Is it all grist to the mill? Wandering between indications for psychoanalytic treatment and the analytic field

Determining the indications and contraindications for psychoanalytic treatment seems crucial to achieve therapeutic success and improve treatment effectiveness. In reviewing the classic literature on the topic, aspects such as age, diagnosis, motivation for treatment, present moment in life, ability...

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Bibliographic Details
Published in:Trends in psychiatry and psychotherapy 2013-01, Vol.35 (1), p.12-12
Main Authors: Gastaud, Marina Bento, Goi, Julia Domingues, Bassols, Ana Margareth, da Costa, Camila Piva, Krieger, Daniela, Machado, Diogo, da Costa, Felipe Bauer Pinto, Knijnik, Jair, Torres, Mariana, Braga, Pricilla, Teche, Stefania Pigatto, Wellausen, Rafael, Eizirik, Claudio Laks
Format: Article
Language:English
Subjects:
campo analítico
contraindicação
indicação
Psicanálise
psicoterapia psicanalítica
PSYCHIATRY
Psychoanalysis
Psychotherapy
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Summary:Determining the indications and contraindications for psychoanalytic treatment seems crucial to achieve therapeutic success and improve treatment effectiveness. In reviewing the classic literature on the topic, aspects such as age, diagnosis, motivation for treatment, present moment in life, ability to gain insight, psychic suffering when seeking treatment, defensive behaviors, and frustration tolerance are clearly analyzed by therapists/analysts when indicating psychoanalytic treatments. However, traditionally, most criteria underlying such indications date back to a time when the therapeutic relationship was viewed merely as a therapist treating a patient, with no regard to the therapeutic relationship itself. The goal of this article was to critically review the relevance and current adequacy of indications for psychoanalytic treatment, in view of advancements in knowledge on the analytic field. Considering cases that do not evolve as expected according to the indications, patients who are better suited to certain therapists, and therapist-patient pairs that modify their interaction over the course of treatment, the main question remains on how to identify the necessary elements in evaluating a candidate patient for psychoanalytic treatment, as well as the significant elements of therapeutic action.
ISSN:2238-0019
2238-0019
DOI:10.1590/S2237-60892013000100003