The Clinician Vol. 44, No. 1, 2013 Spring

Online content

I
n the September 2012 issue of NASW
News, the President of national NASW,
Jeane Anatas, Ph.D., LMSW wrote an edi
torial addressing her concerns about MSW
educational standards. Referencing the
2011 book by Richard Arum and Joipa Roska,
Academically Adrift: Limited Learning on
College Campuses she noted the poor show
ing of social workers: “students majoring in
social work (along with business and educa
tion) scored the lowest among undergradu
ates on academic achievement.”
As noted by Dr. Anatas, social work
is a profession that welcomes students
across a diverse socio-economic spec
trum. It takes a dedicated person with a
strong sense of advocacy and service to
others to choose social work as a career.
However, a noble heart and good inten
tions are not enough to provide competent
IN THIS ISSUE
9 Mentorship is Booming
11 Treatment Failure
12 Group for 9/11 Widows
15 Dark Side of Creativity
CONTINUED ON PAGE 5
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 2013 | VOL. 44, NO. 1
44th Annual Conference | May 4, 2013
A Day of Networking & Learning
The Treatment Experience
Enhancing
You’re invited. See Page 3.
human services. A rigorous curriculum
that includes critical thinking, reading
comprehension, and strong writing skills
is essential to dealing with the complexi
ties of practice in any setting, be it agency,
hospital, mental health clinic or private
practice. Dr. Anatas concludes with a plea
to social work educators for better training
for nonprofit leadership, medical social
work, aging services and psychotherapy.
I believe that we as clinical social workers
can emphatically agree with her position.
Woefully, the field seems to be moving in the
opposite direction. Consider the following:
1. BSW graduates can qualify for advanced
placement in MSW programs. They may
be able to receive credit for the first
year and obtain a master’s degree after
president’s message
Don’t Weaken the MSW and LMSW
A Noble Heart and Good Intentions Are Not Enough
To Provide Competent Human Services
By Marsha Wineburgh, DSW, LCSW-R, President
Agency Exemption on
The Way to Defeat
By Marsha Wineburgh, DSW, President
& Legislative Chair
At this writing, both houses of the New York
State legislature and the entities that contract
with them (not-for-profits) have agreed to kill
permanent exemption from the 2002 social
work licensing statute for state agencies. This
exemption appeared suddenly in Governor
Cuomo’s 2013 budget legislation. The removal
of this provision will require state agencies
to hire licensed mental health professionals
to deliver mental health services. Although
bombshells can always occur, it is fairly
certain that the final budget will not contain
this exemption. Its removal will require the
state agencies to continue to plan hiring only
licensed mental health personnel to provide
mental health services. Compliance has been
delayed until 2016.
A huge thank you to all Society mem
bers who called their representatives on
the Mental Health and Higher Education
Committees to protest permanent exemp
tion. Constituents’ voices are essential to
creating social policy that makes sense!
Legislative Committee
2 The Clinician www.NYSSCSW.org
only one additional year of graduate education and field
placement.
2. Online learning is becoming increasingly popular in the
curriculum of social work schools. This is a mixed blessing
for a “values-based profession” that emphasizes the im
portance of building working relationships with those we
seek to assist. Can “virtual” teaching take the place of the
classroom experience, where in-person interaction is an
essential teaching tool for conveying the nuances of hu
man behavior? What might be an appropriate social work
course for online education? Statistics? Social Policy?
3. In the past few years, it has become apparent that a
large number of MSW graduates are unable to pass the
basic competency exam, the LMSW exam (formerly the
Certified Social Work exam). In some New York MSW
graduate programs, 50 percent of exam-takers have failed.
In addition, in many schools the actual time spent in class
has been shortened so much that it threatens to violate
federal guidelines for class credit.
4. The State of New York, in order to address the alleged
social work workforce problem, is considering a new
grandparenting period for those MSWs who have worked
in supervised settings for five years. This provision would
mean that MSWs will be able to obtain a license based
on supervised experience only, exempting them from
having to pass the LMSW exam. Note that for most social
workers, the LMSW exam is the only national measure of
competence required of them since they sat for the SATs
before college.
Providing competent psychotherapy requires advanced train
ing beyond the MSW. Additional education is essential for
even a beginning mastery of the complexities of the human
mind and the person-in-situation.
In my view, the dumbing-down of social work education
puts more pressure on the clinical social worker to seek
additional education across many related fields and in the
skills specific to assessment, diagnosis and treatment of
mental illness.
It is tragic, and even self-destructive, for some in the
field of social work to link advanced education with elitism.
To quote Felix E. Schelling in the Chicago Tribune, “true
education makes for inequality; the inequality of individu
ality; the inequality of success; the glorious inequality of
talent, of genius; for inequality, not mediocrity, individual
superiority, not standardization, is the measure of the
progress of the world.”
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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
Robert S. Berger, Ph.D., MSW, LCSW rsb111@columbia.edu
Second Vice President
Helen H. Krackow, MSW, LCSW hhkrackow@aol.com
Treasurer
Shannon Boyle, MSW, LMSW 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
Student VR.
Devin Bokaer devin.bokaer@gmail.com
Suffolk P.
Sandra Jo Lane, LCSW, BCD, CGP sjlsunshine@aol.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
Martin Lowery, MSW, LCSW-R mlowery@maryknoll.org
STATE COMMITTEE CHAIRS (Appointed)
Annual Education Conference Marie McHugh, LCSW-R marie.mchugh.lcsw@gmail.com
By-Laws
Beth Pagano, MSW, LCSW Bethpagano678@msn.com
Creativity & Transformation
Sandra Indig, MSW, LCSW, ATR-BC psych4art@hotmail.com
Disaster Preparedness
Fred Mazor, DSW, MSW, LCSW, BCD fredm25@aol.com
Elections
Martin Lowery, MSW, LCSW mlowery@maryknoll.org
Ethics & Professional Stds.
Martin Lowery, MSW, LCSW mlowery@maryknoll.org
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
Walter Alvarez, Ph.D., LCSW walteralvarez@msn.com
Mentorship
Helen Hinckley Krackow, MSW, LCSW, BCD hhkrackow@aol.com
Newsletter
Helen Hinckley Krackow, MSW, LCSW, BCD hhkrackow@aol.com
Nominating
Andrew Daly, MSW, LCSW-R apdalylcsw@msn.com
Online Friday Newsletter
Helen T. Hoffman, MSW, LCSW helenhoffman@verizon.net
Palliative & End-of-Life/Forensic Hillel Bodek, MSW, LCSW-R, BCD bodekmsw@verizon.net
Research
Jacinta (Cindy) Marschke, MSW, Ph.D., LCSW-R cindy210@hvc.rr.com
Social Media
Richard B. Joelson, DSW, LCSW RBJoelson@aol.com
Vendorship & Managed Care Helen T. Hoffman, MSW, LCSW helenhoffman@verizon.net
president’s message
2013 board of directors
Spring 2013 3
44th Annual Conference | Saturday, May 4, 2013
A Day of Networking & Learning
The Treatment Experience
Enhancing
REGISTRATION
Register online at WWW.NYSSCSW.ORG or complete
this form and mail it with your check to the address
below. NOTE: Attendees will participate in all workshops
this year. CEU credits available, please add $10.
NAME
ADDRESS
CITY
STATE
ZIP
PHONE
E-MAIL
CONFERENCE FEES
IN ADVANCE
AT THE DOOR
MEMBER
$115
$125
NON-MEMBER
$130
$140
MSW STUDENT*
$50
$60
ADVANCE REGISTRATION DUE BY APRIL 26, 2013
Join the NYSSCSW by April 30, 2013 for a $10 rebate.
*Please include a copy of valid student ID.
Make check payable to:
NYS SOCIETY FOR CLINICAL SOCIAL WORK
MAIL WITH REGISTRATION FORM TO:
Total Management Solutions
55 Harristown Road, Suite 202
Glen Rock, NJ 07452
CANCELLATION POLICY:
Refunds will be granted on or before April 26, 2013.

WORKSHOPS
Using Cognitive Therapy to
Eliminate Doubt & Build
Self-Confidence
Noah Clyman, LCSW, ACT
Director, NYC Cognitive
Therapy, PC,
Private practice, New York, NY
“How Do I Keep Going?” Serious
Illness in the Therapist’s Family
Ellen S. Daniels, LCSW-R
Private practice, New York, NY
The Role of Forgiveness in
Healing from Traumatic Bonds
Gwenn A. Nusbaum, LCSW,
BCD, CGP
Private practice, New York, NY
Avoiding Diagnostic Deficit
Disorder: The Accurate
Assessment & Treatment of
Sub-Syndromal Mood Disorder
Steven A. Weisblatt, MD
Private practice,
New Rochelle, NY
FOR MORE CONFERENCE
INFORMATION CONTACT:
Marie McHugh, LCSW-R,
917-674-4510
We are proud to present the 44th NYSSCSW
Annual Education Conference on a range of
leading-edge clinical issues. Our speakers are
among the most experienced and thoughtful
in our field. Participants will also enjoy many
opportunities for networking during the day.
The Nightingale-Bamford School
20 East 92nd Street, New York, NY
SCHEDULE
8:00–9:00 AM
Registration, Refreshments
& Networking
9:00–9:15 AM
Opening Remarks: Marsha
Wineburgh, DSW, LCSW-R,
President, NYSSCSW
9:15–10:00 AM
Keynote Address:
Susan Klett, LCSW-R, BCD
Shattering Trauma:
Recovering and Repairing
the Self Through the
Therapeutic Process
For the Workshops, we
will divide into four groups.
All four workshops will be
presented to each group.
10:15–11:15 AM
Workshop
11:30 AM–12:30 PM
Workshop
12:30–2:00 PM
Lunch
2:15–3:15 PM
Workshop
3:30–4:30 PM
Workshop
4 The Clinician www.NYSSCSW.org
This winter, the Vendorship and Managed Care Committee
has been concerned with the following issues:
CPT Codes: New CPT code changes were required January 1, 2013,
by Medicare and commercial insurers. For the most part, clinicians
made the necessary changes in billing and have been getting paid.
However, many questions remain, including under what circumstanc
es they can charge for a 60-minute session. Use of the 60-minute
code 90837 will probably require advance authorization, but there
is anecdotal evidence that with a show of medical necessity some
plans and Medicare will pay for this code.
The “Interactive Complexity” add-on, a code which allows a slight
increase for reimbursement when there are special circumstances,
has not been widely used so far and remains to be tested. The
Medicare reimbursement rates connected to each code are still
interim ones, pending a final decision by CMS regarding “relative
values,” which may not be made until 2014. The Committee contin
ues to track these developments.
Medicare Seminar and Teleconference, planned for
Monday, April 15: National Government Services will host a semi
nar for the New York Society for Clinical Social Work at NGS offices
in Lower Manhattan. James Bavoso and Kathy Dunphy of NGS will
Vendorship and Managed Care Committee
Social Media Committee
By Helen T. Hoffman, LCSW, Chair
By Richard Joelson, DSW, LCSW, Chair
WWW.NYSSCSW.ORG: The Social Media
Committee has been responsible for contin
uously updating and improving the Society’s
website and its many useful features for
both member and non-member visitors.
E-News: Under the able oversight of Helen
Hoffman, the weekly broadcast of E-News
continues to be an important provision to
our members and is continuously being
refined and improved.
Facebook: Robert Berger is respon
sible for the development of our excellent
speak about changes in CPT codes, fee schedules and copayments,
as well as the new PQRS measures. They will offer suggestions for
documentation and electronic claims submission and will answer
questions. Members may attend in person or participate by telecon
ference. A PowerPoint presentation posted on the NYSSCSW website
can be followed while listening to the speakers on the phone.
Billing Essentials: The Committee has compiled a compendium
of resources, Billing Essentials, for submitting claims, both paper
and electronic. It includes information for finding CMS-1500 forms,
practice management software, billing services, clearinghouses for
electronic billing, and a HIPAA manual, along with contact informa
tion for Medicare, the NYS Attorney General and the NYS Financial
Services Department (formerly NYS Department of Insurance).
Billing Essentials can be found on the home page of the Society’s
website.
The Vendorship and Managed Care Committee consists of 12 members
from the various Chapters. It meets six to eight times a year, primarily by
teleconference, and communicates regularly by email. The purpose of the
Committee is to gather and disseminate information about insurance mat
ters, offer support to individual members, and explore what may be done
to influence external forces affecting the profession of clinical social work.
For contact information and bulletins about insurance issues, visit the
Vendorship and Managed Care section of the Society’s website.
Facebook page, www.facebook.com/
NYSSCSW/Info. Robert and Helen have
also been working on the “Find-An-LCSW”
search function on the site so that it is a
valuable tool for the person searching for a
therapist and obviously better benefits our
members who are interested in developing
or expanding their practices.
Bookmark: The committee has produced
an attractive bookmark that was designed
as a promotional piece for recruitment
purposes. A new, comprehensive list of
membership benefits is on one side of the
bookmark, and has also been posted on
our website. The flip side lists key contact
information for joining the Society or renew
ing membership. The bookmarks have been
distributed to all chapters for their public
relations use.
The members of the Social Media Committee
are Marsha Wineburgh, MSW, DSW, LCSW,
BCD; Helen T. Hoffman, MSW, LCSW; Robert
S. Berger, Ph.D., MSW, LCSW; and Richard B.
Joelson, DSW, LCSW, the Committee Chair.
Spring 2013 5
Brief Background: After 15 years of collaboration, the profession of social work
passed legislation in 2002 creating two scopes of practice: one for the Licensed Master
Social Worker (LMSW) and, the second, for Licensed Clinical Social Worker (LCSW).
In the statute, as enacted by Chapter 420 of the Laws of 2002, and in the subsequent
amendments, an exemption was allowed for individuals to practice in programs regu
lated, operated or funded by the Office of Mental Health, the Office for People with
Developmental Disabilities, Office of Alcoholism and Substance Abuse Services, Office
of Children and Family Services and local mental hygiene or social service districts
until January 1, 2010. As the date for compliance grew closer, exempt agencies reported
they were not ready and requested an extension. Two more extensions were granted
by the Legislature along with requirements for comprehensive workforce analyses due
in June of 2012. Each of the agencies subsequently completed and submitted this data,
which many of you reviewed over the summer of 2012. At that time, an overwhelming
majority of respondents strongly disagreed with the exempt agencies’ recommenda
tion that they should be permanently excused from complying with the mental health
licensing laws.
An alliance of social work organizations began working to counter permanent exemp
tion, supporting a single standard of mental health care across all socio-economic groups
in the state. The Clinical Society,
both chapters of NASW, and the
Association of Deans of Schools
of Social Work vigorously opposed
the permanent exemption and
offered a compromise position
intended to alleviate the claimed
workforce disruptions and fiscal impact. Credit for our success to date certainly goes to
our Albany lobbyist, Mary Ann McLean, and Karin Moran, NASW’s Director of Policy, who
worked tirelessly and resolutely to oppose this permanent exemption.
Among the initiatives suggested by the Alliance which may be adopted is a new
grandfathering provision for MSWs who have two years of supervised post-MSW
experience. No written examination will be required. A second possibility is mandatory
continuing education requirements—possibly 30 hours tri-annually. The effective date
may be 2017. The final budget legislation will clarify these possible provisions. Check
our website and e-news for updates.
SAFE Act Psychotherapists will be required to report imminent danger situations as
of March 16, 2013. [See link http://www.omh.ny.gov/omhweb/safe_act/index.html
for more information.] To date, there are no regulations to guide LCSWs in private
practice on reporting procedures. Many agencies are in turmoil, including state and
local police, over reporting guidelines, collecting gun information from patients, etc.
Stay tuned for developments.
A.5299 (Pretlow)/S.2360 (Klein) Legislation to include LCSWs as providers of
mental health services for Workers’ Compensation patients has been introduced. We
are working closely with the State Chapter of NASW on this bill.

A. 3910 Legislation to amend the corporate practice laws to allow LMSWs, LCSWs and
the other Mental Health Practitioners to form a single corporate structure. Currently,
one can only form a corporation with one’s own professional group. This amendment
would promote better interprofessional health care and transprofessional collabora
tive practice. Psychology and other disciplines are also considering similar positions
on this issue.
A
s I write this, the winter is still
upon us and frankly, I am tired
of cold and snow. However,
when you will be reading this, I hope
that spring is in full bloom!
Since the last issue of The Clinician
the dues cycle of renewal has come
and gone. A record number of mem
bers have renewed their dues and
we also have had exceptional growth
in new members. This helps in all of
the Society’s endeavors, particularly
in maintaining the Society’s voice
in Albany. The greater number of
members, the stronger the Society’s
opinion is with the State government.
The 44th Annual Educational Con
ference will take place on Saturday,
May 4th. The format for the confer
ence will be new and different. You
are urged to register early for the
conference since we will only be able
to accommodate a limited number of
people.
The NYSSCSW website is constantly
being updated. I hope you each take
some time to check out the website,
note your chapter’s page and see what
is happening within the Society as a
whole. Also, please be sure to check
out the Job Center, to post a job that
your agency may have available or, if
you are seeking employment, to post
your resume.
With best wishes for a wonderful
spring and summer,
Sheila
Sheila Guston, CAE, Administrator

ADMINISTRATIVE OFFICE
234 5th Ave (#324)
New York, NY 10016
800-288-4279 (toll free)
718-785-9582 (fax)
Info.nysscsw@gmail.com
Headquarters Update
Legislative Committee CONTINUED FROM PAGE 1
“A huge thank you to all
Society members who called
their representatives.”
6 The Clinician www.NYSSCSW.org
Chapter Reports
Westchester Chapter
Jody Porter, LCSW, Co-Chair
Jodyp100@aol.com
Roberta Omin, LCSW, Co-Chair
goodomin@optonline.net
Our New Makeover!
It is the first Saturday morning of the
month and the air is buzzing with elec
tricity and smiles at the Westchester
Chapters’ general meeting. Our facilita
tor, Mike Altshuler, LCSW, CGP, a highly
skilled group leader, can’t get the group
to quiet down as they network, recon
nect with friends and share thoughts with
colleagues.
When we finally get settled, Sue Erikson
Bloland, LCSW, daughter of Erik Erikson,
presents “Clinical Social Work in a Culture
of Celebrity.” It proves to be a superb
presentation. A great take-away is the idea
that the cultivation of talent needs to be
separated from blind ambition to achieve
fame, which tends to be motivated by deep
inner insecurity.
As a chapter, we have undergone a
wonderful makeover resulting from a new
structure. Our once tired, overworked and
top-down driven Presidency/Chapter Board
has been transformed into an energized
Leadership Council, created out of our com
mon interest in and love for our chapter.
In decentralizing and shifting to a
collective form of governance, we have
become revitalized. Council members
enthusiastically concur that leadership
by two co-chairs is working exceptionally
well. Our collective structure generates
energy that allows us to meet monthly,
viewing governance not as a chore, but as
a heartfelt endeavor. We share ideas, craft
solutions, make future plans, and produc
tively delegate tasks.
Our task orientation functions at an en
tirely new level of commitment. Especially
exciting is the active participation of a
younger generation of members; we have
new folks at the table! Julie Willstatter,
LCSW, is heading up our Education
Committee, as Mike Altshuler, after an
absolutely dynamite 12-year commitment
of his time, energy and love, passes the
baton into Julie’s capable hands. Winsome
Phillips, LCSW, a newer member of our
chapter, has been injecting youthful enthu
siasm and innovative ideas about encour
aging involvement and expanding member
ship. Karen Proctor, LMSW, has taken the
reins as treasurer and has already added
new functions to that role.
The Westchester Chapter is enjoying a
renaissance in which newcomers and long-
time members are experiencing a new
level of community within our professional
community.
“We are outing the ‘inner circle’ of
leadership,” said Roberta Omin, LCSW, one
of our two co-chairs. “We’ve expanded it
so we are one circle.” This is a lighthearted
reference to the proactive efforts of the co-
chairs, who invited the 50 or so attendees
at our meetings to mix and mingle with the
seeming “inner circle” and to become part
of us. We have designed a new question
naire that seeks feedback about members’
needs to guide our efforts to better inte
grate new members.
Our chapter’s energy is captured by a
dynamic new brochure that we are eager
to use to expand membership to agency-
based social workers. We are offering them
an incentive: two people can join for the
price of one during the month of March.
Terry Nathanson, LCSW-R, LMT, contin
ues to lead the newest addition to the five
general practice groups that convene be
fore each general meeting. Terry’s group,
Applied Neuroscience, Mindfulness, and
Emotional Regulation, is currently studying
overeating from a neurobiological and self-
regulatory perspective.
Another dynamic offering that is win
ning raves is a mentorship group, led by
Nan Miller, Ph.D., LCSW. Additional groups
include Group Practice, Individual Practice,
and Child, Adolescent and Family Practice.
In January, Jodi Ames Frankel, Ph.D.,
gave a sensational presentation titled,
“Emotionally Focused Couple Therapy: An
Overview.” Her enthusiastic audience was
our largest to date.
Events
On April 6, Portia Franklin, LCSW, will
provide a live demonstration of the
Pesso-Boyden approach to psychotherapy.
Please note that our May meeting will be
held on Saturday, May 11, instead the first
Saturday of the month.
Staten Island
Janice Gross, LCSW, President
jgross1013@aol.com
The Staten Island Chapter is reporting
excitement in its programs and growth in
its membership!
The south shore of our island was badly
affected by Sandy. After the storm, chapter
members gave hands-on assistance at vol
unteer sites, and participated in discussions
of treatment needs of the community.
We are reaching out to expanding social
work programs and departments at CUNY-
College of Staten Island. Dr. Lacey Sloan
spoke at our January meeting on “Sex and
Social Work.”
For February, our own Dr. Michael
DeSimone, LCSW, Ph.D., presented
on “Father’s Absence and Its Effect on
Daughter’s Intimate Relationships.” His
deep understanding of emotions in these
cases, and the compassion in his work,
allowed us all to engage in a lively discus
sion of countertransference and treatment
perspectives.
Events
Our chapter will continue its program
ming with a conference on “Out of Control
Sexual Behavior in Men” by Michael
Crocker. In May, there will be a dinner and
program on “Ethnicity in Social Work.”
Please feel free as a member to at
tend our programs, or inquire about
membership.
Janice Gross, LCSW, President,
jgross1013@aol.com, 718-420-9432.
FACEB O O K
For State & Chapter News
facebook.com/nysscsw
Spring 2013 7
Mid-Hudson
WESTCHESTER • STATEN ISLAND • ROCKLAND • QUEENS • MID-HUDSON • METROPOLITAN
Rockland Chapter
leadership committee:
Orsolya D. Clifford, LCSW-R, State Liaison
ovadasz@optonline.net
Sharon Forman, LCSW-R
MaryLynne Schiller, LCSW-R
Our Collaborative Leadership Model is
working effectively as we focus on the con
tinued growth of our chapter. We recently
developed a colorful postcard to use for
outreach to social work students and clini
cians. In March, a mentorship group for
students will be offered under the capable
direction of Sharon Forman, LCSW and
Kevin Melendy, LMSW.
Our educational presentations continue
to be thought-provoking and informative.
We are grateful to Beverly Goff, LCSW,
for securing such high-quality speakers.
The topics have included the diagnosis of
subclinical mood disorders, couples work,
helping parents help their children, being a
psychotherapist parent of a difficult child,
and dream work. Future presentations
will focus on a relational psychodynamic
approach to couples work, and integrating
DBT into psychodynamic work.
We also viewed the emotionally-riveting
film Skin, and held a clinical discussion on
racism. We continue to hold case discus
sions before each presentation. Next year,
we will introduce a networking and refuel
ing meeting to focus on the important topic
of self care. We are proud of everyone’s
hard work to make this chapter such a vital
force in our professional lives.
Queens Chapter
Fred Sacklow, MSW, LCSW, President
Freds99@aol.com
On March 3, the Queens Chapter held a
Speed Networking event attended by more
than 20 people, most of them from the
Queens and Nassau chapters. We spent
more than an hour in a round robin Meet
and Greet session. Each participant moved
every four minutes to the next table to
engage a new person. Everyone enjoyed
the experience, and many commented on
how energized it made them feel. Having
worked up an appetite, we then had lunch.
Events
Sunday Presentations, 11:00 am – 1:00 pm
April 7: Bryan Hazelton, LCSW: “Empathic
Excursions Through Experience”
May 19: Ann Goelitz, Ph.D., LCSW: “From
Trauma to Healing: Practical Tips for
Working with Survivors”
June 9: Meri McVey-Noble, Ph.D., LCSW:
“Treating Trauma and Self Injury”
Sunday Mentorship Group Meetings,
1:15 pm-2:30 pm
April 7, May 19, & June 9:
The Mentorship Group will meet with ex
perienced social work clinicians to discuss
questions about work issues, cases, ethics
and professional practice, beginning a
private practice, licensing, and much more.
All meetings will be held at Holliswood
Hospital, 87-37 Palermo Street, Holliswood,
Queens.
Certificates of attendance, refresh
ments, free parking.
Mid-Hudson Chapter
Rosemary Cohen, MSW, LCSW, President
rosemarycohen@gmail.com

Fall Conference: Mid Hudson Chapter is
again collaborating with NASW-NYS Hudson
Valley Division, the Adelphi University
School of Social Work Hudson Valley, and
the Marist College Social Work Program on a
fall conference in Poughkeepsie to address
LGBT clinical treatment issues. Previous
conferences in 2010 and 2011 addressed the
needs and treatment issues of veterans and
their families.
Gloria Robbins, LCSW, Membership
Chair and Past Board President, represents
the Mid Hudson Chapter on the plan
ning committee. Carolyn Bersak, DSW,
Past Board President, is conferring with
Adelphi’s local executive director to plan a
Chapter Mentoring Program for graduating
students and new MSW graduates.
Annual Workshops: On March 3, Judith
Elkin, LMSW presented her workshop on
clinical treatment issues with grief and
loss, with a particular emphasis on the
countertransference of the clinician suffer
ing a personal loss.
Events
April 13: Carolyn Sutton, Psy.D. will pres
ent on Working with Couples on the Brink
[of Separation] at the Vassar Brothers
Medical Center.
September 28: Marcia and Brian Gleason
of the Exceptional Marriage Institute will
present—as a couple—on couples treat
ment, at Benedictine Hospital, Kingston.
November 2: Psychiatrist Quazi S. Al-Tariq,
MD will present his workshop on bi-polar
disorder at VBMC.
CONTINUED ON NEXT PAGE
Rosemary Cohen (c), President of the Mid-Hudson
Chapter for six years, celebrated with Board members
at the Ship Lantern Inn in March.
8 The Clinician www.NYSSCSW.org
Metropolitan Chapter
Karen Kaufman, Ph. D., LCSW, President
Karenkaufman17@gmail.com
The Met Chapter continues to improve
and enhance the professional practice of
clinical social work through its sponsorship
of clinical lecture and discussion oppor
tunities, peer-supported private practice
groups, speed networking events, listserv
access, workshops, new member recep
tions and mentorship groups.
The annual First Year MSW Student
Writing Scholarship program has been
renamed the Diana List Cullen Memorial
Scholarship Program. Food for Thought din
ners and Education Committee Brunches,
along with other committee offerings,
continue to provide compelling lecture pre
sentations from respected professionals,
along with great food and discussions.
Many exciting and stimulating programs
and events are planned for 2013-2014,
and we are exploring new ideas to suit
our members’ varied clinical interests and
educational needs. We encourage you to
get involved, join a committee, explore
board positions and share your strengths
and talents with the Met Chapter.
Members are welcome to contact any
board member or committee chair as listed
in the Met Chapter section of the Society’s
website. To find out about upcoming
events and meetings, please go to our
Facebook page at www.facebook.com/
NYSSCSW.
Events
April 19, New Member Reception:
We welcome new members and guests
to attend the New Member reception on
April 19. We look forward to your valued
participation in helping us to expand and
strengthen our Met Chapter community.
The Membership Committee also spon
sored it’s third annual Speed Networking
event on March 15th attended by over 40
members.
Met Chapter Committee Updates
The Couple and Family Committee en
gaged two excellent speakers this past
season: Dr. Adi Leidl, MD, the Medical
Director at Ackerman Institute for the
Family, who spoke on “The Intersection
of Psychopharmacology with Systemic
Thinking,” and Gil Tunnell, Ph. D., who
gave a very sensitive presentation on
his use of the attachment theory in “The
Treatment of Gay Couples.” Both speak
ers were warm, informative, and excellent
clinicians.
We are continuing our work with the
Study Group on Sibling Relationships
and will meet in April and May. The group
will decide whether to continue into next
year. Two books are being read, Sibling
Relationships, and Siblings: A Source of
Conflict and Repair. One has a systemic ap
proach; the other is more analytic.
In the planning stages is a joint meet
ing with the Committee on Aging. Helen
Hinckley Krakow, LCSW, BCD and I have
spoken with a potential speaker on “Sex
and Aging.” The committee has rewritten a
guideline for taking a sexual history of the
older couple or individual, which is based
on the outline by Sue Iasenza, Ph.D. It may
be presented at the meeting.
Another possible event in the coming
year will be an intensive workshop on IVF
and all of its ramifications. We have special
ists in this area who have valuable experi
ence and information that they are willing
to share. If you have any suggestions or
interest in being part of the planning com
mittee as a family therapist, please contact
me, Rita Gazarik, LCSW, Chair.
The Substance Abuse Committee of
the Met Chapter is planning a monthly
meeting/supervision group open to
members of the Met Chapter focused on
interventions with substance abusing
patients. We are also considering showing
the movie “Smashed,” with a discussion
on the experience of bottoming out on
addictive substances. For the fall, we are
planning a panel discussion focused on a
variety of patients and how to ascertain
if patients have a problem with addiction.
–Betsy Robin Spiegel, LCSW, Chair
The Trauma Studies and Treatment
Committee offers a Discussion Group that
meets monthly on Friday evenings, 7:15
pm to 8:50 pm. The focus is on current
topics and traumatic events, treatment
approaches, and traumatized populations.
In addition, there are case presentations
and explorations among the group of
other psychodynamic issues like transfer
ence, therapeutic impasses, and coun
tertransference, as well as the ongoing
concern of the therapist’s own self care.
Confidentiality and supportiveness are
stressed in building the cohesiveness of
this group.
A panel presentation is planned for the
fall titled “Thirty Years Later: What We
Have Learned from Long-Term Work with
Incest Survivors.” The panel will consist of
Gwenn A. Nusbaum, LCSW, Madelyn Miller,
LCSW, and Shelly Messing, LCSW, and will
be moderated by Lauren Lesser, LCSW. –
Gwenn Nusbaum, LCSW, Chair
The Education Committee has held
two very successful brunches so far this
season. We look forward to collecting new
ideas and proposals for the coming sea
son. Our third and final brunch will be held
on April 7, with Heather Golden’s presenta
tion of the “BiPolar Pt.” We are currently
looking for new committee members to
help us keep the pace and add some
new energy. –Susan G. Appelman, LCSW,
ACSW, CASAC, Chair
Chapter Reports continued
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facebook.com/nysscsw
Spring 2013 9
Antoinette Mims, LMSW, decided to join the Society when
she attended a Met Chapter screening of Groundhog Day
a few years ago. During the discussion that followed, she
said, “People analyzed the movie through many different
theoretical lenses. I was so impressed by their knowledge
and confidence. I fell in love with the group. It was just
what I had been looking for.”
A cum laude graduate of the Hunter College School of Social Work –
Clinical Program, Antoinette works full-time at the Center for Family
Life in Sunset Park, Brooklyn, an agency that provides clinical social
work and case management services. She is a field instructor and
educational coordinator, supervising graduate-level NYU interns.
She devotes as much time to the Society as her busy schedule
allows. At an event one evening, she was approached by Helen
Hinckley Krackow, LCSW, BCD, a board member and past presi
dent of the Society. Helen is currently Chair of the Barbara Bryan
Mentorship Program. She asked Antoinette many penetrating ques
tions about her professional background and goals.
“I told her that I have always been interested in clinical social
work,” Antoinette said. “Actually, I won a scholarship with a paper I
wrote about the subject. I wanted to advance my clinical skills, I told
Helen, but I wasn’t sure how to go about it.”
The mentorship program is a good place to start, Helen told her,
and invited her to attend the next meeting of the group she leads.
“And this was what was so striking to me,” Antoinette said. “Helen
called me the very next day to follow up. She remembered every
thing we had spoken about the night before. Then, a few days later,
she called again. She asked me to bring five copies of my resume to
the meeting so that all the mentees could refer to it as we discussed
my career.”
That first meeting was a revelation. When the topic turned to
post-graduate institutes, “It opened up a whole new world for me,”
Antoinette said. “I didn’t know such opportunities existed.”
Jumping Hurdles
Many social work students and graduates, even those with master’s-
level licenses (LMSWs), are unclear about the next steps to take to
advance their careers. Those who hope to become psychotherapists
are often surprised by the hurdles ahead.
New York State requires a second license, which involves more
than just passing another exam. To become a licensed clinical social
worker (LCSW), the candidate first has to complete three years
(2,000 hours) of full-time supervised clinical work.
The Mentorship Program is Booming
Expert Guidance for the Transition from Student to Grad to Clinician
By Ivy Miller, Editor, The Clinician
CONTINUED ON NEXT PAGE
“If your goal is to practice clinical social work, you must
know all that is required of you before starting your first day on
the job,” Helen said. To fulfill the clinical work requirements
for the license the work should be “in an agency or institute
that is registered in the State Office of Mental Health, where
supervision is offered for one hour a week by an LCSW, a Ph.D.
qualified as a supervisor by the State Psychology Board, or a
psychiatrist. And the supervision must be clinical—not admin
istrative,” Helen explained.
The path to becoming an LCSW has many twists and turns.
Even taking the first step—finding the right job—is tricky.
Fortunately, the Mentorship Program can provide road maps.
For example, the mentors can help job-seekers with lists of
appropriate, state-registered and well-managed workplaces.
In fact, they provide guidance for every facet of the transition
from student to graduate to clinician.
The mentors are specially-trained senior clinical social
workers with a wealth of knowledge, including practical tips
on finding employment and educational opportunities, and
preparing for licensing exams. They also illuminate complex
clinical, legal, regulatory and ethical issues, and help those
who want to explore all kinds of career options, including
research and teaching.
Helen Hinckley Krackow, LCSW,
BCD is Chair of the Barbara
Bryan Mentorship Program,
named for the founder of the
Society’s mentoring program.
Helen has been leading mentor
ing groups since 1995 and trains
senior clinical social workers to
become mentors.
“Our program is booming,”
Helen reported. “It is very
popular with our large crop of
new members.” To accommo
date them all, the Met Chapter is
adding six new mentorship groups, bringing the total to 11, and the
programs of the Westchester, Rockland, Mid-Hudson, Staten Island
and Queens chapters are growing as well.
Mentorship group participation is free with membership in the
Society. Contact Helen Hinckley Krackow at 212-683-1780 or
hhkrackow@aol.com.
Photo: Bachrach
10 The Clinician www.NYSSCSW.org
please welcome the new members of the nysscsw*
NAME
CHAPTER
Agostino, Kristine
NAS
Alterman, Lynne
MET
Attanas, Anne
QUE
Batista, Raymond
MET
Ben-yehuda, Raphael
MET
Benson, Christine, LMSW
MID
Bernstein, Marjorie, LCSW
MET
Bowden, Kate, LCSW
MET
Brouillette, Richard
MET
Clay, Karen, LCSW
WES
Cofield, Michele, LMSW
MET
Cole-boksne, Lisa
MET
Cramer, Terry, LCSW
MET
Curabba, Juliann, MSW, LCSW
WES
Davisson Sumner, Lora
MET
Degnan, Jillian
QUE
Dimele, Zoe, LCSW
SUF
Duhon, Mary, LCSW
MET
Eastman Follis, Laura, LMSW
MID
Eggleston, Sarah
MET
Ellis, Nancy
SI
Fagen, Drena
MID
NAME
CHAPTER
Falkoff, Marissa
MET
Filanowski, Anthony
MET
Freedgood, Barbara, LCSW
MET
Freedman, Seena
MET
Gutsulyak, Iryna
MET
Hattab, Wardeh
MET
Heyman, Sage
MET
Jacobs, Margaret
MET
Johnstone, Robbi, LCSW, LMSW
MET
Kasdin, Janis
NAS
Kramer, Jim, LMSW
WES
Kurzyna, Marilyn, LCSW-R
MET
La, Jason
MET
Lau, Cindy
QUE
Lawson, Ann
MID
Mahler, Laura
MID
Masten, James
MET
Mate, Phyllis, LMSW
MET
Mcguire, Stephanie
MET
McKenna, Elizabeth, LCSW-R
WES
Moskowitz, Jessica, MSW, LCSW MET
Neufeld, Susan
MET
NEWS ABOUT OUR MEMBERS
Sharon K. Farber, Ph.D., has published her second book, Hungry for
Ecstasy: Trauma, the Brain, and The Influence of the Sixties. She presented
on ecstatic experience, the subject of the new book, at the Westchester
Chapter in May 2012.
She previously presented on this topic at the International Society
for the Study of Trauma and Dissociation Annual Conference in Montreal.
She also presented “Cult-Induced Ecstasies and Psychoses” at the
International Cultic Studies Association conference in 2012, also in
Montreal.
In March 2012, she presented “Eating Disorders, Self-Mutilation, and
Trauma” at Hadassah Hospital in Ein Kerem, Jerusalem, and finally met one
of her co-authors on the 2007 paper, “Death and Annihilation Anxiety in
Anorexia, Bulimia, and Self-mutilation.”
A year and a half ago, she began a writing group for clinicians who want
to write lively, engaging material about their work. It has gone very well and
she has recently opened it as a teleseminar for those who cannot participate
in person at her office in Hastings-on-Hudson. She can also be contacted for
private consultation about writing at sharonkfarber@gmail.com.
NOTE: Please send recent news items about members
to ivymiller@hotmail.com
*These new members joined between Nov. 1, 2012 and Feb. 28, 2013.
New crops
Antoinette Mims has not missed a single meeting since
joining the mentorship group. With Helen’s guidance, she
enrolled in the year-long New York University post-master’s
certificate program in advanced clinical practice. It has
made her “more confident in applying theory to practice.
My work with clients has become deeper and more mean
ingful,” she said.
Her work with the Met Chapter is still going strong. She
is a member of the Membership Committee, a co-chair of
the Mentorship Committee, and was recently chosen as a
Member-at-Large of the Board. It is gratifying “to help the
Society increase its membership and advance its mission,”
she said. She will graduate at the end of the year, and take
the LCSW exam in 2014. Her plan is to work with couples as
well as adolescents.
Mentorship CONTINUED FROM PAGE 9
NAME
CHAPTER
Ornelas, Doreen
MET
Rosen, Carole, LCSW
MET
Rothman, Hilary
MET
Sanjour, Roberta, LCSW-R
WES
Schmidt, Christine, LCSW-R
MET
Schneider, Daniel
MET
Sevigny, Michele
MID
Shapiro, Willa, MSW, LCSW-R
MET
Shomron, Talya, LCSW
MET
Sicignano, Michelle
NAS
Sigel, Alice, LCSW-R
MET
Sinclair, Gillian
ROC
Sivin, Phyllis, LCSW-R
MET
Sklar, Jennifer
MET
Stolbach, Jill, LCSW-R
MET
Valentin, Ana
WES
Vegunta, Sree, LCSW-R
ROC
Voris Tatum, Meghan, LCSW
MET
Waldes, Jocelyn
MET
Ward, Ann Marie, LCSW
SI
Wolfe, Jennifer, MSW, LCSW
MET
Zilberman, Margarita, LCSW
MET
Spring 2013 11
T
here is much to be learned when
we are willing to examine clinical
mistakes and failures with some
objectivity. But treatment failure can
be a difficult subject around which to
engage therapists. It is more pleasurable
to share what goes well with our peers,
congratulating ourselves on a job well
done, rather than risk the appearance of
lacking clinical skills.
Many years into practice, I became curi
ous about the many patients who came for
consultations reporting prior unsuccessful
experiences with therapy. The most com
mon causes for failure that patients identi
fied were lack of responsiveness from
the therapist, a cold, aloof manner often
interpreted as a lack of genuine interest.
Their interpretations left patients feeling
more confused, angry or misunderstood,
the lack of rapport resulting in a lack of
attachment to the therapist.
Some of the behaviors reported were
blatantly inappropriate: therapists falling
asleep, using a computer when the patient
was quiet, eating meals during sessions,
and even not appearing for appointments.
While some examples were extreme, oth
ers may have been perceptions indicating
tenuous connections to the therapists.
Treatment Failure in Psychotherapy

By Karen Kaufman, Ph.D., LCSW
In many cases, the patients persisted
with treatment in the hope of overcom
ing their discomfort or an acknowledged
impasse. When the relationships were no
longer tenable, many decided to seek help
from other therapists, indicating their still-
present hope of feeling better.
I began to suspect that other, more
subtle behaviors may have been at work,
influenced by countertransference which,
if unchecked, can alter the outcome of
treatment. I became interested in the
relationship between countertransfer
ence, empathic breakdowns and treatment
failure. In the hope of identifying reasons
for these failures, I designed a qualita
tive study to examine the experiences of
analytically-trained clinicians, in practice
from 10 to 30 years, with cases they con
sidered to be failures.
“There’s no success
like failure and failure’s
no success at all.”
Bob Dylan
Love Minus Zero / No Limit.
Columbia Records, 1978
In most of the cases a common theme
emerged: there was a detectable shift in
the therapist’s regard for the patient as
the result of negative countertransfer
ence. All of the therapists began the
treatment feeling optimistic and hopeful,
but at some point in the work there was
a shift in the therapist’s feelings that
appeared to lead to an empathic break
down, finally causing a break in treat
ment. The shift was detected by all of the
therapists who openly discussed their
work and intense reactions to patients
they described as difficult to treat.
An extensive literature review from
Freud through 2004 led to the finding
of two distinct categories for treatment
failure. The earlier writings presented a
“blame the patient” view. In the 1960s,
Greenson was among the first to examine
the analyst’s errors and created a bridge
to Kohut’s focus on empathic attunement
and the relational theorists, who empha
size the co-created field of patient and
therapist.
The shift in thinking to the two-person
field highlights our responsibility as clini
cians. The importance of our contribution
to the successful outcome of our work
cannot be overstated. It is through ongoing
study, supervision and self-awareness,
along with the ability to openly discuss our
mistakes, that we may enjoy our greatest
successes.
Karen Kaufman Ph.D., LCSW is President of the Met Chapter.
She presented her findings on treatment failure at the chapter’s
February 10th Education Committee Brunch.
save-the-date: GENERAL MEMBERSHIP MEETING > SATURDAY, OCTOBER 19, 2013
12 The Clinician www.NYSSCSW.org
W
ithin days of the terrorist attacks at the World
Trade Center, scores of mental health profes
sionals volunteered or were called into service
to help the distraught families of those who
perished. Bereavement support groups were formed to
provide mourners a safe environment in which to share their
grief, manage their loss, and adjust to very new and differ
ent lives. Some groups were designed to meet the specific
needs of partners (including spouses, pregnant women, and
fiancés), or the parents, siblings, or children of victims.
Like many of my colleagues, I volunteered at the Red
Cross, and my first assignment was to work with family
members of the Cantor Fitzgerald employees who had died.
This investment bank lost 658 staff members on September
11, 2001, more than any other employer. I became co-leader
of a heterogeneous support group of nine people that lasted
for eight sessions, and continued to meet without a leader for
several more months.
One of the group’s members, a woman who had lost her
son-in-law on 9/11, asked me if I would be interested in lead
ing another group. It was a support group for widows that her
daughter was attending, and that was losing its female leader.
I met with the group, comprised of eight women in their
thirties, in what turned out to be an unacknowledged “trial
session” for us all. After discussing their previous group
experiences, and the possible transition from a female to
a male leader, the women came to a consensus. They “felt
safe” in continuing their grief work with me.

The Leader’s Role
One of the challenges of a bereavement support group is
in determining the best role for the professional entrusted
with its care. In this case, the unique and horrifying event
that brought the women together, the mass murder of their
husbands, was a factor to consider. In addition, the group had
not been designed for psychotherapy, as each member was
already in individual therapy with other clinicians.
The purpose the group was to facilitate the process of
healing and growth. I chose to play a combined role as facili
tator and guide, counselor and mental health resource, and I
worked to create a safe, comfortable, and open environment.
I encouraged the women to express themselves freely, with
the understanding that pain and anger were appropriate
emotions. Grief is not an illness, but a natural response to
loss. We established a few ground rules to ensure that each
person would have enough time to share as much or little as
she wished. She would never be told what to feel or not to
feel, and never be given unwanted advice.
Over time, I developed the skill of knowing how and when
to stay out of the way of an increasingly cohesive group. I was
mindful of the possibility that some of the mourners might
suffer from abnormal or pathological grief reactions, better
thought of as “complicated grief reactions” or “complicated
bereavement” (Worden, 1991). These include chronic,
delayed, exaggerated, and masked grief reactions. The latter
category is familiar to therapists with clients who present
symptoms and behaviors that cause them distress and are
not recognized as related to losses they have suffered.

Worden’s Four Tasks
Bereavement groups have many goals and purposes that
may evolve over time. The literature (Lehman, Ellard, and
Wortman, 1985; Lieberman and Videka-Sherman, 1986;
Schwartz-Borden, 1986; Thompson, 1996) suggests that the
groups can provide a sense of belonging, fellowship and soli
darity; lead to new problem-solving ideas and the discovery
of resources in the community; improve skills related to
social relationships; and help members gain new hope and
become less lonely and isolated.
Worden (1991) describes mourning—the adaptation to
loss—as involving four basic tasks:
1. to accept the reality of loss, which can be extremely
difficult when it is sudden, unexpected, and tragic,
like the 9/11 deaths
2. to work through the pain of grief, as opposed to denying
the need to grieve
3. to adjust to an environment in which the deceased
is missing
4. to emotionally relocate the deceased and move on
with life.
Worden’s four tasks suggest an action orientation that I
found to be a useful framework for the group, as opposed to
Leading a Bereavement Group
for 9/11 Widows
The original plan was to end after 16 sessions.
But when the time came, the members wanted to keep the group going.
It lasted for a total of 41 months, until mid-2005.
By Richard Joelson, DSW, LCSW
Spring 2013 13
the well known stage- or phase-schemas for bereavement.
These include Elisabeth Kubler-Ross’s (1969) stages of dying
and Bowlby’s (1980) phases. Both schemas seem to imply
passivity and a lack of action as the mourner passes along
a continuum. Worden’s approach, which is more consonant
with Freud’s concept of grief work, encourages activity, im
plying that the process can be influenced by outside interven
tion, and an active role for the participating clinician.
Action can be a powerful antidote to the feelings of
helplessness that most mourners experience (p.35), which
can be very pronounced in cases of sudden or traumatic
death. Barrett (1978) wrote about the necessity of enduring
and working through grief as one way that widows are able
to maintain and enhance their self-esteem. She cautioned
against treatment modalities that focus primarily on the
reduction of feelings of sorrow, anger, depression, guilt,
and so on.
Bereavement support groups, like all intervention strate
gies, have the potential for both positive and negative con
sequences. Iatrogenic effects are of particular concern with
individuals who have been traumatized by tragic loss and are
therefore psychologically vulnerable. Hiltz (1975) reported
a “backfire” phenomenon in her early work at the Widows
Consultation Center in New York, where many participants
became more depressed and less able to cope as a result of
their involvement in a bereavement group. The women tended
to become overwhelmed by listening to the experiences and
feelings of others. It is generally assumed that such individuals
will terminate group participation on their own after recogniz
ing the negative consequences of their experience.
How Did He Die?
Almost every widow in the group expressed a need to know
exactly what happened to her husband. How did he die? How
much had he suffered? These questions were essentially
unanswerable.
Some of the women had spoken briefly with their hus
bands by phone right after the terrorist attacks. Others relied
on hearsay to piece together the events in their minds. Many
of the women formed suppositions, inferences and con
jectures that led to both animated and painful moments in
almost every session.
Initially, my interventions were designed to contain and
protect, and minimize the risk of retraumatization. I recom
mended that each woman develop and emotionally lock-in a
plausible scenario for her husband’s death. Though helpful,
this strategy was often undermined by the continuous flow
of information from the Medical Examiner’s Office. Each
time body parts were identified and personal effects were
returned, the women’s disturbing thoughts resurfaced.
In one case, a woman who believed her husband had died
painlessly of smoke inhalation was dismayed to read in the
ME’s report that he was either incinerated or died in the
collapse of the tower.
Interpersonal Stress
Another source of distress and interpersonal difficulty for
the women was the thoughtlessness of well-meaning people.
It was enraging to be wished “a quick recovery,” or told that
“it’s time to get on with your life,” or that “you still have a lot
to live for,” and “you must try to stop feeling this way.”
Some resented having to reassure family and friends that
they were okay when, in fact, they were not. They felt guilty if
a depressed demeanor was perceived to be “clouding up the
atmosphere” at family celebrations—events they attended
with considerable difficulty or simply avoided.
At times, they felt that their bereavement was inap
propriately ignored or trivialized. One woman said, “I was
with a group of my married girlfriends, and all they did was
complain about their lousy husbands while I’m sitting there,
newly widowed, and no one seemed to know or care that I
didn’t have a husband to complain about—even if I wanted
to!” Another woman was told by her close friend, “Boy, you’re
so lucky. I wish I was single like you!”
Another described an outing with old friends. “Not only
was I feeling like the fifth wheel with these two couples, but I
Richard B. Joelson, DSW,
LCSW, is an active member of
the Society, serving on both
the state and chapter levels.
On the state level, he is the
Recording Secretary, Chair of
the Social Media Committee,
and a member of the Annual
Education Conference Com
mittee. At the Metropolitan
Chapter, he is the Chair of the
Membership Committee and
Co-chair of the Nominating
Committee.
In addition to his counseling and psychotherapy practice
in Manhattan, Richard has developed a second career as a
children’s picture book author, with two published books
and several more forthcoming. His author’s website is www.
rbjstorybooksforchildren.com.
Richard has also written over 70 articles for a newsletter
he developed in conjunction with his professional website:
www.richardbjoelsondsw.com. Many of these articles first
appeared in a column he wrote earlier for the New York
Resident. The articles may be published as a book.
Richard has also been a valuable resource for the
Society’s practitioners in private practice, conducting
workshops and a seminar on private practice development.
Recently, he wrote a column for The Clinician, titled “Private
Practice Matters.” Society members may contact him at
RBJoelson@aol.com or 212-369-1239.
CONTINUED ON NEXT PAGE
14 The Clinician www.NYSSCSW.org
had to listen to them plan their summer vacation—without
me and my dead husband—at a place the six of us used to go
to together.”
We explored ways the women could broaden their coping
repertoires. How could they express their feelings, advocate
for themselves, and try to “enlighten” those who wanted to
help them during this period—the most difficult in their
lives.
However, it took a long time to develop understanding, ac
ceptance, and forgiveness for the thoughtlessness of others.
Fits and Starts
A common assumption is that bereavement is a process
that progresses in a sequential manner, marked by a gradual
and identifiable reduction in grief and other indications of
a return to normalcy. In many cases however, indicators of
progress are not reassuringly evident. The mourner may ap
pear to be getting worse as months go by, and this can cause
needless worry by friends and family.
In fact, feeling “worse” is not necessarily a bad sign.
It may be an indication that the painful work of grieving is
proceeding as it unavoidably must, in fits and starts. As one
member of the group put it, “I am far more upset now than
I was in the beginning, because I am no longer in shock and
have lost the emotional protection of my early numbness. But
that’s okay.”
The bereavement process may take weeks, months, or
years (Osterweis, Solomon, & Green, 1984). It is not a path
to “recovery,” insofar as that means a return to pre-bereave
ment baselines. Instead, the process leads to the mourner’s
increasing ability to change, adapt, and alter her self-image
and role to fit a new status.
Role Transition
Implicitly and explicitly, the underlying theme of the group
was the role transition from wife to widow (Silverman, 1972),
or from wife to widow to woman, as elaborated by Golan
(1975). Her descriptions of the experiences of war widows
in Israel bears a striking resemblance to those of the widows
of 9/11.
The transition and its milestones can take many forms,
and cause many conflicts and dilemmas. For example, it
was often harrowing for the widows to decide if they should
dispose of their husbands’ clothing, or replace their voice
messages on the phone, or refer to them in the past tense or
the present tense.
One woman felt anxious about relocating to a new house.
“I thought that maybe I had to move out in order to move on,”
she said. On the other hand, she worried that the move might
rob her and her children of the vestiges of her husband, and
that his “presence” or “aura” would stay behind, in the home
they had shared.
The widows were thrust into new roles as heads of their
households, perhaps the only breadwinners. Yet the use of
the first person singular was upsetting for many, who only
gradually came to accept it as part of the “new normal.”
The transition from “we” to “I” (Yalom and Vinogradov,
1988) involved the contemplation of complex questions of
growth, identity, and responsibility for the future—an emo
tional minefield. It forced repeated confrontations with the
reality of their husbands’ permanent absence, and the fact
that they were alone and needed to create a meaningful new
social and emotional life.
The tension between the need and desire for change, and
the women’s devotion to and love for their husbands, was pal
pable. Any change might represent a betrayal of the marital
relationship. Any decision might become a sad reminder of
the missing spouse.
Some women said they “had conversations” with their
dead husbands. The group broke out in laughter at the de
scription of such a conversation. “I was having trouble decid
ing whether to buy a new car and what kind to buy. So I asked
my husband (in my head) what he thought I should do, and I
didn’t like his answer. So I said to him, ‘Hey, you’re dead! You
don’t have a say anymore. I’m gonna get the car I want!”
New relationships with men came up for discussion when
someone sensed the interest of a male friend or acquain
tance. A man’s attentions caused some of the women to
feel flattered and intrigued, while others felt offended or
exploited. Some felt the need to reassert their intention to
remain loyal to the deceased spouse and to deal stoically
with celibacy.
I made careful forays into discussions of male companion
ship, and the possibility of future marriages and children.
For some women, these were important and timely topics to
address, while for others, they were premature.
One woman sent shock waves through the group with her
story of a chance encounter on a ski vacation with a man. The
sexual intimacy had been a good experience for her.
Some members of the group were impressed that she was
able to enjoy herself, and that she felt entitled to experience
pleasure without guilt. A few women said they felt hopeful
that one day they too might be able to enjoy a relationship
with a man again.
Bereavement Group CONTINUED FROM PAGE 13
CONTINUED ON PAGE 16
Spring 2013 15
Susan discussed her theories of the “demon-lover complex”
(which can lead to physical or psychic death) and “devel
opmental mourning” (which represents the critical psychic
change process of self-integration achieved by working
through losses in one’s life). In her presentation, Susan inte
grated many aspects of British and American object relations
theory. Examples of the lives and works of renowned women
artists illustrated the ways that this critical psychic change
process can be arrested and how the object relations psycho
therapeutic process can become instrumental in healing and
overcoming these arrests.
She posited that when children experience a disruption
in the connection to the mother, either through emotional
rejection, absence, and neglect or through actual traumatic
loss, the necessary process of developmental mourning is
arrested. The unresolved yearning for the symbiotic mother
turns to rage and merges with the eroticized father, creating
the “demon lover complex.” The psychic structure that is laid
down impacts the child’s future relating and functioning. If,
however, separation/ individuation has been achieved before
the loss, there is a whole self object. The child is then able to
symbolize and can tolerate the necessary grieving process.
In the workshop, Susan used the lives and works of Sylvia
Plath, Emily Dickinson, Emily Bronte, and Ann Sexton to
illustrate how the disruption in developmental mourning
they experienced resulted in a “compulsion to create.” For
example, the work of Emily Bronte, whose mother died when
she was two, showed this developmental arrest. In Wuthering
Heights, Heathcliff and Catherine are not whole objects but
part objects who ultimately killed each other.
Emily Dickinson, whose mother was schizoid, was also
preoedipaly-arrested. Despite marriage proposals, she never
left the womb/tomb of her parent’s home and never broke
her seclusion.
Committee for Creativity & Transformation in Clinical Practice
THE DARK SIDE OF CREATIVITY
Presentation by Susan Kavaler-Adler, Ph.D., ABPP, D.LITT., NCPsyA

Reviewed by Sandra Indig, LCSW-R, LP, ATCB, Committee Chair
The presenter maintained that the creative process
can be reparative and facilitate mourning in pre-oedipaly
arrested patients if guidance, support, and opportunity to un
dertake these tasks is present. She said that we as therapists
need to offer a holding environment, as well as to contain
the rage and not to retaliate. Susan briefly addressed the
backlash by some artists and critics against psychotherapy
and psychoanalysis because of the belief that it robs artists
of their creativity. She distinguished between the preoedi
paly arrested “compulsion to create,” the addiction to self
as artist, and the reparative/ creative process that allows
the artist to move through the void, abandonment, and rage
of developmentally arrested
mourning.
Questions and comments
helped to explicate the
concept of the “demon lover
complex” and the defensive
function it serves. Among
them were questions about
creative male characters,
such as Edgar Allan Poe,
Truman Capote, and Pablo
Picasso. Discussion included
the “positive” view of the
female muse for creative male figures, as well as suggestions
that themes of death and killing in Poe’s works and portray
ing women as part objects in Picasso’s paintings represented
similar pre-oedipal arrest phenomena in males.
After a short break, Susan led the group in a powerful
guided psychic visualization exercise. Participants were in
vited to enter their own internal worlds through a process of
relaxation breathing and then guided imagery in which they
were asked to have a conversation with imagined objects that
Our May presentation began with Dr. Susan Kavaler-Adler’s explosively dramatic
reading of Sylvia Plath’s famous “Daddy” poem. It poignantly and powerfully
articulated the artist’s longings for a primal pre-oedipal mother merged with the
image of a lost and eroticized oedipal father, a “demon-lover.”
CONTINUED ON NEXT PAGE
Dr. Susan Kavaler-Adler
16 The Clinician www.NYSSCSW.org
The Dark Side CONTINUED FROM PAGE 15
It was a moment like no other. As leader of the group, I felt grateful that
a single story, shared so openly, had helped advance the grief work and
dynamic role transitions.
When we started the group, we planned for only 16 sessions. As the last
weekly session approached, the members decided to keep the group going
longer. In fact, it last for 41 months, finally disbanding in 2005. As a mental
health professional with more than three decades of experience, I found
that working with the families of 9/11 victims was one of the most challeng
ing and meaningful experiences of my career.
References are available by request. Contact Richard B. Joelson, DSW,
LCSW at RBJoelson@aol.com or 212-369-1239.
have either supported or thwarted their creative processes.
Quite a few participants shared experiences of connecting
to memories and images of teachers, mentors, and parents.
It appeared that in the form of transference projections, they
gained an enhanced understanding of what was hindering
their various creative endeavors. Both the visualization pro
cess and the processing of the dynamic group interactions
appeared to help participants locate themselves in their own
developmental mourning process. Gradually, participants
could confront and begin to let go of old internal object
constellations that inhibit or sabotage them.
Thanks goes to Lisa Manger, LCSW for her contribution to this
article and to Susan Schefflein for her former contribution to
The Art and Spirit of Family Sculpture article.
Dr. Kavaler-Adler has been a clinical psychologist and psychoana
lyst for over 35 years. She is the Founder and Executive Director of
the Object Relations Institute for Psychotherapy and Psychoanaly
sis. For more information about her practice, groups, and books,
visit www.KavalerAdler.com.
Creativity & Transformation Committee
Report — State Board Meeting
By Sandra Indig, LCSW-R, LP, ATRCB, Chair
Committee meetings on January 24, February 19
and March 6 established the ground work for an
April workshop. Out of several very qualified guest
speakers, Margery Quackenbush, Ph.D., LP, Execu
tive Director of NAAP, was chosen to start off our
ongoing discussions on the topic of the unconscious
in art, mind, and brain. We plan to use a text by Eric
Kandel as our focus, The Age of Insight: the Quest to
Understand the Unconscious in Art, Mind, and Brain.
References to the first chapter will be made available
to attendees.
One of our ongoing aims is to enlarge the group of
regular attendees. We will continue to explore outreach
efforts including field trips to relevant cultural events,
such as the Marcel Proust and Surrealism exhibits at
the Morgan Museum. We are also exploring the pos
sibility of a weekend creativity and creative process
retreat on Long Island. Please watch for our postings.
Bereavement Group CONTINUED FROM PAGE 14
DIANA LIST CULLEN
Diana List Cullen, MSW, LCSW, a beloved leader of the NYSSCSW,
passed away on January 17, 2013 after a long struggle with cancer.
President of the Met Chapter from 1994 to 2000, she also served on
the State Board during those six years. The Met Chapter has named its
scholarship program for clinical social work students in her honor.
Diana was a student at the NYU School of Social Work when she first
joined the Met Board. She emerged as an innovative leader who could
recruit others, including many of the Society’s current leaders. A cre
ative therapist specializing in EMDR, she was one of first to use online
psychotherapy. In 1995, she wrote an article about it for The Clinician
titled “Psychotherapy in Cyberspace.”
Diana was also a dancer, a potter, and a savvy business administrator.
At a celebration of her life held on February 6, Richard Joelson recalled
her outstanding work for the Society and their long friendship; Carol
Cutler described her contributions to the pottery program at the 92nd
Street Y; Phoebe Hoss spoke of their joint leadership of “The Circle of
Elders,” at the Unitarian Church; and Diana’s children and grandchildren
also memorialized her poignantly.
One story about Diana’s generous nature concerned a young boy she
tutored in Harlem. When he told her he wanted to be a weather man,
she somehow found a way for him to have a personal tour of the NBC-TV
studios with Al Roker, the weatherman.
Spring 2013 17

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.
Cedar Associates
Upper West Side, NYC
Motivational Eating Disorder Group
Motivation & Change Group
Utilizing the Trans-theoretical Model of Change and
the techniques of Motivational Interviewing, the
facilitator will assist clients in raising awareness
around what maintains their behaviors, flush out
ambivalence and increase behavioral changes and
ambivalence and increase behavioral changes and
address distorted thinking, irrational beliefs, values
and psychodynamic issues that drive behavior.
Cedar Associates
Upper West Side, NYC
Motivational Eating Disorder Group
Motivation & Change Group
Utilizing the Trans-theoretical Model of Change and
the techniques of Motivational Interviewing, the
facilitator will assist clients in raising awareness
around what maintains their behaviors, flush out
ambivalence and increase behavioral changes and
ambivalence and increase behavioral changes and
address distorted thinking, irrational beliefs, values
and psychodynamic issues that drive behavior.
www.CedarAssociates.com
Cedar Associates of Westchester, NY, treating eating
disorders since 1994, is pleased to announce
the start of a Motivational Group in NYC for patients
with eating disorders.
Contact: Judy Scheel, Ph.D., LCSW
jscheel@cedarassociates.com
914 244-1901
NEW YORK
STATE
SOCIETY
FOR
CLINICAL
SOCIAL
WORK,
INC.
18 The Clinician www.NYSSCSW.org
THE INSTITUTE FOR EXPRESSIVE ANALYSIS

The Institute for Expressive Analysis (IEA) is a New York State
License qualifying program that offers training in psychoanalysis.
IEA places a particular emphasis on the integration of
psychotherapy and psychoanalysis with the creative process.
The curriculum provides diverse theoretical approaches including
Object Relations, Self-Psychology, Relational Psychoanalysis,
Jungian, and Contemporary Freudian theory. Training focuses on
both verbal and nonverbal aspects of treatment and is applicable
for both private practice and institutional settings.
IEA’s program promotes the development of therapeutic artistry
by providing a solid clinical base along with exposure to creative
currents in contemporary psychoanalysis. IEA offers a personal,
intimate training atmosphere based on the belief that every
analyst must find her/his own therapeutic metaphor, style, and
way of integrating the many dimensions of training. Central to this
integration is developing a deep understanding of one's own
subjectivity and patient-analyst co-created dynamics related to
the transference-countertransference; the heart of psychoanalytic
treatment.
IEA’s
consultation
center
is
also
available
for
low-fee
psychotherapy referrals.
www.IEANYC.org

Opportunity
to
meet
with
our
candidates
and
graduates.
Learn
what
psychoanalytic
training
and
licensing
has
to
offer,
as
well
as
our
certificate
programs.

2013 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
advanced
certification
program,
which
incorporates
Psychodynamic,
Cognitive
Behavioral
&
Dialectical
Behavioral
Therapies

Trauma
Division
 Two-‐year
program
that
integrates
contemporary
brain/mind/body
models
of
trauma
treatment
with
psychodynamic/psychoanalytic
treatment

Family
&
Couples
 Integration
of
systems,
psychoanalytic
and
relational
theories
with
the
practice
of
family
&
couples
therapy

Gay
&
Lesbian
(GLAP)
Affirmative
Psychotherapy
 LGBTQ
Clinical
Certification
with
modules
covering
current
treatment
issues
affecting
LGBTQ
communities
 Transgender
Concentration
available

1841 Broadway @ 60th Street, 4th Floor, New York, NY 10023

Sunday, April 14th, 12-2pm

Sunday, April 28th, 12-2pm

To RSVP, please contact Liliana Manca at
lmanca.training@icpnyc.org
(212) 333-3444, ext 105

visit: www.icpnyc.org

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
Spring 2013 19
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
914-967-1300
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, 260 Stuyvesant Ave., Rye, NY 10580
• Four-Year Psychoanalytic Training Program
• Financial Aid Available
• Two-Year Adult Psychotherapy Training Program
• Two-Year Child and Adolescent Psychotherapy
Training Program
• One-Year Supervisory Training Program
• One-Year Couples Psychotherapy Training Program
• Treatment Service (Sliding Scale)

Clinicians’ Writing Group

So much clinical writing is done in a dry, boring
fashion. It need not be that way.Just as Oliver Sacks
includes his own personal experiences in his books,
making his work exciting and accessible to readers, you
too can do this in writing about your work.

I run a writing group for clinicians who want to write
in a lively, engaging way about clinical material and
other aspects of their work — journal article, blog, book,
magazine, newspaper, newsletter. This group can help
get you started, find your voice, and serves as a
wonderfully supportive community, meeting on the third
Friday of the month in my office in Hastings-on-Hudson
from 9-10:30 am. There is also the possibility of phone
participation for those at a distance. The fee is $70 per
meeting.

I have had a lot of experience with different kinds of
writing and with the publishing industry, having
published two books, a number of journal articles, a
blog, some newspaper and newsletter pieces. I can
share with you what I spent years learning the hard way
about the publishing industry. I am also available for
private writing consultation.

See my website Drsharonfarber.com. Contact me at
Sharonkfarber@gmail.com or 914-478-1924.

The Institute of
Contemporary Psychoanalysis,
Los Angeles…

…Invites You To
A Wine and Cheese Reception
In New York City

Friday, 26 April
7:30 – 9:30 pm
131 Perry Street, Apt PH-B
Between Washington and Greenwich Streets

Our Unique Weekend Program
(6 weekends a year)
Offers Psychoanalytic Training and
Doctorate Degree in Psychoanalysis.

RSVP and for further information to
Ellyn Freedman, LCSW, PsyD
Ellynf@aol.com

ICP offers full training to earn a Doctorate in
Psychoanalysis (PsyD) in a four year weekend
program meeting six times a year in Los
Angeles. Building on the rich history of
psychoanalysis, we afford candidates the
opportunity to study contemporary theories
focusing on intersubjectivity, relatedness,
context, complexity, dynamic systems,
attachment, infant research and the contributions
of both neuroscience and philosophy. As a free-
standing institute, ICP endorses a democratic
psychoanalytic education independent of the
hierarchical constraints of existing national and
international psychoanalytic organizations.
Candidates maintain complete freedom over their
choice of ICP-approved training analysts and
supervisors, many of whom practice in New
York City.

Please visit our website at www.icpla.edu for
further information and a full list of our training
and corresponding analysts.

20 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
STD. PRESORT
U.S. POSTAGE PAID
PERMIT NO. 382
ROCKVILLE CENTRE, NY
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

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