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Change in psychoanalysis: getting from A to B.

Alexandra M Harrison¹

¹Boston Psychoanalytic Society and Institute, Harvard Medical School, USA. Aharrison@aol.com

Journal of the American Psychoanalytic Association

|May 7, 2003

Summary

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This study examines a seven-year-old girl's therapeutic journey, focusing on how she processes loss during analytic sessions. Small, transitional moments are key to significant therapeutic change.

Area of Science:

Child Psychology
Psychoanalytic Theory
Developmental Psychology

Background:

This study explores therapeutic change in a seven-year-old girl during an analytic hour.
It utilizes developmental theory from infant research and videotape observation.

Observation:

A detailed review of a 12-minute segment of the analytic session was conducted.
The observation focused on the girl's verbal and nonverbal responses to a cancelled session, representing loss.
The methodology integrated observed behaviors with the analyst's clinical interpretation of affects and intentions.

Findings:

Significant change was observed in the girl's attitude toward loss within the analytic relationship.
The study identified and analyzed the moment-to-moment process of this change, from initial response (A) to resolution (B).

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Implications:

Small, transitional episodes are crucial for therapeutic progress in child psychoanalysis.
Understanding these micro-changes offers insights into the broader process of therapeutic transformation.