1st Edition

Psychoanalytic Treatment in Adults A longitudinal study of change

By Rosemary Cogan, John H. Porcerelli Copyright 2016
    172 Pages
    by Routledge

    170 Pages
    by Routledge

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    The outcomes of psychoanalysis, as with other psychotherapies, vary considerably. Psychoanalytic Treatment in Adults examines the results of a longitudinal study of change during psychoanalysis, illuminating the characteristics of patients, analysts and analyses which can help to predict outcomes of treatment.

    Written by experienced psychologists and psychoanalysts, chapters in the book draw upon sixty case studies to consider how patients with very different analytic outcomes respond at both the beginning and end of their analysis. Psychoanalysts used a clinician report measure, the Shedler-Westen Assessment Procedure, to describe a patient at the beginning of psychoanalysis and every six months until the analysis ended. This allowed the authors to learn about changes over analysis and, in turn, improved treatment planning and practice for the well-being of other patients.

    Chapters explore five outcomes: a negative therapeutic reaction; attrition when the patient drops out; attrition due to external events; mutual agreement between patient and analyst without maximum benefits; and mutual agreement between patient and analyst with maximum benefits.

    The findings from these chapters will be of interest to researchers and academics in the fields of psychoanalysis, psychotherapy, psychodynamic therapy, psychoanalytic education, psychiatry and psychology. The results should also help clinicians recognize potential problems early in analytic treatments so that they can work more effectively with patients.


    Part I: Beginnings

    Chapter 1 Therapeutic aims of psychoanalysis

    Chapter 2 Research on psychoanalytic outcomes

    Chapter 3 This project

    Part II: Comparing Outcome Groups

    Chapter 4 Negative therapeutic reaction vs. others

    Chapter 5 Attrition: Dropping out vs. others

    Chapter 6 Attrition: External events vs. others

    Chapter 7 Attrition: Dropping out vs. external events

    Chapter 8 Analyses ending with mutual agreement between patient and analyst: Without maximum benefits vs. others

    Chapter 9 Analyses ending with mutual agreement between patient and analyst: With maximum benefits vs. others

    Chapter 10 Analyses ending with mutual agreement between patient and analyst: With vs. without maximum benefits

    Part III: Insight and change

    Chapter 11 The role of insight in change
    with N. G. Cogan

    Part IV: Conclusions

    Chapter 12 What we have learned
    with N. G. Cogan



    Rosemary Cogan is Professor of Psychology in the Department of Psychological Sciences, Texas Tech University, USA.

    John H. Porcerelli is Director of Behavioral Medicine and Professor in the Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, USA.