Psychodynamic and Psychoanalytic Psychotherapy Clinical Practice II

Module title	Psychodynamic and Psychoanalytic Psychotherapy Clinical Practice II
Module code	PYCD011
Academic year	2024/5
Credits	60
Module staff	Dr Marta Bolognani (Convenor)

Duration: Term	1	2	3
Duration: Weeks	All	All	All

Number students taking module (anticipated)	12

Module description

In this module your clinical work continues. You will see two more patients, at a minimum of 42 weeks a year over the course of a minimum of two further years. This will be in a setting agreed with programme staff, but usually in private practice if you have seen patients in Psychodynamic and Psychoanalytic Psychotherapy Clinical Practice I in an institutional setting (e.g. NHS clinic). Your clinical work will be supervised by a programme accredited senior analyst/psychoanalytic therapist weekly, with a different supervisor for each on-going patient.

Your casework will depend on whether you wish to pursue a professional qualification as a Psychodynamic Psychotherapist (200 min hours), or a Psychoanalytic Psychotherapist (441 min hours). See the appropriate Learning and Teaching table for more information.

In collaboration with each of your supervisors, you will complete formative or summative assessments.

You will keep a written record of sessions and use this to present your work weekly to your clinical supervisors and staff and students, in the clinical reflective practice seminars.

All other stage one modules are a pre-requisite to this module. All other stage two modules are a co-requisite to this module.This module is taught in the third and fourth year of your study.

Module aims - intentions of the module

The aim of this module is to enable you,on its completion, to become competent to assess for and carry outpsychodynamic or psychoanalytic psychotherapyas an independent practitioner, at a maximum frequency of twice a week for psychodynamic psychotherapy or three times a week for psychoanalytic psychotherapy. You will build on your pre-programme experience and experience on the Psychodynamic and Psychoanalytic Psychotherapy Clinical Practice Imodule, to gain a thorough understanding of the psychoanalytic method, treatment framework and clinical approach. You will develop your understanding of how supervision mirrors and provides a space in which to reflect upon, think about and understand your clinical work. You will become familiar with working in depth with patients manifestingdifferent kinds of psychopathologies.You will acquire a complex understanding of basic psychodynamic or psychoanalytic psychotherapy competencies and understand how these may be applied in practice.

You will be introduced to the literature on clinical assessment, suitability, diagnosis, and prognosis. You will become familiar with the principles and practice of assessment and different approaches to this. You will consider matters to do with setting, containment, and risk, and how these matters may be thought about when considering patients’ suitability. You will also discuss boundaries and confidentiality and collaboration with other professionals involved with patients and patients’ families.

You will develop an ethical approach to all psychoanalytically informed clinical work and research. You will develop a complex understanding of the place in clinical work of discrimination and prejudice and of the impact of these upon psychological development.

Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

On successfully completing the module you will be able to...

1. Interpret and apply psychodynamic and psychoanalytic theory to advance your clinical practice.
2. Demonstrate a comprehensive understanding of clinical assessment and the setting framework and boundaries within which it takes place.
3. Conduct once, twice, or three times a week psychodynamic or psychoanalytic psychotherapy in order to demonstrate and develop a detailed understanding of applicable techniques to your professional practice.
4. Demonstrate a systematic understanding of the competencies required to undertake the therapy you are being trained in and understand their application in practice.
5. Demonstrate systematic understanding of how clinical supervision works and the framework within which it takes place.
6. Demonstrate systematic understanding of the uses of countertransference and parallel processes in supervision as opposed to analysis or psychotherapy.
7. Demonstrate a systematic understanding of boundaries, ethics and clinical responsibility in clinical assessment and supervision.

ILO: Discipline-specific skills

On successfully completing the module you will be able to...

8. Understand, critically evaluate, and apply theoretical ideas relevant to the practice of psychodynamic or psychoanalytic psychotherapy at the forefront of the discipline.
9. Understand the principles of ethical practice, make appropriate use of supervision and consultation, understand the limits of your competence, and apply all of this in your practice.
10. Demonstrate an understanding of the role of supervision.

ILO: Personal and key skills

On successfully completing the module you will be able to...

11. Monitor and critically evaluate your own capacities and development as a clinician.
12. Record clinical experiences at multiple levels; in terms of content; countertransference; and understanding the therapeutic process to aid the creation of new knowledge and advanced scholarship.
13. Demonstrate an understanding of the role of clinical assessment.
14. Use the supervisory relationship for professional growth including learning from your countertransference and from parallel processes in supervision.
15. Reflect in depth upon countertransference as experienced in the clinical setting, to aid the creation of new knowledge and advanced scholarship.
16. Demonstrate an understanding of the role of clinical assessment.
17. Demonstrate the capacity to critically evaluate clinical understanding, personal limitations, risk and ethical in clinical work, ones own and other peoples, in order to gain a systematic acquisition and understanding of a substantial body of knowledge, which is at the forefront of your professional practice area.

Syllabus plan

Your syllabus plan will depend on whether you wish to pursue a professional qualification as a Psychodynamic Psychotherapist or a Psychoanalytic Psychotherapist. Please see the information below, and the corresponding Learning and Teaching table.

For practical purposes, hours are considered 50 mins' hours. If you are pursuing professional qualification as a Psychodynamic Psychotherapist your casework with individual clients will consist of a minimum of 189 hours:

One patient seen twice weekly for a minimum of eighteen months (42 weeks a year minimum). You will have once a week supervision over this period with an accredited training supervisor.
One patient seen once weekly for a minimum of eighteen months (42 weeks a year minimum). You will have once a week supervision over this period with an accredited training supervisor.

You will attend a minimum 126 hours Clinical supervision over a minimum of 42 weeks per year, during the period that you are engaged in clinical work.

If you are pursuing professional qualification as a Psychoanalytic Psychotherapist your casework with individual clients will consist of a minimum of 441 hours:

One patient seen three times weekly for a minimum of two years (42 weeks a year minimum). You will have once a week supervision over this period with an accredited training supervisor.
One patient seen three times weekly for a minimum of eighteen months (42 weeks a year minimum). You will have once a week supervision over this period with an accredited training supervisor.

You will attend a minimum 147 hours Clinical supervision for a minimum of 42 weeks per year, during the period that you are engaged in clinical work.

For both the Psychodynamic and Psychoanalytic professional qualifications:

You are required to write up process notes for sessions with your patients which you will use in supervision and in case discussions with staff and other students.
You will keep a log of your clinical contacts using the designated form and submit this at the end of each Year until completion of the Module.
You will be assessed (formative assessment) by each of your supervisors on your clinical work a minimum of three times on the Psychodynamic stream and four times on the Psychoanalytic Psychotherapy stream during this module: at the end of six months after commencing seeing each patient and then six monthly thereafter. This assessment will be completed initially by both you and your supervisor, separately in the manner described in the course handbook/from the programme administrator. You will discuss the comments made by you and your supervisor and the outcome of this discussion will then be recorded on the supervisor’s form along with any remaining comments, areas for development and any disagreements that either party wants to include. You must achieve a ‘pass’ grade on the skills outlined above in order to pass in this module. Please note that while your supervisor will be asked to assess whether you have met the criterion for a 'pass', this is a recommendation only. The academic team will review and grade the clinical placement paperwork.
You will also complete a Clinical activity account of a case assignment (summative assessment), which will describe your clinical cases seen under supervision. These will include the ways in which you have linked clinical practise to theory, your use of supervision and demonstrate your understanding of ethical practice and the maintaining of confidentiality across this module and the Clinical Reflective Practice modules.

LEARNING ACTIVITIES AND TEACHING METHODS (given in hours of study time)

If you are pursuing a professional qualification as a PSYCHODYNAMIC Psychotherapist:

Scheduled Learning and Teaching activities

126

Guided independent study

285

Placement/study abroad

189

DETAILS OF LEARNING ACTIVITIES AND TEACHING METHODS

Learning activities and teaching methods (given in hours of study time)

Scheduled Learning and Teaching Activities	Guided independent study	Placement / study abroad
	0	0

Details of learning activities and teaching methods

Category	Hours of study time	Description
See table above in - Syllabus Plan section

Formative assessment

Form of assessment	Size of the assessment (eg length / duration)	ILOs assessed	Feedback method
Clinical supervision reports 1-4 (this is pass/fail only and must be passed; failure in this assessment will lead to failure in the module and the programme)	N/A	1-17	Written and Oral

Summative assessment (% of credit)

Coursework	Written exams	Practical exams
100	0	0

Details of summative assessment

Form of assessment	% of credit	Size of the assessment (eg length / duration)	ILOs assessed	Feedback method
Report of Clinical Activity: Account of a Case	100	2,500 words max	1-17	Written
*Summative assessments must be passed individually to pass the module; failure in this assessment will lead to failure in the module and the programme.	0
	0
	0
	0
	0

Details of re-assessment (where required by referral or deferral)

Original form of assessment	Form of re-assessment	ILOs re-assessed	Timescale for re-assessment
Report of Clinical Activity: Account of a Case	2,500 words max	1-17	Minor amendments 4 weeks; Major amendments 8 weeks

Re-assessment notes

In relation to your Report of Clinical Activity: Account of a Case submission, where you have been given amendments, major or minor, you will have the opportunity to submit an amended version of your Report, which addresses the points made in the feedback you are given by the marker(s) and moderator. You must also write a letter to the marker, accompanying your resubmission, which describes how you have addressed the points made in the feedback. You will have 4 weeks to complete minor amendments and 8 weeks to complete major amendments.

If you have major amendments and your resubmission is marked as needing minor amendments, you will then have a further 4 weeks to resubmit a second time. If you have minor amendments and if on re-marking your resubmission still requires minor amendments, you will be given a ‘fail’ mark. If you fail an assignment you will be given the opportunity to submit a completely new submission and will have 8 weeks to do this in.

If you again fail,you will then have failed in the module and consequently you will have failed the programme also and your registration as a student of the University will be terminated.

If you do not reach an overall ‘satisfactory’ level, or above, in the assessment of your clinical work, in all categories in your final report, you will be allowed to undertake a further period of clinical work of up to six months, in order to allow you to reach this minimum, ‘satisfactory’ level. If this has not been reached by then there will be a meeting between you, your supervisor(s) and programme staff, to consider whether it is possible for you to achieve a ‘satisfactory’ level. If there is agreement that it may be possible, you can have a further period of up to six months clinical work. If it is not you will have failed the module and your registration as a student of the University will be terminated.

More information regarding assessment of pre-dissertation modules can be found here: http://as.exeter.ac.uk/academic-policy-standards/tqa-manual/pgr/professionaldoctoratepgr/#assess including the Flowchart of professional doctorate assessment process.

Indicative learning resources - Basic reading

Core reading:

Bateman, A., Brown, D. and Pedder, J. (2000) Introduction to Psychotherapy (3rd ed.). UK: Brunner-Routledge.
Davids. F., (2011) Internal Racism: A Psychoanalytic Approach to Race and Difference (London: Palgrave)
Holmes, J. (2009) Exploring in Security: Towards an Attachment-Informed Psychoanalytic Psychotherapy. UK: Brunner-Routledge
Lemma, A. (2003) Introduction to the Practice of Psychoanalytic Psychotherapy. Chichester: Wiley.
Lemma. A., (2014) Minding the Body: The body in psychoanalysis and beyond (New Library of Psychoanalysis) (London: Routledge)
Storr, A. &, J. Holmes (Ed.) (2012) Storr'sThe Art of Psychotherapy (3rd Ed.) UK. Hodder Arnold
Casement, P. (1992) Learning from the Patient London Guilford Press
Driver, C. (2008). Assessment in Supervision: An Analytic Perspective. Brit. J. Psychother., 24(3):328-342.
Fleming, R. (2015). Clinical supervision of psychoanalytic psychotherapy. J. Child Psychother., 41(2):206-209

Indicative learning resources - Web based and electronic resources

ELE – you can find methodology references, lecture PowerPoints (usually with references on the final slide) and guides to research.

Key words search

Psychodynamic, psychoanalytic psychotherapy, therapy, clinical practice

Credit value	60
Module ECTS	30
Module pre-requisites	All other stage one modules are a pre-requisite to this module.
Module co-requisites	All other stage two modules are a co-requisite to this module.
NQF level (module)	8
Available as distance learning?	No
Origin date	27/08/2021
Last revision date	27/03/2023