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A core process in psychoanalytic treatment.

L Rangell

    The Psychoanalytic Quarterly
    |January 1, 1987
    PubMed
    Summary

    Psychoanalytic treatment strengthens the ego's control over unconscious processes, reducing anxiety, defense, trauma, and symptom formation. This core mechanism enhances psychological resilience and promotes healing through therapeutic intervention.

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    Area of Science:

    • Psychology
    • Psychoanalysis
    • Psychiatry

    Background:

    • Psychoanalytic theory posits an ongoing "unconscious intrapsychic process" central to mental functioning.
    • This process exhibits specific vulnerabilities that can lead to psychological pathology.
    • Previous work expanded the concept of intrapsychic processes, linking thought to trial action and anxiety to signal theory.

    Purpose of the Study:

    • To describe a core mechanism of the psychoanalytic process.
    • To elucidate how psychoanalytic treatment impacts unconscious intrapsychic processes.
    • To explain the therapeutic alteration of ego functioning in relation to these processes.

    Main Methods:

    • Conceptual analysis of psychoanalytic theory and mechanisms.
    • Integration of the author's previous formulations on intrapsychic processes.
    • Focus on the effects of psychoanalytic treatment on ego functioning and unconscious dynamics.

    Main Results:

    • Psychoanalytic methods modify the ego's relationship with the unconscious intrapsychic process.
    • Treatment enhances the ego's regulatory control over anxiety, defense mechanisms, trauma, and symptom development.
    • This alteration of ego-psyche interaction is identified as a 'mutative' factor in psychoanalysis.

    Conclusions:

    • The psychoanalytic process fundamentally alters the ego's engagement with unconscious intrapsychic dynamics.
    • Strengthening ego control over these processes is a key mechanism for therapeutic change.
    • This mechanism underlies the resolution of anxiety, defense, trauma, and symptom formation in psychoanalytic therapy.

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