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Modes of therapeutic action

E E Jones1

  • 1University of California at Berkeley 94720, USA.

The International Journal of Psycho-Analysis
|March 26, 1998
PubMed
Summary

Psychoanalytic therapy can be understood through repetitive interaction structures. Recognizing these patterns in the patient-analyst relationship facilitates therapeutic action and insight.

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Area of Science:

  • Psychoanalysis
  • Psychological Science

Background:

  • Theories of psychoanalytic technique focus on either interpretation or interpersonal interaction.
  • A tension exists between insight-oriented and relationship-oriented approaches to therapeutic action.

Observation:

  • Psychoanalytic sessions involve repetitive patterns of interaction between patient and analyst.
  • These interaction structures reflect the psychological makeup of both individuals.
  • Concepts like intersubjectivity and transference-countertransference enactments are operationalized by interaction structures.

Findings:

  • A new model, 'repetitive interaction structure,' bridges insight-based and relationship-based therapeutic action.
  • Therapeutic action arises from the patient and analyst experiencing, recognizing, and understanding these repetitive interactions.
  • The intrapsychic realm forms the foundation for observable interactive patterns.

Implications:

  • This model offers a framework for understanding two-person patterns in psychoanalysis.
  • It highlights the significance of interpersonal dynamics in psychological change.
  • Clinical illustrations and research support the utility of the repetitive interaction structure model.

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