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Development terminable and interminable. II. Recent psychoanalytic theory and therapeutic considerations
1University of CO Med. Center, Denver 80262.
The International Journal of Psycho-Analysis
|January 1, 1988
Summary
This study integrates developmental psychobiology and psychoanalytic theories, highlighting how early relationship development influences patient-analyst dynamics and therapeutic outcomes. Further research into the working alliance is recommended.
Area of Science:
- Psychoanalysis
- Developmental Psychobiology
- Clinical Psychology
Background:
- Psychoanalytic treatment increasingly focuses on infant motivations and early relationship development.
- The working alliance in psychoanalysis involves emotional availability and the patient-analyst 'match'.
Purpose of the Study:
- To review formulations consistent with interdisciplinary findings in developmental psychobiology and infant observations.
- To explore the consistency of these formulations with clinical psychoanalytic theories.
- To examine how aspects of the working alliance may influence treatment outcomes.
Main Methods:
- Literature review integrating findings from developmental psychobiology and psychoanalysis.
- Analysis of psychoanalytic clinical theories and infant observation research.
- Discussion of the working alliance, including its beginning and termination phases.
Main Results:
- The proposed formulations align with interdisciplinary research in developmental psychobiology.
- The formulations are consistent with various clinical theories within psychoanalysis.
- Key aspects of the working alliance, such as emotional availability and the patient-analyst relationship match, are identified as potential determinants of outcome.
Conclusions:
- The integration of developmental psychobiology and psychoanalytic perspectives offers a robust framework for understanding early motivational structures.
- The therapeutic alliance, particularly factors like emotional availability and relationship compatibility, warrants further investigation for its impact on psychoanalytic treatment success.