ABSTRACT

In this chapter, the author explores some ethical issues which arise from the situation in which a patient is engaged in two therapeutic processes in parallel. He presents a model of the psychoanalytical type of therapy. The author wants to propose that the essential nature of the technique is the study of the relationship between patient and therapist. Psychoanalysis, as well as being a form of treatment, is a theory about the functioning of this unconscious. One of the challenges of the psychoanalytic approach is that it does not allow either ourselves or patients 'off the hook'. There is a marital therapy going on in which the therapists become aware that one of the patients is having individual therapy. The advantage of this approach is that it is consistent, the therapist is not throwing the therapy away but is saying that there is a process which appears to be stopping the therapy working because it has 'breached the container'.