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Related Experiment Videos

Transference, real relationship and alliance

G Adler

    The International Journal of Psycho-Analysis
    |January 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    This study explores transference, the real relationship, and therapeutic alliance in psychoanalysis, particularly in primitive patients. It finds that a mature therapeutic alliance develops from resolving transferences and distinguishing the real relationship from transference.

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    Area of Science:

    • Psychoanalysis
    • Psychology
    • Psychotherapy

    Background:

    • Examines transference, real relationship, and therapeutic alliance in treating primitive patients (borderline, narcissistic personality disorders).
    • Self-object transferences are present in both primitive and neurotic patients, forming a framework for neurotic transferences.

    Purpose of the Study:

    • To investigate the concepts of transference, the real relationship, and therapeutic alliance in the treatment of all patients, with a focus on primitive patients.
    • To explore the complex meanings of the patient's real relationship with the analyst.
    • To examine the development and nature of the therapeutic alliance in primitive versus neurotic patients.

    Main Methods:

    • Psychoanalytic treatment of patients with borderline and narcissistic personality disorders.

    Related Experiment Videos

  • Exploration of self-object transferences and their role in establishing the real relationship.
  • Analysis of the development of the therapeutic alliance in different patient groups.
  • Main Results:

    • In primitive patients, the analyst's real qualities are perceived after self-object transferences are established and can be internalized.
    • A mature therapeutic alliance requires resolving self-object and neurotic transferences and separating the real relationship from transference.
    • The therapeutic alliance is tenuous in primitive patients and develops slowly in neurotics, sometimes being confused with self-object transferences.

    Conclusions:

    • The study highlights the distinct developmental trajectory of the therapeutic alliance in primitive patients compared to neurotic patients.
    • Understanding transference and the real relationship is crucial for developing a mature therapeutic alliance.
    • The analyst's own experiences, such as loneliness, can influence the conceptualization and utilization of the therapeutic alliance.