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Related Experiment Videos

Some technical and theoretical considerations regarding the missed session.

A Furlong

    The International Journal of Psycho-Analysis
    |January 1, 1992
    PubMed
    Summary
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    The principle of leasing a definite hour in psychoanalysis is crucial. A lenient fee policy for missed sessions risks undermining the therapeutic relationship, emphasizing financial markers for analytic exploration.

    Area of Science:

    • Psychoanalysis
    • Psychotherapy
    • Clinical Psychology

    Background:

    • Sigmund Freud's 'principle of leasing a definite hour' established a foundational practice in psychoanalysis.
    • Contemporary psychoanalytic discourse includes proponents of more 'lenient' fee policies regarding missed sessions.
    • This debate highlights tensions between therapeutic structure and financial flexibility.

    Purpose of the Study:

    • To critically examine arguments for lenient fee policies in psychoanalysis.
    • To assert the importance of a financial marker for missed sessions to maintain therapeutic integrity.
    • To explore theoretical frameworks for interpreting session 'breaches' within the analytic relationship.

    Main Methods:

    • Critical analysis of existing literature on psychoanalytic fee policies.

    Related Experiment Videos

  • Theoretical exploration of the missed session's impact on the therapeutic dyad.
  • Application of psychoanalytic concepts (e.g., Desire of the Other, decentred subject) to interpret ruptures.
  • Main Results:

    • Argues that a financial marker is essential to prevent missed sessions from becoming 'missing' sessions.
    • Contends that the conflict arising from missed sessions requires analytic exploration, not financial resolution.
    • Suggests that the 'rule of indenture' aligns better with inherent relational contradictions than a 'gentlemen's agreement'.

    Conclusions:

    • Maintaining a financial commitment, even for missed sessions, preserves the therapeutic frame and facilitates deeper analytic work.
    • The missed session offers a rich site for exploring core psychoanalytic themes of absence, desire, and interdependency.
    • Psychoanalytic practice benefits from adhering to principles that acknowledge fundamental relational contradictions.