By Judy Cooper

Psychoanalytic psychotherapists and psychoanalysts necessarily locate themselves doing review of their paintings, either in deepest perform and in a scientific surroundings comparable to the NHS. The authors felt a necessity for a e-book that covers this important point in their paintings, which might be of gain either to scholars in education and to practitioners. among topics lined are the character of checks, the surroundings, consultation,  Read more...

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Very rarely will a patient be able to use psychoanalytic work in such circumstances. 41 42 A GUIDE TO ASSESSMENT FOR PSYCHOANALYTIC PSYCHOTHERAPISTS Mrs L has been in psychotherapy for several years, which she has found to be extremely helpful. She was critical of her husband’s untrained counsellor and, through her own therapist, found a qualified female therapist for him. He attended a consultation, but decided that he did not wish to leave his counsellor. His ambivalence towards his wife’s attempted control was clear from his rejection of the therapist.

In order to be able to reach a decision about a patient’s suitability for psychoanalytic psychotherapy, as well as a detailed history taking, we need to explore a patient’s inner world. The consultation must include the patient’s story and his current circumstances, relationships, and support network, development, including psychosexual development and family life, dream life, major losses, and trauma, main areas of aptitude and interest, and through this composite picture we hope to be able to make an appropriate referral.

A woman in her late seventies was referred following a heart operation. She was deeply depressed. She had suffered many traumatic losses in her life and had lost her will to live, but retained a vestige of hope which she invested in the therapy. For a year she worked once weekly and told her story, but after a dream of a train journey crossing Europe, which had resonance from childhood, she realized that her therapy was an ongoing journey. She increased her sessions to three times weekly, worked through her deep depression, rediscovered her energy for life, and, although she had initially said that she wanted her therapist to accompany her to her death, she was able to leave after six years of therapy, having internalized the good analytic experience.

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