International Forum of Psychoanalysis · 2007 · 71 citations · 6 references
Social SciencesPathologyPsychologyAbnormal PsychologyClinical PsychologyPsychotherapyInterpretive MethodologyInterpretive TheoryEfficiencyPsychoanalytic Interpretation
Interpretation in psychoanalysis has evolved with cultural trends and diverse authors, leading to debates between model‑based and relationship‑based therapeutic approaches, including Gedo’s view that intervention depends on the pathology’s developmental stage. The model proposes that primitive levels of pathology are treated with holding techniques, while more evolved conditions are addressed through classic interpretation, allowing interventions to shift across theoretical levels as a patient’s evolution progresses. The resulting eclectic model integrates multiple theoretical frameworks, suggesting that diverse interpretation models can coexist and complement one another.
Abstract Interpretation started as the central tool of psychoanalytic theory, but it has undergone changes, just as the theory it was based on has evolved. Not only have these significant changes been determined by cultural trends, but different authors have also contributed to their evolution through their approaches to various other pathologies besides neurosis. Today, the cure process is divided between those who believe that therapeutic efficiency should be based on the different interpretation models, and those who maintain that it can be only sustained by the modifying capacity of the therapeutic relationship. Both positions are supposedly upheld by the results of tests that both models believe are sufficient proof but that, in the current author's opinion, lead back to the type of pathology they arose from, although they may at times attempt to cover the entire theoretical spectrum. The position upheld by Gedo—who considers that the psychoanalyst's intervention will depend on the degree of evolution that the pathology has achieved—is of great interest for specific practice. Hence, the more primitive levels require a treatment founded on holding, whereas more evolved pathologies require a more classic level of interpretation. This implies that the stages of a particular patient's evolution may require interventions at different levels, even though these may be founded on different theoretical models. This model, which we may brand as eclectic, is basically the one we find underpinning different theoretical models, which effectively appear to integrate others.
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International Journal of Psychoanalysis
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