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The second volume of a two-volume set discussing the practice of psychoanalytic psychotherapy. This volume considers the responses to intervention, the patient-therapist relationship and the phases of psychotherapy.
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THE TECHNIQUE OF Po/choanalytic Po/chotherapy VOLUME 11 Responses to Interventions The Patient- Therapist Relationship The Phases of P~chotherapy ROBERT LANGS, M.D. THE TECHNIQUE OF P~choanalytic P~chotherapy VOLUME 11 Responses to Interventions The Patient- Therapist Relationship The Phases of Psychotherapy JASON ARONSON INC. Northvale, New Jersey London New Printing 1989 Copyright co 1983, 1974 by Jason Aronson Inc. All rights reserved. No part of this book may be reproduced in any form without permission in writing from the publisher, except by a reviewer who wishes to quote brief passages. Library of Congress Catalog Card Number: 72-96542 Complete Set: ISBN 0-87668-064-3 Volume I: ISBN 0-87668-104-6 Volume 11: ISBN 0-87668-105-4 Designed by Sidney Solomon Manufactured in the United States of America Jason Aronson Inc. offers books and cassettes. For information and catalog write to Jason Aronson Inc., 230 Livingston Street, Northvale, NJ 07647. There must be some quite special internal difficulty to be overcome by the analyst in giving interpretations . .. for there seems to be a constant temptation for the analyst to do something else instead. ... The giving of a mutative interpretation is a crucial act for the analyst as well as for the patient, and ... he is exposing himself to some great danger in doing so .... At the moment of interpretation the analyst is in fact deliberately evoking a quantity of the patient's id-energy when it is alive and actual and unambiguous and aimed directly at himself. Such a moment must above all others put to the test his relations with his own unconscious impulses. JAMES STRACHEY The Nature of the Therapeutic Action of Psychoanalysis To my wife, Joan Brief Table T able ofContents of Contents PREFACE (1983) (1983) VI. RESPONSES TO INTERVENTIONS 18. Confirmation of Interventions 18. 19. Failure to Confirm Interventions and Reactions to 19. Missed Interventions VII. THE PATIENT-THERAPIST RELATIONSHIP 20. Therapist.' Funda20. The Patient's Reactions to the Therapist: mental Concepts 21. The Patient's Reactions to the Therapist: 21. Therapist.' Principles of Technique 22. The Therapist's Reactions to the Patient 22. VIII. THE PHASES OF PSYCHOTHERAPY 23. The Opening Phase 24. The Middle Phase 25. The Terminal Phase and After 25. BIBLIOGRAPHY INDEX OF CLINICAL MATERIAL INDEX OF AUTHORS INDEX OF SUBJECTS 21 21 31 33 33 88 88 141 143 226 226 292 292 377 377 379 379 423 423 445 445 523 523 529 529 543 545 Comprehensive Comprehensi ve Table of Contents: Volume II 11 (1983) PREFACE (1983) 21 21 VI. RESPONSES TO INTERVENTIONS INT'ERVENTIONS 31 31 18. Confirmation of Interventions 33 33 34 IMMEDIATE CONFIRMATION MATERIAL'• THE RECALL OF PREVIOUSLY REPRESSED MATERIAL Dreams'• Fantasies and Childhood Memories Memories'• Dreams THE EXPRESSION OF OTHER PREVIOUSLY UNMENTIONED MATERIAL' MATERIAL • THE CLARIFICATION CLARIFICATION OF PREVIOUSLY UN- EXPLAINED INDIRECT SYMPTOMS, CONFIRMATION FOLLOWED BY OR SYMPTOM • NEGATIVE CONFIRMATORY RELIEF • RESPONSES MATERIAL •- NON- VERBAL INTERVENTIONS •.0 THE THERAPIST'S SILENCE • THE AFFECTS SUDDEN DURING DURING APPEARANCE OF APPEARANCE THE SE