Modern Kleinian Therapy and the initial psychoanalytic interaction
Most of the patients receiving psychological treatment from practitioners trained in psychoanalysis are seen once or twice a week, have limited resources, and suffer signifi cant emotional distress (Spivak 2011; Waska 2005, 2006, 2011a, 2011b). This chapter will follow the initial twelve visits with one such patient seen in a private practice setting. He was provided a psychoanalytic treatment process that is meant to be helpful to patients with severe paranoidschizoid (Klein 1946) or depressive (Klein 1935, 1940) disturbances who are limited by choice or circumstance to only attending once or twice a week. Modern Kleinian Therapy is an effective therapeutic process for such situations and can provide important and lasting psychic change (Waska 2010a, 2010b, 2010c, 2010d).