Concurrent Therapies: a Model for Collaboration Between Psychoanalysts and Other Therapists

Abstract

Many psychoanalysts treat individuals who are simultaneously in couples therapy or whose partners are in individual therapy. If such cases stall, some analysts may seek consultation from a colleague, though most have accepted the tacit historical prohibition against communication between therapists treating members of the same family. Experience, however, suggests that a certain form of communication between such therapists can have a powerfully enhancing effect on the concurrent therapies. After a review of the literature, the advantages, disadvantages, and impediments to collaborative cross-communication are examined. A model is then presented for use in ongoing discussion between therapists, and is illustrated with two clinical examples. The proposed model centers on the transference-countertransference configurations within the therapeutic field, and serves as an organizer highlighting areas for discussion.

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References

Carotenuto, A. (1982). A Secret Symmetry. New York : Pantheon.

Ehrlich, F.M. , Zilbach, J. , & Solomon, E. (1997). The transference field and communication among therapists. Journal of the American Academy of Psychoanalysis 24:675—690.

Freud, S. (1917). Introductory lectures on psycho-analysis. Standard Edition 16:448—463.

Graller, J. (1981). Adjunctive marital therapy: A possible solution to the split transference problem. Annual of Psychoanalysis 9:175—187.

——— (1998). Discussion of C. Maltas' “Concurrent therapies when therapists don't concur.” Journal of Clinical Psychoanalysis 7:375—381.

Jacobs, T. (1983). The analyst and the patient's object world: Notes on an aspect of countertransference. Journal of the American Psychoanalytic Association 31:619—642.

Lynn, D.J. , & Vaillant, G.E. (1998). Anonymity, neutrality, and confidentiality in the actual methods of Sigmund Freud: A review of 43 cases, 1907—1939. American Journal of Psychiatry 155:163—171.

Maltas, C. (1998). Concurrenttherapieswhentherapists don't concur . Journal of Clinical Psychoanalysis 7:337—374.

Racker, H. (1968). Transference and Countertransference. New York: International Universities Press .

10.

Roazen, P. (1995). How Freud Worked: First—Hand Accounts of Patients. Northvale, NJ: Aronson .

11.

Sandler, J. ( 1976). Countertransference and role-responsiveness. International Review of Psycho-Analysis 3:43—47.

12.

Sperling, E. (1979). Parent counseling and therapy. In Basic Handbook of Child Psychiatry, ed. S. Harrison. New York: Basic Books .

13.

Stanton, A.H. , & Schwartz, M.S. (1954). The Mental Hospital. New York: Basic Books.

14.

Zinner, J. (1989). The use of concurrent therapies. In Foundations of Object Relations and Family Therapy, ed. J.S. Scharff. Northvale, NJ: Aronson, pp. 321—333.