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Related Experiment Videos

An attempt to objectify the therapeutic process: a working model.

L Karme, S Cooperman, T Preston

    The American Journal of Psychiatry
    |May 1, 1979
    PubMed
    Summary

    Psychoanalytic therapists identified five objective criteria for unproductive sessions: affect, intellectualization, isolation, lack of feedback, and dissatisfaction. A new formulation helps therapists recognize these factors, transforming difficult analytic hours into productive ones.

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    Area of Science:

    • Psychology
    • Psychoanalysis
    • Psychotherapy Research

    Background:

    • Psychoanalytic work relies on therapist's subjective experience to gauge session quality.
    • Identifying objective markers for suboptimal analytic hours can improve therapeutic outcomes.

    Purpose of the Study:

    • To develop objective criteria for identifying "bad" or unproductive psychoanalytic hours.
    • To create a formulation for preconscious recognition of these criteria during therapy.
    • To assess the utility of this formulation in enhancing therapeutic productivity.

    Main Methods:

    • Analysis of daily psychoanalytic work observations.
    • Development of five objective criteria: affect, intellectualization, isolation, lack of feedback, and dissatisfaction.
    • Creation of a recognition formulation for in-session use.

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    Main Results:

    • Five objective criteria for "bad" analytic hours were established.
    • The developed formulation proved effective in recognizing negative session factors.
    • The formulation aided in transforming potentially unproductive hours into productive therapeutic sessions.

    Conclusions:

    • Objective criteria can reliably identify challenging psychoanalytic hours.
    • A preconscious recognition formulation enhances therapist's ability to manage session dynamics.
    • This approach offers a practical tool for improving the effectiveness of psychoanalytic therapy.