TRAINING COURSE IN WINNICOTT´S CLINIC / 2016 PROGRAMME
This Course of the Brazilian Institute of Winnicott´s Psychoanalysis (IBPW) was introduced in 2016 by Elsa Oliveira Dias and Zeljko Loparic is an extension of the Training Course in Winnicott´s Psychoanalysis created by them in 2003. In its initial form, the structure and material of the course are a direct result of research developed since 1993 by these two professionals at the State University of Campinas (Unicamp) and the Pontifical Catholic University of São Paulo (PUC-SP) as well as within the Research Group on Philosophy and Psychotherapy Practice (GFPP) founded by them in 1995, and which formed the basis of the São Paulo Winnicottian School. This extended version of the course became possible and even necessary with the development of research within the São Paulo Winnicottian School. Whilst the training of psychoanalysts is the main focus of the course, this is also aimed at professionals from all of the areas covered by Winnicott’s practical and therapeutic interests, and for whom he also developed training projects.
2. ADMINISTRATION DATA
Level of the Course: graduate
Teachers: senior members of the IBPW with Ph.D. (exceptionally M.A.) qualification, guest lecturers.
The Course is aimed at: psychoanalysts, pediatricians, psychiatrists, obstetricians, neuroscientists, psychiatric social workers and social workers in general, jurists, educators and counselors.
Duration of the Course: 4 years.
Number of modules: 12 modules + 1 theoretical essay and 1 supervised case report (75 hours of individual supervision)
The Course is divided in half-yearly modules. First and second year consist of 15 classes. The Third and the Fourth year modules consist of 10 classes.
Classes last for 3 hours
3. CONTENT OF THE COURSE
The 12 modules are divided into three parts. The first part is theoretical, the second is theoretical-clinical, and the third clinical and consists of supervised group seminaries. Completion of training requires presentation and defense of a Final Essay of Conclusion (FEC) and Study of a Clinical Case (SCC). For more course details, please look at the Regiment of the Course (see website: ibpw.org.br).
Part I: 4 theoretical modules (15×3 hours each)
1. Foundations of Winnicott’s psychoanalysis: theory of the maturational processes (basic elements of Winnicott´s paradigm)
2. Winnicott in the history of psychoanalysis
3. Winnicott’s psychopathology I: psychoses and psycho-somatic disorders
4. Winnicott’s psychopathology II: other maturational disorders
Part II: 4 theoretical-clinical modules (10×3 hours each)
5. Theoretical-clinical seminar I: basic concepts of Winnicott’s clinic
6. Theoretical-clinical seminar II: short cases reported by Winnicott
7. Theoretical-clinical seminar III: the B case (Holding and interpretation)
8. Theoretical-clinical seminar IV: the Piggle case
Part III: 4 modules in group supervisions (10×3 hours each)
9. Group supervision seminar on case reports presented by trainees I
10. Group supervision seminar on case reports presented by trainees II
11. Group supervision seminar on case reports presented by trainees III
12. Group supervision seminar on case reports presented by trainees IV
4. CONTENT OF EACH OF THE 12 MODULES
I. Foundations of the Winnicottian clinic: The theory of the maturational processes
Summary: This module aims at explaining Winnicott’s theory of the maturational processes, a core part of Winnicott’s psychoanalytic paradigm which is the basis of his theory of maturational disorders (psychopathology) and his conception of clinical practice in the field of psychoanalysis and outside of it.
Lecture 1: Outline of Winnicott´s paradigm
Lecture 2: The maturational process: general aspects
Lecture 3: Birth experience. Pre-primitive stages
Lecture 4: Maturational tasks during the stage of the first theoretical feed I: Integrating in
time and space
Lecture 5: Maturational tasks during the stage of the first theoretical feed II: Indwelling
of the psyche in the body
Lecture 6: Maturational tasks during the stage of the first theoretical feed III:
Environmental and object relations
Lecture 7: Maturational tasks during the stage of the first theoretical feed IV:
Establishment of the primary self
Lecture 8: Maturational tasks during the stage of transitional phenomena
Lecture 9: Maturational tasks at the beginning of the disillusionment process (weaning).
Activation of mental functioning
Lecture 10: Maturational tasks during the stage of the use of an object and the I AM
Lecture 11: Maturational tasks during the stage of concern
Lecture 12: Tasks of socialization I: Creation of the family. The role of the parental
couple. The role of the father. Cross-identification
Lecture 13: Tasks of socialization II: Triangular relations based on genital instincts
Lecture 14: Tasks of socialization III: Latency and adolescence
Lecture 15: Tasks of socialization IV: Adulthood and old age
II. Winnicott within the history of psychoanalysis
Summary: The History of Psychoanalysis will be studied in the present course through the dialogue established between Winnicott and the two groups of his predecessors and his contemporary interlocutors: 1) the psychoanalysts of the Freudian lineage (Freud, Klein, the first Bion, Lacan) and 2) the dissidents or independents (Jung, Ferenczi, Balint, Bowlby, Fairbain, late Bion, Kohut). This study will allow to explicit, in a more precise and detailed manner than the previous module, the paradigm shift created by Winnicott (consisting in his maturational theory, his psychopathology, his theory of human nature and his clinic) and his place in the development of Psychoanalysis.
Lecture 16: Winnicott about Winnicott
Lecture 17: Winnicott and Freud I: Freud´s personality analyzed. Freud´s paradigm
Lecture 18: Winnicott and Freud II: Neuroses and psychoses. Psychoanalytical clinic
Lecture 19: Winnicott and Freud III: Social order. Culture
Lecture 20: Winnicott and Klein I: Stage of the first theoretical feed vs. paranoid-schizoid
position and theory of envy
Lecture 21: Winnicott and Klein II: Stage of concern vs. depressive position. Early
Lecture 22: Winnicott and the first and the late Bion
Lecture 23: Winnicott and Lacan
Lecture 24: Winnicott and Jung I: The case Jung
Lecture 25: Winnicott and Jung II: Maturational theory as overcoming the opposition
between Freud´s psychoanalysis and Jung´s analytical psychology
Lecture 26: Winnicott and Ferenczi
Lecture 27: Winnicott and Balint
Lecture 28: Winnicott and Fairbairn
Lecture 29: Winnicott and Bowlby
Lecture 30: Winnicott and Kohut
III. Winnicott´s Psychopathology I – Psychoses and psycho-somatic disorders
Summary: This module will initially offer a general characterization of Winnicott’s psychopathology in the light of the theory of the maturational processes. It will then further study maturational disorders of a psychotic nature, understood as defensive organizations against interruptions in the maturational process resulting from environmental deprivation and originating during the period prior to the constitution of personal unity at the I AM stage.
Lecture 31: Health and illness in the light of the maturational processes
Lecture 32: Winnicott’s classification of the maturational disorders
Lecture 33: Winnicott’s concept of trauma
Lecture 34: Birth trauma and corresponding defenses
Lecture 35: Primitive agonies and fear of breakdown
Lecture 36: Psychotic defenses against primitive agonies
Lecture 37: Child schizophrenia (autism)
Lecture 38: Split-off intellect defense (latent schizophrenia)
Lecture 39: False-self defense. Borderline personalities
Lecture 40: Schizoid personalities
Lecture 41: Disorders in the area of transitional phenomena
Lecture 42: Disorders occurring during the disillusionment process (weaning)
Lecture 43: A. Disorders of the stage of the use of an object. B. Disorders of the I AM
Lecture 44: Psycho-somatic disorders I
Lecture 45: Psycho-somatic disorders II
IV. Winnicott´s Psychopathology II: Other maturational disorders
Summary: This module aims to present Winnicott’s conception of the nature and aetiology of the principal maturational disorders originating most often after the primitive stages that culminate in the I AM stage, when acute risk of psychosis no longer exists. It is during this maturational stage that depressions, concern paranoias, disorders regarding family life, antissocial tendency, neuroses, disorders related to instincts, adolescent doldrums as well as problems regarding socialization in adult life.
Lecture 46: Disorders of the stage of concern: general characteristics
Lecture 47: Reactive depressions
Lecture 48: Impurities of depression
Lecture 49: Paranoias of the stage of concern
Lecture 50: Antisocial tendency I: Nature and aetiology
Lecture 51: Antisocial tendency II: Lectureification of symptoms
Lecture 52: Delinquency and character disorders
Lecture 53: Disorders of socialization in family life and in groups
Lecture 54: Issues regarding the development of pre-genital and genital instincts, sexual
identity and gender identity
Lecture 55: Disorders of triangular family relations with a genital basis (neuroses) I
Lecture 56: Disorders of triangular family relations with a genital basis (neuroses) II:
Lectureification of defenses – regressions and neurotic defenses
Lecture 57: Disorders of schooling: attention and learning
Lecture 58: Disorders of socialization in adolescence
Lecture 29: Disorders of socialization revealed in problems with democracy
Lecture 60: Disorders of socialization resulting from social conflicts, exclusive
rationalization (objectification) and issues of cultural life. Problems of aging
and of the end of the maturational processes
V. STC I: Basic aspects of Winnicott´s clinic and training
Summary: Considering the results of the four theoretical modules presented previously, this module aims not only to study Winnicott’s psychoanalytic clinic but the whole spectrum of clinical modalities that he practiced, clarifying the theoretical foundations of each one of them as well as practiced and recommended procedures. In addition, the training proposed by Winnicott for professionals of different areas will be discussed in the light of his theory of the maturational processes and his psychopathology.
Lecture 61: The patient: Unattended maturational needs
Lecture 62: The Winnicottian therapist
Lecture 63: Winnicottian treatment: general aspects
Lecture 64: Winnicottian treatment by verbalization (talking cure)
Lecture 65: The treatment of psychoses by individual non-standard analysis (care-cure)
Lecture 66: The treatment of antisocial tendency by individual and/or institutional care:
an application of the common foundations of the Winnicott´s clinic
Lecture 67: Winnicott´s project of child psychiatry: an application of the common
foundations of Winnicott’s clinic
Lecture 68: A. Therapeutic consultations in child psychiatry. B. Therapy on demand in
Lecture 69: Common foundations of Winnicott´s clinic applied to therapeutic procedures
in other medical areas, in psychiatric social work, in social work in general,
Lecture 70: Training of therapists in different clinic modalities according to the basic
theoretical commitments of Winnicott´s paradigm
VI. STC II: Winnicott’s brief clinical cases
Summary: This module aims to study Winnicott’s brief reports of clinical cases. The only exception will be the case report by Margaret Little, a patient of Winnicott. The aim is to provide examples in addition to those given in the previous modules of
1) variety of disorders treated by Winnicott in his clinic (psychoses, depressions, antisocial tendency, neuroses, disorders of adolescence, etc.)
2) aetiology of disorders in each case according to the moment of the interruption in the maturational process (birth, lactation, childhood, adolescence, adult life),
3) treatment procedures (Winnicott´s psychoanalysis and psychotherapy, use of the family as mental hospital, general and psychiatric social assistance, residential therapy),
4) limits of the resources of Winnicott´s clinic. (Other aspects of the Winnicott´s clinic will be clarified with the study of the case Piggle and the case B – SCT III and SCT IV. Some cases may be replaced by others as the module progresses.)
Lecture 71: The case Margaret Little
Lecture 72: The case of the young woman who relived her birth
Lecture 73: The case of the young woman who dreamed of a turtle
Lecture 74: The case FM
Lecture 75: The case Phillip
Lecture 76: The case Patrick
Lecture 77: The case of the woman of the jewels
Lecture 78: The case Jane
Lecture 79: A. Cases of adoption. B. Cases of psychiatric social work
Lecture 80: The case George
VII. STC III: The case Piggle
Summary: This module aims to analyze step by step the treatment given by Winnicott to a child with problems of paranoia, reactive depression, dissociation and antisocial behavior resulting from deprivation by the parental couple which took place during the maturational stage of concern, and in particular by the loss of maternal care which was good enough in earlier periods. This case illustrates many essential aspects of Winnicott´s theory of the maturational processes, of his pathology and clinical practice, especially his “psychoanalysis on demand” – the use of members of the family (the father) as elements of the setting (amplified setting) and the use of the family itself as a “mental hospital” (“shared psychoanalysis”) and as a therapeutic agent.
Lectures 81- 90.
Winnicott, D. W. 1977. The Piggle.
VIII. STC IV: The case B
Summary: The seminar aims to study those texts by Winnicott which discuss the case of patient B. In addition to clarifying the nature and aetiology of the case (psychotic depression with schizoid features resulting from deprivation by an intrusive mother) and to addressing the purely clinical aspects, namely Winnicott’s use of standard treatment by verbalization (talking-cure) in combination with the care-cure, the seminar will focus on the theoretical results extracted Winnicott from this material such as the concepts of mother’s lap as initial environment and of regression to dependence as the beginning of the cure process.
Winnicott, D. W. (1954). “Withdrawal and Regression”. In: Winnicott, 1958, cap. 20.
Winnicott, D. W. (1958): Through Paediatrics to Psychoanalysis. London: Karnac .
Winnicott, D. W. (1972). Holding and Interpretation. New York: Grove Press.
IX-XII. Group supervision seminars I-IV
Summary: The seminar will consist of supervision work aiming to assist the students in practicing Winnicott´s psychoanalysis as well as other modalities of Winnicott’s clinic. Reports of clinical cases from different modalities of the Winnicottian clinic will be considered in order to help with the monitoring.
Ten 3-hour classes.
5. DISTRIBUTION OF MODULES OVER 4 YEARS
Foundations of Winnicott’s psychoanalysis: theory of the maturational processes (basic elements of Winnicott´s paradigm)
Winnicott in the history of psychoanalysis
Winnicott’s psychopathology i: the psychoses and psycho-somatic disorders
Winnicott’s psychopathology ii: other maturational disorders
1. Theoretical clinical seminar I: basic concepts of Winnicott’s clinic
2. Group supervision of case reports presented by trainees I
1. Theoretical-clinical seminar II: short cases reported by Winnicott
2. Group supervision of case reports presented by trainees II
1. Theoretical-clinical seminar IV: the B case (Holding and interpretation)
2. Group supervision of case reports presented by trainees III
1. Theoretical-clinical seminar III: the Piggle case
2. Group supervision of case reports presented by trainees IV