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The control case: a unique analytic situation

D L Cabaniss1, S P Roose

  • 1College of Physicians and Surgeons, USA.

Journal of the American Psychoanalytic Association
|January 1, 1997
PubMed
Summary
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Psychiatric training requirements, specifically the need for case credit, significantly influenced candidates' analytic techniques. This common training experience affected a majority of surveyed candidates across various clinical and administrative aspects.

Area of Science:

  • Psychiatry
  • Psychoanalysis
  • Psychological Training

Background:

  • Control cases are integral to psychoanalytic training.
  • Candidates must receive credit for these cases to graduate.
  • The influence of these requirements on analytic technique is not well understood.

Purpose of the Study:

  • To investigate how training requirements, specifically the need for case credit, impact candidates' analytic techniques.
  • To understand the extent to which these requirements influence clinical practice during training.

Main Methods:

  • A survey was administered to all candidates at Columbia treating at least one control case.
  • The survey assessed the influence of training requirements on analytic technique.

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Main Results:

  • Sixty percent of surveyed candidates reported that the need for credit influenced their technique.
  • Influence was noted in areas including interpretation, fee setting, charging for missed sessions, scheduling, case write-ups, and supervision presentations.
  • The effect was conceptualized as a shared training experience rather than individual countertransference.

Conclusions:

  • Training requirements, particularly the need for case credit, demonstrably affect the analytic technique of a majority of candidates.
  • This influence represents a common aspect of the training experience for psychoanalytic candidates.