ABSTRACT
Although psychoanalytic theory and its implication for treatment have evolved substantially over time (Frank, 2000; Kernberg, 1993; Marcus, 1999; Pine, 1998; Rangell, 1981; Wallerstein, 1989, 2002), certain principles remain as guiding elements as part of any discussion of psychoanalytic or psychodynamic psychotherapy. As noted in Chapter 1, these are summarized by Westen (1998, pp. 334-335):
It is perhaps these fi ve principles that best distinguish psychodynamic and psychoanalytic psychotherapy from other forms of treatment that are commonly practiced today, which focus mainly on conscious cognitions, behavior change, and symptom reduction. Psychotherapy process also is part of psychoanalytic and psychodynamic theory, unlike many of the common therapies espoused to be
empirically superior. Issues of how the patient responds to the therapist, how the therapist responds to the patient, how and when a person resists a particular topic of investigation, and how all these processes change in the course of the session are part of understanding and conducting sound psychodynamic and psychoanalytic treatment.
