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	<title>Comments on: Thoughts On Measurement</title>
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	<description>A psychoanalytic slant on the world...with support from the American Psychoanalytic Foundation</description>
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		<title>By: Joel Kanter</title>
		<link>http://internationalpsychoanalysis.net/2009/01/23/thoughts-on-measurement/comment-page-1/#comment-13184</link>
		<dc:creator>Joel Kanter</dc:creator>
		<pubDate>Tue, 27 Jan 2009 02:48:00 +0000</pubDate>
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		<description>Jane: Re your comment below, I always find such distinctions quite strange.  Supportive psychodynamic psychotherapy---which, incidentally, psychoanalysis proper has largely neglected---hardly operates through &quot;intellectual understanding&quot;.  

I think Fairbairn&#039;s 1958 paper on therapeutic action is quite relevant here.  His argument is that change occurs when the analyst (or therapist) enters the closed internal object world of the patient.  I&#039;ve seen this happen in very brief non-interpretative treatments (and this can hardly be conceptualized as &quot;intellectual understanding&quot;).  And I&#039;ve seen other long-term analytic treatments where the analyst/therapist and patient keep replaying old &quot;tapes&quot;.

What is important here is the lived experience of the patient, not the treatment that was used.

Joel Kanter

Jane&#039;s comment:
(I differentiate psychodynamic psychotherapy which does not necessarily use psychoanalytic technique and instead, in my mind, is based on an intellectual understanding. Psychoanalytic work on the other hand, involves an emotional connection that resembles and recreates earlier connections, with the aim of reworking them.)</description>
		<content:encoded><![CDATA[<p>Jane: Re your comment below, I always find such distinctions quite strange.  Supportive psychodynamic psychotherapy&#8212;which, incidentally, psychoanalysis proper has largely neglected&#8212;hardly operates through &#8220;intellectual understanding&#8221;.  </p>
<p>I think Fairbairn&#8217;s 1958 paper on therapeutic action is quite relevant here.  His argument is that change occurs when the analyst (or therapist) enters the closed internal object world of the patient.  I&#8217;ve seen this happen in very brief non-interpretative treatments (and this can hardly be conceptualized as &#8220;intellectual understanding&#8221;).  And I&#8217;ve seen other long-term analytic treatments where the analyst/therapist and patient keep replaying old &#8220;tapes&#8221;.</p>
<p>What is important here is the lived experience of the patient, not the treatment that was used.</p>
<p>Joel Kanter</p>
<p>Jane&#8217;s comment:<br />
(I differentiate psychodynamic psychotherapy which does not necessarily use psychoanalytic technique and instead, in my mind, is based on an intellectual understanding. Psychoanalytic work on the other hand, involves an emotional connection that resembles and recreates earlier connections, with the aim of reworking them.)</p>
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		<title>By: Jane S. Hall</title>
		<link>http://internationalpsychoanalysis.net/2009/01/23/thoughts-on-measurement/comment-page-1/#comment-13124</link>
		<dc:creator>Jane S. Hall</dc:creator>
		<pubDate>Sun, 25 Jan 2009 17:22:00 +0000</pubDate>
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		<description>Thanks Jane, for the interesting editorial! I agree with most of what you say. I do have one question, though: Why pass over in silence the fact that a candidate will most probably not be internalizing the deeper aspects of a psychoanalytic attitude (or its “ethos”) if he or she doesn’t have a personal analysis and conducts supervised cases at a frequency of at least 3 times a week? This is obviously a hot potato in today’s discussions, but why is it so seldom brought out in the open?

Jurgen Reeder</description>
		<content:encoded><![CDATA[<p>Thanks Jane, for the interesting editorial! I agree with most of what you say. I do have one question, though: Why pass over in silence the fact that a candidate will most probably not be internalizing the deeper aspects of a psychoanalytic attitude (or its “ethos”) if he or she doesn’t have a personal analysis and conducts supervised cases at a frequency of at least 3 times a week? This is obviously a hot potato in today’s discussions, but why is it so seldom brought out in the open?</p>
<p>Jurgen Reeder</p>
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