By D. H. Malan (auth.)

The unique goal of the current paintings, which used to be initiated via Dr. Michael Balint, was once to discover short Psychotherapy conducted via psycho-analysts who're really expert and skilled. To this has been extra an try to reconcile the 'clinical' and 'objective' ways to psychodynamic fabric, via treating scientific decisions precisely as conscientiously as is suitable, not more and no much less. A overview of earlier paintings ends up in little yes end. a whole spectrum of perspectives are available, from the main 'conservative' (e.g. short psychotherapy is just powerful within the mildest and newest health problems; the process used may be superficial-any try to cross 'deeper' will result in long term remedy; and the implications are just palliative) to the main 'radical' (seriously ailing sufferers will be greatly helped by way of a method containing many of the crucial parts of long term equipment akin to psycho-analysis). the current paintings is predicated basically at the treatments of 19 sufferers, handled through a workforce of therapists lower than the chief­ send of Dr. Balint. The research is essentially retrospective, however it is designed to fill the various vital gaps to be present in the literature: 1. distinct case histories are given of all sufferers taken care of; 2. specific realization is paid to lengthy follow-up; three. a style of assessing healing effects has been constructed that is considered as psychodynamically legitimate and relies on released proof; four. The relation is tested among final result and (a) the features of sufferers, (b) the features of technique.

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The aim is to relieve the patient from certain symptoms that are painful or dangerous, or aid him in handling a given situation or problem. ' Eissler (quoted by Murphy, 1958) says that: 'Psycho-analytic scrutiny will disclose that the majority of 22 Review of previous work on brief psychotherapy cures by psychotherapy have been based on elaborate rationalizations which depend for their effectiveness on what is dynamically a repression of the basic conflict after some partial solutions of derivative conflicts have been attained and accepted as a compromise.

Many of their case histories-in which the therapeutic result consisted of relief of single symptoms of recent originclearly fit in with Hypothesis A. Gutheil (1933), who is one of Stekel's pupils, writes: 'The shortest treatment is particularly afforded in cases in which behind the neurotic symptoms an actual conflict is hidden'-by which he means a conflict in the patient's present life. g. perversions, homosexuality, drug addiction, or psychosis. Of course, without a fun report and an adequate.

The agoraphobia is assumed to represent some kind of sexual anxiety. The result of therapy consisted of complete disappearance of the agoraphobia with minimal changes in the other disturbances. How should this result be assessed? 47 The present work I am far from denying the value of removing a symptom such as this-which was making the patient's life a misery before therapy-as long as the improvement is not bought (as it was in Bandler's case quoted on p. 23) at the price of a new severe restriction in the patient's life.

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