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Related Experiment Videos

Forced terminations.

R A Glick1

  • 1Columbia University Center for Psychoanalytic Training and Research, New York, New York 10028.

The Journal of the American Academy of Psychoanalysis
|October 1, 1987
PubMed
Summary
This summary is machine-generated.

Forced therapy terminations, common yet challenging, occur in four distinct scenarios. Understanding these situations, including patient resistance and narcissistic injury, is key to managing difficult endings.

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Area of Science:

  • Clinical Psychology
  • Psychotherapy Research
  • Psychoanalytic Theory

Background:

  • Forced terminations are frequent in clinical practice, presenting unique difficulties and therapeutic possibilities.
  • These events necessitate careful examination due to their impact on the therapeutic process and patient outcomes.

Observation:

  • Four categories of forced termination are identified: mutual agreement, patient-initiated, external circumstances, and therapist-initiated.
  • Analysis focuses on reality as resistance, narcissistic injury, and transference-countertransference dynamics during separation.

Findings:

  • The study explores how different types of forced terminations influence the therapeutic relationship and patient's psychological response.
  • Masochistic patients' difficulties are reframed as opportunities for addressing 'bad endings' within the therapeutic context.

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Implications:

  • Clinicians must develop specific technical skills to navigate the complexities of forced terminations effectively.
  • Understanding these dynamics can improve therapeutic outcomes and provide valuable learning experiences for therapists.