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The case history.

R Michels1

  • 1Columbia University Center for Psychoanalytic Training and Research, USA. Rmichels@med.cornell.edu

Journal of the American Psychoanalytic Association
|August 5, 2000
PubMed
Summary
This summary is machine-generated.

Psychoanalytic case histories are rare due to methodological challenges and the desire to both share and hide clinical work. Explicitly stating authorial intention is proposed for transparent psychoanalytic reporting.

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Area of Science:

  • Psychoanalysis
  • Psychology
  • Clinical Psychology

Background:

  • Case histories are fundamental to psychoanalysis but are infrequently published.
  • Methodological difficulties and the dual aims of analysts (presentation and concealment) contribute to this rarity.

Purpose of the Study:

  • To explore the historical context and purpose of psychoanalytic case reports.
  • To examine the relationship between case reports and the psychoanalytic process.
  • To advocate for the explicit inclusion of authorial intention in case reporting.

Main Methods:

  • Historical analysis of psychoanalytic literature.
  • Discussion of the nature, purpose, and evolution of case reports.
  • Exploration of oral versus written reporting and countertransferential enactments.

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Main Results:

  • Case histories face unique challenges in psychoanalytic literature due to inherent complexities.
  • The tension between presenting and concealing information influences case report content.
  • Countertransference can manifest within case reports.

Conclusions:

  • Psychoanalytic case reports require careful consideration of methodological and intentional factors.
  • There is a need for greater transparency regarding authorial intent in psychoanalytic writing.
  • Integrating authorial intention would enhance the scientific and clinical value of case reports.