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By D. H. Malan (auth.)

ISBN-10: 146134395X

ISBN-13: 9781461343950

ISBN-10: 1461343976

ISBN-13: 9781461343974

The unique goal of the current paintings, which was once initiated by means of Dr. Michael Balint, used to be to discover short Psychotherapy performed by means of psycho-analysts who're particularly expert and skilled. To this has been further an try to reconcile the 'clinical' and 'objective' techniques to psychodynamic fabric, via treating medical decisions precisely as carefully as is acceptable, not more and no much less. A evaluate of earlier paintings ends up in little convinced end. an entire spectrum of perspectives are available, from the main 'conservative' (e.g. short psychotherapy is barely potent within the mildest and most modern health problems; the method used might be superficial-any try and move 'deeper' will result in long term remedy; and the implications are just palliative) to the main 'radical' (seriously unwell sufferers could be commonly helped through a strategy containing many of the crucial components of long term tools comparable to psycho-analysis). the current paintings relies basically at the remedies of 19 sufferers, taken care of by means of a staff of therapists less than the chief­ send of Dr. Balint. The research is essentially retrospective, however it is designed to fill a number of the vital gaps to be present in the literature: 1. special case histories are given of all sufferers handled; 2. specific recognition is paid to lengthy follow-up; three. a style of assessing healing effects has been constructed that is considered as psychodynamically legitimate and is predicated on released proof; four. The relation is tested among consequence and (a) the features of sufferers, (b) the features of technique.

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The difference between the couch and the face-to-face technique is subtle but important. The two authors mentioned above emphasize that the use of the couch tends to lead the patient away from reality into phantasy, but this is not the only factor. The couch automatically encourages 'free association'-the tendency to describe into the empty air, so to speak, whatever passes through the patient's mind, with the corresponding tendency in the therapist to abandon initiative. The face-to-face technique creates an entirely different atmosphere in which the patient is talking not into the air but to the therapist.

A study of those 'successful' cases of which some details have been actually published allows only the following generalizations to be made: I. Quite far-reaching changes can be obtained in certain cases in 10-50 sessions (Alexander and French; Rogers and Dymond). 2. (a) Case histories of 1-4 sessions are to be found fairly widely in the literature: Alexander and French, five cases; Saul (1951), one case; Rothenberg (1955), three cases; Knight (1937), three cases; Berliner (1941), one case. (b) It may possibly be true that it is these cases that tend to fit in with Hypothesis A.

The only examples I have found of detailed accounts of relatively severe cases treated successfully, with a clear statement of long follow-up, are, once more, those of Alexander and French 25 Historical and theoretical survey (op. cit. 1946). g. a girl with a quite severe, though recent, generalized hysterical illness (Case K; twelve sessions; follow-up three years); a man with a five-year history of duodenal ulcer (Case L; thirty-seven sessions; follow-up two years); and a man of 24 who had suffered from attacks of bronchial asthma since the age of 14 (Case Q; c.

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A Study of Brief Psychotherapy by D. H. Malan (auth.)


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