The role of therapeutic strategy within psychoanalytic technique is described. An antistrategic bias inherent in certain aspects of the “classical” technique is explored in relation to the historical development of psychoanalysis. Clinical expertise, which includes the making of strategic or tactical choices, is relegated to the “unofficial,” due in part to this negative bias impeding the study of technical differences in favor of general agreement about a theory of technique that may differ considerably from actual clinical work. A case is presented that illustrates strategic choices in the management of a severe character resistance in a supervised analysis. Some consequences of a negative bias against therapeutic strategy as it relates to psychoanalytic training is described.
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References
1.
Alexander, F., French, T. M. et. al. (1946). Psychoanalytic Therapy.New York: Ronald Press.
2.
Arlow, J. A. (1979). The genesis of interpretation. J. Amer. Psychoanal. Assn., 27 (Suppl.): 193–206.
3.
Bion, W. R. (1970). Attention and Interpretation: A Scientific Approach to Insight in Psychoanalysis and Groups.New York: Basic Books.
4.
Brenner, C. (1979). Working alliance, therapeutic alliance, and transference. J. Amer. Psychoanal. Assn., 27(Suppl.): 137–157.
5.
Breuer, J. & Freud, S. (1895). Studies on Hysteria. S. E., 2.
6.
Curtis, H. C. (1979). The concept of therapeutic alliance: implications for the “widening scope.”J. Amer. Psychoanal. Assn., 27 (Suppl.): 159–192.
7.
Eissler, K. R. (1953). The effect of the structure of the ego on psychoanalytic technique. J. Amer. Psychoanal. Assn., 1:104–143.
8.
Fenichel, O. (1941). Problems of Psychoanalytic Technique.New York: Psychoanalytic Quarterly.
9.
Ferenczi, S. (1920). The further development of an active therapy in psychoanalysis. In: Further Contributions to the Theory and Technique of Psycho-Analysis. New York: Basic Books, 1952, pp. 198–217.
10.
Ferenczi, & Rank, O. (1923). The Development of Psychoanalysis. New York and Washington: Nerv. & Ment. Dis. Publ., 1925.
11.
Freud, S. (1912). Recommendations to physicians practising psychoanalysis. S. E., 12.
12.
Freud, S. (1915). Observations on transference-love. S. E., 12.
13.
Freud, S. (1919). Lines of advance in psycho-analytic therapy. S. E., 17.
14.
Gill, M. & Muslin, H. (1976). Early interpretation of transference. J. Amer. Psychoanal. Assn., 24:779–794.
15.
Glover, E. (1955). The Technique of Psycho-analysis.New York: Int. Univ. Press.
16.
Gray, P. (1982). “Developmental lag” in the evolution of technique for psychoanalysis of neurotic conflict. J. Amer. Psychoanal. Assn., 30:621–655.
17.
Joseph, E. (1979). Comments on the therapeutic action of psychoanalysis. J. Amer. Psychoanal. Assn., 27 (Suppl.):71–79.
18.
Kernbero, O. F. (1975). Borderline Conditions and Pathological Narcissism.New York: Aronson.
19.
Kernbero, O. F. (1983). Object relations theory and character analysis. J. Amer. Psychoanal. Assn., 31 (Suppl.): 247–271.
20.
Kohut, H. (1971). The Analysis of the Self.New York: Int. Univ. Press.
21.
Kohut, H. (1977). The Restoration of the Self.New York: Int. Univ. Press.
22.
Lipton, S. D. (1977). The advantages of Freud's technique as shown in his analysis of the Rat Man. Int. J. Psychoanal., 58:255–273.
23.
Meissner, W. W. (1985). A case of phallic-narcissistic personality. J. Amer. Psychonal. Assn., 33:437–469.
24.
Myerson, P. G. (1977). Therapeutic dilemmas relevant to the lifting of repression. Int. J. Psychoanal., 58:453–462.
25.
Rabkin, R. (1977). Strategic Psychotherapy.New York: Basic Books.
26.
Rangell, L. (1985). On the theory of theory in psychoanalysis and the relation of theory to psychoanalytic therapy. J. Amer. Psychoanal. Assn., 33:59–92.
27.
Schafer, R. (1976). A New Language for Psychoanalysis.New Haven: Yale Univ. Press.
28.
Schafer, R. (1982). Problems of technique in character analysis. Bull. Assn. Psychoanal. Med., 21:91–99.
29.
Stone, L. (1961). The Psychoanalytic Situation.New York: Int. Univ. Press.
30.
Valenstein, A. F. (1979). The concept of “classical” psychoanalysis. J. Amer. Psychoanal. Assn., 27 (Suppl.):113–136.
31.
Weinshel, E. M. (1984). Some observations on the psychoanalytic process. Psychoanal. Q., 53:63–92.
