Deepening the Treatment: Transference, Countertransference and Enactments

Adult Psychoanalytic Psychotherapy (APP)
2019-20, 3rd Block — Mondays, 6:30-7:45pm
Charlotte Malkmus, MA LMHC


The development of the capacities referenced in the Learning Objectives for this class will result in enhanced patient retention and clinical efficacy.

Learning Objectives

At the end of this course, participants will be able to:

  1. develop a therapeutic stance that is most conducive to deepening psychoanalytically-informed treatments
  2. recognize the centrality of the enacted dimension of treatment, which occurs alongside the verbal dimension of treatment
  3. address more challenging transference and countertransference configurations in treatment, and
  4. assess key clinical decision points from the standpoint of their impact on the depth of the treatment

January 27, 2020 — Countertransference

[32 pages]

Maroda, K. (1991). Introduction & Ch1 in The Power of Countertransference. Chichester, NY: Wiley. pp1-32.

February 3, 2020 — The Treatment Relationship; Provision and Negotiation

[27 pages]

Mitchell, S. (1993). Ch7, “Wishes, Needs and Interpersonal Negotiations” in Hope and Dread in Psychoanalysis. pp175-201.

February 10, 2020 — Frame and Spontaneity in Treatment

[25 pages]

Hoffman, I.Z. (2001) Dialectical Thinking and Therapeutic Action in Ritual and Spontaneity in the Psychoanalytic Process, pp193-217.

February 24, 2020 — Enactments

[48 pages]

Black, M.J. (2003). Enactment: Analytic Musings on Energy, Language, and Personal Growth. Psychoanal. Dial., 13(5):633-655.

Wachtel, P. (2008), Ch10, “Enactments, New Relational Experience, and Implicit Relational Knowing” in Relational Theory and the Practice of Psychotherapy, pp220-244

In the Wachtel article, read only pages 238-244, the section entitled “Procedural Learning and the Process of Therapeutic Change.”

March 2, 2020 — Enactment, Relationality, and Self-Disclosure

[40 pages]

Wachtel, P. (2008), Ch11, ”Confusions about Self-Disclosure” in Relational Theory and the Practice of Psychotherapy, pp245-265

Maroda, K.J. (1998). Enactment: When the Patient’s and Analyst’s Pasts Converge. Psychoanal. Psychol., 15(4):517-535.

Optional Reading

Joseph, B. (1985). Transference: The Total Situation. Int. J. Psycho-Anal., 66:447-454.

Maroda, K. (1991). The Power of Countertransference. Chichester, NY: Wiley. pp126-149

March 9, 2020 — Working with Anger

[47 pages]

Hall, J.S. (1998). Ch7, “Tolerating the Patient’s Rage” in Deepening the Treatment, pp157-178.

Skip the clinical example (pp164-170) in the middle of the Hall chapter.

Maroda, K. (2009). Ch8, “Confrontation and Countertransference Anger: Overcoming the Therapist’s Aversion to Conflict” in Psychodynamic Techniques. NY: Guilford Press. pp179-203.

March 16, 2020 — Racial Enactments

[31 pages]

Leary, K. (2000). Racial Enactments in Dynamic Treatment. Psychoanal. Dial., 10(4):639-653.

Suchet, M. (2004). A Relational Encounter with Race. Psychoanal. Dial., 14(4):423-438.

March 23, 2020 — Psychoanalytic Companioning

[103 pages]

Grossmark, R. (2018). The Unobtrusive Relational Analyst. NY: Routledge. Ch3, “Psychoanalytic Companioning” pp54-75

Gilhooley, D. (2011). Mistakes. Psychoanal. Psychol., 28(2):311-333.

Additional Reading

Jacobs, T.J. (1986). On Countertransference Enactments. J. Amer. Psychoanal. Assn., 34:289-307.

Casement, P.J. (1991). Ch7, “Analytic Holding under Pressure” in Learning from the Patient, NY: Guildford Publications, Inc. pp129-139.

Katz, G. (2014), Ch4-5 in The Play Within the Play: The Enacted Dimension of Psychoanalysis. pp37-48.

Casement, P. (2002). Ch2, “Mistakes in psychoanalysis, and trying to avoid them” in Learning from Our Mistakes. NY: Guildford Publications, Inc. pp17-32.