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The Center's program of clinical studies includes five years of direct work with patients.
Understanding preoedipal disorders, which are the conditions most challenging to contemporary analysts, is the goal of the first two years. During this time students are placed in a mental hospital where they are exposed to deeply regressed patients. A close study of these patients' preoccupations gives students an appreciation of the psychopathology continuum, from neurotic adjustment through character disorder, narcissism, somatization, and psychosis.
The fieldwork program was developed by Stanley Hayden, Genrald Fishbein, and myself to emphasize awareness of one's own primary process and its use working with severe pathologies. Stanley Hayden is the author of The toxic response in modern psychoanalysis and Some behavioral correlates of empathy. More recently Murray Sherman has been added to the fieldwork faculty. Dr. Sherman is co-author of Roles and Paradigms in Psychotherapy and author of Siding with the resistance in paradigmatic psychotherapy, Emotional communication in modern psychoanalysis, and numerous other articles. The fieldwork coordinator (originally Estelle Borowitz; now Rhoda Shapiro) interviews applicants for the program and assists them in arranging a two-year hospital placement. Shapiro has developed a mentor program permitting fieldwork students to elect to discuss their fieldwork concerns with a senior student. The emphasis of the fieldwork seminar is on direct experience with the deepest levels of regression and fixation, and the corresponding induced feeling states, which is how students learn