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On neutrality

T L Dorpat

    International Journal of Psychoanalytic Psychotherapy
    |January 1, 1977
    PubMed
    Summary

    Psychoanalytic neutrality involves ethical principles like truthfulness and patient autonomy, distinct from the detached, value-free approach of natural science models. True psychoanalytic neutrality is not achievable through natural science methods.

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    Area of Science:

    • Psychoanalytic theory
    • Clinical psychology
    • Philosophy of science

    Background:

    • Traditional views of neutrality in psychoanalysis are derived from either psychoanalytic or natural science models.
    • Psychoanalytic neutrality emphasizes ethical principles and patient autonomy.
    • Natural science models of neutrality focus on detachment and value-free observation.

    Purpose of the Study:

    • To differentiate between psychoanalytic and natural science models of neutrality.
    • To explore the ethical underpinnings of psychoanalytic neutrality.
    • To critique the applicability of natural science methods to psychoanalysis.

    Main Methods:

    • Conceptual analysis of psychoanalytic theory and natural science methodology.
    • Case examples illustrating psychoanalytic neutrality.
    • Ethical principle examination.

    Main Results:

    • Psychoanalytic neutrality is defined by rules of abstinence, anonymity, and respect for patient autonomy.
    • Ethical principles such as truthfulness, personal freedom, and analyst commitment regulate psychoanalytic neutrality.
    • Natural science neutrality involves inhibiting affective reactions and maintaining impersonal detachment.
    • The study concludes that adopting natural science neutrality is neither possible nor desirable in psychoanalysis.

    Conclusions:

    • Psychoanalytic neutrality is fundamentally ethical and patient-centered, differing from objective natural science approaches.
    • The distinct nature of psychoanalytic practice necessitates a unique model of neutrality.
    • Natural science neutrality is incompatible with the core tenets of psychoanalytic treatment.

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