Application

APPLICATION TO JOIN THE TWO-YEAR COUPLE PSYCHOANALYTIC PSYCHOTHERAPY TRAINING ORGANIZED BY THE ACPP

Experienced ACPP trainers will be facilitating a 2-year introductory Couple Psychoanalytic Psychotherapy Reading and Case discussion group. This group will meet weekly beginning (day and time to be inserted). The meetings will be held on Zoom with the hope that further down the training line there can be an in-person workshop where everyone can meet.

The fee would be RX per session to be paid monthly. There would be 32 sessions in a year and breaks would be scheduled for Easter and September (2 weeks) and June/July and December/January (in total about 8 weeks per school term).

The first 6 months of meetings would be theoretically based and thereafter meetings would alternate between case presentations and prescribed readings.

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region Postal Code

Phone*

Email*

Number of years of clinical practice:

Adults

Children

Couples

Groups

Are you, or have you been in clinical supervision?*

YES

This would be a prerequisite for the training with supervision preference with an ACPP member.

Have you had your own therapy or analysis?*

YES

Name of therapist/analyst (for boundary purposes)

Do you have any clinical and theoretical background in working psychoanalytically? Please explain.

Please write a few sentences on your interest and motivation for joining this group.*

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