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Creating analysts, creating analytic patients.

Howard B Levine1

  • 1hblevine@aol.com

The International Journal of Psycho-Analysis
|December 8, 2010
PubMed
Summary
This summary is machine-generated.

This study explores creating analytic patients using a dual psychoanalytic perspective. It emphasizes the analyst's internal frame, confidence, and flexible theory for diverse patient needs.

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Area of Science:

  • Psychoanalysis
  • Psychotherapy
  • Clinical Psychology

Background:

  • Contemporary psychoanalytic theory offers a 'two-track' approach.
  • Understanding the psychoanalytic process is crucial for patient creation.
  • Clinical issues in forming analytic patients require specific considerations.

Purpose of the Study:

  • To apply a contemporary 'two-track' perspective to clinical issues in creating analytic patients.
  • To examine case finding, recommending analysis, and session frequency adjustments.
  • To highlight the analyst's role in establishing and maintaining the analytic frame.

Main Methods:

  • Application of a transformational and archaeological perspective on psychoanalytic process.
  • Analysis of clinical issues including case finding and treatment recommendations.
  • Focus on the analyst's internal state and theoretical framework.

Main Results:

  • The analyst's mind, analytic identity, and internal frame are central from initial contact.
  • Analyst's confidence in psychoanalysis and a broad, consistent theory are vital.
  • The approach accommodates both neurotic and non-neurotic (weakly represented) mental states.

Conclusions:

  • A 'two-track' psychoanalytic perspective informs patient creation and treatment intensity.
  • The analyst's internal analytic capacity and theoretical flexibility are key to successful psychoanalytic practice.
  • Effective psychoanalysis requires addressing a spectrum of mental states, from neurotic to weakly represented.