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Process I: Starting a Psychoanalysis; Opening Phase

September 9 @ 1:45 pm - 3:15 pm, Wyman Classroom

First Year Adult Psychoanalytic Training (APT)
2022-23, 1st Trimester — Fridays, 12:00-1:30pm
Ronald W. Levin, MD

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Development Of Psychoanalytic Cases

  • “Analyzability” And Control Cases
  • Engaging The Patient
  • Understanding The Organ System
  • Recognizing Process

When patients are in your office saying whatever comes to their minds about their problems, they are communicating on multiple developmental levels and using multiple modes of expression simultaneously all the time. Influenced by culture and later by training, we tend not to hear all that our patients communicate. Rather, we hear what makes “sense” to us; what fits our preconceived realities and the theories we bring to each patient encounter.

You may think that with their free associations your patients are only describing the external realities of their lives. They are not. Rather, using diverse modes of communication, they are also reacting to the dynamics of their internal world as shaped by their reactions to the developmental crises they experienced.

With their associations and responses to your interventions, patients are informing you about the functional structures within their mind. These are the structures analytic treatment attempts to modify.

Improved object relationships, constructive affect regulation, and creative insight are catalyzed by tuned-in interactions focused on the functional architecture, developmental levels, and current affective and cognitive states of your patient’s mind—not with the facts of your patient’s external reality.

This course is designed to expand your ability to recognize and nurture analytic process. The articles assigned, while focused on analytic concepts and clinical vignettes, are also an entree to sharing your case experiences and the “raw stuff” of clinical interactions, including your understanding and use of clinical intuition. Hopefully, this will be the “meat” of the course: integrating top-down data—what the patient and analyst feel and express—with bottom-up knowledge of how the brain/mind organ system is organized and functions.


  • Getting to know one another (class 1)
  • Analyzability – a concept in need of updating (classes 2-5)
  • Engaging the patient: the dynamic structure of the brain/mind and analytic process (classes 6-11)

September 9, 2022 — Getting to know one another

What led you to psychoanalytic training?

Why not just psychotherapy training?

What are the goals of psychoanalytic treatment, do they differ from the goals of psychotherapeutic treatment?

Other than goals, what do you think distinguishes psychoanalysis from psychotherapy?

Would you act differently treating a psychoanalytic, as compared to a psychotherapeutic, patient?

What do you make of the changing standards in the psychoanalytic world?

In what direction do you see psychoanalysis evolving over your professional life?


September 9
1:45 pm - 3:15 pm
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(206) 328-5315
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4020 E Madison St, #230
Seattle, WA 98112
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(206) 328-5315
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