Associate Membership

Name
MM slash DD slash YYYY

Education and Training

1. Details of training at postgraduate level in psychoanalytic psychotherapy / psychoanalysis. Applicants must have completed a recognised postgraduate psychoanalytic training that is recognised by the Psychoanalytic Section of the Irish Council for Psychotherapy, consisting of four continuous years with the same training body.
Please state:
  1. Name of university or institution:
  2. Duration of course (give dates):
  3. Qualification obtained:
  4. Date of conferring / award:
If you have completed more than one psychoanalytic postgraduate training, please provide the above information for each one.
2. Details of clinical experience and supervision while training.
Please state:
  1. The date individual supervision commenced :
  2. The number of hours of individual supervision while training:
  3. The frequency of individual supervision:
  4. The number of clients seen while training, and whether each was supervised:
  5. The duration of psychotherapy with each client:
  6. The number of sessions per week with each client:
  7. The date of completion of all the clinical requirements of training:
  8. Details of group supervision if applicable:
  9. The name, address and telephone number(s) of your supervisor. If you had more than one supervisor, please provide the above information for each. The applicant’s supervisor should be a member of the IFPP or an equivalent psychoanalytic body that is a member of the Psychoanalytic Section of the Irish Council for Psychotherapy.
Please note: your supervisor(s) will be asked to confirm details of your attendance, and will be invited to comment on your work.
3. Details of individual psychoanalytic psychotherapy / psychoanalysis undergone while training.
Please state:
  1. Dates of commencement and completion (if complete; otherwise state ongoing):
  2. Frequency of sessions:
  3. Total number of sessions (if ongoing, please give total number while training):
  4. Name, address and telephone number(s) of your psychoanalytic psychotherapist / psychoanalyst. If you attended more than one psychotherapist, please give details for each. The applicant’s psychotherapist should be a member of the IFPP or an equivalent psychoanalytic body that is a member of the Psychoanalytic Section of the Irish Council for Psychotherapy.
Please note: this is solely for confirmation of attendance; no other information is sought.
4. Details of any other relevant qualifications and training completed prior to postgraduate psychoanalytic training, including primary degree . (e.g. psychology, medicine, social work, counselling, etc.)

Therapist and Supervisor Details

I authorise the IFPP to contact my psychotherapist(s) and supervisor(s). I also acknowledge that I will abide by the IFPP Code of Ethics.
Please upload copies of your training qualifications i.e. photocopies of all relevant certificates, including clinical diploma or certificate
Please add your name to your filename(s).
Please note:
Applicants will be notified about the outcome of their application.
Successful applicants will added to the IFPP’s list of Associate members, and will be asked to pay the annual membership subscription fee or a portion thereof according to where in the financial year the application falls.
Successful applicants will be required to acquaint themselves with the Code of Ethics of the IFPP, and to agree in writing to abide by this Code.
Associate members are not members of the Irish Council for Psychotherapy; this applies only to Full members.
Associate members may apply for Full membership upon completion of the requirements for post-training supervision and clinical experience.
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