For several years, the China American Psychoanalytic Alliance (CAPA) has provided treatment, training, and supervision to Chinese mental health professionals over the Internet. The lack of Chinese analysts and mentors has created an intense demand for psychodynamic psychotherapy training and treatment that CAPA is addressing using Skype™ and other distance communication technologies. This article describes the project, its history, scope, and activities, and the experiences of CAPA teachers and clinicians in exploring and developing the usefulness and power of this very new teaching method. Some particular characteristics of Chinese culture have become apparent as a result of the teaching experience. Aspects of the transference and countertransference that are shaped by the virtual nature of the technology are discussed, using case material. Our hope is that, in helping to train our Chinese students in psychodynamic psychotherapy, they will go on to train future generations of clinicians. This model of teaching and training could also be applied in other underserved areas.

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This paper describes the psychoanalytic treatment of an asymptomatic HIV-positive gay man. At present, the analysis is in its fifth year, and termination themes are apparent and central to the analysis, although a termination date has not yet been set. This patient presented a formidable challenge to psychoanalytic treatment, independently of his serological status. The patient's history of alcoholism, suicide attempts, depression requiring pharmacological maintenance, and his general proclivity to acting out, coupled with the restricted nature of his object relations, made the decision of whether to treat him with psychoanalysis versus psychoanalytic psychotherapy a very difficult one.

SUMMARYPrevious studies utilizing cell-permeant inhibitors and intracellular delivery of anti-PKC antibodies and active enzyme have indicated that inhibition of protein kinase C (PKC) promotes the initial stage(s) of neurite elaboration, while PKC activation inhibits and reverses this phenomenon. In the present study we treated SH-SY-SY human neuroblastoma cells with antisense oligonucleotides directed against unique sequences of the a, 0, and E PKC isoforms for a length of time (5 days) sufficient to reduce imunocytochemical levels of their specific target isoforms. We observed that treatment for 5 days with antisense oligonucleotides directed against PKCa and PKCE, but not PKCp, induced a marked increase in the percentage of cells elaborating neurites. By contrast, treatment with the corresponding sense-oriented oligonucleotides for each isoform had no detectable effect. These data confirm the participation of PKC in regulation of the initial stage(s) of neuronal differentiation, and further imply specific roles for the PKCa and E isoforms in this regulation.