Child & Adolescent Section Application Form Child & Adolescent Application Form PDF Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Date of application: *Country: *Section: *Child & Adolescent SectionGroup SectionAdult SectionCouple & Family SectionName of network or Association: *Address of Association: *Address Line 1Address Line 2CityState / Province / RegionPostal Code— Select country —AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land IslandsCountryName of contact person: *FirstLastAddress of contact person:Address Line 1Address Line 2CityState / Province / RegionPostal Code— Select country —AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land IslandsCountryEmail: *Questionnaire for all sections1. Are you applying for: *Full membershipAssociate membershipObserver status(Please tick as appropriate) 2. Full membership: How many members do you have in your national network who have completed a training in psychoanalytic psychotherapy that correspond to the training standards of the EFPP for that section?Number of members: *Do you have at least 6 members in your association who have reached the minimal training standards? Please give their names, the name of the Associations where they received training and their qualification dates.Name *Association *Qualification Dates *Name *Association *Qualification Dates *Name *Association *Qualification Dates *Name *Association *Qualification Dates *Name *Association *Qualification Dates *Name *Association *Qualification Dates *Please give us information about the personal training therapists you use in your training, Are they psychoanalytical psychotherapists and/or IPA psychoanalysts? *Number of members: *3. Associate membershipHas your association not yet reached the training standards of the EFPP? *YesNoNumber of members in your association fewer than 6 who may have achieved these standards? *Can you tell us in what areas you still have to achieve these standard? *4. Observer statusObservers are from those countries and sections who are at the first stage of developing psychoanalytic psychotherapy and who are considering whether they are at a stage to apply for membership of the EFPP.Can you tell us something about your country and section and your plans for developing psychotherapy? *Questionnaire which encompasses all the EFPP Child and Adolescent Section bylawsPlease will you verify that your training encompasses all of the following items. Please do so by filling in boxes saying yes or no and adding additional clarification regarding the manner in which you conduct your training.1. Is your training undertaken by an organisation with training as one of its specific purposes? *YesNoAdditional clarification regarding the manner in which you conduct your training.2. Do you have a register of members and trainees, which defines those who are entitled to practice as qualified child psychoanalytic psychotherapists? *YesNoAdditional clarification regarding the manner in which you conduct your training. 3. Does your training organisation have a training committee that evaluates the suitability of applicants and checks their prior academic qualifications? *YesNoAdditional clarification regarding the manner in which you conduct your training. 4. Does your training committee continuously monitor the trainee’s progress on the basis of verbal, and/or written reports from supervisors and teachers throughout the training? *YesNoAdditional clarification regarding the manner in which you conduct your training.5. The EFPP Child & Adolescent section recognises the following minimal criteria for qualification. Please fill in boxes below, ticking – yes/no. If necessary, supply additional information.Duration of Training A minimum of four/five years training course: Do you meet this requirement? *YesNoIf necessary, supply additional information.File Upload Click or drag a file to this area to upload. Please check the bylaws, since the training can be divided in two levels: *The basic levelThe advanced levelIf necessary, supply additional information.File Upload Click or drag a file to this area to upload. A European Certificate Qualification requires the completion of both levels. Whichever method of training is used, care is taken that the total training is in accordance with the full certificate level required. *YesNoIf necessary, supply additional information.File Upload Click or drag a file to this area to upload. Personal Psychotherapeutic experience During the training programme trainees must undergo psychoanalysis or intensive psychotherapy with an approved training analyst or qualified training psychotherapist for, at least, the whole duration of their training. *YesNoIf necessary, supply additional information.File Upload Click or drag a file to this area to upload. Clinical training requirements Infant Observation: A minimum of 60 seminars (2 years , each 60 teaching hours). Do you meet this ? *YesNoIf necessary, supply additional information.File Upload Click or drag a file to this area to upload. if not, please explain your I.O. teaching method. *Clinical seminars: A minimum of 60, better 120 hours of small group discussion seminars. *YesNoIf necessary, supply additional information.File Upload Click or drag a file to this area to upload. The trainee sees at least 3 patients ( preferably 6), children and adolescents in psychotherapy not intensive, 1or 2 sessions per week, for at least one year each? *YesNoIf necessary, supply additional information.File Upload Click or drag a file to this area to upload. The trainees are also expected to work with parents, of a frequency of weekly or fortnightly sessions for at least one year: do you meet this? *YesNoIf necessary, supply additional information.File Upload Click or drag a file to this area to upload. Every trainee is expected to receive systematic individual clinical supervision for a minimum of 120-160 hours over the full training period. *YesNoIf necessary, supply additional information.File Upload Click or drag a file to this area to upload. Every trainee is offered minimum 120 hours og group supervision, for his/her not intensive clinical work: does your training program meet this? *YesNoIf necessary, supply additional information.File Upload Click or drag a file to this area to upload. Supervised Intensive clinical workA minimum of 400, 420 hours of supervised intensive psychoanalytic psychotherapy (3 or minimum 2 sessions per week) with 1 hour /week supervision, one case for at least 2 years, the others for 1 year *a young childa latency childan adolescentIf necessary, supply additional information.File Upload Click or drag a file to this area to upload. Does your training program meet this? *YesNoIf necessary, supply additional information.File Upload Click or drag a file to this area to upload. If not, describe please your scheme. *Each trainee should have at least two different supervisors during the training period. *YesNoIf necessary, supply additional information.File Upload Click or drag a file to this area to upload. Trainees are assigned personal tutors according to the bylaws: do you meet this point? *YesNoIf necessary, supply additional information.File Upload Click or drag a file to this area to upload. All cases that contribute to qualification must be supervised and it is recommended that at least one ending phase treatment is included. *YesNoIf necessary, supply additional information.File Upload Click or drag a file to this area to upload. Theoretical RequirementsThe training period includes theoretical and technical seminars on Psychoanalytic psychotherapy and its applications and clinical presentations material for not less than 150 seminars, 300 hours of teaching, particularly: 20% psychoanalytic theory, 20% human growth and development, 30% psychopathology, 30% psychoanalytic concepts and technique. Do the above apply to your training program? *YesNoIf necessary, supply additional information.File Upload Click or drag a file to this area to upload. Final qualification should include a written clinical paper based on one of the 3 supervised intensive cases:CLINICAL EXPERIENCE PRIOR TO QUALIFICATION – The trainee should have experience in different clinical settings and be acquainted with a wide range of clinical situations, mental disorders, social deprivation and be able to conduct assessment, brief work, work with parents, intensive and nonintensive psychotherapy, child and parents consultations and consultations with families of young children and child or adolescent psychotherapy. Click or drag a file to this area to upload. ETHICAL CODE – Your training organisation should have an ethical code and complaints procedure. Click or drag a file to this area to upload. CONTINUING PROFESSIONAL DEVELOPMENT – Your organisation should have a programme for continuing professional development after qualification, and should develop protocols for monitoring this and should monitor CPD yearly or at least every other year. Click or drag a file to this area to upload. Thank you for filling in your details.Please could you attach your training curriculum with your application. * Click or drag files to this area to upload. You can upload up to 10 files. Your application will be read by the two Child & Adolescent section representatives of the EFPP Board and if no further details are required, will be taken to the EFPP Board for formal acceptanceSubmit