By Judy Cooper, Helen Alfillé
Addresses the complexities of psychoanalytic review. includes a entire evaluation of proper literature and contributions from quite a few psychotherapists at the varied facets of the evaluate strategy.
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This is not to the discredit of the referrer, as the awareness of these kinds of relationship is not his field of work and expertise. It is ours. But it is an added due for us to the patient's core object relationships. [p. 163] Conducting the assessment The earlier writers such as Stone ( 1954), Waldhorn ( 1960), and Zetzel ( 1965) tended to take a longitudinal history. Garelick ( 1994) suggests that one of the important and, perhaps, controversial issues is the activity of the assessor that involves searching out information as opposed to using a technique of free association and the slow unfolding of material.
387] The assessment process Several aspects of the assessment process are discussed below because, in an overview of this kind, it is relevant to consider developments in approach; more importantly, however, they could be seen as potentially having an impact on the course of the analysis, in combination with the patient and analyst qualities and the match between them: . . the referral for the assessment; conducting the assessment; one or more meetings; referring on. The referral for the assessment The referral for the assessment is not often explicitly considered as a factor in the assessment although it is sometimes alluded to in an oblique way.
Freud ( 1926e) wrote at some length, and with dry humour, about doctors and the place for treatment, or lack of it, for neuroses. He made the point that a medical training is more or less the opposite of what is needed as a preparation for psychoanalysis. In the same chapter he says, "Doctors whose interest has not been aroused in the psychical factors of life are all too ready to form a low estimate of them and to ridicule them as unscientific" (p. 231). He expressed pessimism about his work being more acceptable in the future.