ABSTRACT
This chapter focuses on the application of the regular Kleinian technique to difficult and disturbed patients who are only able or willing to attend once or twice a week. Modern Kleinian Therapy focuses on the interpretation of this particular transference process by investigating the unconscious phantasy conflicts at play and highlighting the more direct moment-to-moment transference usually mobilized by projective identification dynamics. Careful monitoring of countertransference for the presence of projective identification-based communication is an important Modern Kleinian Therapy technique. The importance of combining interpretations of current here- and-now transference and phantasy with occasional genetic links as a therapeutic hybrid approach is also a modification of sorts unique to Modern Kleinian Therapy. Analytic contact is the moment in which analyst and patient achieve some degree of peace, stability, or integration in the areas. Paranoid and depressive anxieties tend to be stirred up as the patient's safe and controlled psychic equilibrium comes into question.
