BCPsa Application

Graduate Analyst Application
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Certificate of Graduation from an IPA institute and/or Certificate of membership in the IPA

Experience

Since graduation, approximately how many total hours have you devoted to the practice of formal psychoanalysis, conducted at a minimum of 3-5 sessions per week?
Since graduation, how many patients have you treated in formal psychoanalysis, conducted at a minimum frequency of 3-5 sessions per week?

Patient Experience

Experience in the conduct of psychoanalytically informed individual psychotherapy and formal psychoanalysis (at a minimum frequency of 3-5 sessions per week): Click the "Add New Patient" button below to add multiple patients.

Add Patient Information

For each patient, please list the approximate start date and, if appropriate, the termination date. If the case is ongoing, write "ongoing" in the termination column. Please list all patients seen AFTER graduation, even if their treatment began before graduation. If necessary, add rows to include all patients seen in the last five years.

Supervision & Consultation

Please list all supervisors, teachers, and clinical consultants with whom you have studied or discussed your work since graduation.
Please list all supervisors, teachers, and clinical consultants with whom you have studied or discussed your work in the last five years.
Since graduation, approximately how many total hours have you devoted to the practice of psychoanalytic treatment (formal psychoanalysis and psychoanalytically informed psychotherapy)?

Seminars & Study Groups

Please list all seminars and study groups, including dates and group leaders, in which you have participated since graduation.
Please list all seminars and study groups, including dates and group leaders, in which you have participated during the last five years.
Please describe your experience teaching psychoanalytic theory or psychoanalytic practice technique. Include courses and the year you taught them. (no more than 150 words).

Professional Activities in Psychoanalysis

Please describe your experience supervising candidates, students, or mental health practitioners in the practice of psychoanalysis or psychoanalytically informed psychotherapy. Please include years. (no more than 150 words).
Please describe your experience conducting research in psychoanalytic theory or psychoanalytically informed practice. (no more than 150 words)
Please list your publications pertaining to psychoanalytic theory, treatment, education or research since graduation.
Please list and describe any psychoanalytically oriented seminars or study groups you have led since graduation.
This application requires two letters of reference from colleagues. Download the form here and send it to your references complete with the instructions for returning to CIPS.

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