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The self in psychotherapy

J M Fisch1

  • 1Abarbanel Mental Health Center, Ramat Aviv, Israel.

The Israel Journal of Psychiatry and Related Sciences
|January 1, 1994
PubMed
Summary
This summary is machine-generated.

This study emphasizes Kohut's view on introspection and empathy for psychological observation, focusing on patient self-experience and "experience near" interpretations. It differentiates psychotherapeutic modalities using the Muslin and Val model, illustrating psychoanalytic psychotherapy with an "extra-transference object" focus.

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Area of Science:

  • Psychology
  • Psychotherapy
  • Psychoanalysis

Background:

  • This paper explores Heinz Kohut's psychoanalytic theories, emphasizing introspection and empathy as core observational methods.
  • It highlights the importance of focusing on the patient's subjective self-experience and utilizing "experience near" interpretations.
  • The concepts of selfobject and selfobject transferences are reviewed within this framework.

Observation:

  • The study utilizes the Muslin and Val model to distinguish between supportive psychotherapy, psychoanalytic psychotherapy, and psychoanalysis.
  • A case illustration demonstrates psychoanalytic psychotherapy, focusing on the patient's external relationships as an "extra-transference object."
  • This approach involves detailed observation of the patient's interactions outside the therapeutic setting.

Findings:

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  • Psychoanalytic psychotherapy, when focused on the "extra-transference object," offers a distinct therapeutic pathway.
  • Kohut's emphasis on empathy and self-experience is crucial for effective psychoanalytic work.
  • The Muslin and Val model provides a clear differentiation between various psychotherapeutic approaches.

Implications:

  • This work suggests that focusing on the patient's external relationships can be a valuable component of psychoanalytic psychotherapy.
  • Understanding selfobject transferences is key to tailoring therapeutic interventions.
  • The findings have implications for training and practice in psychoanalytic and psychodynamic therapies.