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Updated: Jun 3, 2026

Enactive Phenomenological Approach to the Trier Social Stress Test: A Mixed Methods Point of View

Enactive Phenomenological Approach to the Trier Social Stress Test: A Mixed Methods Point of View

Published on: January 7, 2019

Interminable treatment: an autobiographical study.

Scott C Schwartz¹

¹Kings County Hospital Center, and New York Medical College Psychoanalytic Institute, New York, NY 10021, USA. scottschwartz829@gmail.com

The Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry

|March 26, 2011

Summary

This summary is machine-generated.

Psychoanalysts may prolong therapy due to their own countertransferential needs, stemming from the power imbalance in the therapeutic relationship. This personal analysis explores the impact of an analyst

Related Experiment Videos

Last Updated: Jun 3, 2026

Enactive Phenomenological Approach to the Trier Social Stress Test: A Mixed Methods Point of View

Enactive Phenomenological Approach to the Trier Social Stress Test: A Mixed Methods Point of View

Published on: January 7, 2019

Area of Science:

Psychology
Psychoanalysis

Background:

Interminable therapy is often attributed to patient factors like unfulfilled needs and difficulties with individuation.
The role of the psychoanalyst's countertransference in prolonging treatment is less frequently explored.

Purpose of the Study:

To examine the psychoanalyst's countertransferential needs as a factor in interminable therapy.
To analyze the power dynamics inherent in the analyst's role concerning treatment termination.
To present a personal case study illustrating these dynamics and their impact on the patient.

Main Methods:

Qualitative analysis of a personal psychoanalytic experience.
Exploration of countertransference dynamics within the therapeutic relationship.
Case study methodology focusing on the patient's perspective and the analyst's behavior.

Main Results:

The analyst's countertransferential needs can significantly influence the decision to continue therapy.
The inherent power in the analyst's role can be utilized, consciously or unconsciously, to prevent termination.
The patient experienced profound negative impacts due to the prolonged and non-terminating analysis.

Conclusions:

Countertransferential needs of the psychoanalyst are a critical, yet often overlooked, factor in interminable therapy.
The power imbalance in psychoanalysis necessitates careful ethical consideration regarding treatment duration and termination.
Further research into analyst-driven factors influencing therapy length is warranted to protect patient well-being.