chapter  6
38 Pages

Psychoanalytic Psychotherapy

Psychoanalytic psychotherapy is the therapy of choice for those patients who have a so-called problem-in-living and for whom a major emphasis on uncovering, understanding, and neutralizing the patient-to-therapist experiences (the transference neurosis) is contra¬ indicated. These patients have neither those pervasive self or characterological problems that ordinarily require transference analysis for relief nor a self in disarray that would require supportive psychotherapy. In these patients, ordinarily one area of self-functioning is currently a source of difficulty, an area or problem in which the therapist and the patient ally themselves to study the problem "out there" that has evoked the self-distress. The problem is one in which the special techniques of intensive psychotherapy are of help-the therapeutic bond, the confrontations to define the specific complex now on center stage, and interpretations that center on the past complex now in the present to uncover the underlying difficulty and detoxify it (Alexander & French, 1946; Dewald, 1964; Deutsch, 1949; Gill, 1954; Muslin & Val, 1987; Tarachow, 1963).