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The will in psychoanalytic theory and practice.

¹Tavistock Clinic, London, UK.

The British Journal of Medical Psychology

|March 1, 1989

Summary

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Psychoanalytic treatment requires integrating the patient's will and environmental factors for change. Analyzing neurotic fears and guilt enables patients to pursue long-range goals effectively.

Area of Science:

Psychology
Psychoanalysis

Background:

Psychoanalytic theory has historically overlooked the significance of the patient's will in treatment.
Freud's work on repression challenged simplistic views of volition, yet the will's role remains underexplored.

Observation:

Insight in psychoanalysis does not automatically lead to therapeutic change.
Environmental resistances and the patient's will are crucial determinants of treatment outcome.
The patient's will can be inhibited by neurotic fears, secondary gain, or guilt.

Findings:

Thorough analysis of underlying factors inhibiting the will empowers patients to pursue long-range therapeutic aims.
Psychoanalytic theory's commitment to determinism and attribution of willing to the ego obscure the will's distinct function.

Related Experiment Videos

Psychoanalysis, in practice, traces outcomes retrospectively for meaning rather than predicting them deterministically.

Implications:

Integrating the patient's will into psychoanalytic theory and technique is essential for enhancing therapeutic efficacy.
Further phenomenological investigation of the will is needed to understand its distinct role in psychological functioning.
Addressing environmental resistances alongside the patient's will offers a more comprehensive approach to psychoanalytic treatment.