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Short psychotherapeutic interventions (four sessions).

E Gillieron1

  • 1Policlinique psychiatrique universitaire, Lausanne, Suisse.

Psychotherapy and Psychosomatics
|January 1, 1989
PubMed
Summary

Therapists can facilitate patient healing by understanding the shift of objective involvement during initial visits, especially when real-world relationships falter. This insight enables effective, short psychotherapeutic interventions by addressing internal object mourning.

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Area of Science:

  • Psychology
  • Psychotherapy
  • Psychoanalysis

Background:

  • Patients often seek medical advice during crises when their investments in internal and external relationships are destabilized.
  • The initial patient-therapist interaction is crucial, particularly when a significant real-world relationship fails.

Observation:

  • A key observation is the shift of objective involvement onto the therapist's person during the patient's first visit.
  • This transference occurs when external relationships are perceived as failing.

Findings:

  • Initial interpretations focusing on this transference mechanism can facilitate mourning for internal objects.
  • Psychoanalytic investigation of the patient's relational context is vital for understanding the crisis.
  • The study highlights the mutational potential of interpretations that address this transference.

Implications:

  • These concepts support brief psychotherapeutic interventions with significant therapeutic value.
  • Understanding transference dynamics can lead to more effective and shorter treatment durations.
  • The findings underscore the importance of the therapeutic relationship in crisis intervention.

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