ABSTRACT

This chapter focuses on several aspects of the therapist/patient relationship that are unique to long-term psychodynamic psychotherapy. Using neuropsychoanalytic theory and trauma theory the author argues that for some patients, deep change can only happen over the course of many years, due to the nature of repression and traumatic memory. She describes the intersubjective aspects of long-term therapy and how the therapist changes along with the patient, and includes the ways in which she has changed as a result of the relationships she has formed with her long-term patients.