The Clinician Vol. 46, No. 1, 2015 Spring

IN THIS ISSUE
 6 Confronting the Internet
 7 CSWs as Diagnosticians, III
 13 Book: Group Psychotherapy
 14 Frozen Grief and Eating
CONTINUED ON PAGE 9
CONTINUED ON PAGE 13
TH E N EWSLETTE R OF TH E N EW YORK STATE SOCI ETY FOR CLI N ICAL SOCIAL WORK, I NC.
SPRING 2015 | VOL. 46, NO. 1
president’s message
By Marsha Wineburgh
H
ere’s hoping spring has arrived by 
the time you receive this edition of 
The Clinician. It has been a long, 
hard winter, and I believe your Board has 
used the time wisely, working to ensure the 
flourishing of the Clinical Society in these 
changing times.
Our success in legally establishing 
clinical social work as autonomous mental 
health profession, both here in New York 
State and on the federal level, through 
licensing and reimbursement for our clinical 
expertise, allows us to turn our attention to 
exciting new efforts. We are expanding our 
education mission to provide quality profes­
sional education to new MSW graduates and 
to our more experienced practitioners as 
well. 
The continuing education statute for 
the social work profession in New York has, 
surprisingly, presented us with this new op­
portunity, and we seized upon it by founding 
the Advanced Clinical Education Foundation 
of the NYSSCSW (ACE), a not-for-profit 
corporation. This has opened a myriad of 
possibilities for clinical education, includ­
ing the development of a member-faculty 
NYSSCSW-ACE Is Approved by State
To Provide Continuing Education Credits 
By Marsha Wineburgh, DSW, LCSW, BCD, NYSSCSW President, and 
Karen Kaufman, Ph.D., LCSW, ACE President
 
NYSSCSW & ACE PRESENT THE 46TH ANNUAL EDUCATION CONFERENCE
Contemporary Clinical Practice:
New Developments and Historical Perspectives
SATURDAY, APRIL 25, 2015, NEW YORK CITY
5.5 CEUs WILL BE AWARDED
For Information See P.4 
The Advanced Clinical Education Foundation of the 
NYSSCSW (ACE) is pleased to announce that it has 
been approved by New York State as a provider of 
continuing education credits (otherwise known as 
continuing education units, or CEUs). 
The State Education Department approved the three con­
ferences that were submitted: the Staten Island Chapter Conference on March 14, The 
Impact and Treatment of the Opiate Epidemic on Staten Island (3 CEUs); the Nassau 
Chapter Conference on March 21, 2015, How Suicide Stigma Adversely Affects the 
Bereaved: What Health Professionals Need to Know (3.75 CEUs); and our statewide event, 
The 46th Annual Education Conference on April 25, 2015, Contemporary Clinical Practice: 
New Developments and Historical Perspectives (5.5 CEUs).
We are eager to continue offering quality clinical education programs to keep our mem­
bers, and other social workers throughout the state, current in the mental health field. The 
availability of CEUs will help them fulfill the new requirement for re-registration to practice 
in New York State. As of January 1, licensed master social workers (LMSWs) and licensed 
clinical social workers (LCSWs) must complete 36 hours of acceptable continuing education 
credits before their next triennial registration.
CEU
CREDITS
2    The Clinician   www.NYSSCSW.org
NEW YORK
STATE
SOCIETY
FOR
CLINICAL
SOCIAL
WORK,
INC.
The New York State Society for Clinical Social Work, Inc.
2015 NYSSCSW BOARD OF DIRECTORS
STATE EXECUTIVE COMMITTEE
President  
Marsha L. Wineburgh, MSW, DSW, LCSW, BCD 
mwineburgh@aol.com
President-Elect  
Shannon Boyle, MSW, LMSW  
shannonboyle@hotmail.com
1st Vice President  
Martin Lowery, MSW, LCSW-R     
mlowery@maryknoll.org
2nd Vice President  
Helen H. Krackow, MSW, LCSW   
hhkrackow@aol.com
Secretary  
Richard B. Joelson, DSW, LCSW   
rbjoelson@aol.com
Treasurer 
TBA 
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 Smith, MSW, LCSW 
ritacopesmith2@verizone.net
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
 
C. Thaddea Compian, LCSW (VR)   
thaddeacompain@yahoo.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 Co-Ps.  
Jamie Hatzis, LMSW, 
Jamie.hatzis@gmail.com 
 
Richard Karelis, LCSW  
rkcsw84@juno.com
Westchester VR.  
Jody Porter, MSW, LCSW  
jodyp100@aol.com
STATE COMMITTEE CHAIRS
By-Laws  
Beth Pagano, MSW, LCSW  
Bethpagano678@msn.com
Creativity and Transformation 
Sandra Indig, MSW, LCSW, ATR-BC  
psych4art@hotmail.com
E-News  
Helen T. Hoffman, MSW, LCSW     
helenhoffman@verizon.net
Ethics & Professional Standards 
Martin Lowery, MSW, LCSW  
mlowery@maryknoll.org
 
David G. Phillips, DSW, LCSW  
dgphillips@nyc.rr.com
General Membership Meeting 
Dore Sheppard, MSW, Ph.D., LCSW   
doreshep@yahoo.com
Issues of Aging 
Helen Hinckley Krackow, MSW, LCSW, BCD 
hhkrackow@aol.com
 
Henni K. Fisher, LCSW, BCD 
henni@hennifisher.com
Leadership  
Beth Pagano, MSW, LCSW  
bethpagano678@msn.com
Legislative  
Marsha Wineburgh, MSW, DSW, LCSW, BCD 
mwineburgh@aol.com
Membership  
Richard B. Joelson, DSW, LCSW   
 rbjoelson@aol.com
Mentorship  
Helen Hinckley Krackow, MSW, LCSW, BCD 
hhkrackow@aol.com
Newsletter – The Clinician	
Helen Hinckley Krackow, MSW, LCSW, BCD 
hhkrackow@aol.com
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 – www.NYSSCSW.org 
Helen T. Hoffman, MSW, LCSW  
helenhoffman@verizon.net
The Advanced Clinical Education Foundation of the NYSSCSW
2015 ACE BOARD OF DIRECTORS
President 
Karen Kaufman, Ph.D., LCSW-R  
Karenkaufman17@gmail.com
Treasurer  
Richard Joelson, DSW, LCSW-R  
RBJoelson@aol.com
Secretary 
Amy Meyers, Ph.D., LCSW 
amymeyers2002@yahoo.com
Other Members 
Helen Goldberg, LCSW-R 
Helengoldberg11@gmail.com
 
Greg MacColl, LCSW 
gregmaccoll@aol.com
 
Joseph Reiher, LCSW 
mitygoodtherapy@gmail.com
 
David Phillips, DSW, LCSW-R 
dgphillips@nyc.rr.com
NYSSCSW President 
Marsha Wineburgh, MSW, DSW, LCSW, BCD 
mwineburgh@aol.com
NYSSCSW President-Elect 
Shannon Boyle, LCSW 
Shannonboyle@hotmail.com
Director of Professional 
Development 
Suzanne Klett, LCSW-R, BCD 
SuzanneKlett@aol.com
NYSSCSW Headquarters
243 Fifth Avenue, Suite 324
New York, NY 10016-8703
Tel: 800-288-4279
Email: info@nysscsw.org
Website: www.NYSSCSW.org
Spring 2015    3
CONTINUED ON PAGE 16 
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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: 631-725-9845
Helen Hinckley Krackow, Newsletter Chair
Ad Deadlines: February 15 and October 1
Legislative Committee 
By Marsha Wineburgh, DSW, LCSW-R, Chair
Important Regulations Update at the Annual Education 
Conference on April 25: For the latest information about 
social work practice regulations and guidance from the State 
Education Department, I urge you to attend the 46th Annual 
Education Conference, Contemporary Clinical Practice: New 
Developments and Historical Perspectives, on Saturday, April 
25. It will feature a presentation by David Hamilton, Ph.D., 
Secretary of the State Board for Social Work. We have asked 
him to include telepractice, iCloud patient records, continuing 
education requirements, and mediation as clinical practice in 
his update. Your conference brochure will be in the mail soon, 
and website registration will be available as well. Sign up early 
to get a seat for this informative event. (See pages 4-5.) 
On January 7, the new legislative session began in Albany. More 
than 10,000 bills have been introduced to date in the Assembly 
and Senate. Here is an update on those we are following: 
Workers’ Compensation: We were very disappointed when 
Governor Cuomo did not sign our bill making LCSWs eligible for 
reimbursement of mental health services to victims of worksite 
injury. His veto referenced waiting until a plan to revamp the 
entire worker’s compensation process was completed. The 
NYSSCSW and the State Chapter of NASW are meeting with the 
redesigners and also reintroducing our bill in the legislature 
once again. We aim not to be forgotten. Thank you again to all 
that wrote supportive letters enabling the successful passage 
of the bill in the Senate and Assembly. We will need you to send 
new letters when the latest bills pass in both houses. 
Business Partnerships: Some progress has been made in 
drawing attention to the need to modernize the corporate 
practice laws in New York. Legislation has been proposed to 
allow corporate partnership with MDs which includes LCSWs. 
Our Assembly sponsor resubmitted an old version of our bill 
to allow partnerships across mental health professions which 
needs to be amended. The bill numbers can be found on our 
website, www.NYSSCSW.org, under Legislative News, when the 
corrected bill appears.
Out-of-Network Benefits: There has been much activity re­
cently on the listservs about the reintroduction of the Hannon/
Rosenthal Out-of-Network (OON) legislation in New York 
(S.1846/A.3734). Due to the need to elect a new Speaker (fol­
lowing Sheldon Silver’s resignation), the Assembly did not go 
into session to pass any bills until the week of February 9. Both 
houses are now engaging primarily in reviewing the Governor’s 
proposed budget, encompassing the spending plan of New 
York, which is over $100 Billion. They plan to pass a final budget 
before the March 31 due date.
This OON legislation is the identical bill the NYSSCSW 
supported last session, and we will continue to do so. This year, 
we are working with like-minded health care organizations to 
support the idea of a patient’s right to choose (out-of-network 
benefits) and encourage the legislature to take on this prob­
lem, particularly as it affects the new insurance system, the 
New York Health Market Place. The group includes the New 
York State Psychological Association, state and city chapters 
of NASW, hopefully the New York State Medical Society and 
Psychiatric Association, as well as the NYSSCSW. 
WHAT YOU CAN DO: As with the most effective therapeutic 
interventions, there is usually a strategically good time to 
make a suggestion heard. With Albany legislators, it is after the 
budget has passed, usually in April. At that time, we will invite 
all of our members to be part of a coordinated campaign to 
target specific, appropriate legislators with letters. Until then, 
it can’t hurt to write your legislator, and then take part in the 
April campaign. 
This is a complicated issue, with insurance companies and 
Medicaid costs weighing heavily on health care social policy. 
See the Sunday, February 7, 2015 New York Times article, 
“Insured but Not Covered: New Health Insurance Policies Have 
Many Americans Scrambling,” for background on this issue.
4    The Clinician   www.NYSSCSW.org
Advanced Clinical Education Foundation of the 
NYSSCSW, Inc., SW CPE is recognized by the New York 
State Education Department’s State Board for Social 
Work as an approved provider of continuing education for 
licensed social workers #0056.
5.5 CEUs Will Be Awarded for This Program 
Y
ou are cordially invited to The 46th Annual Education 
Conference of the New York State Society for Clinical 
Social Work (NYSSCW), presented in collaboration with the 
Advanced Clinical Education (ACE) Foundation, our newly 
formed not-for-profit center for clinical learning.
The morning program will feature two authoritative 
presentations. The first will be an update on clinical practice, 
focusing on the current thinking about diagnosis, referencing 
the Diagnostic and Statistical Manual of Mental Disorders, 
Fifth Edition (DSM-5). 
The second presentation will provide guidelines for mental 
health services in a technologically changing world, one that 
offers new, long distance treatment opportunities. The focus 
will be on telepractice, the use of telecommunications and 
web-based applications. Continuing education requirements 
for the social work profession will also be discussed.
In the the afternoon, Sigmund Freud and Sandor Ferenczi, 
two psychoanalytic titans of the early 20th century, will 
be brought to life through a dramatic reading of their 
correspondence by four currently-practicing psychoanalysts. 
A moderated discussion will follow.
SCHEDULE
8:15–9:00am	
Registration, Refreshments 
and Networking
9:00–9:15am	
Opening Remarks
Marsha Wineburgh, DSW, LCSW, 
NYSSCSW President
Karen Kaufman, Ph.D., LCSW
ACE President
9:15–10:45am	
DSM-5 Update
Manoj Pardasani, Ph.D.
11:00–12:30pm	
Telepractice, CEUs and More
David Hamilton, Ph.D.
12:30–1:30pm 	
Lunch on Your Own
Contemporary Clinical Practice:
New Developments and Historical Perspectives
1:45–3:45pm	
A Dramatic Reading of 
The Freud/Ferenczi Letters
Sigmund Freud and Sandor Ferenczi were part of a 
small group of pioneers of the early 20th century who 
were dedicated to the development of psychoanalysis, 
both as a theory of mind and a treatment for emotional 
disturbance. These two seminal thinkers maintained 
a complex creative relationship for 25 years. Their 
correspondence reveals concerns, debates and insights 
that still resonate with clinicians. Today’s dramatic 
reading of selections from their letters by four 
distinguished psychoanalysts will be followed by 
a moderated discussion.
Elliot Adler, Ph.D., ABPP; Louise DaCosta, Ph.D., 
LCSW; Neil Skolnick, Ph.D.; Isaac Tylim, Psy.D.
Saturday, April 25, 2015, 8:00am–4:00pm
Hotel Pennsylvania, 401 7th Avenue, New York City
New York State Society For Clinical Social Work and 
The Advanced Clinical Education Foundation Present
Spring 2015    5
PRESENTERS
Manoj Pardasani, Ph.D., LCSW, ACSW, is a Faculty 
Research Scholar at the Ravazzin Center for Social Work 
Research in Aging, and an Associate Professor at the 
Fordham University Graduate School of Social Service. 
He received the 2004 and 2012 Outstanding Researcher 
Award from the National Council on Aging and is Principal 
Researcher on the National Institute of Senior Centers.
David Hamilton, Ph.D., LMSW, ACSW is Executive 
Secretary of the New York State Boards for Social Work 
and Mental Health Practitioners. The State Board assists 
the Education Department and Board of Regents in the 
licensing, practice and discipline of the professions. 
Elliot Adler, Ph.D., ABPP is a current faculty member and 
former Director of the Westchester Center for the Study of 
Psychoanalysis and Psychology. He is also a former President 
of Section One, Division 39 of the American Psychological 
Association. He maintains a private practice in Westchester 
and Manhattan.
Louise DeCosta, Ph.D., LCSW is a faculty member, 
supervisor, and training analyst with the Postgraduate 
Psychoanalytic Institute, and a member of the C.G. Jung 
Foundation for Analytical Psychology. In private practice 
for over 30 years, she is the Creative Director for the 
dramatic reading of The Freud/Ferenczi Letters.
Neil Skolnick, Ph.D. is a faculty member, supervisor 
and past Co-director of the Relational Track at the NYU 
Postdoctoral Program in Psychoanalysis. He is also a 
faculty member and supervisor at the National Institute 
for the Psychotherapies (NIP), the Institute for the 
Psychoanalytic Study of Subjectivity (IPSS), and the 
Westchester Center for the Study of Psychoanalysis 
and Psychotherapy. He maintains a private practice 
in Manhattan.
Isaac Tylim, Psy.D. is a faculty member of the NYU 
Postdoctoral Program in Psychotherapy and Psychoanalysis, 
and a faculty member, supervisor, and training analyst at 
the Institute for Psychoanalytic Training and Research 
(IP-TAR). A member of the Editorial Board of the Journal 
of the American Psychoanalytic Association, he is also 
Secretary of the International Psychoanalytic Association 
Committee on the UN.

REGISTRATION
Register online at www.NYSSCSW.org or 
complete the form below and mail it with 
your check payable to the ACE Foundation 
(tax deductible) to the address below. 
5.5 CONTINUING EDUCATION CREDITS.
NAME
ADDRESS
CITY, STATE & ZIP
PHONE
E-MAIL
ADVANCE REGISTRATION DUE BY 
APRIL 20, 2015
Join NYSSCSW by April 25, 2015 and pay 
member conference fee. 
 *Please include a copy of valid student ID.
Make check payable to Ace Foundation 
and mail with registration form to:
Total Management Solutions
55 Harristown Road, Suite 106
Glen Rock, NJ 07452
Cancellation Policy:
Refunds will be granted on or before 
April 20, 2015.
CONFERENCE FEES
IN ADVANCE
AT THE DOOR
MEMBER
$175
$190
NON-MEMBER
$210
$225
MSW STUDENT*
$75
$75
6    The Clinician   www.NYSSCSW.org
P
sychotherapists in solo practice who rely on insurance 
are approaching a digital divide. Medicare wants all com­
munication to be electronic in five years. Other insurers 
are “going green,” pressuring providers to accept electronic 
funds transfer (EFTs), to file claims online, and to obtain 
information about eligibility, authorization, and claim status by 
going to a website. 
The healthcare industry is increasingly data-driven. 
Medicare’s PQRS initiative is only an early sign of increased 
efforts by insurers to quantify treatment. Because “big data” 
makes this kind of quantification possible, more and more 
information about our patients will flow into the cybersphere. 
“Integrative Care,” as envisioned in the Affordable Care Act, 
provides for networks of practitioners connected electronically 
using “interoperable electronic health records.” Integrative 
Care is already seen in “accountable care organizations,” 
“medical homes,” and other large scale provider groups (think 
New York—Presbyterian, Montefiore, Mt. Sinai, and North 
Shore hospitals). Whether psychotherapists in solo practice 
will participate will depend on their willingness to accept train­
ing in practice management software and to use it in all com­
munications with insurance companies or with other providers 
in a network, such as psychiatrists. 
This places us in a very tight spot if we want to accept insur­
ance payment in the coming years. Many NYSSCSW members 
maintain that the Internet is not secure enough. They do 
not trust online claims submission or any sharing of patient 
information with websites maintained by insurers. The recent 
hackers of Anthem BCBS who were able to obtain patient 
demographics (name, address, phone number, social security 
number), but not protected health information (diagnosis, 
treatment records), came a little too close for comfort. 
Some Society members opt to practice “off the grid” and 
have no relationship with insurance companies. To those of us 
who remember when psychotherapy was largely self-pay, this 
does not seem so revolutionary. However, with fewer and fewer 
policies offering out-of-network benefits, there will be a need 
for case by case negotiations with patients. Returning to “slid­
ing scale” fees may be one option, albeit one which accepts a 
drop in therapist earnings.
Some members choose to remain HIPAA non-compliant 
for various reasons. (Note: One cannot be partially HIPAA 
Vendorship and Managed Care Committee 
By Helen T. Hoffman, LCSW, Chair
compliant, since partial compliance with HIPAA obligates the 
practitioner to be fully compliant.) For those who accept insur­
ance but have resisted becoming HIPAA compliant, there is still 
room to operate outside the Internet by filing paper claims and 
using telephone, fax, and print to communicate with insurance 
companies. How long this will be possible is an unknown. 
For psychotherapists ready to embrace the “integrated” 
world, the best approach is step-by-step experimentation. 
You might start by filing claims electronically, or accepting 
EFTs, then explore electronic note-taking and educate yourself 
about practice management software. Lately, the Internet has 
produced a staggering array of practice management websites 
offering to store and manage patient information, file claims, 
and provide a portal through which patients may schedule 
appointments. You can learn about these resources from the 
Vendorship and Managed Care Committee, which recently 
issued an update of “Billing Essentials.” In it are listed many 
sources for practice management software, clearinghouses, and 
online payment options. Go to our webpage at www.NYSSCSW.
org/vendorship-and-managed-care-committee. As you review 
these services, ask yourself what exactly are the needs of your 
practice. Some services are intended for large groups, but some 
are appropriate for the solo practitioner. 
Our tech savvy patients may take all this for granted. While 
we may long for the safety of Freud’s consulting room, they 
seem to feel no threat to privacy from the Internet. As the land­
scape changes rapidly, we need to hold onto all that is precious 
about the therapeutic relationship: the slow exploration of a 
problem, the luxury of confidentiality, the value of a safe space. 
We need to recognize the meaning of “letting a third party into 
the room.” 
How much to accept the Internet as a necessary part of 
doing business will be a very individual choice. The expedience 
of the Internet has long ago captured our tech savvy patients. 
Perhaps, especially for them, our office needs to remain a 
secure reference point, an alternative role model. 
Proceed with caution. 
For news, articles and chapter contacts, visit
www.NYSSCSW.org/vendorship-and-managed-care
A Moment of Reckoning: 
Psychotherapists Confront the World of the Internet
Spring 2015    7
B
arsky points out (2010, p. 321) that the current system creates 
financial incentives for both the professional and the client to 
record a diagnosis that will qualify for insurance reimburse­
ment. If the professional’s motivation is to receive insurance reim­
bursement, we may question if he or she is actually working in the 
client’s best interests, but it is difficult to know whose motivation 
primarily determines the professional’s actions in such a situation. 
At the same time (Dolgoff et al., 2012, p. 139) acknowledges that 
there may be many reasons for under-diagnoses, or “mercy diag­
noses,” and that many social workers engage in this behavior and 
justify it as being harmless or actually in the client’s best interests. 
This type of mercy diagnosis may minimize the communication 
of potentially damaging information to non-professionals, such as 
employees in insurance companies. They also avoid the stigma and 
possible adverse impact to the self-esteem of the client by labeling 
him or her with a more severe diagnosis, and may be seen as pro­
tecting the client’s employment status or ability to purchase other 
forms of insurance. 
So the practice of purposeful misdiagnosis is common among 
clinical social workers and other professionals. It can be argued that 
the practice is in accord with the principle of beneficence (doing 
good for the client) and non-maleficence (avoiding doing harm to 
Clinical Social Workers as Diagnosticians: 
Legal and Ethical Issues
PART 3: Misdiagnosis
By David G. Phillips, DSW, LCSW, Co-Chair of the Committee on Ethics & Professional Standards
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.
the client). The fact that it is common practice and that there are 
arguments in its favor do not mean, however, that the clinical social 
worker will have an adequate defense if accused of malpractice 
or other forms of professional misconduct. Reamer, for instance, 
(2003, p. 212) lists submitting false information on claim forms to 
third party payers as a common form of fraud. He also notes that the 
Code of Ethics of NASW (2008, standard 4.04) specifically states, 
“Social workers should not participate in, condone, or be associated 
with dishonesty, fraud, or deception.”
In some clinical situations, patients, or the parents of children 
in treatment, may actually insist on having a more severe diagnosis 
in the hope of becoming eligible for enhanced insurance benefits 
(Hillowe, 2013). In New York State, for example, “Timothy’s Law” 
requires significantly greater insurance benefits for mental illnesses 
which are considered to be “biologically based.” (The law was 
named after Timothy O’Clair, a 12-year-old boy from Schenectady, 
who was being treated for severe behavioral problems and major 
depression. He committed suicide in 2001 after the mental health 
benefits in his family’s insurance plan were exhausted). 
It is easy to see why both the professionals and the clients might 
prefer to use a diagnosis of major depression, which is on the list of 
conditions covered by Timothy’s Law, rather than a diagnosis of dys­
thymic disorder, which is not. In making this decision, however, they 
may not consider the many other possible consequences of giving 
the patient the more severe diagnosis, which may not be consistent 
with the clinical picture. While the practice of over-diagnosis may be 
common among professionals, it is difficult to prove (Hillowe, 2013), 
since diagnosis is not an exact science, and the courts and other 
regulatory bodies tend to rely on the judgment of professionals 
operating in their fields of practice. 
As noted above, however, if there is an accusation of fraudulent 
misdiagnosis against a clinical social worker in a particularly blatant 
situation, that individual will be supported by neither the law nor the 
generally accepted ethics of the profession, and will have difficulty 
claiming that he or she was merely looking out for the welfare of 
the client. 
In regard to the question of under-diagnosis, I can report on 
a conversation I had with Eric Marine, Vice President for Risk 
Management of the American Professional Agency, who has gra­
ciously given me permission to quote from our discussion. The APA 
was the first, and for many years the only, company to offer liability 
insurance to social workers, and there are few people in the country 
CONTINUED ON PAGE 8
In Part Two of this article, published in the The Clinician 
of Fall 2014, I discussed the problem of what might be 
referred to as “accidental” or “mistaken” misdiagnosis. 
This problem may occur when a professional makes a 
diagnosis that he or she is not competent or qualified 
to make because the client’s problems are outside of 
the professional’s scope of practice, that is, outside of 
the professional’s area of knowledge, training, experi­
ence, or licensure. 
In this section I will discuss the problem of what 
might be called “purposeful” misdiagnosis, those 
situations in which the professional over-diagnoses, 
so that the client will be eligible for insurance reim­
bursement, or under-diagnoses, in order not to reveal 
information that the client might find embarrassing or 
otherwise problematic. 
8    The Clinician   www.NYSSCSW.org
who have as much experience as he does in working with profession­
als who are accused of malpractice or other regulatory violations. 
Mr. Marine has seen many examples of professionals who under-
diagnose clients in the belief that this will protect the client but, 
in fact, both client and professional may be harmed if the record is 
examined in a court case or another legal procedure. If the record 
is seen as inaccurate, the professional loses credibility, and other 
aspects of the record are also called into question. 
Mr. Marine has seen many records in which clients are noted 
to be suffering from anxiety or depression, but the professional is 
reluctant to note an associated problem with substance abuse. 
On many records, the professional does not update the diagnosis 
as more information becomes available, or as the client changes 
over the course of the treatment. In some records, the client is not­
ed as suffering from post-traumatic stress, but no trauma is noted. 
Although Mr. Marine has not seen cases in which professionals got 
into trouble solely because of an under-diagnosis, he has seen many 
in which other legal or ethical problems were compounded because 
of the professional’s inaccurate records. 
So what are clinical social workers to do, working as they do in 
situations they did not create, in ways that may conflict with their 
values and beliefs, and bearing unwanted responsibilities and 
potential liabilities? 
I will attempt to answer with a statement from Beauchamp & 
Childress (2009, p. 295) which is addressed to physicians, but is 
equally valid for all health care professionals:
“Physicians confront a tension between their traditional roles as 
patient advocates and their roles within institutional structures 
that control financial resources…physicians should seek alterna­
tive, non-deceptive courses of action such as formal appeals and 
should work to alter unduly restrictive systems. The understandable 
temptations of deception in these systems pose a threat to physi­
cian integrity as well as to fairness of distribution of benefits in 
these systems”
Or as Mr. Marine said about record keeping, with less formality 
but no less accuracy: “If it’s there, it’s there, and it should be in 
the record.” 
References available upon request.
please welcome the new members of the nysscsw*
NAME	
CHAPTER
Allinson, Elaine, LCSW	
ROC
Amir, Eynat	
MET
Anderson, Tara, LCSW	
MET
Baum, Lorraine, LMSW	
NAS
Bernstein, Lili Ann B., LCSW	
ROC
Bleiwas, Randolph, MA, MSW, LCSW	
ROC
Botwin, Matthew W.	
MET
Braccini, Irene, LCSW-R	
WES
Brandenburg, Steffani, LCSW	
WES
Bresnick, Marjorie	
MET
Burnett, Robin F., LCSW	
MET
Champagne, Jessica, LMSW	
MET
Convissor, Jennifer A., LCSW	
WES
Conway, Jeffrey R.	
MET
Davenport, Leslie	
MET
Dorlester, Jane R.	
MET
Fain, Jeremy	
MET
Feiles, Nathan, MSW, LCSW	
MET
Fields, Nanci, LCSW	
NAS
Floyd, Cindy	
NAS
Flum, Joan W., LCSW-R	
NAS
Freundlich, Gail	
WES
NAME	
CHAPTER
Genende, Jane, LCSW-R	
MET
Glogowski, James E.	
MET
Goldberg, Miriam, LMSW	
QUE
Guaccero, Susan, LCSW-R	
MET
Henry, Alicia	
MET
Hutchinson, Debbie, LCSW-R	
MID
Im, Christina L.	
MET
Jacobson, Adam	
MET
Jedlicka, Caroline M., MSW, LMSW	
MET
Jones, Linda, MSW, LCSW-R	
MET
Kerwin, Jodi	
NAS
Klein, Donna A.	
SUF
Lacy, Elizabeth, LCSW-R	
MID
Lapides, Andrew, LCSW	
MID
Levin, Laurel, LCSW	
SUF
Lindauer, Marion, LCSW	
MET
Maeck, Antonia	
MID
Mannain, Taanya D., LCSW	
MID
Mather, Catherine L.	
MET
Miller, Barbara A., LCSW-R	
MET
Mirell, Phillip, LCSW-R	
MET
NAME	
CHAPTER
Nadel, Dana	
MET
Nadel, Judith B.	
NAS
Nero, Marisa, LCSW	
MET
O’malley, Ann, LCSW	
ROC
Olster, Rachelle H.	
SUF
Paul, Ellen	
MET
Pollack, Jane, LCSW	
ROC
Pyburn, Laurie	
MET
Reilly, Jacqueline A.	
WES
Remaly, Jill	
WES
Rindler, Sheila A.	
NAS
Rosenberg, Staci	
WES
Shaw, Sebastian	
MET
Simensky, Melvin, LMSW	
MET
Sinclair, Regina, LCSW-R	
MID
Skovron, Gayle	
ROC
Sverdlov, Mila, LCSW-R	
SI
Thorner, Rebekah, LCSW	
SI
Weiler, Jane B.	
NAS
Winter, Fritzi, LCSW	
MET
Zambito, Devan	
MET
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 October 2014 and March 2015.
Clinical Social Workers as Diagnosticians  CONTINUED FROM PAGE 7
Spring 2015    9
I 
am very pleased to report that our membership growth has 
been vigorous this past year. Most chapters have enjoyed 
an influx of new members from all practice settings–aca­
demic, agency, and private practice–and with an age and ethnic 
diversity that is very gratifying. It seems that new members are 
finding our organization an excellent “professional community 
for the clinical social worker,” which is the very inscription on 
our promotional ball point pens. 
Last May, we had a total membership of 1,485. In the fol­
lowing months, our ranks swelled by 192, so that by the end of 
2014 we had a total of 1,677 members. The pace has continued 
this year; during the first three days of March, for example, 
we added nine new members, a rate of growth I believe is 
unprecedented. 
Credit for the membership increase is shared by every 
chapter. Recruitment efforts have expanded considerably, with 
recruitment strategies built in to many professional chapter 
events, which present ideal opportunities for engaging prospec­
tive members. Some chapters hold receptions for both new 
and prospective members, helping them feel connected to the 
Society and the chapter, and explore ways to become actively 
involved. Both new and long-term members are also encour­
aged to bring non-member colleagues and friends to events, 
which has proven to be an effective recruitment strategy, since 
those who may be reluctant to come on their own are often 
more likely to attend when accompanied by a colleague. The Met 
Chapter has had success with this strategy. In the past, about 30 
people attended its two yearly member receptions. In the last 
two years, however, Met hosted between 70 and 80 people at 
each reception, including members and their guests. 
Member-Get-A-Member (and a gift)
We have begun a statewide Member-Get-A-Member campaign, 
asking every member to help our recruitment efforts by inform­
ing social work friends and colleagues about our Society and 
its value to them. Enthusiastic members are always our best 
ambassadors, informing potential members about us, and 
steering them to the website for more information. The clincher 
is often the personal invitation to attend an event, and follow-up 
contact.
As a token of the Society’s appreciation, any member who 
recruits a new member will receive either a $10 Starbucks gift 
card or a $10 gift card from Barnes & Noble. The Society is 
bearing the cost of the gift cards, not the chapters. The Met 
Chapter has been successful with this program for years, and 
we hope it will catch on statewide. 
Going beyond these programs, we plan to extend our reach 
to the legions of social workers in the state who may never 
have heard of our Society. There were 27,855 LMSWs and 27,445 
LCSWs in New York State as of January 2014, for a total of 
55,300; only three percent of them are Society members. We 
are developing a new recruitment brochure that will be sent to 
thousands of potential members statewide, targeting those who 
reside near one of our chapters. 
Finally, I believe that a good deal of our recruitment and 
retention success can be traced to the personal interest we 
show each new member. It includes welcome letters from the 
State and their chapter of choice, the invitations to receptions, 
the e-mails and phone calls–all the efforts we make so each 
new recruit can feel welcomed and valued, and can find a place 
in this growing organization with so much to offer. 
Membership Committee 
By Richard B. Joelson, DSW, LCSW, Membership Chair, State and Metropolitan Chapter
Susan Klett Named ACE Director of Professional Development
On March 1, the Board of the ACE Foundation welcomed a most able 
Director of Professional Development, Susan Klett, LCSW-R, BCD, 
former chair of our State Education Committee. She brings a wealth 
of experience, both as a clinician and an educator. She will be the 
contact person for all chapters and committees seeking continuing 
education credits for their programs. (Please see page 2 for a list of 
ACE Board members.)
 As we go forward, we are focusing on those chapters and/
or committees seeking CEUs for their local programs. Members 
interested in proposing individual CEU presentations should contact 
their chapter education committees or the appropriate state 
committee chair. Please note that, even though we have provider 
approval, each educational program must be submitted by ACE to 
the State Education Department for approval as well. This requires 
three to four months of advance planning.
 In addition to conferences and workshops, we hope to build 
an office-based program for small group education experiences. 
Teachers will be members of NYSSCSW whose education and expe­
rience meet state standards for offering workshops. A comprehen­
sive website for the ACE Foundation, to be linked to www.NYSSCSW.
org and our Facebook pages, is now in development. 
Continuing Education Credits  CONTINUED FROM PAGE 1
10    The Clinician   www.NYSSCSW.org
Chapter Reports
Metropolitan Chapter 
Karen Kaufman, Ph.D., LCSW, President
Karenkaufman17@gmail.com
The Met Board continues to expand to serve 
the membership with a wide range of educa­
tional, social and networking programs. 
Most recently, we welcomed Jodi Zisser, 
LCSW as the newest Member-at-Large and 
we look forward to her working with the 
Board. 
Ongoing activities include the ever-
popular Membership Committee programs: 
Speed Networking (scheduled for April 
18), and Member Receptions (on May 1); 
Education Committee Brunches, Trauma 
Studies, Family Practice, Substance Abuse, 
The Aging Client and Clinician, Committee 
on Psychoanalysis, LGBTQ, and Mentorship 
groups for new and recent graduates 
will all have new offerings. The Listserv 
Committee keeps the membership informed 
and in touch, so please watch for important 
announcements.
Board members and committee chairs 
are always happy to hear from our mem­
bers about your interests and professional 
needs. Earlier in the year, we formed a 
task force to address human rights issues 
in connection with mental health, and 
the chapter will host a stimulating pre­
sentation Friday, April 10 titled “Race in 
the Countertransference,” presented by 
Christine Schmidt, LCSW and Rudy Lucas, 
LCSW, CSAC.
We encourage you to find an area of pro­
fessional practice that piques your interest 
and join us; get involved in your chapter and 
its educational programs and chapter lead­
ership. All contact information is available 
in the Met Chapter section of the website. 
Mid-Hudson Chapter 
Rosemary Cohen, MSW, LCSW, President
rosemarycohen@gmail.com
We call on our Mid-Hudson Chapter mem­
bers to participate in the continuation of 
our commitment to provide clinical educa­
tion workshops in the Hudson Valley. We 
welcome suggestions for workshops and 
presenters with specialized postgraduate 
clinical training.
The Mid-Hudson Chapter Board hon­
ors the vision and commitment of its long 
time Education Committee members, Amy 
Blumberg, LCSW, Thaddy Compain, LCSW 
and Cynthia Muenz, LCSW, in planning and 
organizing four annual workshops, open 
to all mental health and health workers 
and students; its Peer Consultation Group 
facilitators, Linda Hill, LCSW and Susan 
Deane Miller, LCSW, for its year-long 
monthly meetings open to clinicians 
licensed to practice independently, and St. 
John’s Church in Poughkeepsie, which has 
provided its meeting space nine years. We 
also recognize the Mentorship Group lead­
ers, Carolyn Bersak, DSW and Crystal Marr, 
LCSW, for offering support and guidance to 
social work students and new MSW gradu­
ates, and the Adelphi University Hudson 
Valley Graduate School of Social Work, for 
promoting and supporting this endeavor, 
and providing space for the meetings in its 
new Poughkeepsie offices. 
We also honor the vision and com­
mitment of the Membership Committee, 
including Judith Elkin, LMSW, Myrna 
Sadowsky, LCSW, Chair Gloria Robbins, 
LCSW, and Louise Marcigliano, LCSW, 
for their continuing vigilance, assistance 
and guidance at Board meetings and 
workshops; Gloria Robbins, LCSW, for her 
leadership in collaboration and conference 
planning with NASW Hudson Valley Division 
and the Adelphi University Hudson Valley; 
and Cynthia Muenz LCSW, for promoting 
our support for the Hudson Valley Guild 
of Mental Health Professionals. We thank 
Laura Eastman Follies, LCSW, Division 
Director for NASW Hudson Valley, for the 
New Met Committee on Psychoanalysis Offers 3 Programs
We, Barbara Lidsky and Janice Michaelson, would like to introduce the new 
Metropolitan Chapter Committee on Psychoanalysis, which has offered three pro­
grams for the 2014-2015 season. Our first program was a salon, held on November 
2, 2014 at the home of Janice Michaelson, LCSW. She presented a paper, “On the 
Narcissism of Minor Differences” as applied to understanding prejudice between 
groups of people who otherwise share many cultural similarities, i.e., Jews and 
Palestinians or Turks and Greeks. The title comes from Freud’s “Civilization and its 
Discontents;” however several other sources were also used.
The theory contains ideas regarding the unwanted projections and the magnifica­
tion of the self-esteem. A very lively discussion ensued, with those present request­
ing there be a course on the topic of Prejudice and Psychoanalysis. A sumptuous 
brunch by Janice was served.
Our second program, on February 8, 2015, was the presentation of a new paper 
by Dr. Susan Kavaler-Adler, titled, “The Beginning of Heartache in Character 
Disorders.” “At what point does someone who has had early life Trauma become 
capable of symbolizing their affective and internal world experience, so that they 
could mourn the Primal Trauma and finally enter the world of internal and external 
relatedness?” At the end of the presentation, there was a meditative experience; 
participants were able to access their own unconscious with regard to problem 
clients. Refreshments were served.
The third program, on March 13, was a Movie Night presentation of the film, 
“The Jewish Cardinal,” which tells the true story of Jean-Marie Lustiger, son of 
Polish-Jewish immigrants raised in France. He staunchly maintained his cultural 
identity as a Jew even after converting to Catholicism at age 14, at the beginning of 
World War ll. He later became Archbishop of Paris at the request of Pope John Paul II. 
The internal and external conflicts in his choices were many. The speakers, Norbert 
Sinski, LCSW and Dr. Benito Peri, LCSW, Ph.D., both psychotherapists as well as ex-
priests, spoke about the issues raised by the film. Refreshments were served.
We would love to welcome those interested in these subjects and other relevant 
psychoanalytic issues to join our Committee. We have fun, as well as and share ideas 
and creativity. Please contact co-chairs: Barbara Lidsky, LCSW, barbaralid@aol.com 
and Janice Michaelson, LCSW, janicem4@gmail.com.
Spring 2015    11
continuing opportunity to collaborate in 
planning and cosponsoring local clinical 
education conferences.
Queens Chapter
Fred Sacklow, LCSW-R, President
Freds99@aol.com
The Queens Chapter will present five speak­
ers this year. Most events will take place on 
Sundays at York College. Each day’s agenda 
begins with our Board meeting, followed by 
a networking session from 11:00 am to 11:30 
am, and then the speaker’s presentation 
from 11:30 am to 1:00 pm. There is ample 
parking and convenient public transporta­
tion. Complete details can be found at www.
NYSSCSW.org, and on the Queens Chapter 
listserv. In addition, please note that the 
chapter offers peer consultation and men­
toring groups. 
On May 17, we will conduct special train­
ing with Sabine Wilhelm, Ph.D., a professor 
at Harvard Medical School, who will present 
on “Comprehensive Behavior Intervention 
for Tics.” She is a well-known researcher in 
the areas of obsessive-compulsive disorder, 
body dysmorphic disorder and tic disorder, 
and one of the original developers of the 
CBIT method. The training session will be 
from 9:30 am to 12:30 pm at York College. 
Attendees will learn about this new, evi­
denced-based approach and the principles 
of functional assessment and habit reversal 
training. 
In addition, we are asking for members 
to join the Queens Chapter Board. We will 
be discussing this with interested individu­
als at a special year-ending Board meeting 
on May 17 at 1:00 pm. 
Rockland Chapter
Orsolya Clifford, LCSW-R, President
ovadasz@optonline.net
The Rockland Chapter Board continues to 
expand to serve the membership with a 
variety of programs, including educational 
and social events. This year, we offered 
monthly clinical case discussions and edu­
cational programs at St. Thomas Aquinas 
College, in Sparkill, NY.
We look forward to offering our 
members CEU credits starting in fall 2105, 
and to kick-off the year with an engaging 
presentation on hypnosis with Ita Sullivan, 
LCSW. Many thanks to our Education 
Committee Chair, Kevin Melendy. In ad­
dition to our CEU programs, we plan to 
offer case discussion groups, networking 
events, and film programming. 
Our Mentorship Group for second-year 
NYU MSW students, led by Kevin Melendy, 
LCSW and Sharon Forman, LCSW-R, helps 
new social workers enter the field, and of­
fers support as they search for employment 
and prepare for licensing exams.
Prospective members are welcome to 
join us at any event to meet the Board and 
other professionals. We invite you to get 
involved in a stimulating community of 
clinicians. Contact information for Board 
members, as well as programming info, is 
available at www.NYSSCSW.org. 
Westchester Chapter
Jody Porter, LCSW-R, Co-Chair
Jodyp100@aol.com
Vibrant energy continues to permeate our 
chapter’s meetings. At our annual film event 
in February, Jackie Mann, LCSW moderated 
a lively and timely discussion about racism, 
following a screening of “Crash.” The film 
elicited powerful reactions about the impact 
of racism on our culture, on ourselves, and 
our clients, leading to a deeply meaningful 
conversation about the impact of racism on 
our clinical work. As an outgrowth of the 
meeting, a decision was made to pursue 
future educational presentations focused 
upon clinical work with marginalized client 
populations. 
In March, a presentation by Maya 
Benattar, MA, MT-BC, LCAT on music 
psychotherapy was enthusiastically 
received by an unusually large group of 
attendees. At our meeting on April 4, Terry 
Nathanson, LCSW will be presenting an 
educational workshop titled, “The Power 
of Engagement: A Hunger to Know We 
Matter.” Following that, at our May 2 meet­
ing, our speaker will be Robert Mueller, 
Ph.D., whose presentation is titled, “The 
New Referral: Important Considerations for 
Treatment.” A presentation on the impact of 
racism upon clinical work is in the planning 
stages for June. 
In addition to our stimulating monthly 
educational presentations, small practice 
groups meet prior to the larger meet­
ing. Our current practice groups are: 
Mentorship; Group Practice; Neuroscience, 
Mindfulness and Emotional Regulation; 
Children, Adolescents and Their Families; 
and Adult Peer Consultation.
The chapter is continuing to enjoy its 
collective leadership format in which two 
Co-Chairs work with a collectively-run 
Leadership Council. We are finding this to 
METROPOLITAN • MID-HUDSON • QUEENS • ROCKLAND • WESTCHESTER 
T
he past several months have been 
very busy. Dues renewal is going very 
well. The second notice was sent out at 
the beginning of February and we hope to 
have everyone on the paid list by the end 
of March. If you are not paid by then, your 
name will be removed from all listservs 
that you are on.
Welcome news—the Advanced 
Clinical Education Foundation was 
established in the fall of 2014 and has 
just received approval by the State 
Education Department to provide CEU’s 
for three programs. The first program 
will be sponsored by the Staten Island 
Chapter on March 14, the second by the 
Nassau Chapter on March 21, and the 
third program will be the Society’s Annual 
Educational Conference, co-sponsored 
by the ACE Foundation on April 25. More 
information on all of these programs can 
be found on the Society’s website.
While we recognize that the Society 
provides a great deal of professional 
information to its members, it is not 
the issuer of regulations regarding the 
credits needed to renew a license. Those 
regulations are issued by the New York 
State Education Department, Division of 
Social Work. They can be reached at 518-
486-2981, or at www.nysed.gov/licensed-
professionals or by e-mail at swbd@maikl.
nysed.gov.
Hope everyone has a wonderful spring 
and summer!
Sheila
Sheila Guston, CAE, Administrator
Kristin Keunzel, Admin. Assistant
800-288-4279, info.nysscsw@gmail.com
Headquarters Update 
be an extremely effective and satisfying 
model which brings creativity and produc­
tive collaboration to the work of running 
our chapter. 
12    The Clinician   www.NYSSCSW.org
R
ecently, we have added an International presence to our commit­
tee which is now into its seventeenth year. In September 2014, 
we were invited to present at the IFP, International Forum of 
Psychoanalysis. Our presentation on Post Traumatic Growth included 
a panel of three. We (Inna Rozentsvit, Sandra Indig, Victoria Grinman) 
spoke about the wisdom of the mind, its clinical and neuropsychoana­
lytic vicissitudes. It was here that we met many wonderful present­
ers and two of them were invited to speak for us: Ona Lindquist and 
Antonio Alvim.
Their original and outstanding material meshed so perfectly with 
our work of last year based on Eric Kandel’s The Age of Insight: The 
Quest to Understand the Unconscious in Art, Mind, and Brain. Their 
work represents our efforts to continue the work of Kandel in narrow­
ing the perceived gap between art, mind, and brain. Alvim and Lindquist 
bring to life the subject of creativity in a psychoanalytic context with 
bioneurological implications. 
Our meeting/seminar of March I, “Revisualizing Trauma,” featured 
two presentations. The first most original and refreshing paper was by 
Ona Lindquist: “Swimming in Space: A clinical presentation in verse–
working with a schizophrenic patient.” By way of an introduction to an 
audience of 20, she said: 
“The chaos that is my patient, Jacinto’s world, was reflected in 
my experience of pulling this presentation together. Notes upon 
notes- undated, unnumbered; windows open, breezes blow­
ing yellow pages everywhere. Session after session seemed to 
unravel more often than unfold. At risk of fragmenting myself, I 
began, unbidden, to organize this experience of chaos into verse, 
representing my early effort to survive as a therapist in the room 
with Jacinto.”
The second mesmerizing and informative paper written by Antonio 
Alvim was read by Inna Rozentsvit. Antonio’s presentation was titled, 
“From Earthquakes to Good Vibes: a Bionian approach to transformation 
of trauma through hallucination.” The following is a synopsis of his case:
The vicissitudes of an analytic psychotherapy process with a 6 
years old girl suffering from severe epileptic seizures since birth, 
with consequent general development impairment, are exposed 
and discussed. The therapist’s ability to learn his patient’s 
language behind words through his rêverie capability is proposed 
as a key aspect in the process of transforming the traumatic ex­
perience of uncontainable and unthinkable threatening emotions. 
More than words, the analytic process unfolds gradually through 
the analyst’s availability to engage in a deep internal working 
through of being with the patient, and from his capacity to learn 
from the patient’s experience–the import of this resonance 
process being proportional to the severity of trauma.
Committee for Creativity & Transformation in Clinical Practice
The following are short bios of the authors:
 Ona Lindquist, LCSW, is a psychoanalyst and 
senior supervisor in private and clinic practice in 
New York City specializing in work with creative and 
performing artists. She is the author of many published 
poems which are also important and noteworthy state­
ments on the relationship between reading/writing 
poetry and practicing psychoanalysis. Before becoming 
an analyst, she was a practicing visual artist. She re­
cently archived on line her major work from the1980’s, 
Objets Vend’art by Vendona, which can be found on the 
website, objetsvendart.com.
Antonio Alvim, AP, is a psychoanalyst/psychodra­
matist who lives and works in Lisbon, Portugal. Antonio 
employs the object relations Bionian approach working 
with children who suffered psychological and psycho-
neurological trauma. Antonio’s paper had won the 1st 
Prize in the competition of papers presented by can­
didates in analytic training–at the 2014th International 
Forum of Psychoanalytic Societies (Kaunas, Lithuania).
Museum visits: Our museum visits have met with 
much enthusiasm. Two of our very well attended 
gatherings included the MoMA for the Matisse and 
DuBuffet and the Neue Museum for Egon Schiele. Our 
future goal is to explore an interactive format through 
which committed members can investigate and make 
connections between our clinical work, creativity, 
and neurobiology. We hope to post relevant articles, 
member comments made during museum, etc. visits, 
and put up pictures of what we have seen.
In summary, as outreach to sister societies and 
organizations has been cited as one of our Society’s 
goals, we are continuing our efforts to do that by 
participating in national as well as international 
conferences. This committee will present at The 
Psychoanalysis and Science Conference this March in 
Talin, Estonia. In May, we were invited to present at 
the Ferenczi Conference in Toronto, Canada. Lastly, we 
will be on home turf to participate at the International 
Psychohistorical Association conference at New York 
University. Member attendance at these events is most 
welcome.
Sandra Indig, LCSW-R/ LP, ATR-BC, State Chair, Creativity & 
Transformation Committee
Inna Rozentsvit, M.D., Ph.D., MBA, MSciEd, Neuropsycho­
education Workshop Chair
Spring 2015    13
T
his work by Dr. Robert S. Pepper is a thorough presentation of 
the pitfalls of breaking the frame of group psychotherapy in 
training programs that allow dual relationships to exist between 
trainees, their supervisors and analysts, as well as clinic staff. This is 
a particularly generous and honest treatise, in that Dr. Pepper shares 
his own personal experiences as a group member, trainee, and group 
leader who unwittingly violated the frame himself. He learned from 
the errors of other analysts and his own missteps. 
This work should be read by all clinicians in the field, as it offers 
case after case of iatrogenic violations of ethics by group therapists. 
The lessons can also be applied to individual therapists. 
The book became emotionally overwhelming to this reader two-
thirds of the way through, as it is hard to see so many violations occur­
ring. Like Dr. Pepper, I have been in practice for about three decades, 
and I attended the cult-like analytic institute he describes in the book. 
It was two years before I could not stand it anymore and dropped out.
Later on, I attended the National Institute for the Psychotherapies 
and Psychoanalysis. The leaders of this institute bent over backward 
to have checks and balances to avoid any destructive blurring of thera­
peutic lines. Students were always encouraged to “say everything.” 
Every class had a student delegate to an administrative board. I served 
my class, and the class after mine had another student delegate who 
BOOK 
Books Written by NYSSCSW Members
REVIEW  
Reviewed by Helen Hinckley Krackow, LCSW, BCD
Emotional Incest in 
Group Psychotherapy: 
A Conspiracy of Silence
By Robert S. Pepper, CSW, Ph.D., CGP
2014, Rowman & Littlefield Publishers, 
pp. 146 CG
was also a leader of NYSSCSW. We were allowed to effect a very 
important change within the institute. In addition, my class objected to 
being taught by an analyst who had married his supervisee. As a result, 
he was not rehired the following year. 
Dr. Pepper devotes a chapter to describing his experiences 
with cult-like training programs and institutes. These organiza­
tions are run by the kind of people described in Dan Shaw’s book, 
The Traumatic Narcissist, which I reviewed in the last issue of The 
Clinician. Dr. Pepper gives credit to many of these leaders and 
teachers as having helped him in many aspects of his life, as well as 
having hindered him and other group members. 
I want to list the kinds of boundary violations that he describes 
and leave it to you to read this valuable book to help you to avoid 
blurring boundaries in your work. They are:
1.	Breaches of confidentiality
2.	Looping
3.	The pass-along effect
4.	Gaslighting
5.	Overstimulation
6.	The “emperor’s new clothes” effect
7.	 Scapegoating.
Guarding against these effects, instead of keeping them incestu­
ously secret and denied, is the task of every individual and group 
therapist. We must be able and willing to listen to the complaints 
our clients make as checks and balances on our power. I believe 
Dr. Pepper’s work should be a training manual for every therapist. 
president’s message  CONTINUED FROM PAGE 1
division to teach in private therapy offices, and the expansion of 
chapter programing and practice committee activities. Eventually, 
we may offer online seminars.
ACE was approved in February 2015 by the State of New York 
as a continuing education provider for the next three years. We 
have hired an experienced, well-qualified Director of Professional 
Development, Susan Klett, LCSW-R, known for her past work as the 
Society’s State Education Chair.
It is interesting to take a look at what some of the other profes­
sional health organizations are doing (or not) about education. In 
the March issue of national NASW news, for example, Paul R. Pace 
has written a full page story on field education for MSWs and BSWs, 
CONTINUED ON PAGE 16
quoting CSWE field education specialists, social work professors 
and students. All are in firm agreement that field work is the “signa­
ture pedagogy” of social work education, equal in importance to the 
classroom curriculum. 
There is even an organization called the North American Network 
of Field Educators and Directors (NANFED) covering the U.S. and 
Canada. Founded in 1987, its mission is to strengthen social work 
field education and promote it within CSWE. Its current President/
Treasurer is Lisa Richardson, the director of MSW field education at 
St. Catherine University – St. Thomas School of Social Work in Saint 
Paul, Minnesota. 
Robert S. Pepper, Ph.D. is Director of Education and Training at the Long 
Island Institute for Mental Health in Queens, and Adjunct Professor of 
Behavioral Science at New York Institute of Technology in Manhattan. 
He is also in private practice in Queens.
14    The Clinician   www.NYSSCSW.org
B
renda was a beautiful woman with long black hair who came 
for therapy and recounted her story: “Two months ago I had 
a double mastectomy. At that time, my husband left me for 
another woman. My daughter, who saw me through all this, is leaving 
next month for school in California. Now I have no one. Both my 
parents died in a car crash when I was 12. I went to live with my 
grandmother, who died when I was 17. That’s when I got married. 
And now I have no one.”
She stared straight ahead, lost in reverie. The image of her par­
ents’ violent death, her mastectomies, and all her other losses were 
overwhelming.
“Brenda,” I asked, “you’ve been through so much. How would 
you like me to help you?”
She straightened up suddenly, and said with determination, 
“I’m here because I’m fat and I need to lose weight!”
The language of pain comes in many dialects. Emotional eating 
problems and the fear of being fat is one such dialect in which we 
recruit our bodies to express what we cannot utter in words. Eating 
problems become a vehicle to communicate matters of the heart 
that have no other channel. The language of food and fat is a sym­
bolic one, a way to express our inner emotional battles over feelings 
of emptiness and fullness, vulnerability and protection, urge and 
restraint, desire and despair. 
When we cannot express the depth of pain we carry, we trans­
form our emotional pain into physical pain. In the case of food 
problems, we move our focus from our heart to our stomach. 
We crystallize all our emotional pain into one concrete problem: 
“I am fat. I hate myself. I need to lose weight.” 
This is not to minimize the very real upset that people experi­
ence when their eating is out of control. Treatment for emotional 
eating–binge eating, bulimia, anorexia, body image disorder, chronic 
dieting–needs to incorporate psychotherapy with behavioral/cogni­
tive strategies, and sometimes medication. However, as in the case 
of Brenda, the obsession with food and fat is all too often a short­
hand way of expressing much deeper layers of yearning and pain. 
Brenda had been assaulted by so many massive losses in her life 
that she could not bear to face her grief, rage, and abandonment. 
Her wish to lose weight was a safe, clear way to express her pain–
a language that so many people speak.
Unexpressed pain and unresolved mourning fuel the anguish of 
many eating disorder patients. Even after patients begin the process 
of relinquishing emotional eating, we clinicians must pay particular 
attention to help them fully grieve and mourn their losses in order 
to prevent relapse.
Frozen Grief and Emotional Eating
By Mary Anne Cohen, LCSW
Patty was an obese binge eater who was four years old when her 
father died. Her family told her, “Daddy went to Heaven. He is in a 
better place.” Daddy was never spoken about again. 
“Tell me more about him,” I asked. “There’s nothing to tell,” Patty 
replied. And with that, she began to cry, as the accumulation of 32 
years of stifled tears came surging up in a tidal wave of pain. “Oh my 
God. I have never shed tears for my father before,” Patty sobbed. 
With each succeeding session, Patty cried deeply over the death 
of her father. Then, one day she exclaimed, “I wonder if after so 
many years my fat has been like frozen grief. I think with all these 
tears, my grief is melting and becoming liquid!” 
Grief–frozen by fat, frozen by the numbing of overeating, starving 
or purging–can be held in the body for years and even decades. 
Grief has no timetable. Time does not necessarily heal all wounds. 
Unspoken loss continues to exert its power. There is no expiration 
date to memories or pain. 
Death is not the only grief that wounds the heart and soul. The 
pain of any loss or change or trauma or transition in one’s life can 
feel like a threat to a sense of stability and self. Divorce, the breakup 
of a romantic relationship, sexual or physical abuse, personal or 
family illness can lodge inside without resolution. Unable to dis­
lodge the “knot” in one’s throat by crying and grieving, many eating 
disorder patients turn to the pain-relief “medication” of bingeing, 
purging, or starving. 
Why Do Emotional Eaters Freeze Grief?
Our culture, deeply uncomfortable with death, dying, and grieving, 
encourages us to stifle our feelings. Mourners are advised: God 
never gives you more than you can handle. Keep busy! Be strong! 
Time heals all wounds.
But, sometimes, absence makes the heart grow frozen.
Emotional eaters, obviously, are not the only people to freeze 
grief. But emotional eaters are prone to derail, detour, and divert 
difficult feelings through food. Emotional eaters believe that if 
they open their hearts to feel their pain, it will never end. “If I ever 
started to cry, I would never be able to stop,” Yvette, an anorexic 
woman, declared. Simon, a bulimic man, stated, “My Dad has been 
dead two months already. Shouldn’t I be over it already and not re­
ally feel so sad anymore?” 
“Suppressed grief suffocates, 
it rages within the breast, and is 
forced to multiply its strength.”
—Ovid
Spring 2015    15
“Give sorrow words
The grief that does not speak
Whispers the o’er fraught heart, 
and bids it break.”
—Shakespeare
Yvette and Simon’s beliefs about bereavement reveal common 
traits of people with eating disorders: impatience with themselves, 
the conviction that strong feelings are scary and should be avoided, 
black or white thinking, and critical and perfectionist command­
ments to the self. Rather than tolerating the process of digesting 
and metabolizing their feelings, emotional eaters seek the “quick 
fix.” In their attempt to “just get over it,” they turn to the numbing 
and anesthetizing behavior of bingeing, purging, or starving.    
The Process of Thawing Grief 
Sorrow needs to speak. In order for patients to thaw their grief, 
therapy will help them to:
 
• Recount fully the story of their loss. As author Isak Dinesen 
wrote, “All sorrows can be borne if we put them in a story 
or tell a story about them.” Patients need to mourn for what 
they have lost, for what they did not have, for what they 
wished they had, and for what they will never have again. 
• Express their anger/guilt/self-blame/regrets.
• Consider the connection between their loss and their his­
tory of bingeing, purging, starving, drinking, taking drugs, 
or any other addictions.
• Experience the deep relief of tears. Crying is our natural 
healing process of releasing emotions that well up. Tears 
are a gift from deep inside. “There is a sacredness in tears. 
They are not the mark of weakness, but of power. They 
speak more eloquently than ten thousand tongues. They are 
the messengers of overwhelming grief, of deep contrition, 
and of unspeakable love,” wrote Washington Irving. Liquid 
tears can thaw frozen grief.
• Integrate a ritual or create a memorial to honor their loss.
• Cultivate other secure relationships - a support group or 
therapy–which will encourage them to nourish themselves 
without the crutch of emotional eating.
Glenn, a widower and in recovery from compulsive over­
eating, describes his progress in therapy:
“My wife, Camille, and I always loved to go out to eat. We 
would go to this local restaurant, Aubergine. That’s French 
for eggplant. After Camille died, I had this series of dreams 
of the two of us going to Aubergine for dinner. It was sooth­
ing and comforting, as if she were still with me. Then two 
years after her death, my dream changed: We went back to 
Aubergine, but they had changed the restaurant’s name to Au 
Revoir! That’s French for goodbye. I realized that Au Revoir 
also means ‘til we meet again. The dream felt like my wife 
was telling me to move on with my life and that we would 
see each other again. The dream made me sad, but it also 
made me laugh–Camille was sending me a message from 
heaven!”
As Dr. Judith Viorst writes, “The only choice we have is 
to choose what to do with our dead: To die when they die. 
To live crippled. Or to forge, out of pain and memory, new 
adaptations. Through mourning we acknowledge that pain, 
feel that pain, live past it. Through mourning we let the dead 
go and take them in. Through mourning we come to accept 
the difficult changes that loss must bring–and then we begin 
to come to the end of mourning.”
Grieving the Loss of an Eating Disorder
As emotional eaters begin to recover, they also need to 
grieve the loss of their best friend and enemy (their “fren­
emy”) of bingeing, purging, starving, and chronic dieting. 
People often experience grief when recovering from their 
eating problems because they lose a tried and true way of 
soothing themselves, a way of giving meaning and focus to 
their life, a well-worn way of coping with stress, and the 
magical belief that weight loss will solve all their problems, 
repair their self-esteem, and help them feel happier. Grief 
includes the realization of how much wasted time, energy, 
money, and obsessing the eating disorder has consumed.
Eventually, through the process of healing in therapy, 
patients need to part from their eating problems, honor the 
soothing but temporary help the eating disorder did provide 
at one time, say goodbye, and go their separate ways. 
Through therapy, patients will learn to sink their teeth into 
life, not into excess food.
 
Mary Anne Cohen, LCSW, is Director of The New York Center for 
Eating Disorders and author of French Toast for Breakfast: Declaring 
Peace with Emotional Eating and Lasagna for Lunch: Declaring Peace 
with Emotional Eating. www.EmotionalEating.org
16    The Clinician   www.NYSSCSW.org
Affordable Care Act (Obamacare): The Supreme Court recently 
heard arguments in a case that could impair ACA. King v. Burwell 
challenges a key provision of tax credits for the purchase of health 
insurance by low-income individuals in states that have not estab­
lished state health exchanges. (In New York, the exchange is the 
New York Health Market Place.) Last July, the U.S. Court of Appeals 
for the Fourth Circuit, in Richmond, Virginia, ruled that Congress 
clearly intended to make subsidies as widely available as possible 
to make insurance more affordable. The Court believed that the IRS 
had a right to a strict interpretation of the law; that people in all 
states would be eligible for tax credits. Conservative opponents of 
ACA argued that the language of the statute indicates that premium 
subsidies can be extended by the IRS only to individuals purchasing 
insurance through state-established health exchanges. What will 
happen if the Supreme Court finds for the narrower interpretation is 
up for debate. 
It is noteworthy that no reference appears in this article to the 
new phenomena of “online field placement,” in which actors simu­
late client/patient interviewing experiences. Nor is there a hint of 
what the national NASW position is on online clinical education. 
New Practice Issues 
Closer to our interests in mental health, the Psychiatric Times 
focuses on practice issues we often share. In the December 2014 
issue, Allan Tusman, M.D. evaluates the Affordable Care Act (ACA): 
is it a hit or a miss? He praises the new psychiatric coverage and 
the additional requirement for substance abuse services. It has ex­
panded mental health services to Medicaid patients in many states. 
On the other hand, Medicaid mental health payments are managed, 
and are among the worst. Consequently, few private practitioners, 
across all disciplines, are willing to accept Medicaid patients, and 
this contributes to the problem of two unequal levels of care. 
The use of electronic billing is also a mixed picture. Continuity 
of care is improved when all clinicians involved with a patient have 
access to all of his/her medical records. Electronic records are 
also ideal for analyzing population-based data that may eventually 
lead to ascertaining best practices. The utilization of PQRS data by 
Medicare is another source of analyses. But the system needs to be 
user friendly, not overly time-consuming, and work off of a single 
template with some consistency year after year. 
Dr. Tasman also notes that, although research continues to 
produce ever increasing knowledge about the structure and function 
of the brain, practice has changed very little. We are years away from 
having an etiologically-based diagnostic system and even further 
from developing treatments based on this knowledge. He states 
that by far the biggest problem is that we work in a “fragmented and 
Legislative Report  CONTINUED FROM PAGE 3
president’s message  CONTINUED FROM PAGE 13
underfunded system with treatments that are pathologically based.” 
Prevention and recovery-focused care are still insignificant aspects 
of our work, in part because they are not reimbursable. 
As a glaring example of a fragmented and underfunded system, 
Allen Frances, M.D., writes in the same issue of Psychiatric Times 
about the deteriorating, disgraceful care for the chronically mentally 
ill. With de-institutionalization, the number of state hospital beds 
has been reduced from 650,000 to 65,000, but the number of prison 
beds for them has increased. These patients do not fit well into the 
rituals of prison life; they are particularly vulnerable to physical and 
sexual abuse, and are disproportionally the victims of the 200,000 
prison rapes each year. He states that, “at this time, the U.S. may be 
the worst place ever to be seriously mentally ill.”
 We in private practice are somewhat shielded from working with 
the severely mentally ill, primarily because the kind of outpatient 
services we offer are not comprehensive enough to handle their 
serious issues. But many of us deal with a relative who is seriously 
compromised by drug or psychiatric issues. Finding appropriate 
treatment for our own nearest and dearest, even a protective envi­
ronment for them, is very difficult, if it exists at all.  
Pace, Paul R., Field Education Graduates to New Levels. NASWnews, 
v. 60, 3, pp.9-10. 
Tasman, Allan, The Greatest Hits of 2014?. Psychiatric Times, 
v.xxxi, 12, December 2014, pp1, 6-7.
Frances, Allen, Fixing the Mental Health System: Snake Pits, 
Dungeons, and Back Alleys. Psychiatric Times, v.xxxi, 12, December 
2014, pp1, 7.
Telehealth Legislation: A bill that significantly amends legislation 
requiring reimbursement for telehealth was signed by the governor 
in December. It has been passed again by both houses of the state 
legislature, and will be signed by the governor. (UNCLEAR why this 
is happening again).The legislation calls for insurance reimburse­
ment for physician-referred Skype sessions. Telephone sessions are 
not included, and the new requirement does not become effective 
until January 2016.
New Jersey: Applications are now available for certification as a New 
Jersey State Certified Psychoanalyst at: www.njconsumeraffairs.gov/
psyan. Look for the link to Applications.
Note: A psychoanalyst is not required to have a New Jersey state 
certification in order to practice psychoanalysis in New Jersey. It is 
not a license; it only entitles holders of current certificates to call 
themselves a “New Jersey State Certified Psychoanalyst.” 
Spring 2015    17
	
  
	
  
	
  
	
  
	
  	
  	
  
 
5 CEU Credit Course: 
Legal & Ethical Issues 
For Social Workers – Psychotherapists 
 
Sat., May 30, 2015 from 8:30am to 1:30pm at 
Adelphi University, Garden City, NY 
 
The five-hour course will be taught by Bruce V. 
Hillowe, JD, PhD, SWCPE #0047, an attorney-
psychologist, legal consultant to the Ethics Committee 
of NYSSCSW and NYSED approved provider of NYS CEU 
credits for LMSW’s and LCSW’s. 
 
 
Topics will include record-keeping, informed 
consent, child abuse reporting, at-risk patients, access 
to records, confidentiality, privilege, subpoenas, 
termination of treatment and avoiding abandonment, 
and general risk management. Participants also will 
receive templates for documentation. 
 
 
The cost is $99 for pre-registration and $129 
for registration at the door and includes a continental 
breakfast. 
 
 
For further information about the course and a 
registration form, visit www.brucehillowe.com at 
the “CE Programs” tab. Or, call 516-877-2016. 
Your Online Connection
Find it fast on our easy-to-use website!
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. . . and much more!
WWW.NYSSCSW.ORG
It’s all here. Visit today! 
WWW.NYSSCSW.ORG
New York State Society for Clinical Social Work
18    The Clinician   www.NYSSCSW.org
 
ddictions are understood by most schools of psychoanalysis to be disorders with roots in early 
development. Modern Psychoanalysis provides the clinician with a framework for understanding the 
etiology of psychopathologies arising in the narcissistic period, such as addictive disorders, and an 
array of tools for treating them. This six-session course will focus on understanding addiction as a form 
of self-medication, a maladaptive defense for managing unacceptable thoughts and feelings, and will 
emphasize treatment methods that combine psychoanalytic theory and technique with harm-reduction 
approaches. Particular attention will be  given to recognizing the therapist’s countertransference 
reactions and using them therapeutically. Case studies will be used to illustrate the theoretical material. 
Tuition: $200 • Course offers 9 APA CE credits and .9 CASAC CEUs. 
A
    New six week course…
t  Six Thursdays: April 9 to May 14, 2015, 7:00-8:30 PM  t
CMPS,  16 West 10th Street, New York, NY 10011 
n  212.260.7050 
n  cmps@cmps.edu 
n  www.cmps.edu 
 For information or to register, contact CMPS
    Modern Psychoanalytic Approaches to 
    Understanding and Treating Addictive Disorders
A New York State Licensure-Qualifying Institute 
Chartered by the Board of Regents of  the University of the State of New York
:
Center for Modern Psychoanalytic Studies
16 West 10th Street, New York, NY 10011 • 212.260.7050 • cmps@cmps.edu • www.cmps.edu
n   Comprehensive training in the theory and practice of psychoanalysis
n   Clinical experience in treating the full range of emotional disorders
n   Discussion-oriented classes   n   Designed for working professionals
The One-Year Program is a two-semester course designed to enhance the work 
of professionals in the fields of mental health, education, the arts, humanities, 
and business, by introducing them to the principles of modern psychoanalytic 
theory and technique. Spring semester begins Monday, February 4, 2015.
The Extension Division offers courses, workshops, and special events that bring 
a modern psychoanalytic perspective to a wide range of topics. Each semester 
an “Introduction to Modern Psychoanalysis” class is offered to those interested in 
learning more about psychoanalysis and psychoanalytic training. All offerings 
are open to professionals and the public. Most are free of charge.
For information or to request a CMPS Bulletin: 212.260.7050 • cmps@cmps.edu 
Certificate Program in Psychoanalysis
Monthly Open Houses n TueSDaYS:  March 17, May 17 at 5:30PM;  april 14, June 9 at 1:30PM
a New York State Licensure-Qualifying Institute
Chartered by the Board of Regents of the University of the State of New York
Spring 2015    19
Earn Continuing Education Credits
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Certification in Psychoanalysis
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All Masters-level professionals are welcome 
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Psychoanalytic Training Institute  
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Formerly New York Freudian Society
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
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Join the New York State Society for Clinical Social Work
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