Drs. Jaffe and Sugarman will discuss the evolution of the American Psychiatric Association's Diagnostic and Statistical Manuals, which over time have become less based on a psychodynamic understanding of mental illness. They will discuss how the DSM V, a diagnostic system that we are all required to use, has largely eliminated an understanding of the mind’s psychopathology in favor of descriptive classification of presenting symptoms. While this DSM revision can facilitate prescribing medications that treat symptoms, because it is based on symptoms, the presenters will highlight the value of psychodynamic diagnoses for treatment decisions about psychotherapy and psychoanalysis.
- Review and understand the history of psychiatric diagnostic systems to appreciate their differences.
- Discuss and understand the differences between a statistical diagnostic system and a psychodynamic diagnostic system.
- Promote more complex diagnostic understanding of patients in order to determine more informed, effective clinical decisions.
Lee Jaffe, Ph.D. has been in private practice in the San Diego area since 1983. He is a licensed clinical psychologist, an adult supervising and training psychoanalyst, and a child/adolescent psychoanalyst, as well being a member of the faculty of the UCSD department of psychiatry. In his La Jolla office, he provides consultations and individual treatment for adults, adolescents, and children, which include psychotherapy, psychoanalysis, and psychological testing, as well as providing treatment for couples in distress and pre-marital counseling. He is certified by the American Psychoanalytic Association’s Board on Professional Standards, he is past President of the San Diego Psychoanalytic Center, and he has served in various capacities on both national and international professional organizations. He has published numerous scientific articles and a book on assessment for psychoanalytic treatment, as well as serving on the editorial boards of scientific journals.
Alan Sugarman, Ph.D. is a licensed clinical psychologist, practicing in La Jolla. He provides psychotherapy, psychoanalysis, and psychological testing to children, adolescents, and adults and works with parents on parenting issues. Dr. Sugarman is a training and supervising analyst in child, adolescent, and adult analysis at the San Diego Psychoanalytic Center where he is a past Director of Education. He is also a Clinical Professor of Psychiatry at the University of California, San Diego. Prior to coming to San Diego Dr. Sugarman was a postdoctoral fellow at the Menninger Foundation and a faculty member of the Yale University Department of Psychiatry. He is certified in both adult and child and adolescent psychoanalysis by the Board on Professional Standards of the American Psychoanalytic Association and is a Diplomate in Assessment Psychology of the American Board of Assessment Psychology. Dr. Sugarman has over 70 professional publications and is a frequently invited speaker and teacher at local, national, and international psychoanalytic institutes, organizations, and conferences. He also serves on many professional editorial boards and has occupied prominent positions in the local psychoanalytic institute as well as the American Psychoanalytic Association. He has been in private practice for almost 30 years in La Jolla.