The Negation of Consensus:A Case Study
When we treat patients in analysis or psychoanalytic therapy we develop measures to assess change in the process and/or shifts in defenses or symptoms. We talk about the therapeutic alliance or shifts in the transference/ countertransference situation. With some difficult patients, we cannot easily describe the process or changes in the patient. It is difficult or impossible to develop a common language that can describe progress, regress or stalemate. A young single male has been seen for 3 years where such difficulties persisted. A description of the use of various measures tried without obtaining validation from the patient will be presented. A discussion of these dilemmas is welcomed.
Alan Skolnikoff, M.D.
Training and Supervising Analyst,
San Francisco Psychoanalytic Institute
Saturday, October 14, 2006