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Psychoanalysis: a creed in decline.

P E Mullen1

  • 1Department of Psychological Medicine, University of Otago Medical School, Dunedin, New Zealand.

The Australian and New Zealand Journal of Psychiatry
|March 1, 1989
PubMed
Summary
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Psychoanalysis is declining in scientific and therapeutic relevance. This historical perspective suggests its methods are unsuitable for natural science, and its efficacy is questionable, warranting its reclassification.

Area of Science:

  • Psychiatry
  • Cultural History

Background:

  • Psychoanalysis was once a significant part of Western cultural knowledge.
  • Its scientific validity and therapeutic effectiveness are now widely disputed.

Purpose of the Study:

  • To critically evaluate the current standing of psychoanalysis in psychiatry.
  • To argue for a recontextualization of psychoanalysis within the history of psychiatric thought.

Main Methods:

  • Historical analysis of psychoanalysis.
  • Critical review of psychoanalytic theory and practice.
  • Assessment of its contemporary relevance in psychiatry.

Main Results:

  • Psychoanalysis lacks the rigor for natural science classification.

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  • Evidence for its therapeutic efficacy is insufficient.
  • Its cultural influence has waned significantly.
  • Conclusions:

    • Psychoanalysis should be viewed as a historical phenomenon rather than a current scientific or therapeutic modality.
    • Psychiatric training should acknowledge its historical role but not promote its outdated concepts.