychoanal. Assn., 14:243-272.

15.       Chodoff, P. (1978). Psychotherapy of the Hysterical Personality Disorder. J. Amer. Acad. Psychoanal., 6:497-51

16.       Lerner, P.M. (1994). Treatment Issues in a Case of Possible Multiple Personality Disorder. Psychoanal. Psychol., 11:563-574.

17.       Fonagy, P. (2000). Attachment and Borderline Personality Disorder. J. Amer. Psychoanal. Assn., 48:1129-1146.

18.       Moore, B.E. (1964). Frigidity: A Review of Psychoanalytic Literature. Psychoanal Q., 33:323-349.

19.       Bernard Apfelbaum. (1978). Journal of Sex & Marital Therapy. III, 1977: On the Etiology of Sexual Dysfunction. Pp. 50-62.. Psychoanal Q., 47:167.

20.       Whitmer, G. (2001). On the Nature of Dissociation. Psychoanal Q., 70:807-837.

21.       Freud, S. (1910). Contributions to a Discussion On Suicide       Standard Edition of the Complete Psychological Works of Sigmund Freud, Volume XI pp. 231-232

22.       Warren, M. (1976). On Suicide. J. Amer. Psychoanal. Assn.,  24:199-234.

23.       Nancy Mcwilliams.(2011). Psychoanalytic Diagnosis, 2nd edition, the Guilford Press

 






 
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