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The Forced Swim Test as a Model of Depressive-like Behavior
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The couch as icon.

Ahron Friedberg1, Louis Linn

  • 1ahronfriedberg@gmail.com

Psychoanalytic Review
|February 28, 2012
PubMed
Summary
This summary is machine-generated.

The psychoanalytic couch, a cultural icon, lacks evidence of necessity for psychoanalysis. Its use may harm patients with trauma or ego issues, questioning its role in defining the practice.

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Area of Science:

  • Psychology
  • Psychoanalysis
  • Clinical Practice

Background:

  • The couch is a traditional and iconic element in psychoanalytic practice.
  • Its cultural significance often equates it with psychoanalysis itself.

Purpose of the Study:

  • To examine the evidence supporting the necessity and clinical utility of the couch in psychoanalysis.
  • To evaluate potential negative impacts of couch use on specific patient populations.

Main Methods:

  • Literature review of psychoanalytic texts.
  • Clinical case considerations regarding patient suitability for couch use.

Main Results:

  • Minimal empirical evidence supports the couch as essential for psychoanalytic process or outcome.
  • Couch use may be detrimental for patients with early loss, trauma, or ego disorganization.

Conclusions:

  • The couch's use is not a well-suited defining criterion for psychoanalysis.
  • Clinical decisions regarding couch use require careful consideration and critical evaluation of individual patient needs.