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Turning points and change in psychoanalysis.

The International Journal of Psycho-Analysis

|January 1, 1992

Summary

Psychoanalytic treatment turning points involve confrontation and surprise, fostering an inner life. This experience precedes interpretive working through and structural change, crucial for therapeutic progress.

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Area of Science:

Psychology
Psychoanalysis
Psychotherapy

Background:

Psychoanalytic treatment involves slow structural change.
Sudden shifts in quality, termed turning points, precede these changes.
Turning points are essential for therapeutic progression.

Purpose of the Study:

Define and explore the concept of turning points in psychoanalytic treatment.
Identify the core components and outcomes of turning points.
Examine the role of turning points in facilitating structural change and restoring the psychoanalytic process.

Main Methods:

Conceptual analysis of turning points in psychoanalytic theory.
Exploration of confrontation and surprise as key elements.
Discussion of Harold Stewart's agents of change.
Inclusion of clinical vignettes to illustrate concepts.
Analysis of the countertransference in facilitating turning points.

Main Results:

Turning points are characterized by confrontation and surprise.
They lead to the experience of an inner life, a prerequisite for interpretive working through.
Restoring an inner life parallels preventing acting-out behaviors.
Harold Stewart's agents of change share characteristics with turning points.

Conclusions:

Turning points are critical for initiating and facilitating structural change in psychoanalytic treatment.
The experience of an inner life is central to the turning point process.
Understanding and allowing turning points, including managing countertransference, is vital for effective psychoanalytic work.

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