A guide to assessment for psychoanalytic psychotherapists by Judy Cooper

By Judy Cooper

Psychoanalytic psychotherapists and psychoanalysts necessarily locate themselves doing evaluate of their paintings, either in inner most perform and in a scientific atmosphere corresponding to the NHS. The authors felt a necessity for a ebook that covers this important element in their paintings, which might be of profit either to scholars in education and to practitioners. among matters lined are the character of exams, the surroundings, consultation,  Read more...

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In an assessment consultation, one may feel tempted to offer a patient treatment on the basis of compassion, but this is not sufficient for assessing his suitability for treatment. Klauber (1971, p. 155) believes that Freud’s criterion of “a fairly reliable character” can be seen as a solid yardstick for a hopeful result of treatment. He also makes the point that psychoanalytic diagnosis is not just a medical, psychiatric diagnosis, but, rather, one that depends on a complex assessment of motives and defences which involve a much deeper and fuller exploration of the personality throughout the patient’s whole history.

Limentani (1989) warns assessors that patients whom they feel will be able to make a firm treatment alliance may turn out to have a hard core of basic mistrust that constantly sabotages the therapy and everything else. Most therapists would not agree with Langs, who stated in 1982 that a therapist had an ethical duty to take into therapy all patients who came to him. An assessor should treat certain symptoms with extreme caution. This would include a person with florid symptoms of psychosis, evidence of possible physical violence or self-destructive behaviour, extreme forms of addiction, and entrenched somatization.

We need to listen carefully to the way in which the story unfolds. The way he relates to the assessor, and the assessor’s response to this, whether positive, negative, or with detachment, give an indication of any future therapeutic work. It includes both transference, countertransference, and therapeutic alliance. Whatever emerges from the consultation, the most important thing is for the patient to have an authentic experience. CHAPTER FOUR Transference and countertransference in the assessment consultation .

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