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The double session in psychoanalytic therapy.

E L Shapiro1

  • 1Department of Psychiatry, Massachusetts General Hospital, Boston 02114,USA.

The Journal of Psychotherapy Practice and Research
|December 23, 1999
PubMed
Summary
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Extending psychotherapy sessions beyond the standard 50-minute hour, or "double sessions," may offer new therapeutic insights. This approach requires careful consideration of potential benefits and contraindications for optimal patient outcomes.

Area of Science:

  • Psychotherapy research
  • Psychoanalytic theory
  • Clinical psychology

Background:

  • The traditional 50-minute psychotherapy session length has largely remained unquestioned.
  • Recent years have seen significant reevaluation of psychoanalytic techniques and theories.

Purpose of the Study:

  • To explore the potential benefits of expanding psychotherapy session duration.
  • To identify conditions, pitfalls, and contraindications for implementing extended psychotherapy sessions (double sessions).

Main Methods:

  • Discussion of theoretical advantages of longer sessions.
  • Exploration of necessary conditions for altering session length.
  • Analysis of potential risks and contraindications.
  • Inclusion of case examples illustrating the impact of double sessions.

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Main Results:

  • Extended psychotherapy sessions (double sessions) may revitalize the therapeutic process.
  • Double sessions can offer novel perspectives within the therapeutic endeavor.
  • Careful consideration of patient suitability and therapeutic goals is essential for successful implementation.

Conclusions:

  • The 50-minute psychotherapy hour is not immutable and can be adapted.
  • Double sessions present a viable option for enhancing psychotherapy under specific circumstances.
  • Further exploration and case-based evidence support the utility of extended psychotherapy sessions.