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The Process of Change in Psychoanalytic Psychotherapy

The Process of Change in Psychoanalytic Psychotherapy Abstract • The patient in psychoanalytic psychotherapy experiences a variety of psychological and emotional responses during the treatment process. These are described and conceptualized as related to the structure of the therapeutic situation, the therapeutic relationship, the mobilization of conflict, the experience of affects and drive derivatives, the phenomenon of reinforcement, and the working through of the termination phase. The distinction between "core" and "derivative" psychic functions is developed, permitting a conceptual understanding of how this form of psychotherapy can produce significant and lasting intrapsychic change. Some of the differences between psychoanalytic psychotherapy and psychoanalysis are described. The general concepts are illustrated by clinical vignettes from a case of successful psychotherapy. References 1. Dewald PA: Toward a general concept of the therapeutic process . Int J Psychoanal Psychotherapy 5:283-299, 1976. 2. Rappaport D: The structure of psychoanalytic theory . Psychol Issues 2:39-72, 1960. 3. Benedek T: The psychobiologic approach to parenthood , in Anthony EJ, Benedek T (eds): Parenthood . Boston, Little Brown & Co, 1970. 4. Erikson E: Identity, Youth and Crisis . New York, WW Norton Co Inc, 1968. 5. Kernberg O: Borderline Conditions and Pathological Narcissism . New York, Jason Aronson Inc, 1975. 6. Dewald PA: Transference regression and real experience in the psychoanalytic process . Psychoanal Q 45:213-230, 1976. 7. Alexander F, French TM: Psychoanalytic Psychotherapy . New York, Ronald Press, 1946. 8. Schafer R: The termination of brief psychoanalytic psychotherapy . Int J Psychoanal Psychotherapy 2:135-148, 1973. 9. Gittelson M: Psychoanalysis and dynamic psychotherapy . AMA Arch Neurol Psychiatry 66:280-288, 1951.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

The Process of Change in Psychoanalytic Psychotherapy

Archives of General Psychiatry , Volume 35 (5) – May 1, 1978

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Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1978.01770290017001
Publisher site
See Article on Publisher Site

Abstract

Abstract • The patient in psychoanalytic psychotherapy experiences a variety of psychological and emotional responses during the treatment process. These are described and conceptualized as related to the structure of the therapeutic situation, the therapeutic relationship, the mobilization of conflict, the experience of affects and drive derivatives, the phenomenon of reinforcement, and the working through of the termination phase. The distinction between "core" and "derivative" psychic functions is developed, permitting a conceptual understanding of how this form of psychotherapy can produce significant and lasting intrapsychic change. Some of the differences between psychoanalytic psychotherapy and psychoanalysis are described. The general concepts are illustrated by clinical vignettes from a case of successful psychotherapy. References 1. Dewald PA: Toward a general concept of the therapeutic process . Int J Psychoanal Psychotherapy 5:283-299, 1976. 2. Rappaport D: The structure of psychoanalytic theory . Psychol Issues 2:39-72, 1960. 3. Benedek T: The psychobiologic approach to parenthood , in Anthony EJ, Benedek T (eds): Parenthood . Boston, Little Brown & Co, 1970. 4. Erikson E: Identity, Youth and Crisis . New York, WW Norton Co Inc, 1968. 5. Kernberg O: Borderline Conditions and Pathological Narcissism . New York, Jason Aronson Inc, 1975. 6. Dewald PA: Transference regression and real experience in the psychoanalytic process . Psychoanal Q 45:213-230, 1976. 7. Alexander F, French TM: Psychoanalytic Psychotherapy . New York, Ronald Press, 1946. 8. Schafer R: The termination of brief psychoanalytic psychotherapy . Int J Psychoanal Psychotherapy 2:135-148, 1973. 9. Gittelson M: Psychoanalysis and dynamic psychotherapy . AMA Arch Neurol Psychiatry 66:280-288, 1951.Crossref

Journal

Archives of General PsychiatryAmerican Medical Association

Published: May 1, 1978

References