F
our months ago, we sent out an
Internet survey to 1,400 of our mem
bers for feedback about how they use
their NYSSCSW membership benefits. The
response rate was a surprising 15.6% and
the content was thought provoking.
The number one membership benefit
was the Listserv—winning a rocking 51.6%
of the vote. This was followed by Advocacy
(14.2%), Educational Programs (12.3%), and
Networking (7.3%). The Clinician, Chapter
Meetings and Friday E-news all hovered
around 5%. Although 74% of the respon
dents use NYSSCSW for information about
insurance and managed care, their source
seems to be the Listserv.
It is interesting to note that the Listserv
features many opinions, unlike The Clinician
or the Friday E-news, which offer fact-
checked reporting on changes in Medicare,
CPTS codes, relevant New York State legisla
tion, and other clinical practice changes.
IN THIS ISSUE
3 Continuing Ed Taskforce
6 Understanding PQRS
7 CSWs as Diagnosticians
9 EFT for Couples
CONTINUED ON PAGE 8
CONTINUED ON NEXT PAGE
TH E N EWSLETTE R OF TH E N EW YORK STATE SOCI ETY FOR CLI N ICAL SOCIAL WORK, I NC.
SPRING 2014 | VOL. 45, NO. 1
What makes the Listserv uniquely popular
is that it is a social medium. It links clini
cians in a community conversation, a free
exchange of information and opinion. It is
not a one-way, “top-down” form of commu
nication. Food for thought.
What was most surprising in the survey
was the attendance rate for educational
programs, which we endeavor to make
clinically informative. Only 13% of our
members attend the statewide Annual
Educational Conference in the spring,
and just 10% attend the Annual General
Membership Meeting in the fall. The last
membership meeting featured an impor
tant update on privacy and confidentially
issues impacting clinical practice. So what
does this imply for our plans to become
your preferred provider for continuing
education, in line with the newly passed
continuing education law?
president’s message
Survey Reveals Preferred Member Benefits
Listserv, Advocacy, Education and Networking Top the List
By Marsha Wineburgh, DSW, LCSW-R, State President
Legislative Committee
Health Exchanges Bring Old
Challenges to Insurance
Reimbursement
By Marsha Wineburgh, DSW,
State President, Legislative Chair
New York State purchasers of new policies
on the health insurance exchange have been
outraged by unexpected out-of-network
charges for medical services from hospitals
and specialists. A lack of transparency, and
little to no out-of-network benefits, charac
terizes the plans offered by the insurance
industry here. Neither the purchasers of
the policies nor the providers of health care
have been offered essential policy coverage
information.
Many of these issues are reminiscent
of the difficulties created by insurers two
decades ago, when managed care was finally
reined in by the State Legislature. How
these policies will impact out-of-network
psychotherapy services is yet to be seen.
The Medical Society for the State of
New York (MSSNY) has initiated legisla
tion promoting consumer protection and
more flexible insurance plans for many
years. Most recently, in 2012, Senator Kemp
What are you doing Saturday, May 10?
Come to NYSSCSW’s 45th Annual Education Conference
Facing Impasses:
Identification and Working Through
Information and Registration, P. 4-5
2 The Clinician www.NYSSCSW.org
As you will remember, Chapter 443 of the Laws of 2013
requires all LMSWs and LCSWs to complete 36 hours of
mandatory continuing education when registering to practice,
effective January 1, 2015. (There is a phase-in period that
requires renewing licensees to provide proof of one credit
hour per month in the registration period after January 1,
2015.) Draft regulations have been circulated for comment
that establishes requirements and standards for the State
Department of Education’s approval of continuing education
providers. Continuing Education regulations, once approved by
the Education Department, will be available on our website.
Here are the basics:
• CE must contribute to the professional practice of social work.
• CE must be offered by an approved provider (organization)
based on an application and fee.
• Acceptable courses include university and college credit
and non-credit courses; or
• Preparing and teaching a course offered by a sponsor
of CE, or taught at a psychotherapy institute, college or
university that relates to the practice of social work;
• Making a technical presentation at a professional confer
ence sponsored by an organization that is a provider of CE;
• Completing a self- study program offered by a provider
approved of by the Department;
• Authoring a first time article published in a peer-reviewed
journal or a chapter in a published book;
• Authoring a first time book in the practice of social work.
New Office-based CE Program
The Clinical Society has offered continuing education credits
for conferences and workshops for many years to comply
with the requirements of neighboring states and other pro
fessional associations. We are well prepared to embrace this
new law, which will require collecting, organizing and main
taining CE attendance records for a minimum of six years.
Most exciting for NYSSCSW is the development of a new
office-based short-term continuing education program, which
will utilize the knowledge and practice skills of our members
who wish to prepare and offer a course in their private prac
tice office. This program was conceived by the Continuing
Education Task Force (the members are Helen Goldberg,
Richard Joelson and myself). The structure and fee schedule
are being developed. We hope the trial period will begin in
late June or early September.
Tell me and I’ll forget. Show me, and I may
remember. Involve me and I’ll understand.
—Native American Proverb
AD SIZE
MEASUREMENTS
1 TIME
2 TIMES
2/3 Page
415/16” w x 10” h
$325
$295
1/2 Page Vertical
3 5/8” w x 10” h
$250
$225
1/2 Page Horizontal
7 1/2” w
x 4 7/8” h
$250
$225
1/3 Page (1 Col.)
2 3/8” w x 10” h
$175
$160
1/3 Page (Square)
415/16” w x 4 7/8” h
$175
$160
1/4 Page
3 5/8” w x 4 7/8” h
$140
$125
1/6 Page (1/2 Col.)
23/8” w
x 4 7/8” h
$ 95
$85
Display ads must be camera ready. Classified ads: $1 /word; min. $30 prepaid.
NEW YORK
STATE
SOCIETY
FOR
CLINICAL
SOCIAL
WORK,
INC.
CONTINUED FROM PAGE 1
Published twice yearly by the
New York State Society for Clinical Social Work, Inc.
243 Fifth Avenue, Suite 324, New York, NY 10016
Website: www.NYSSCSW.org / Tel: 1-800-288-4279
Ivy Miller, Newsletter Editor
3 Sunset Drive, Sag Harbor, NY 11963
E-Mail: ivy.lee.miller@gmail.com / Tel: 917-620-3460
Helen Hinckley Krackow, Newsletter Chair
Ad Deadlines: February 15 and October 1
STATE EXECUTIVE COMMITTEE
President
Marsha L. Wineburgh, MSW, DSW, LCSW, BCD mwineburgh@aol.com
First Vice President
Martin Lowery, MSW, LCSW-R mlowery@maryknoll.org
Second Vice President
Helen H. Krackow, MSW, LCSW hhkrackow@aol.com
Treasurer
Shannon Boyle, MSW, LCSW shannonboyle@hotmail.com
Secretary
Richard B. Joelson, DSW, LCSW rbjoelson@aol.com
Past President
Jonathan Morgenstern, MSW, M.Ed.,MA,LCSW mjonathanM@aol.com
CHAPTER PRESIDENTS (P) & VOTING REPS (VR)
Metropolitan P.
Karen Kaufman, Ph.D., LCSW karenkaufman17@gmail.com
Mid-Hudson P.
Rosemary Cohen MSW, LCSW rosemarycohen@gmail.com
Nassau VR.
Joseph Reiher, LCSW mitygoodtherapy@gmail.com
Queens P.
Fred Sacklow, MSW, LCSW freds99@aol.com
Rockland P.
Orsolya Clifford, LCSW-R ovadasz@optonline.net
Staten Island P.
Janice Gross, MSW, LCSW, ACSW JGross1013@aol.com
Suffolk VR.
Richard Karelis, LCSW, BCD RKcsw84@juno.com
Westchester VR.
Jody Porter, MSW, LCSW jodyp100@aol.com
MEMBERS-AT-LARGE
Metropolitan
Chris Ann Farhood, MSW, LCSW chrisfarhood@yahoo.com
Nassau
Linda Wright, MSW, LCSW lwrightlcsw@aol.com
Rockland
Beth Pagano, MSW,LCSW bethpagano678@msn.com
Staten Island
Andrew Daly, MSW, LCSW-R apdalylcsw@msn.com
Westchester
Rita C. Smith, Ph.D., LCSW ritacopesmith2@verizon.net
STATE COMMITTEE CHAIRS (Appointed)
Annual Education Conference Meryl Alster, MSSW, LCSW-R merylgalster@yahoo.com
By-Laws
Beth Pagano, MSW, LCSW Bethpagano678@msn.com
Creativity & Transformation
Sandra Indig, MSW, LCSW, ATR-BC psych4art@hotmail.com
Ethics & Professional Stds.
Martin Lowery, MSW, LCSW mlowery@maryknoll.org
David Phillips, DSW, LCSW dgphillips@nyc.rr.com
General Membership Meeting Dore Sheppard, MSW, Ph.D., LCSW doreshep@yahoo.com
Leadership
Beth Pagano, MSW, LCSW bethpagano678@msn.com
Legislative
Marsha Wineburgh, DSW, LCSW-R mwineburgh@aol.com
Listserv
Robert S. Berger, Ph.D., MSSW, LCSW rsb111@columbia.edu
Membership
Richard B. Joelson, DSW, LCSW rbjoelson@aol.com
Mentorship
Helen Hinckley Krackow, MSW, LCSW, BCD hhkrackow@aol.com
Newsletter
Helen Hinckley Krackow, MSW, LCSW, BCD hhkrackow@aol.com
Friday E-news
Helen T. Hoffman, MSW, LCSW helenhoffman@verizon.net
Research
Jacinta (Cindy) Marschke, MSW, Ph.D., LCSW-R cindy210@hvc.rr.com
Vendorship & Managed Care Helen T. Hoffman, MSW, LCSW helenhoffman@verizon.net
Website
Helen T. Hoffman, MSW, LCSW helenhoffman@verizon.net
president’s message
2014 board of directors
NYSSCSW Administrative Office
243 Fifth Avenue, #324, New York, NY 10016
800-288-4279; info.nysscsw@gmail.com
Spring 2014 3
T
he NYSSCSW is committed to providing clinically relevant
educational opportunities to its members. Traditionally, these
opportunities consist of large statewide and chapter-based
conferences and workshops offered continuously throughout the year
on topics of general interest. Often, but not always, continuing educa
tion credits or units (CEUs) are offered for these educational events.
As of January 1, 2015, CEUs will be required for re-registration
to practice in New York State. According to Chapter 443 of the Laws
of 2013, each licensed master social worker (LMSW) and licensed
clinical social worker (LCSW) will need to complete 36 hours of
acceptable continuing education credits prior to their next triennial
registration. If one’s registration is due before January 1, 2018, one
is required to have one CE credit per month. For example, if the
registration were due in September 2015, one would have to demon
strate nine acceptable CEUs for the nine month January-September
2015 period.
The newly formed NYSSCSW Continuing Education Taskforce
(CETF) is developing a series of short courses on various topics as
an educational service to the general membership. These one-to-
three session courses will be offered in the offices of Society mem
ber-instructors whose submitted course proposals are accepted
by the CETF. Courses offered in members’ offices can provide an
opportunity to explore issues in small group format, allowing for the
study of subjects either more in depth or not offered at more formal
conferences.
Guidelines for submission of course proposals will be available
in the next few months. In addition, a CE course fee structure will
be developed and announced. Preparing and delivering an approved
CE course instruction qualifies as a Continuing Education activity
and, once approved, is granted CE credit.
It is our hope that these courses will enable our members to
have greater, more convenient and affordable access to quality
educational opportunities within our organization. We are working
diligently to make it less necessary for members to seek outside
sources of new knowledge and skill building, preferring to have their
educational needs met “in-house.”
Continuing Education Taskforce Formed
please welcome the new members of the nysscsw*
NAME
CHAPTER
Alves, Ann M., LMSW
ROC
Aronowitz, Judith
MET
Bacino, Linda, LCSW-R
MID
Bailey, Shoshanna B.
QUE
Barber, Ethel, LCSW
MET
Barreiro, Norma
MET
Brodsky, Shauna, LCSW
MET
Burleson, Jennifer
MET
Cargulia, Laurie
ROC
Carrieri, Patrice
ROC
Carroll-Clarke, Elizabeth, LCSW
MID
Cote, Caitlin, LMSW
MET
Creagan, Rachel
MET
Datri, Susan, LCSW-R
WES
Davidson, Cara, LCSW
WES
Defilippi, Amy
MET
Deluise, Linnea
MET
Drayer, Felisa G., LCSW
SI
Eisenberg, Deborah W., LCSW-R
MID
Elissa, West K., LCSW
MET
Elson, Meredith, LCSW
MET
Fryman, Rachel, LMSW
MET
NAME
CHAPTER
Gonzalez, Sylvia
MET
Griffiths, Amber
MET
Gringorten, Judith
MET
Grinman, Victoria
MET
Harris, Ella L., LCSW-R
MET
Hartman, Eric D., MSW, LCSW
MET
Heller, Rebecca H.
MET
Hoffman, Karen M., LCSW
MET
Ingram, Susan
MET
Jones, Melissa
MET
Kunkin, Tracey F., LCSW
SI
Kuppersmith, Debra, LCSW
MET
Kurzyna, Marilyn
MET
Lehman, Ellen J.
MET
Lehmann, Elizabeth E.
MID
Lifshitz, Iris, LCSW
MET
Linder, Vivian
WES
Lobel, Tamie
WES
Malave, Carlos
MET
Meyer, Shari B., LCSW
ROC
Miller, Martha E.
MET
NAME
CHAPTER
Miller, Candice S., LCSW
WES
Mustelier, Sandra Ibelka
QUE
Oddone, Angela
MID
Patsiner, Jenifer, MSW, LCSW
NAS
Perkins, David W., LCSW
MET
Rios-Malave, Melissa
MET
Rothauser, Caryn
MET
Ryan, Bonnie
MET
Sank, Ariel
MET
Schaffner, Michelle, LCSW-R
MET
Schorr, Karyn F.
WES
Shah, Lauren
MET
Snyder, Barbara, LMSW
MET
Solomita, Teresa, MSW, LCSW-R
MET
Stursberg, Courtney R.
MET
Thorp, Pamela, LCSW
MET
Velez-torres, Mary L.
ROC
Weissman, Susan
MET
Williams, Lorena, LMSW
ROC
Yates, Penelope
MET
Zampella, Michael, LCSW
SI
CHAPTER KEY: MET–Metropolitan, MID–Mid-Hudson, NAS–Nassau County, QUE–Queens County, ROC–Rockland County,
SI–Staten Island, WES–Westchester County.
*These new members joined between Nov. 1, 2013 and Feb. 28, 2014.
4 The Clinician www.NYSSCSW.org
The 45th Annual Conference of the New York State Society for Clinical Social Work
Facing Impasses: Identification and Working Through
Saturday, May 10, 2014 | 8:00am – 4:00pm
The Nightingale-Bamford School, 20 East 92nd Street, New York, NY
REGISTRATION FORM: NYSSCSW 45th Annual Education Conference, May 10, 2014, 8:00 am – 4:00 pm
Name:
Address:
Telephone:
E-mail:
ADVANCE REGISTRATION AND WORKSHOP PREFERENCES DUE BY MAY 2, 2014
Five CEU credits are available. CEU credits will only be granted for the workshops for which participants have registered.
Please add $10 for CEU credits.
CONFERENCE FEES
IN ADVANCE
AT THE DOOR
MEMBER
$125
$135
NON-MEMBER
$140
$150
MSW STUDENT*
$50
$60
For membership information go to www.clinicalsw.org
*Include a photocopy of student I.D.
PREFERENCES:
Workshops Group 1
Workshops Group 2
1.
1.
2.
2.
3.
3.
CANCELLATION POLICY: Refunds will be granted on or before May 2, 2014
PLEASE MAKE CHECK PAYABLE TO: NYS Society for Clinical Social Work
RETURN TO: Total Management Solutions, 55 Harristown Road, Suite 202, Glen Rock, NJ 07452
We work with our patients to help them
overcome difficulties that are impeding
their ability to reach a fuller life. However,
sometimes the treatment reaches an impasse.
Join us on Saturday, May 10 to explore this
important issue. It will be a day of thought
provoking presentations and workshops—
a day to help you deepen your practice and
connect with colleagues. Register today
by mail or online at www.nysscsw.org.
8:00 AM
REGISTRATION AND REFRESHMENTS
8:45 AM
WELCOME, OPENING REMARKS AND INTRODUCTIONS
Marsha Wineburgh, DSW, President, NYSSCSW
Meryl G. Alster, LCSW, Chair, Annual Education
Conference Committee, NYSSCSW
9:15 AM to 12:00 PM
KEYNOTE PRESENTATIONS
12:00 PM to 1:15 PM
LUNCH
1:15 PM to 2:30 PM
AFTERNOON WORKSHOPS/Group 1
2:35 PM to 3:50 PM
AFTERNOON WORKSHOPS/Group 2
SCHEDULE
Spring 2014 5
AFTERNOON WORKSHOPS, GROUP 1
1:15 – 2:30 PM
A. HYPNOTIC TOOLS FOR WORKING WITH IMPASSES
Susan Dowell, LCSW, BCD, (ASCH approved consultant)
Co-Director, Center for the Advancement of Training in
Clinical Hypnosis (CATCH)
Judith Kurzer, LCSW, (ASCH approved consultant) Co-Director,
Center for the Advancement of Training in Clinical Hypnosis (CATCH)
B. IMPASSES AND NEUROPSYCHOEDUCATION: THE FRINGE
BENEFITS FOR CLINICAL PRACTICE
Victoria Grinman, LCSW, Adelphi University
Sandra Indig, LCSW, LP, ATCB, Washington Square Institute
for Psychotherapy and Mental Health
Inna Rozentsvit, MD, Ph.D., MSciEd, MBA, Object Relations
Institute for Psychotherapy and Psychoanalysis
C. EXPLORING FAT PHOBIA, SHAME AND COMPULSIVE OVER-
EATING: UNDERSTANDING OBESITY
Heather Ferguson, LCSW, Institute for the Psychoanalytic Study
of Subjectivity (IPSS)
Susan Klebanoff, Ph.D., Supervisor, Ferkauf Graduate School
of Psychology, Yeshiva University
Caryn Sherman-Meyer, LCSW, Vice President, Board of Directors,
Co-Director, License Qualifying Program in Psychoanalysis,
Faculty, Supervisor, Training Analyst, National Institute for the
Psychotherapies (NIP)
D. UNCONSCIOUS BLIND SPOTS AND ENACTMENTS: SOCIAL
CLASS AND STATUS, AN UNDERAPPRECIATED ASPECT OF THE
THERAPEUTIC ACTION
Cathy Siebold, DSW, Faculty, Supervisor, Psychoanalytic
Psychotherapy Study Center (PPSC)
E. USING OUR SUBJECTIVITY TO NEGOTIATE CLINICAL IMPASSES
AND DISRUPTIONS: A RELATIONAL FRAMEWORK
Susan Gill, Ph.D., LCSW, Postgrad Psychoanalytic Society &
Institute
F. SEX THERAPY WITH A PARTNERED MAN WHOSE MATE DECLINES
AN INVITATION TO COME IN FOR COLLATERAL TREATMENT
Sari Eckler Cooper, LCSW, Certified Sex Therapist, The American
Association of Sexuality Educators, Counselors and Therapists
(AASECT)
AFTERNOON WORKSHOPS, GROUP 2
2:35 – 3:50 PM
G. UTILIZING EGO STATE MODELS TO FACILITATE THE WORKING
THROUGH OF IMPASSES IN TREATMENT
Susan Pinco, Ph.D., LCSW, BCD, CCR, Certified EMDR Consultant
H. THERAPEUTIC IMPASSE: WHEN MOTHER & FATHER
TRANSFERENCE MEET WITH THE COUNTERTRANSFERENCE
COLLUSION
Susan Kavaler-Adler, Ph.D., ABPP, DLitt, NCPsyA, Founder &
Executive Director, Object Relations Institute for Psychotherapy
and Psychoanalysis
I. THE SEVEN DANGERS OF BLURRED BOUNDARIES IN GROUP
PSYCHOTHERAPY: SOME CLINICAL AND ETHICAL IMPLICATIONS
Robert S. Pepper, Ph.D., LCSW, Director of Training, Long Island
Institute for Mental Health (LIIMH)
J. WHAT’S LOVE GOT TO DO WITH IT? THE USES AND MISUSES OF
THERAPIST’S LOVE IN THE TREATMENT DYAD
Teresa Solomita, LCSW, NCPsyA, Center for Modern
Psychoanalytic Studies
K. DO WE TALK OR NOT TALK ABOUT POLITICS WITH THE PATIENT?
Ruth Lijtmaer, Ph.D., Senior Supervisor, Training Analyst and Faculty,
Center for Psychotherapy and Psychoanalysis of New Jersey
L. FACING TREATMENT IMPASSES IN THE TREATMENT OF
SUBSTANCE ABUSERS
Betsy Robin Spiegel, LCSW, Supervisor, Senior Psychotherapist,
Blanton Peale Counseling Center
THE ANNUAL EDUCATION CONFERENCE COMMITTEE
Meryl G. Alster, LCSW (Chair)
Daphne Leahy Matteo, LCSW
Marie McHugh, LCSW
Dale B. Schneitzer, LCSW
KEYNOTE PRESENTATIONS, 9:15 AM – 12:00 PM
WORKING THROUGH SEXUAL DISGUST IN COUPLES THERAPY
Lawrence Josephs, Ph.D. is a professor at the Derner Institute of Advanced Psychological Studies of Adelphi University. He has served on
the North American Editorial Board of the International Journal of Psychoanalysis and has been a Fellow of the College of the International
Journal of Psychoanalysis. In addition, he has served as a reviewer for Psychoanalytic Psychology. In recent years, Dr. Josephs has published
articles in the International Journal of Psychoanalysis, Psychoanalytic Psychology, and Dynamic Psychiatry, building bridges between
psychoanalysis and evolutionary psychology in the area of adult romantic relationships. Dr. Josephs is in the private practice of individual
and couples therapy in New York City.
BACK TO THE FUTURE
First Sessions with Klein, Winnicott and A. Freud: How Their Approach to Treatment Speaks to Us Today
Louise DeCosta, Ph.D., LCSW is a faculty member, supervisor and training analyst currently affiliated with the Postgraduate Psychoanalytic
Institute, and a member of the C.G. Jung Foundation for Analytical Psychology. In private practice for more than 30 years, her training
includes work and study in the USA, Mumbai, India, and London at The Tavistock Clinic. She is the Creative Director for dramatic readings
of The Freud/Jung Letters (premiered New York City, 2011), and The Freud/Ferenczi Letters, (premiered in Prague, 2013).
6 The Clinician www.NYSSCSW.org
Understanding PQRS
T
he Physicians Quality Reporting System, a Medicare
initiative to improve quality of care, has confounded
many members as they try to absorb the complicated
requirements that are being enforced with penalties by CMS.
In 2016, providers who have not complied this year will see a
2% “payment adjustment.”
What is behind this initiative and what will be the impact
on psychotherapy? The intention seems to be to address
situations such as smoking, substance abuse, undiagnosed
depression, or carelessly prescribed medication, which will
ultimately lead to poor health outcomes. The focus is on
Wellness. Medicare’s stated goal is to make early identifica
tion of potentially harmful conditions and get the cost down.
Medicare providers need to educate themselves about
these requirements and can find this information on the
NYSSCSW website at www.nysscsw.org/vendorship-a-
managed-care. Another important resource is Medicare’s
QualityNet Help Desk at 866-288-8912.
Here is the bottom line: providers need to report the
use of three screening measures on 50% of their Medicare
patients using new codes called QDCs (Quality Data Codes)
on claims filed for 2014, or else they will receive a penalty.
One screening could be as simple as asking the patient, “Do
you smoke?” Another measure could be a creating a “Record
of Medications” in the chart.
Vendorship and Managed Care Committee
By Helen T. Hoffman, LCSW, Chair
Medicare wants providers to submit a code for every
condition that applies to a patient. While using nine different
measures is their goal, this is unrealistic in a private prac
tice. (It might be possible if the work were in an institutional
setting.) It appears that reporting on three measures per
year is sufficient to avoid the “payment adjustment.”
What will become of all this data and how will it affect
patients? One patient asked, “Will Medicare be calling me
to follow up?” It seems unlikely, but this is a good question.
Providers need to treat this like any other disclosure of
patient information and explain the new requirements.
If the patient does not wish to comply, there are codes
for not doing a screening.
As with any new program, there may be unforeseen
consequences. Laura Groshong, LICSW, the Director
of Government Relations for the Clinical Social Work
Association (www.cswa.org), has written in depth about
PQRS, and continues to explore some of the privacy issues,
inconsistencies, and unknowns in the program. She will be
providing a webinar on the topic for NYSSCSW this spring.
The Friday E-News is a group email that provides news
of general interest to all Society members. Edited by
Helen T. Hoffman, LCSW, since its inception in 2012,
Friday E-News has become an important resource for
1,500 readers statewide.
News items include announcements about annual
meetings or events presented by the chapters as well as
bulletins of interest about practical issues such as insur
ance requirements or changes. It is a place to report a
late-breaking development, for example the SAFE Act or
the new CEU requirement.
The Friday E-News holds up a mirror to the incredible
array of clinical interests among our members. In recent
months presentations were offered on Treatment Failure,
Equine Therapy, EMDR, The Effect of Trauma on Children,
Compulsive Gambling, Death Anxiety, Best Practices with
LGBTQI Populations, Post-Affair Obsessive Question
ing, Sexuality and Aging, the DSM 5, the Biology of the
Beholder’s Response to Art, Self Care for Social Workers,
and Speed Networking. There have been field trips to
the Museum of Modern Art and film discussions of
The Sessions, Smashed and Don Juan De Marco.
The Friday E News is a work-in-progress as we become
oriented to all the new means of communication in our
profession. Submit new items for the E-News by Thursday
noon to info.nysscsw@gmail.com.
The Friday E-News
For News, Articles and Chapter Contacts, please
visit www.nysscsw.org/vendorship-a-managed-care
Spring 2014 7
The following material is summarized from an
article published in Volume 41, No. 2 of the Clinical
Social Work Journal, June 2013, a special issue on the
Implications for Social Work Practice of the DSM-5.
Introduction
Beginning in 1980, several far-reaching and inter-related
trends have had a profound effect on the practice of clini
cal social workers. These trends include the increasing
“medicalization” of diagnosis, starting with the publication
of the third edition of the Diagnostic and Statistical Manual
of the American Psychiatric Association (DSM-III). This
trend, toward use of the medical model of diagnosis, has
been accelerated by the increasing involvement of insurance
systems, operating under the principles of managed care, in
the provision of benefits for the treatment of psychological
difficulties. These insurance systems require that treatment
be justified by the demonstration of “medical necessity,” a
requirement that has come to mean, at a minimum, the provi
sion of a DSM diagnosis.
At the same time, there has been an increase in the num
ber of states that have enacted laws licensing the practice
of clinical social workers and including “diagnosis” in the
scope of practice of that license. (New York is one of those
states, and “diagnosis” is in the scope of practice section of
the law that licenses LCSWs.) A curious and ironic outgrowth
of these developments is that more clinical social workers
than ever have the legal authority to diagnose individuals
suffering from emotional disorders and, at the same time,
they are required to diagnose using a system that many feel
is incompatible with the principles and values of the social
work profession.
Clinical Social Workers as Diagnosticians:
Legal and Ethical Issues
PART 1: The Development of the Current DSM
By David G. Phillips, DSW, LCSW, Co-Chair of the Committee on Ethics & Professional Standards
CSWS as Diagnosticians
In an article aptly titled “DSM-III and the Transformation
of American Psychiatry,” Mitchell Wilson (1993) states that
from the end of World War II until the mid-1970s the organiz
ing model for American psychiatry was a “broadly conceived
psychosocial model, informed by psychoanalytic and socio
logical thinking” (p. 400). The essence of treatment within
this model was to “understand the meaning of the symptom
and undo its psychogenic cause, rather than to manipulate
the symptom directly.” This psychosocial model had a major
influence on DSM-I, published in 1951. It did not take long,
however, for problems to develop around the use of DSM-I,
and then with DSM-II, which was similar in its reliance on a
psychosocial and psychoanalytic orientation.
For one thing, the psychosocial model did not clearly
distinguish between the well and the sick, so psychiatric
diagnosis seemed arbitrary because of the fluid boundary
between normal and abnormal. By the mid-1970s, in addition,
resource dollars from governmental sources were becoming
constricted. The psychiatric profession was being challenged
to become more accountable for its practices, and the issue
of diagnosis was central to the issue of accountability in
assessment and treatment (p. 402-03). Diagnosis within the
psychosocial model of the first two DSMs had little of what
researchers call “reliability,” and there was only a random
chance that two psychiatrists would agree on the diagnosis
of a given patient (p. 403). Many psychiatric authors claimed
that psychodynamic psychotherapy had oversold itself and
argued for a return to “tough mindedness in psychiatric
thinking” (p. 402). Another important development was the
increasing use of psychotropic medication in the treatment
of the mentally ill and “Medications helped to create a need
for a more experimentally and empirically based psychiatry;
explicit diagnostic inclusion and exclusion were essential
elements in this endeavor (p. 404).
The revolution that had been brewing for years announced
itself in 1980 with the publication of DSM-III. It was at this
point that the diagnostic model moved from the psychoso
cial assessment of the earlier years to the medical model,
which characterizes current diagnosis. This “descriptive” or
medical model is based on an objective view of the patient’s
CONTINUED ON NEXT PAGE
8 The Clinician www.NYSSCSW.org
symptoms and, as Wilson (p. 405) describes, in the process
the DSM-III Task Force “decided that DSM-III would be a
descriptive manual which would emphasize the assessment
of easily observable symptoms. Clinical interference would
be kept to a minimum. Because the manual would be based
on the best available evidence, classification would not be
based on etiology unless this etiology had been proven.” With
the publication of DSM-III, “the essential focus of psychiatry
shifted from the clinically based biopsychoscial model to a
research medical model” (p. 400). DSM-III rapidly achieved
an importance and dominance unknown to its two prede
cessors. Clinical social workers, like other mental health
professionals, had to learn to use it, but concerns about this
development are still being expressed.
Barsky, for example, (2010, p. 320-321) points out that
interpersonal problems, and priorities such as cultural diver
sity, social justice, and spiritual issues, may be overlooked
or discounted and that “One of the strongest social work
indictments of the DSM is that diagnoses focus on illnesses
or pathologies. Whereas the strengths perspective of social
work encourages workers to identify and build on the positive
attributes and resources of patients.”
Almost 30 years ago Kutchins and Kirk (1987) argued that
the hierarchical model of the DSM required that organic con
ditions be ruled out before a diagnosis could be made, and
that social workers who made diagnostic conclusions without
medical consultation were committing “malpractice.” Even
the most active critics of the medical model of the DSM are
aware, however, that its use by social workers is inevitable
and unavoidable. As Dolgoff et al. conclude (2012, p. 138-39),
social workers must use the DSM because both governmen
tal and private insurance systems will only reimburse for
services based on an appropriate DSM diagnosis.
Clinical social workers in New York and other states
have made tremendous progress in being accepted as
independent providers of mental health services. In many
states, their licenses specifically authorize them to diagnose
patients However, whether they use the DSM or the ICD,
diagnosing means using the descriptive, medical model
based on symptoms and syndromes and required by insur
ance systems. The legal authority to diagnose patients also
carries with it a number of legal and ethical obligations and
potential pitfalls. These legal and ethical concerns were the
main subject of my original article published in the Clinical
Social Work Journal, and will be summarized in the next two
articles in this series.
References
Barsky, A. E. (2010) Ethics and values in social work. Oxford
University Press
Dolgoff, R., Harrington, E. & Loewenberg, F. (2012) Ethical
decisions for social work practice. (9th ed.) Belmont:
Brooks/Cole Empowerment Series
Kutchins, H. & Kirk, S. A. (1987) DSM-III and social work
malpractice. Social Work, May-June 1987
Wilson, M. (1993) DSM-III and the transformation of
American psychiatry: A history. The American Journal of
Psychiatry. 150 (3).
Hannon (R-Nassau, Chair of the Senate Health Committee)
introduced S.2551, a bill to address some of these issues. For
more specifics, go to www.mssny.org and search for Out of
Network Reform Advocacy Materials.
In the meantime, Assemblyman Richard Gottfried
(D-Manhattan, Chair of the Assembly Health Committee) has
introduced his own bill addressing these issues, A.5216. More
attention has been paid by Governor Cuomo, who has included
repairs to the exchanges in his current budget proposal.
Issues addressed include out-of-network benefits, usual and
customary rates, network adequacy and excessive charges.
At this time, there is no clear focus for action by Clinical
Society members, except to encourage patients to send com
plaints to their legislators directly. Psychotherapy services,
particularly downstate, will be affected, but exactly how is
not yet clear. We are in the process of collecting complaints
that you can send to Helen Hoffman, State Vendorship Chair,
or your chapter vendorship representative.
Worker’s Compensation S.2360/A.5299
We continue to pursue worker’s compensation reimburse
ment for clinical social work mental health services with
the support of the State Chapter of NASW. Our spon
sor in the Senate is Senator Jeff Klein (D-Bronx), who
holds the position of Senate co-majority leader; in the
State Assembly, our sponsor is Gary Pretlow (D-Yonkers/
Westchester), who has been historically supportive of
clinical social work legislation.
Clinical Social Workers as Diagnosticians CONTINUED FROM PAGE 7
Legislative Report CONTINUED FROM PAGE 1
Spring 2014 9
I
was working with couples after completing my training
at the Ackerman Institute when I was introduced by a
colleague to Emotionally Focused Therapy for Couples
(EFT) and the work of Dr. Sue Johnson, Ed.D., C. Psych.,
its primary developer.
EFT, with its focus on the drive of couples to connect and
be close, spoke to my right brain and found a natural fit. EFT
is integrative: this model of therapy looks “within” (intrapsy
chic), at how partners construct their emotional experience
of relatedness, and it also looks “between” (interpersonal),
at how partners engage with each other as a system. The goal
of EFT is to expand and reorganize key emotional responses,
thus creating a shift in the interactional patterns and new
interactions, as well as fostering the creation of a more
secure bond.
At the foundation of this model is attachment theory,
which helps define the features of the complex, multidimen
sional drama that plays out in distressed intimate relation
ships. John Bowlby, the British psychiatrist and the father of
attachment theory, articulated that the drive to attach to a
significant other is fundamental to all humans and hardwired
in us from cradle to grave. When the early primary attach
ment is safe and secure, people tend to approach relation
ships with more trust and adapt to stresses and events. When
the early attachment relationship is insecure, the subsequent
attachment relationships seem to be organized along two
dimensions: anxiety or avoidance.
In anxious attachment, the person is preoccupied with
the loved one: clinging, pursuing, even in aggressive ways, by
blaming, criticizing or making demands. On the other hand,
avoidant or detached withdrawal is an attempt to regulate
feelings and fears—fears of conflict, of being rejected by the
loved one, or not being “good enough.” These two attach
ment strategies can create a vicious negative cycle in an
adult intimate relationship. The more one partner pursues
out of disconnect and anxiety, the more the other partner
withdraws to protect himself or herself and the relationship.
The more the withdrawal, the more the pursuit, and more
reactive cycles develop to amplify distress.
The model of EFT developed by Dr. Sue Johnson pro
vides a clear roadmap of stages and steps in achieving the
goals. Stage One, De-escalation, focuses on assessment
and understanding the negative cycle and reframing it from
Emotionally Focused Therapy
for Couples (EFT)
By Janice Gross, LCSW
the attachment perspective. As the couple de-escalates
and reaches first order change, they are ready to move into
Stage Two, Restructuring the Bond. In this stage, the couple
is able to have two important change events: Withdrawer
Re-engagement and Blamer Softening. Each partner is able to
access and share attachment fears and needs from a vulner
able place, and receive a different, corrective response from
the other partner.
EFT is highly experiential, focusing on the present mo
ment in therapy. We may utilize somatic sensorium, a felt
bodily experience, meaning and cognition, or an expressive
reaction of the voice, breath or facial tone to heighten or
validate the emotions present. An EFT therapist will typically
start by validating secondary emotions of frustration, anger
and anxiety, or behaviors or action tendencies. The intent
is to work in the session to identify core primary emotions:
anger, sadness, fear, joy, surprise/excitement, disgust/shame.
In slowly identifying, validating and making clear how we
react in powerful ways to create mutual distress, we create
space for new emotional and interpersonal experience.
In EFT, the therapist is a process consultant, staying alert
to titrate, reframe or slow the process down to create more
safety or to fully understand how a defense “makes sense”
in the dynamic of interactions. In this way, new cycles can
emerge to address old problems or repair issues. Using
this framework, couples are helped to feel closer and have
compassion with each other.
Mr. and Mrs. O
Mr. and Mrs. O were referred to me for couples therapy by
a colleague. Married for 23 years, they had no significant
relationship trauma, such as an affair. They had grown apart
in raising their son and managing their careers. Mrs. O was
more vocal about the lack of attention and closeness with
her spouse.
Janice Gross, LCSW has been a licensed clinical social worker in New
York and New Jersey for 34 years and has 30 years of experience in
private practice. She has training in marriage and family therapy through
the Ackerman Institute for The Family and the International Center for
Excellence in Emotionally Focused Therapy. She is the President of the
Staten Island Chapter.
CONTINUED ON PAGE 12
10 The Clinician www.NYSSCSW.org
Chapter Reports
Metropolitan Chapter
Karen Kaufman, Ph.D., LCSW, President
Karenkaufman17@gmail.com
There is a lot of activity in the Met Chapter
and a lot happening in our field. We have
had some changes in the leadership, with
Lois Akner, LCSW taking over as 1st VP
and Amy Meyers, Ph.D., LCSW moving into
the role of 2nd VP from Member-at-Large.
We also welcomed two new Members-at-
Large to the Board, Mary Duhon, LCSW and
Shauna Brodsky, LCSW.
The Board continues to grow and expand
its educational, social and networking pro
grams and events for our members. Of par
ticular note is the launching of the LGBTQ
Committee with Judy Gringorten, LCSW as
Chair. The Committee on Psychoanalysis
is expanding its programming, along with
our popular Education Brunches, Speed
Networking and Member Receptions,
Trauma Studies, Family Practice, Substance
Abuse, The Aging Client and Clinician, and
Mentorship groups for new and recent grad
uates. The Listserv Committee continues to
fine-tune the listerv in order to ensure that
all members are using the resource in the
best way.
Board members and committee chairs
are always happy to hear from our mem
bers about your interests and professional
needs. We invite you to get involved in a
stimulating community of clinicians. Find
an area of professional practice that piques
your interest and join a committee, attend a
meeting and have a say in what takes place
in the chapter and in the Society. All contact
information is available in the Met Chapter
section of the website.
Mid-Hudson Chapter
Rosemary Cohen, MSW, LCSW, President
rosemarycohen@gmail.com
On Saturday, April 26, Mid-Hudson Chapter
and NASW Hudson Valley Division are
co-sponsoring a program for clinical social
workers on understanding the new require
ments for documentation, billing and pa
tient privacy. It will be held at Benedictine
Hospital [Health Alliance] Conference Room,
with no cost to members of the mental
health community.
On Friday, May 2, Mid-Hudson Chapter
will proudly co-sponsor the third confer
ence on the clinical treatment of veterans
and their families, “Healing the Military
and Veteran Community through Advancing
Traditional and Innovative Mental Health
Treatment.” It will be held at Marist College
in Poughkeepsie. Co-sponsors include
Adelphi University School of Social Work
Hudson Valley Center, Hope for Warriors,
Marist College School of Social Work and
Department of Psychology, NASW NYS
Hudson Valley Division, Saint Francis
Hospital Military Wellness Program and the
U.S. Department of Veterans Affairs.
Our monthly Peer Consultation Group,
led by Linda Hill, LCSW, is held at St. John’s
Church, and the Mentorship Group, led by
Carolyn Bersak, DSW and Crystal Marr,
LCSW, is held at the Adelphi University
School of Social Work Hudson Valley Center
in Poughkeepsie.
In other news, Gloria Robbins, LCSW,
Chapter Membership Chair and Past
President, will serve as Chapter Treasurer
following Christine Benson’s exemplary
service this past year as Treasurer for the
Mid-Hudson Chapter.
Nassau Chapter
Joe Reiher, LCSW, BCD,Voting Rep.
mitygoodtherapy@gmail.com
The Nassau Chapter is continuing its break
fast and luncheon “meet and greets,” and a
dinner gathering is planned for March, with
dates and places to be announced later. On
February 23, Carl Bagnini, LCSW, BCD pre
sented “The Evolution of a Psychoanalytic
Couple Therapist and His Treatment
Model.” In May, Phoebe Kessler, LCSW will
present “Everything you wanted to know
about EMDR but were afraid to ask,” with
CEUs available.
In an exciting development, the chapter
is releasing Nassau Newsnotes this month.
It will contain three clinical articles, one
by Heidi Barr, LCSW on the prevalence of
anxiety symptoms in latency age children,
another by Carol Landau, LCSW, “Thoughts
of a Retiring Therapist,” and the third,
by Patsy Turrini, LCSW, is a book review
of “Fathermothergod: My Journey Out of
Christian Science.” The book deals with the
experience of growing up in a family that
considers conventional medicine unneces
sary, even in cases of advanced cancer.
Queens Chapter
Fred Sacklow, LCSW-R, President
Freds99@aol.com
The Queens Chapter continues to present a
full roster of speakers whose presentations
take place after our board meetings, held
at the Free Synagogue of Flushing at 41-60
Kissena Blvd. Networking sessions last
from 11:00 to 11:30 am, and the presenta
tions run from 11:30 am to 1:00 pm.
2013: At events from September to
December, we discussed “Corrective
Emotional Experience,” and “In Treatment.”
Lynne O’Donnell, LCSW, made a presen
tation on “Death Anxiety and Issues in
Treatment,” and Manoj Pardasani, Ph.D.,
LCSW presented on “New DSM-5-Changes
and Additions.”
2014: In February, Lorraine Fitzgerald,
LCSW presented “Transforming the
Grief Experience through Resonance
Repatterning.”
• On March 23, Prudence W. Fisher, Ph.D.,
will discuss “DSM-5.”
• On April 27, Ron Cohen, MD will present
“Bowen Family Systems Coaching for the
Intergenerational Family.” [Dr. Cohen was
nominated by our board member Allen Du
Mont, LCSW to the Academy of Medicine
of the NAP, and will be inducted in April.]
• On May 18, Julie Dubovoy, LCSW-R, will
speak about “EMDR.”
• On June 22, Patti A. Gross, LCSW, will
further the discussion on “DSM-5.”
We also continue to provide mentoring
and peer supervision groups.
Spring 2014 11
METROPOLITAN • MID-HUDSON • NASSAU • QUEENS • ROCKLAND • STATEN ISLAND
Rockland Chapter
leadership committee:
Orsolya Clifford, LCSW-R
ovadasz@optonline.net
Sharon Forman, LCSW
The Rockland Chapter continues to be a
dynamic one. We are proud of the combined
efforts of so many members that make our
activities so exciting and enriching.
Our focus is on enlarging the member
ship, reaching out to students entering the
field, and expanding our skills. An increas
ing number of attendees are coming to our
thought-provoking educational presenta
tions and lively clinical case discussions.
Held in a supportive atmosphere, these
provide a unique sharing experience for
seasoned clinicians, less experienced col
leagues and students alike.
Kevin Melendez, LMSW and Sharon
Forman, LCSW have continued their
Mentorship Program for second-year
students. Lyn Leeds, LMSW and Donna
Davidson, LMSW ran a successful group
for new MSWs entering the field. Our
Private Practice Group continues to provide
information to those interested in this area.
We also continue the tradition of screening
a movie in December. Most recently, we
viewed The Skin I Live In, a complex movie
that yielded a discussion of its multi-lay
ered meanings.
This year, we added two new events to
our line-up: a networking event in the fall,
and an event in honor of Social Work Month
in March. This March 23, Robyn Ross, a re
nowned yoga instructor who has pioneered
many wellness programs, will present a
two-hour workshop on stress reduction
techniques, tools and exercises that can be
practiced by clinicians and clients.
Staten Island Chapter
Janice Gross, LCSW, President
Jgross1013@aol.com
The Staten Island Chapter initiated its
educational program in October 2013 with
a dinner and presentations. Patti Gross,
LCSW, Fieldwork Coordinator at the College
of Staten Island Social Work Program, pre
sented “Understanding the New DSM,” and
Sari Cooper, LCSW, a Met Chapter member
and certified sex therapist, presented “How
to Treat the Couple Dealing with Post Affair
Questioning.”
In January, we held a program on
“Treating Compulsive Gambling” by
Stephen Block, President of the New York
Council on Problem Gambling. In February,
“Equine Therapy with PTSD, Bipolar and
Youths At Risk,” presented by Christianna
Capra, LCSW and Elaine Dill, Equine Trainer,
offered many fresh perspectives.
On Saturday, March 22, our Annual
Spring Conference will address “Effective
Strategies for Working with the Difficult
Client: Historical and Theoretical
Perspectives.” The two speakers will be
Dore Sheppard, Ph.D., LCSW, and Lynn
Saltiel, (NJ) LCSW, EMDRIA. The conference
will be held at Staaten Restaurant, 697
Forest Ave, Staten Island, from 9:00 am to
1:00 pm. 3.5 CEU’s will be offered.
Contact Dennis Guttsman at 718-442-
2078 for further information.
On Friday, May 16, please join us for din
ner and presentations on “Two Approaches
to Couples Therapy.” Our speakers will
be Janice Gross, LCSW on “Emotionally
Focused Therapy (EFT)” and Andrew Daly,
LCSW on “Bowen Theory.” Contact Janice
Gross for more info at 718-420-9432.
Please check our website, www.nysscsw.org,
for up-to-date meeting and event info.
NEWS ABOUT OUR MEMBERS
Marian B. Moldan, LCSW-R has pub
lished a children’s book on selective
mutism, Charli’s Choices, available
from Archway Publishing. It is an
interactive book that can be used as
part of a comprehensive treatment
program of this anxiety disorder.
Moldan, who overcame her own
history of selective mutism, is the
director and founder of Childhood
Anxiety Solutions, and the author
of “Selective Mutism and Self-
Regulation” (Clinical Social Work
Journal, 2005) and co-author of
“After Newtown, Listening to Those
Who Aren’t Speaking” with Kim
O’Connell (Psychology Today, 2013).
Robert Pepper, Ph.D., LCSW is writing
a book, Emotional Incest in Group
Psychotherapy–A Conspiracy of
Silence. He expects to complete it
by the summer.
NOTE:
Please send recent news items about
members to ivy.lee.miller@gmail.com
12 The Clinician www.NYSSCSW.org
T
he fourth of the series of workshops based on the
book by the renowned neuroscientist and Nobel
laureate Eric Kandel, The Age of Insight: the Quest to
Understand the Unconscious in Art, Mind, and Brain, was
held on November 13. Sandra Indig presented the topics
previously discussed in Chapters 8 through 13 of the text.
She reviewed the mind-brain relationships, including the
brain as a “creativity machine,” the “beholder’s share,” as
well as representation of psyche, eroticism, aggression,
anxiety, and women’s sexuality in art. The discussion ex
panded into the area of neurobiology, looking at our brain
as a “creativity machine.”
Inna Rozentsvit, M.D., Ph.D., MBA, MSciEd, acted as
moderator and presented on the neurobiology sections of
the discussion at this meeting and again on January 19, our
fifth workshop, held at the beautiful office of co-presenter
Melanie McGrath Murphy, LCSW, LP. Chapters 14 through 16
further explored the topics of the brain being a “creativity
machine” and the phenomenon of the “beholder’s share.”
To the delight of all, Melanie gave us a detailed flow chart
that succinctly illustrated the complex history of the cross-
pollination of ideas and culture in pre-war Vienna, as well
as “observation as invention” and the emergence of 20th
century painting.
In addition to our regular meetings, committee
members are welcome to attend our many free cultural
events. For example, in January, Joy Sanjek, LCSW led a
workshop for 15 attendees at the exhibit, Magritte: The
Mystery of the Ordinary at the Museum of Modern Art.
It served as an introduction to the subject of mind-brain,
word, image and clinical practice.
EVENTS
• Friday, March 7 at 10:30 am and Saturday, March 8
at 3:00 pm: Trips to MoMA to see Gauguin:
Metamorphoses; Joy Sanjek will host the visits.
• Sunday, March 30, 12:00 to 2:30 pm – Next Workshop
in the Series “Reading Eric Kandel’s
The Age of Insight.” Topic: Neurobiology of Creativity
and the Beholder’s Share. At the office of Melanie
Murphy, 96th Street and Columbus Avenue. All who
register will receive a PDF of the chapters to be
discussed and explored.
• Saturday, May 10: Pop-Up Member Art Exhibit at the
NYSSCSW Annual Education Conference.
Please send inquiries to Diana, intern: interncct@
gmail.com
Committee for Creativity & Transformation in Clinical Practice
By Sandra Indig, LCSW-R, LP, ATCB, Chair
However, she was unaware of the critical manner in which
she approached her husband. She complained about his lack
of exercise, his poor diet, and his beer drinking when he
spent time with his brother. Her parents had divorced when
she was a child, and she recalled missing her father, and
being sad and worried when he was distant.
Mr. O was more “laid back” and tended to use his work or
involvement with his train hobby to withdraw and decrease
the tense feelings elicited by her demands and criticism. He
would say he wanted to be close, but it was frustrating to try
to create the connection, because he could never get it right.
Utilizing the steps in EFT we were able to identify how, in
trying to meet her needs, Mrs. O’s critical, pursuing behavior
contributed to a negative cycle. Her husband would react
defensively, managing his own discomfort with the tension
by distancing himself. Their mutual desire for closeness was
being thwarted again and again.
As the problem was reframed, their positions and be
havior were identified and they were able to move into more
EFT CONTINUED FROM PAGE 9
open communication. Mrs. O talked about how she enjoyed
taking walks with her husband. She wanted him to take care
of his health so they would have more years to enjoy together.
Mr. O recognized her positive intent, as well as her need
for closeness. He changed his diet, stopped drinking, and
joined her for walks. She calmed down and expressed ap
preciation for his efforts. She responded further by adjusting
her work schedule to spend Friday outings with him when he
was off from work.
EFT has over 30 years of empirical research supporting
its effectiveness and validity. Most recently, a study was
published that used functional magnetic resonance imaging
(fMRI) to show changes in the brain’s response to painful
and fearful stimuli after EFT treatment. Currently, EFT is
being used for couples, individuals, families, and in the
treatment of trauma, depression, anxiety, and addictions.
To learn more, you may read books by Sue Johnson
or explore these websites: www.ICEEFT.org and www.
NYCEFT.org.
Spring 2014 13
Opportunity
to
meet
with
our
candidates
and
graduates.
Learn
what
psychoanalytic
training
and
licensing
has
to
offer,
as
well
as
our
certificate
programs.
2014 OPEN HOUSES
Four-‐Year
Training
Program
in
Psychoanalysis
! Relational/
Interpersonal,
Contemporary
Freudian,
Object
Relations,
Self
Psychology
! Licensure
Qualified
Program
Two-‐Year
Psychodynamic
Training
! Theory
and
clinical
practice
classes,
group
supervision,
individual
supervision
and
therapy
Eating
Disorders
! Two-‐year
certification
program
in
the
integrated
treatment
of
eating
disorders
! Incorporates
Psychodynamic,
Cognitive
Behavioral
&
Dialectical
Behavioral
Therapies
Trauma
Studies
! Two-‐year
certification
program
incorporating
trauma
theories
on
body,
mind
and
brain,
set
in
a
psychodynamic
framework
Family
&
Couples
! Two-‐year
certification
program
incorporating
systems,
psychoanalytic
and
relational
theories
with
the
practice
of
family
and
couples
therapy
Psychotherapy
Center
for
Gender
&
Sexuality
! LGBTQ
Clinical
Certification
Program
with
modules
covering
current
treatment
issues
affecting
LGBTQ
communities
! Transgender
Concentration
available
For more information on all of our
training programs visit: www.icpnyc.org
1841 Broadway @ 60th Street, 4th Floor, New York, NY 10023
Sunday, April 13th, 12-2pm
Sunday, April 27th, 12-2pm
To rsvp, please contact Liliana Manca at
lmanca.training@icpnyc.org
(212) 333-3444, ext 105
Want to master
the art of
couple therapy?
TRAIN IN EFT FOR COUPLES WITH
NYCEFT
New York Center for
Emotionally Focused Therapy
Dr. Sue Johnson
Developer of EFT
Understanding the
attachment-based logic
underneath the dynamics
of couples’ relationships
gives you a roadmap for
de-escalation and
creating secure bonds
between partners.
www.nyceft.org
Monthly Video Presentations
in NYC,CT, and NJ
Attend the Basic Externship June 2014
to begin your path to certification
Core Skills workshops deepen
your skills
Core Skills workshops deepen
your skills
visit us on the web at
646-755-3168
or call us at
14 The Clinician www.NYSSCSW.org
W
E
S
T
C
H
E
S
T
E
R
C E N T E R F O R T H E S T U D Y O F
P S Y C H O A N A L Y S I S &
P
S Y C H O T H E R A P Y
Professional Education
Is A Lifelong Process
Please call for a brochure and information about
our next Open House:
www.wcspp.org
914-997-7500
Chartered by the Regents of the University of the State of New York
in 1974, WCSPP provides training in psychoanalysis and
psychotherapy across a range of contemporary psychoanalytic approaches.
WCSPP, 468 Rosedale Ave., White Plains, NY 10605
• Four-Year Psychoanalytic Training Program
• Two-Year Adult Psychotherapy Training Program
• Two-Year Child and Adolescent Psychotherapy
Training Program
• One-Year Couples Psychotherapy Training Program
• One-Year Supervisory Training Program
Financial Aid Available to All Candidates as needed
• Psychotherapy Service (Sliding Scale)
PTI of
CFS
Innovative Programs in NYC & DC
emphasize analytic listening and clinical
immersion, integrating contemporary
psychoanalytic perspectives. We offer
small classes and a supportive training
experience with IPA-member faculty.
Our NY Adult Psychoanalysis Program
is a License Qualifying (LP) program.
All Masters-level professionals are welcome
to apply. LMSW’s may receive supervised
experience credit toward LCSW certification.
Monthly Saturday classes in DC
facilitate training from a distance.
Additional programs include:
Child/Adolescent Psychoanalysis,
Psychoanalytic Psychotherapy,
and Parent-Infant Treatment.
For more information call
Susan Roane, PhD, at 347-725-0080.
Visit us at instituteofcfs.org
Psychoanalytic Training Institute
Contemporary Freudian Society
Formerly New York Freudian Society
Chartered by the Board of Regents of the University of the State of New York
Couples Therapy Training Program
•Two-year certificate program in dynamic couple psychotherapy
•Fellowships available
•Supervised clinical hours count toward social work licensure
•Couples are provided through our clinic for fellowship students
•Certificate programs also available on tuition basis
•Individual courses available
Group Therapy Training Program
•Two year certificate program
•Coursework offered on Saturdays to accommodate busy clinicians
•Supervised clinical hours count toward social work licensure
•Program meets criteria for AGPA, Certified Group Therapist
Contact the Director for more information:
Albert J Brok, PhD
(212) 580-3086 • albrok@timh.org
115 West 27th Street • New York, NY 10001
(212) 627-8181
www.timh.org
Spring 2014 15
Advanced Training in Psychoanalytic Psychotherapy
The Training Institute for Mental Health offers an eclectic curriculum
integrating traditional and more psychoanalytic theory.
One-Year Program: Basic Concepts in Psychotherapy
Three-Year Program: Psychoanalytic Psychotherapy
Two-Year Advanced Program in Psychoanalysis
Tuition-free fellowship program
LMSWs receive clinical and supervisory hours toward
LCSW certification
115 West 27th Street • New York, NY 10001
(212) 627-8181
www.timh.org
Absolute Charter by the Board of Regents of the State of New York
The William Alanson White Institute
Welcomes Applications from Social Workers (LMSW’s and LCSW’s)
for full training in our
Certificate Program in Psychoanalysis
and in our
Child and Adolescent Psychotherapy Training Program
The Certificate Program in Psychoanalysis is a 4 to 6 year program providing coursework and
seminars, clinical supervision and experience in our Clinical Services, and a personal analysis
The Child and Adolescent Psychotherapy Training Program is a 3 year program,
including coursework and seminars, individual and group supervision,
and clinical experience in our Child and Family Center
Details are available on our website: www.wawhite.org or from David Appelbaum, Psy.D. (212) 875-1015
Training is available to New York State LMSW’s and LCSW’s
whose licensed scope of practice includes psychotherapy and/or psychoanalysis.
16 The Clinician www.NYSSCSW.org
NEW YORK
STATE
SOCIETY
FOR
CLINICAL
SOCIAL
WORK,
INC.
New York Society for
Clinical Social Work, Inc.
243 Fifth Avenue, Suite 324
New York, NY 10016
Connect • Participate • Grow
Join the New York State Society for Clinical Social Work
> Advance Your Professional Education • Conferences, Practice Development, Peer Consultation
> Advocate for Clinical Social Work • Lobbying, Coalitions, Legislation, Vendorship, Managed Care
> Build Professional Networks • Mentoring, Teaching, Job Listings, Referral Opportunities
> Collegiality & Connections • Social Events, Website, Facebook, E-News, Listservs, Newsletter
We Welcome: MSW students and recent grads interested in
clinical social work, as well as CSWs from all settings.
NYSSCSW, 243 Fifth Avenue, Suite 324, New York, NY 10016-8703
Tel: 800-288-4279
Email: info.nysscsw@gmail.com
Website: www.nysscsw.org
Facebook: www.facebook.com/NYSSCSW/info