Psychoanalytic Legacies and Innovations (In-Person Only)- Lessons From the Lodge, Riggs, Sheppard Pratt, McLean, and Menninger - James E. Gorney, PhD
- After 40+ Years of Analysis: New Beginnings in Treatment Leading to a Successful Outcome - Martin Cosgro, PhD
Lessons From the Lodge, Riggs, Sheppard Pratt, McLean, and Menninger - James E. Gorney, PhDDr. Ann-Louise Silver, psychiatrist, psychoanalyst, a founder of ISPS, and the esteemed and revered past-President of ISPS-US ,long proposed writing a book to be entitled - "Lessons From the Lodge". This would have been a monument to her years of work at Chestnut Lodge treatment center in Rockville, Maryland. Her untimely death a few years ago thwarted the completion of this project. This presentation will memorialize Dr. Silver's intent through an account of long-term psycho-dynamic and psychoanalytic hospital based treatment settings for psychosis, which flourished during the last half of the Twentieth Century.These institutions provided a unique setting for clinical research, milieu treatment, and intensive psychotherapy in regard to extreme states. The unique therapeutic philosophy of patient care developed within these extended stay hospitals will be examined in detail. Numerous clinical examples will be provided to demonstrate the innovative and courageous approaches which arose here in regard to the therapeutic understanding and care of psychosis.
Within the context of currently prevalent managed-care, short-term hospitalization, and over utilization of anti-psychotic medication, it is now particularly important to commemorate lessons learned by the daring clinicians who worked within those noble past institutional settings. Consequently, key insights of Frieda Fromm-Reichmann, Harold Searles, Otto Will, and Ann-Louise Silver in regard to the treatment of psychosis will be explicated here via their own clinical accounts.
This model of humanistic, psycho-dynamic treatment for psychosis, trauma, and other extreme states developed within long-term milieus, provides an alternative, and antidote, to the current, broken mental health system now pervasive within the United States. Treatment wisdom, so painfully gained over so many years, has almost been forgotten. Ann-Louise Silver always encouraged us at ISPS to keep this humane, concerned, benevolent flame alive.
After 40+ Years of Analysis: New Beginnings in Treatment Leading to a Successful Outcome - Martin Cosgro, PhDEffective psychodynamic/ psychoanalytic psychotherapy for psychosis has been around for a century and is still considered the treatment of choice by some, as the late Bertram Karon suggested. However, at times, this approach has led to limited progress and no resolution of underlying issues. This case presentation will demonstrate how 40+ years of “traditional” psychoanalysis was ineffective, and the modifications in a subsequent 3 year psychoanalytic therapy led to integration and significant improvements in all areas of life. Dealing with underlying trauma, the subsequent emotions and on-going object relations interpretations will be presented as the treatment components that appeared to be missing in the prior treatment and which led to a successful outcome.
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