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The analytic process: clinical and research definitions

S C Vaughan1, S P Roose

  • 1New York State Psychiatric Institute, NY 10032, USA.

The International Journal of Psycho-Analysis
|April 1, 1995
PubMed
Summary
This summary is machine-generated.

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Psychoanalytic treatment lacks a clear definition and assessment method for analytic process. Developing a comprehensive scale for free association, resistance, interpretation, and working through is crucial for research and clinical practice.

Area of Science:

  • Psychology
  • Psychotherapy Research

Background:

  • Analytic process is central to psychoanalysis but lacks a consensus definition and reliable assessment tools.
  • Existing research highlights components like free association, resistance, interpretation, and working through.

Purpose of the Study:

  • To review clinical definitions of analytic process.
  • To explore existing measures for its components.
  • To advocate for a synthesized, comprehensive assessment scale.

Main Methods:

  • Literature review of clinical definitions of analytic process.
  • Review of psychoanalytic outcome and process research.
  • Analysis of existing measures for components: free association, resistance, interpretation, and working through.

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Main Results:

  • Analytic process comprises free association, resistance, interpretation, and working through.
  • It develops in only 40% of analyses and correlates with therapeutic benefit.
  • 50% of patients achieve good outcomes without developed analytic process.
  • Measures exist for some components, but working through is less defined.
  • A comprehensive scale for analytic process has not yet been developed.

Conclusions:

  • A consensus definition and reliable assessment method for analytic process are needed.
  • A comprehensive scale would aid clinical, educational, and research applications.
  • Such a tool would help define and quantify psychoanalytic treatment quality.