Progression Guidelines – NY Program

**It is the responsibility of all candidates to be familiar with the following Guidelines for Progression**

(Rev. 05/2023)

A. First Year and Throughout Training

All candidates are required to be engaged in a training analysis (a minimum of a four-times-per week analysis) with a Training Analyst from the CFS by the middle of the first year of classes. Waivers can be requested from the Disposition Committee if the Candidate is already engaged in a long -standing analysis with a non CFS analyst who is a Training Analyst of the International Psychoanalytic Society.

The Progression Committee (PC) will consider requests to postpone beginning the training analysis if a candidate is terminating a longstanding analysis. All candidates are required to be in a training analysis during the entirety of their control work.

Candidates should inform their PC representative and in addition give written notification to the Administrator (Connie) regarding any change in training analyst, analytic frequency, psychotherapy supervision, or candidate status so that their folder can be up to date and complete.

Requests for leave of absence are to be submitted in writing to the PC representative, who will inform the PC committee and the Administrative Director so that the request is formally recorded in the candidate’s folder. If the leave of absence extends beyond two years, the candidate must re-apply for training to the Admissions Committee.

Progression Committee members are responsible for monitoring the training of an assigned number of candidates. Each PC Representative will meet at least twice a year with each assigned candidate to review training progress and instructors’ and supervisors’ evaluations. In this way, close communication will be maintained, the PC Rep will provide information, and guidance when requested and required, and any training problems will come to the attention of the Progression Committee through each Representative.

B. Progression Steps and Clinical Practice

1. First Year Interview

First Year Interview is an opportunity for the candidates to review their first year training experience with members of the Progression Committee who are not their PC Reps. After completion of the First Year Interview and a review by the PC committee which indicates no concerns, candidates may receive referrals from Clinical Services. When candidates are treating patients who have been referred from CFS Clinical Services, they must be in supervision with a member (or training analyst, when applicable) of CFS.

All clinical work performed by non-licensed candidates must be supervised and candidates may work with one or more supervisors as needed. When LP candidates begin to do their clinical work under supervision, any referrals to them that do not come directly from Treatment Services must be screened by Treatment Services. This screening is provided so that an assessment of pathology can be made to protect candidates from clinical situations that may exceed their beginning skills. The LP’s supervisor will inform Treatment Services when they feel that the candidate’s increasing clinical experience indicates that this is no longer needed.

All candidates may check the website to learn which members are offering a year of pro bono supervision. If this is available, the member is committed to this arrangement for one year. If the supervision continues then the candidate and member will arrange a mutually agreeable fee. A list of members who are available for low fee supervision, can be requested from the Administrator (Connie). Progression Committee Reps are also available for help with finding supervisors.

Candidates must have malpractice insurance covering the practice of psychotherapy at the location in which the treatment is to be provided. Documentation of current malpractice insurance must be placed in the candidate’s folder and must name CFS as an additional insured certificate holder.

Candidates must be either licensed to practice as a mental health professional independently in the state where the service is to be provided, or they must be formally practicing under the license of a supervising clinician.

Candidates may see patients up to twice a week face to face in psychotherapy prior to passing Readiness-for-Control. In the event that clinical circumstances warrant more frequent meeting, the candidate will discuss the clinical reasons for this with their supervisor, and the supervisor must approve this prior to requesting a change from the Progression Committee through the PC rep.

Similarly, any use of the couch prior to passing RFC needs to be approved by the candidate’s supervisor who will take into consideration both the clinical circumstances and the candidate’s depth of experience. The clinical reasons for any approved increase beyond twice weekly frequency and/or any use of the couch should be articulated in a brief written paragraph (in collaboration with the supervisor) and submitted to the candidate’s PC Representative so that the supervisor in conjunction with the PC support this clinical judgement.

Candidates must pass RFC before undertaking a control case. Passing the RFC indicates that the Candidate is ready to undertake a supervised psychoanalysis with the use of the couch. One control case should be 4-5 times a week and the second case could be 3 times a week. All control work for all candidates must be supervised at all times.

2. Readiness for Control (RFC)

  • a) A Readiness-for-Control interview with three members of CFS is required of all candidates in order to begin to see control patients in supervised analysis. Candidates typically request RFC by the end of the second year of coursework unless they are LPs without previous clinical experience as they will need 450 hours of supervised direct clinical practice before they are able to apply. Early RFC may be held during the candidate’s first year of coursework after review by the PC. Requests for early RFC should detail coursework and training obtained prior to admission to the PTI of CFS. Generally, a minimum of a year of personal training analysis is required prior to applying for the RFC interview. The candidate will make a written request for RFC to their PC Rep that will then be reviewed by the PC.
  • b) It is strongly recommended that candidates be in supervision with a CFS member on their psychotherapy cases in preparation for RFC, as the RFC evaluation will include the presentation of some psychotherapy case material.
  • c) Once approved by the Progression Committee (PC rep. checks folder for class evaluations and talks with supervisors) to take the RFC interview, the Chair of the Evaluation Subcommittee will assign three CFS members to serve on the Candidate’s RFC committee. Before the Committee is formed, the candidate is asked to eliminate up to 10 people, including analyst and supervisors, that they wish to exclude from the RFC Committee
  • d) After the RFC interview and the candidate’s receipt of a letter outlining the finding of the recommendations of the Progression Committee, the candidate may direct questions about the RFC evaluation to the Chair of the Evaluations Subcommittee. Additionally, the candidate may meet with the Chair of the RFC committee if further discussion is warranted.
  • e) If the RFC recommends to the Progression Committee that the candidate is not ready to proceed with analytic control cases, the PC will review the candidate’s status and progress in the program and will then make specific recommendations to the candidate. Candidates are advised to discuss the recommendations with their supervisors and PC rep before requesting another RFC interview.
  • f) If the Candidate does not agree with the findings of the RFC committee, they have the right to appeal to the President.

3. Control Case Development

  • a) Control Case Development applies to candidates who are post-RFC and who are either seeking control analytic cases or believe that they may have one in their practice.
  • b) Control Case Development takes place under the supervision of a Training Analyst of the PTI of CFS who will help the candidate deepen their treatment skills and develop analytic patients.
  • c) Control Case Development: When the candidate and training analyst supervisor designate a patient for control analysis, the candidate will write an Initial Analytic Summary to be approved and signed by the supervisor. (The supervisor should not be supervising any other control case for the candidate and is expected to become the supervisor of the identified case.
  • d) The Initial Summary is to be relatively short (a maximum of 1000 words). It includes a description of the patient, the presenting complaint, essential developmental history, current life circumstances and prior treatment history. It offers a brief, tentative dynamic formulation that describes the patient’s conflicts and defenses and the appropriateness of an analysis for this patient. The patient’s reactions to the proposal of analysis can also be described as well as how these reactions are being and have been addressed.
  • e) The Initial Summary will be submitted to the candidate’s Progression Committee rep and then reviewed by the PC so that all are informed that a control case is beginning. This should be submitted soon after the analysis begins and before the end of three months from the start of the analysis in order that the official date of the beginning of the analysis is clear so that the candidate will get credit for the duration of the control work.
  • f) The Candidate needs to send the signed Initial Summary and the Control Case Data Sheet to the Administrative Director so that the candidate’s folder is up to date.
  • g) The candidate will write yearly summaries of the control work and will meet yearly with the PC rep and the reader. The candidate and Progression Committee rep will together choose a reader who will meet with the candidate and PC rep to discuss the yearly summary and provide feedback. The candidate has the option of including the supervisor in these yearly meetings if desired. The candidate has the option of requesting a case reader be assigned to the control case when the Initial Summary is submitted, though a reader at this point is not required.
  • h) The PC Representative, in consultation with the case reader, will write a letter to the candidate summarizing the meeting on the case summary and the feedback given. This letter will be approved by the Progression Committee, and copies will be sent to the control supervisor and to the Administrative Director for the candidate’s file. This process will be repeated with the submission of each yearly summary.
  • i) The candidate may take on more than two control cases with the permission of the Progression Committee which will also make a determination about the frequency of supervision on the additional cases based on the learning needs of the candidate. Weekly supervision is required on at least two control cases until completion of training.
  • j) In order to receive credit for control work, candidates are expected to have conducted a minimum of two control (supervised analytic) cases. One needs to be seen four or five times per week and one could be seen three times per week in person. The cases are to be under the supervision of two different CFS Training Analysts. Supervision is to be on a once a week basis.
  • k) A minimum of 200 hours of supervision between the two control cases is required. Candidates will receive credit for a case that has been in a supervised, reported, and reviewed psychoanalysis for at least one year. Three years or approximately 150 hours of supervision is required on the control case to be presented towards graduation before a Case Presentation Evaluation Committee. Exceptions to this requirement may be considered by the Progression Committee.
  • l) A candidate who has been accepted with advanced standing and who is already conducting an analysis under the auspices of a psychoanalytic training institute that was previously attended is expected to consult with their CFS Progression Committee Representative to clarify training requirements on the case.
  • m) The candidate’s PC Rep must be notified of all changes in the status of control cases (i.e., reduction of number of sessions/week).
  • n) Control supervisors are required to write yearly evaluations of the analytic work of their supervisees by the end of June of each year. The evaluation reports should be discussed and signed by both candidate and supervisor, then submitted to the PC Rep and the Administrative Director for the candidate’s file.
  • o) Training Analysts are required to contribute to the Institute’s Training program by taking two low fee candidates into control supervision. Candidate’s Progression Committee Representatives will assist candidates who need help in finding a supervisor.

C. Case Presentation Evaluation

When a candidate and the current control supervisors believe that the candidate is ready to graduate, the candidate informs the PC Representative of the interest in presenting a case for graduation to a Case Presentation Evaluation Committee (CPEC). Before the Progression Committee can evaluate this request, all annual supervisory reports must be up to date on all control cases. If not stated in the most recent evaluation of the supervisor(s), the supervisor(s) will submit a brief note offering an opinion about the candidate’s readiness to graduate. In addition, all yearly case summaries must have been submitted and reviewed on all control cases.

Based on a careful review of the supervisory reports, yearly case summaries and instructors’ evaluations, the Progression Committee will make a determination about the candidate’s request to present to a Case Presentation Evaluation Committee (CPEC).

If the Progression Committee approves the candidate’s request to present, the Chair of the Evaluations Subcommittee will assemble a five member Case Presentation Evaluation Committee (CPEC). The CPEC comprises the candidate’s two case readers and three additional CFS members who are not familiar with the candidate’s work. One reader has followed the case to be presented in yearly meetings with the candidate and with the PC Representative, but has no other contact with the candidate. The second reader is not familiar with the case to be presented but has followed another control case of the candidate on a yearly basis. The three additional members of the CPEC have had no knowledge of the candidate’s control work. One of these three, one will chair the CPEC. The candidate may eliminate up to ten CFS members, including their analyst and supervisors.

The CPEC will hear and evaluate the candidate’s case presentation. Information in the candidate’s folder will not become part of this evaluation. Upon receipt of the CPEC’s detailed report, the Progression Committee will meet to make a final determination about the candidate’s readiness to graduate, i.e., whether or not the candidate has the capacity to work independently as an analyst without supervision. The candidate will be apprised of this collaborative decision after the Progression Committee has met to discuss the findings. Every effort will be made to communicate the committee’s determination to the candidate in as timely a fashion as possible.

The Progression Committee reviews the report of the CPEC and makes a final determination that the candidate is ready to graduate, the PC Representative will call to notify the candidate. The candidate will also be informed in writing by the Chair of the Evaluations Subcommittee and a summary of the CPEC report will be included in the letter. At the next CFS Board meeting, the Director of the Institute will present the candidate for inclusion into membership. The candidate will be sent a letter signed by the Director of the Institute and the CFS President as soon as possible congratulating the candidate on fulfilling all the requirements for graduation and inviting the candidate into membership. The candidate will receive a certificate at the next graduation ceremony.

D. Appeal Process:

After the PC has received the report of the CPE Committee, if a candidate does not agree with the committee’s findings, the candidate may send a letter of appeal to the Director of the Institute, who will carefully review the findings of the CPEC and the Progression Committee. This review may also include meeting individually with each person involved in the ongoing progression of the candidate’s training, reviewing all minutes of the Progression Committee pertaining to the candidate, consulting with the candidate’s supervisors and instructors, and meeting with the candidate. If necessary, the President will be engaged in the review. The decision of the CFS President and Institute Director will be binding. If the appeal is granted, the case presentation can be re-done.

The timing of the second evaluation will depend upon the recommendations of the Progression Committee.

In addition, a candidate who has not been approved for graduation after the first final Case Presentation has the right, after review, to a second Case Presentation Evaluation if the President and Director of the Institute conclude that something about the first procedure was irregular.

If the second Case Presentation Evaluation Committee decides that the candidate has not demonstrated a capacity to conduct a psychoanalysis independently and the Progression Committee concurs, the candidate cannot appeal this final decision.

The Progression Committee may suspend or terminate a candidate’s training in the case of failure to meet standards for reasonable progress toward graduation. Reasonable progress toward graduation shall mean continued satisfactory reviews by instructors, supervisors, timely completion of yearly case summaries and adherence to requirements for control and training analyses. The candidate has a right to appeal this decision under the appeal process described above.

E. Code of Ethics

Candidates are required to be in compliance with the Code of Ethics of the Contemporary Freudian Society. The Ethics Committee shall receive written complaints of possible violations from members and candidates in good standing. The committee shall investigate such complaints, holding any necessary hearings and shall report on its findings and recommendations to the President and the Institute Director. Recommendations may include suspension or termination from the training program and the President and Institute Director may institute such actions on the recommendation of the Committee. The committee shall provide sixty days for a candidate so charged to respond in writing or in person to the complaint and shall provide the candidate with written materials pertinent to the complaint.

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