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The triangle of clinical judgment

C Spezzano1

  • 1Psychoanalytic Institute of Northern California, USA. Cjspezzano@aol.com

Journal of the American Psychoanalytic Association
|July 31, 1998
PubMed
Summary

Psychoanalytic work involves a triangle, not a dyad, with the analyst balancing patient needs against community standards. This dynamic shapes therapeutic practices and theoretical principles in analytic literature.

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Area of Science:

  • Psychoanalytic theory
  • Clinical psychology
  • Psychotherapy research

Background:

  • Psychoanalytic practice is often conceptualized as a dyadic interaction between analyst and patient.
  • However, the influence of the broader analytic community is a persistent, yet often implicit, factor.

Purpose of the Study:

  • To elucidate the structural role of the analytic community in the therapeutic relationship.
  • To examine the inherent tension between clinical practice and theoretical consensus.

Main Methods:

  • Conceptual analysis of psychoanalytic literature.
  • Exploration of the analyst's position within the analytic triangle.

Main Results:

  • The analyst's relationship with the patient is inherently triadic, involving the analytic community.
  • A constant tension exists between the analyst's focus on practical application for the patient and adherence to community-approved principles.

Conclusions:

  • Recognizing the analytic triangle is crucial for understanding the complexities of psychoanalytic work.
  • This triadic dynamic influences both the practice of psychoanalysis and its ongoing theoretical development.

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