臺灣精神分析學會 Taiwan Psychoanalytic Association

課程活動　

精神分析取向心理治療臨床課程2015-2017

【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。作為學習精神分析取向心理治療的完整基礎，以及日後作為深入精神分析不可或缺的主題課程。

【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、輔導教師等）

【報名方式】請詳細填妥本簡章所附之報名表，於2015/05/31前以掛號郵件方式寄至

「106台北市大安區復興南路二段35號2樓之1，臺灣精神分析學會收」（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 2015/06/30 前經內部討論，確認錄取名單並個別通知。

【課程報名表】pdf、word

【課程內容】

日期	上課時間	課程名稱	主講人
2015.9 - 2016.1	12:30-14:00	理論：其他當代理論	周仁宇 (協同講師：黃彥勳)
	14:15-15:45	個案討論(A)、(B)	(A)周仁宇 (B)林怡青
	16:00-17:30	治療技術：詮釋、行動、阻抗、修通	林怡青 (協同講師：李詠慧)
2016.3 - 2016.6	12:30-14:00	治療倫理	林玉華 (協同講師：葉怡寧)
	14:15-15:45	個案討論(A)、(B)	(A)林玉華 (B)盧志彬
	16:00-17:30	精神病理	盧志彬
2016.9 - 2017.1	12:30-14:00	人類發展	洪素珍
	14:15-15:45	理論：古典精神分析	李郁芬、陳冠宇
	16:00-17:30	個案討論(A)、(B)	(A)李郁芬、陳冠宇 (B)洪素珍
2017.3 - 2017.6	12:30-14:00	理論：英國客體關係	劉佳昌
	14:15-15:45	個案討論(A)、(B)	(A)劉佳昌 (B)蔡榮裕
	16:00-17:30	治療技術：治療結構、移情、反移情	蔡榮裕

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元（臺灣精神分析學會會員 60,000元）

註：採每年繳費，每年 40,000元（臺灣精神分析學會會員 30,000元）

【詳細課程說明】

第一學期（2015年秋季）

上課時間(共15堂)：9/5, 9/12, 9/19, 9/26, 10/3 ,10/17, 10/31, 11/14, 11/21, 12/5, 12/12, 12/26, 2016/1/9, 1/16, 1/23

【理論：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。

本課程共十五次，每次選讀一篇以案例報告為主軸的文獻。

1. 防衛機轉：這一切都從某個小女孩的性幻想開始…

Freud, A. (1923). The Relation of Beating-Phantasies to a Day-Dream. Int. J. Psycho-Anal., 4:89-102

2. 人類的發展路線以及分離個體化

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

3. 精神結構和身份認同的形成

Erikson, E.H. (1956). The Problem of Ego Identity. J. Amer. Psychoanal. Assn., 4:56-121.

4. 嚴重扭曲的自我與相應的治療法修正

Kernberg, O., Yeomans, F.E., Clarkin, J.F., Levy, K.N. (2008). Transference Focused Psychotherapy: Overview and Update. Int. J. Psycho-Anal., 89:601-620.

5. 表徵世界：這就是所謂的內在現實嗎？

Sandler, J. and Rosenblatt, B. (1962). The Concept of the Representational World. Psychoanal. St. Child, 17:128-145

6. 天生就會跑：角色感應與行動化

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

7. 不論你再怎麼分析都躲不過這個悲劇

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

8. 一個偉大分析師的幡然悔悟，還是誤入岐途？

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

9. 各種顏色的焦慮：死亡母親情結

Green, A. ([1972] 1986). The Dead Mother. In On Private Madness. London: Karnac.

10. 無，名萬物之始

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

11. 這真的是投射認同嗎？

Ogden, T.H. (1995). Analyzing Forms of Aliveness and Deadness of the Transference-Countertransference. Int. J. Psycho-Anal., 76:695-709

12. 兩個主體？主體加客體？還有另一個？

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

13. 治療師可以揭露自己對個案的情欲感受嗎？

Davies, J.M. (1994). Love in the Afternoon: A Relational Reconsideration of Desire and Dread in the Countertransference. Psychoanal. Dial., 4:153-170

14. 深度分析真的比較有深度嗎？

Green, A. (1974). Surface Analysis, Deep Analysis (The Role of the Preconscious in Psychoanalytical Technique). Int. Rev. Psycho-Anal., 1:415-423

15. 分析中的每一分每一秒

Stern, D.N., Sander, L.W., Nahum, J.P., Harrison, A.M., Lyons-Ruth, K., Morgan, A.C., Bruschweilerstern, N. and Tronick, E.Z. (1998). Non-Interpretive Mechanisms in Psychoanalytic Therapy: The ‘Something More’ Than Interpretation. Int. J. Psycho-Anal., 79:903-921

【治療技術：詮釋、行動、阻抗、修通】

講師：林怡青

協同講師: 李詠慧

9/5 Lect 1: 阻抗(Resistance)面面觀 (1)

1. S. Freud(1910), Vol.11 pp221—227, ‘wild’ Psycho-analysis.

2. S. Freud(1913), Vol. 12, pp121—145, on beginning the treatment. .

3. S. Freud(1917), Vol.16, pp286—302, Introductory Lectures on Psychoanalysis. Lec. XIX, Resistance and Repression.

9/12 Lect 2: 阻抗(Resistance)面面觀 (2)

1.Strachey, J. (1934). The Nature of the Therapeutic Action of psychoanalysis. Int. J. Psycho-Anal., 15:127—159

2.Greenson R. R. (1967), The Technique and Practice of Psychoanalysis.Ch.2 Resistance. Pp97—109; Pp 110—125.(International Universities Press.)

9/19 Lect 3: 阻抗(Resistance)面面觀 (3)

1.Greenson R. R. (1967), The Technique and Practice of Psychoanalysis.Ch.2 Resistance. Pp247—268.

2.Betty Joseph(1983) On understanding and not understanding : some technical issues. Int. J. of Psychoanalysis., 64:291-8

9/26 Lect 4: 理解與修通 (understanding and working through )(1)

1.Betty Joseph (1981), Ch. 6 Towards the experiencing of Psychic Pain, in Psychic Equilibrium and Psychic Change.( London and New York: Routledge.)

2.Betty Joseph (1978) , Ch 7 Different types of anxiety and their handling in the analytic situation, in Psychic Equilibrium and Psychic Change. (London and New York: Routledge.)

10/3 Lect 5: Freud 談精神分析的技術 (1)

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

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

10/17 Lect 6: Freud 談精神分析的技術 (2)

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

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

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

10/31 Lect 7: Freud 談精神分析的技術 (3)

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

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

11/14 Lec 8: Patient-centered Interpretation

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

11/21 Lec 9: 自體心理學 1—邊緣型人格的處遇技術

12/5 Lect 10: 永無止盡的精神分析?

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

12/12 Lect 11: 不一樣的聲音: 獨立學派觀點

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

12/26 Lec 12: 自體心理學 2—自戀型人格的處遇技術

1/9 Lect 13: 精神分析的另起爐灶: Mentalization-Based Treatment

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

1/16 Lect 14: 理解與修通 (understanding and working through ) (2)

1.Betty Joseph(1983) On understanding and not understanding : some technical issues. Int. J. of Psychoanalysis., 64:291-8 (已是lecture 3的reference 之一)

2.Pick , I. B.(1985) Working Through in the Countertransference. In International Journal of Psycho-Analysis, 66:157-166

1/23 Lect 15: 理解與修通 (understanding and working through ) (3)

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

2.Lemma, A. (2003) Ch.5 Unconscious Communication. In Introduction to the Practice of Psychoanalytic Psychotherapy. (Wiley-Blackwell)

3.Steiner, J. (2005) The Conflict between Mourning and Melancholia. In Psychoanalytic Quarterly, 74:83-104

第二學期（2016年春季）

上課日期(共15堂)：2016年 3/5, 3/12, 3/19, 3/26, 4/2, 4/16, 4/23, 5/7, 5/14, 5/21, 5/28, 6/4, 6/25, 7/2, 7/9

時間：週六下午12:30~17:30

【治療倫理】

講師：林玉華

協同講師：葉怡寧

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。課程進行以國際精神分析學會(IPA)以及美國精神分析學會倫理法規為基礎，輔以倫理概念與理論為思考架構，針對相關臨床案例展開討論，體驗倫理議題的複雜以及決策的兩難，增強受訓者倫理思辨的廣度和深度，以及對心理治療倫理的思考、推理、判斷與抉擇能力。

台灣尚未訂定精神分析治療倫理，藉由本課程針對相關倫理議題的討論，期能蒐集臨床工作者在進行心理治療時所遭遇的倫理兩難，彙整參與者呈現在討論中的思辨歷程，提供台灣精神分析學會倫理委員會參考。。

每節上課之前，請先熟悉該節課的倫理法規

上課進度：

3/5 治療倫理導論：總論(cf. Gordon: Ethics Based on Protection of the Transference)

3/12 治療倫理導論：IPA ethics codes (new and old)

3/19　使用臨床素材-知情同意(cf. Lipton: The use of clinical data…)

3/26　保密與毀譽

4/2 　保密的限度 (The case of Tarasoff)

4/16　倫理理論與決策（授課與案例討論）講義

4/23　治療關係（分析師的自戀誘惑）(cf.Coen Narcissistic temptation)

5/7 　治療關係(the case of Masud Khan)

5/14　權力濫用（cf. Garbbard: boundary violations）

5/21　權力濫用（cf. Garbbard: boundary violations）

5/28　權力濫用（cf. Garbbard: sexual boundary violations）

6/4 　財務交易專業能力與繼續教育

6/25　保護公眾與專業

7/2 　社會責任

7/9 　兒童心理治療的倫理議題

參考資料

倫理法規:

 希波克拉底（Hippocrates）誓言

 IPA: Ethics Codes – 2015 (New): International Psychoanalytic Association

 APA: American Psychoanalytic Association: Principle and Standards of Ethics for Psychoanalysts

 BPS: Ethics and Professional Standards- The British Psychoanalytic Society

 台灣各相關學會專業倫理守則

 精神衛生法

 性侵害防治法

 性騷擾防治法

 兒童及少年福利法

Reading List:

Coen, S. J, (2007). Narcissistic Temptations to Cross Boundaries and how to Manage them. J. Amer. Psychoanal. Assn. 55:1169-1190.

Gabbard, G. O. (1994). Sexual Excitement and Countertransference Love in the Analyst. J. Amer. Psychoanal. Assn. 42: 1086-1106

Garbbard, G. O. (2001). Disguise or consent: problems and recommendations concerning the publication and presentation of clinical material. Int. J. Psychoanal., 81: 1071-86

Garbbard, G. O. (2001). EDITORIAL- International Journal of Psychoanalysis. 82, 1067.

Gabbard, G. O. & Lester, E. P. (2003). Sexual Boundary Violations. in Boundaries and Boundary Violations in Psychoanalysis. Basic Books, pp. 88-121

Gabbard, G. O. & Lester, E. P. (2003). Nonsexual Boundary Violations. in Boundaries and Boundary Violations in Psychoanalysis. Basic Books, pp. 87-121; 122-148

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

Lipton, E. (1991). The Analyst’s Use of Clinical Data and other Issues of Confidentiality. J. Amer. Psychoanal. Assn. 39: 967-985.

Tuckett, D. (2000). Reporting clinical events in the Journal: toward the constructing of a special case. Int. J. Psychoanal., 81: 1065-69.

BOOK:

 Ethics Case Book: Of the American Psychoanalytic Association

 Garbbard, G. O & Lester E. P. (2003). Boundaries and Boundary Violations in Psychoanalysis. American Psychiatric Publishing.

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

 Langs, R. (1976). The Technique of Psychoanalytic Psychotherapy (Vol. I & II). New York: Jason & Aronson

 倫理理論與倫理決策相關書目

【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，探討精神病，憂鬱，焦慮，精神官能症，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(如自戀人格，邊緣型人格)，以及自殺。

十五堂課分別為:

一)精神病理學綜論: 精神分析式的精神病理---以歇斯底里症研究為範例

參考文獻:

1. Freud, S. (1893).Frau Emmy von N, Case Histories from Studies on Hysteria. The Standard Edition of the Complete Psychological Works of Sigmund Freud, Volume II (1893-1895): Studies on Hysteria, 48-105

2. Freud, S. (1893).Frälein Elisabeth von R, Case Histories from Studies on Hysteria. The Standard Edition of the Complete Psychological Works of Sigmund Freud, Volume II (1893-1895): Studies on Hysteria, 135-181

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

二)縱軸的心智發展: 精神病，精神官能症，邊緣型心智組織

參考文獻:

Nancy Mcwilliams, Psychoanalytic Diagnosis 2nd ed, Understanding Personality structure in the Clinical Process

三)邊緣型心智組織

參考文獻:

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

四)防衛機轉(一)

參考文獻:

Nancy Mcwilliams, Psychoanalytic Diagnosis 2nd ed, Understanding Personality structure in the Clinical Process

五)防衛機轉(二)

參考文獻:

Nancy Mcwilliams, Psychoanalytic Diagnosis 2nd ed, Understanding Personality structure in the Clinical Process

六)剖面所呈現的疾病狀態: 憂鬱，焦慮

參考文獻:

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

七)精神官能症(actual neurosis:慮病症，psychoneurosis: 強迫症, 轉化症)

參考文獻

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

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

3. Esman, A.H. (2001). Obsessive-Compulsive Disorder: Current Views. Psychoanal. Inq., 21:145-156

4. Schiffer, I. (1964). Psychoanalytic Observations on the Mechanism of Conversion Symptoms. Psychoanal. Rev., 51B:33-42

八)自戀

參考文獻:

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

2. Rosenfeld, H. (1971). A Clinical Approach to the Psychoanalytic Theory of the Life and Death Instincts: An Investigation Into the Aggressive Aspects of Narcissism. Int. J. Psycho-Anal., 52:169-178.

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

九) 心身症

參考文獻

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

2. Ciardiello, J. (1993). Theaters of the Body a Psychoanalytic Approach to Psychosomatic Illness. Joyce McDougall. New York: Norton, 1989, 183 pp.. Psychoanaytic Review

十) 飲食疾患

參考文獻

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

十一) 創傷與成癮

參考文獻

1. Balint, M. (1969). Trauma and Object Relationship. Int. J. Psycho-Anal., 50:429-435.

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

十二)解離

參考文獻

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

十三) 倒錯，性功能障礙

參考文獻

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

2. Adroer, S. (1998). Impotence and Frigidity: Chaired by Sara Zac De Filc, Buenos Aires. Int. J. Psycho-Anal., 79:152-155.

十四) 各種人格違常

參考文獻:

Nancy Mcwilliams, Psychoanalytic Diagnosis 2nd ed, Understanding Personality structure in the Clinical Process

十五)自殺

參考文獻

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

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

3. Mikhailova, O. (2005). Suicide in Psychoanalysis. Psychoanal. Soc. Work, 12:19-45.

第三學期（2016年秋季）

上課時間：待定

【理論：古典精神分析】

講師：李郁芬、陳冠宇

【人類發展】

講師：洪素珍

第四學期（2017年春季）

上課時間：待定

【理論：英國客體關係】

講師：劉佳昌

【治療技術：治療結構、移情、反移情】

講師：蔡榮裕