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Psychoanalytic technique and 'analysis terminable and interminable'.

J Sandler

    The International Journal of Psycho-Analysis
    |January 1, 1988
    PubMed
    Summary
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    Psychoanalytic technique must better integrate affect theory into clinical practice. Current models, including Freud

    Area of Science:

    • Psychoanalytic theory and clinical practice
    • Psychology
    • Psychotherapy

    Background:

    • The Montreal Congress highlighted a gap between clinical psychoanalytic work and formal theory.
    • Clinical practice demonstrates sensitivity to patient affects, yet this is not fully reflected in official theories.
    • Affects play a crucial role in both development and current psychic functioning.

    Purpose of the Study:

    • To examine the implications of recent psychoanalytic congress papers for clinical technique.
    • To address the discrepancy between implicit clinico-technical theories and formal psychoanalytic theory.
    • To evaluate the limitations of Freud's tripartite structural theory for contemporary clinical use.

    Main Methods:

    • Analysis of papers presented at the Montreal Congress plenary sessions.

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  • Consideration of the role of affects in psychoanalytic development and functioning.
  • Comparison of implicit clinical theories with formal psychoanalytic theory.

    • Main Results:

    • A significant gap exists between the sensitivity to affects shown in clinical work and the formal theoretical frameworks used.
    • Affects are understood as arising from multiple sources, not solely as drive derivatives.
    • Freud's tripartite structural theory (the 'second topography') presents limitations for current clinical applications.

    Conclusions:

    • Psychoanalytic technique requires a more robust integration of affect theory.
    • The discrepancy between clinical practice and theoretical models needs to be acknowledged and addressed.
    • Existing theoretical structures may need revision to better serve clinical psychoanalytic work.