An Application of the Concept of the Therapeutic Alliance To Sadomasochistic Pathology

This paper traces the history of the therapeutic alliance concept, examining how it has been used and misused, at times elevated to a central position and at others rejected altogether. The loss of this concept created a vacuum in classical psychoanalysis that has been filled by rival theories. The continuing usefulness of looking at the treatment process through the lens of the therapeutic alliance, particularly in relation to the manifold difficulties of working with sadomasochistic pathology, is suggested. To this end, revisions of the theory of the therapeutic alliance are suggested to address some of the difficulties that have arisen in conceptualizing this aspect of the therapeutic relationship, and to provide an integrated dynamic model for working with patients at each phase of treatment. This revised model acknowledges the complexity of the domain and encompasses the multiple tasks, functions, partners, and treatment phases involved. The utility of the revised theory is illustrated in application to understanding the sadomasochistic, omnipotent resistances of a female patient through the phases of her analysis

Alliance · Epistemology · Process (computing) · Psychotherapist · Therapeutic relationship · Computer Science · Personality Disorders and Psychopathology · Philosophy · Psychology · Psychotherapy Techniques and Applications · Transactional Analysis in Psychotherapy

• Reclaiming the land.

  Kerry Kelly Novick, Jack Novick•Psychoanalytic Psychology•2002

  Incluir item

• Action in the psychoanalytic situation

  Stanley Grand•Psychoanalytic Psychology•2002

  Incluir item

• Reclaiming the land

  Kerry Kelly Novick, Jack Novick•Psychoanalytic Psychology•2002

  Incluir item

• The Boston Change Process Study Group

  Open Access•Sybil A Ginsburg•The Psychoanalytic Quarterly•2012

  Incluir item

• A Case of Sadomasochistic Transference

  Open Access•Richard M Zeitner•The Psychoanalytic Quarterly•2008

  Incluir item

• A metapsychological framework for sadomasochism

  Jack Novick, Kerry Kelly Novick•The International Journal of…•2022

  Incluir item

• Love in the Therapeutic Alliance

  Open Access•Jack Novick, Kerry Kelly Novick•Journal of the American…•2000

  Incluir item

• The Therapeutic and Working Alliances

  Open Access•Robert S Hausner, Robert Hausner•Journal of the American…•2000

  Incluir item

• Maîtrise ou traumatisme

  Jack Novick, Kerry Kelly Novick•Adolescence•2012

  Incluir item

• The technique of psycho-analysis.

  Edward Glover•The technique of psycho-analysis.•1955

  Incluir item

• The Maturational Processes and the Facilitating Environment

  D W Winnicott•Maturational Processes and the…•2018

  Incluir item

• The interpretation of dreams.

  Sigmund Freud, Joyce Crick et al.•The interpretation of dreams•1913

  Incluir item

• Fearful symmetry

  Jack Novick, Kerry Kelly Novick•Psychoanalytic Psychology•1998

  Incluir item

• Some Comments on Masochism and the Delusion of Omnipotence From A Developmental Perspective

  Open Access•Jack Novick, Kerry Kelly Novick•Journal of the American…•1991

  Incluir item

• The Dynamics of the Transference

  M Eglé Laufer•Developmental Breakdown and…•2018

  Incluir item

• Delusions of everyday life

  Open Access•Leonard Shengold, Burness Moore et al.•Delusions of Everyday Life•1995

  Incluir item

• The Restoration of the Self

  Heinz Kohut•Restoration of the Self•2009

  Incluir item

• Termination conceivable and inconceivable

  Jack Novick•Psychoanalytic Psychology•1997

  Incluir item

• Empathy and the working alliance

  Peter W Shaughnessy, Peter Shaughnessy•Psychoanalytic Psychology•1995

  Incluir item

• Classical and relational psychoanalysis

  Merton M Gill, Merton Gill•Psychoanalytic Psychology•1995

  Incluir item

• Client as colleague

  Robert Heinssen, Robert K Heinssen et al.•American Psychologist•1995

  Incluir item

• Client as colleague

  Robert Heinssen, Robert K Heinssen et al.•American Psychologist•1995

  Incluir item

• Psychoanalytic Technique and the Interactive Matrix

  Jay Greenberg•The Psychoanalytic Quarterly•1995

  Incluir item

• Some Observations on the Psychoanalytic Process

  Edward M Weinshel•The Psychoanalytic Quarterly•1984

  Incluir item

• Analysis of the Therapeutic Factors in Psychoanalytic Treatment

  Open Access•Franz Alexander•The Psychoanalytic Quarterly•2007

  Incluir item

• Analytic Interaction

  Owen Renik•The Psychoanalytic Quarterly•1993

  Incluir item

• Problems of Psychoanalytic Technique

  Otto Fenichel•The Psychoanalytic Quarterly•1939

  Incluir item

• The Working Alliance and The Transference Neurosis

  Ralph R Greenson•The Psychoanalytic Quarterly•1965

  Incluir item

• The International Journal of Psychoanalysis

  Open Access•Dana Birksted‐Breen, R Michels•The International Journal of…•2007

  Incluir item

• The Relationship in Counseling and Psychotherapy

  Open Access•Charles J Gelso, Jean A Carter•The Counseling Psychologist•1985

  Incluir item

• The Concept of the Therapeutic Alliance

  Open Access•W W Meissner•Journal of the American…•1992

  Incluir item

• The Widening Scope of Indications for Psychoanalysis

  Open Access•Leo Stone•Journal of the American…•1954

  Incluir item

• Working Alliance, Therapeutic Alliance, and Transference

  Open Access•Charles Brenner•Journal of the American…•1979

  Incluir item

• Some Current And Recurrent Problems Of Psychoanalytic Technique

  Open Access•Harold P Blum•Journal of the American…•1981

  Incluir item

• Object Relations Theory

  Open Access•Mark Kanzer•Journal of the American…•1979

  Incluir item

• The Role of an Analyst's Expectations in Clinical Technique

  Open Access•Owen Renik•Journal of the American…•1995

  Incluir item

• The Journal of the American Psychoanalytic Association

  Open Access•Robert P Knight•Journal of the American…•1953

  Incluir item

• The Effect of the Structure of the Ego on Psychoanalytic Technique

  Open Access•K R Eissler•Journal of the American…•1953

  Incluir item

• The Role of Internalization in the Development of Object Relations During the Separation-Individuation Phase

  Open Access•John B McDevitt•Journal of the American…•1979

  Incluir item

• Postoedipal Transformations

  Open Access•Kerry Kelly Novick, Jack Novick•Journal of the American…•1994

  Incluir item

• The Widening Scope of Indications for Psychoanalysis Discussion

  Open Access•Anna Freud•Journal of the American…•1954

  Incluir item