Affect Availability,Tolerance,Complexity,and Modulation in Psychoanalysis: Followup of a Longitudinal,Prospective Study

Abstract

Evaluation of 22 patients in supervised psychoanalysis showed that affect availability and tolerance changed in a positive direction during the course of psychoanalysis. In this study, we have defined criteria of change that can be clinically observed. The changes observed were present one year following the completion of psychoanalysis. Ratings of analysts' and patients' interviews, and ratings of psychological tests all revealed that patients had derived “therapeutic benefit” in relation to affect experience and management. Discriminations were made among changes in affect modulation, which reflected both loosening and tightening of controls, changes in affect availability, changes in experience of painful affects, and changes in experience of affect complexity. Analysts' interviews and psychological test data reflected notable changes in affect modulation in the direction of increased control, while patients' interviews more often reflected changes in the direction of increased expressiveness.

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References

Appelbaum, S. A. (1977). The Anatomy of Change, a Menninger Foundation Report on Testing the Effects of Psychotherapy. New York: Plenum.

Bachrach, H. M. & Leaf, L. A. (1978). "Analyzability": a systematic review of the clinical and quantitative literature. J. Amer. Psychoanal. Assn., 26:881–920.

Erie, J. B. & Goldberg, D. A. (1979). Problems in the assessment of analyzability. Psychoanal. Q., 48:48–84.

Erie, J. B. & Goldberg, D. A. (1984). Observations on assessment of analyzability by experienced analysts. J. Amer. Psychoanal. Assn., 32:715–737.

Hamburg, D. A. ; Bibring, G. L. ; Fisher, C ; Stanton, A. H. ; Wallerstein, R. ; Weinstock, H. I. & Haggard, E. (1967). Report of Ad Hoc Committee on Central Fact Gathering Data of the American Psychoanalytic Association. J. Amer. Psychoanal. Assn., 15:841–861.

Hardy, M. & Horowitz, L. (1976). Therapeutic outcome as rated by patients, therapists, and judges. Arch. Gen. Psychiat., 33:957–961.

Kantrowitz, J. L. (1986). Suitability for psychoanalysis: a follow-up study of 22 cases. Yearbook Psychoanal. Psychother. (in press).

Kantrowitz, J. L. Singer, J. G. & Knapp, P. H. (1975). Methodology for a prospective study for psychoanalysis: the role of psychological tests. Psychoanal. Q., 44:371–391.

Oremland, J. D. , Blacker, K. H. & Norman, H. F. (1975). Incompleteness in “successful” psychoanalyses: a follow-up study. J. Amer. Psychoanal. Assn., 23:819–844.