By Arnold Rothstein
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Additional resources for Psychoanalytic Technique and the Creation of Analytic Patients
Sample text
Mr. R sought my help eighteen months ago in a terrified state, obsessed with the thought that he was going crazy. He had been in once or twice a week psychotherapy with a respected colleague, for four years. That treatment ended one year before he consulted with me. In response to the current experience of symptoms, he had first returned to his previous analyst who recommended medication and psychotherapy. Mr. R adamantly rejected medication. He believed psychoanalysis was what he needed. In addition to the presenting obsessional panic, Mr.
The situational nature BEGINNING ANAUSIS WITH A RELUCfANT PATIENT 15 of his complaint was the immediate manifest reason for my not recommending a trial of analysis. Mter about a month of work at a frequency of twice a week, however, it became clear that the optimal treatment for Mr. H was a trial of analysis. " I had been subtly, but deeply, impressed by Mr. H's goodness. His generosity and charitable involvements were of legendary proportions. I had found an ideal father in my countertransference, an ideal father who I felt was a better person than I could ever be.
R as exceptionally bright, highly motivated, and as someone who had a talent for psychoanalysis. We have been working productively in analysis for eighteen months. CLINICAL MATERIAL A number of years ago, when I considered myself 'junior," a "senior" respected analyst called to refer me a "good" case. I was quite pleased to receive the referral and immediately motivated to succeed with the patient, in part, to solidify the approval of this important colleague. After telling me of this "good" case my colleague added that the patient had experienced a failed five-year analysis and now required a reduced fee of $75 per session for the second try at analysis.