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Selecting a patient or initiating a psychoanalytic process

Bibliographic Data

ID8971479
AuthorsPenny Crick (London Clinic of Psychoanalysis, Byron House, 112a‐114 Shirland Road, London, W9 2BT, UK, corresponding author)
Year2014
Volume95
Issue3
Pages465-484
Publication date2014-03-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe International Journal of Psychoanalysis (JOURNAL)
Journal identifiersISSN: 0020-7578 • E-ISSN: 1745-8315
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1111/1745-8315.12142
PMID24660869
OpenAlexW1972753131
LanguageEN
Citations received5
References cited13

The defences provoked in the analyst by the anxieties associated with the difficult tasks of 'assessment' and 'selection' for psychoanalysis can result in a tendency to think in terms of 'hurdles to be cleared' by potential psychoanalytic patients, rather than 'opening the gates'. This can result in a diminution of the analyst's capacity to enlist and sustain a psychoanalytic stance. Only within a psychoanalytic frame can a meaningful psychoanalytic process unfold, at all stages of a potential patient's movement from their first contact through to, possibly, entering into an analysis. The author illustrates the value of this thinking by describing the work of the London Clinic of Psychoanalysis where there has been a shift of emphasis in psychoanalytic consultation towards working with individuals on their potential to initiate a psychoanalytic process, and away from the sole aim of 'selection of a suitable patient'. In this paper, the author notes that when institutional culture and practice supports psychoanalytic identity, this makes it more possible to recognize and articulate the anxieties provoked by the 'emotional storm' inevitable in psychoanalytic consultation, and the draw towards unhelpful enactment that may otherwise obscure the initiation of a psychoanalytic process that may or may not result in analytic treatment. Illustrative case material from the Clinic is presented

Clearance · Process (computing · Psychoanalysis · Psychoanalytic theory · Psychotherapist · Computer Science · Medicine · Mental Health and Psychiatry · Psychology · Psychotherapy Techniques and Applications · Transactional Analysis in Psychotherapy

  • Choreographies in the beginnings of psychoanalytic psychotherapy sessions with an adult male patient

    Open Access•Päivi Aho-Mustonen, Henrik Enckell et al.•International Forum of…•2025

  • The first interview

    Open Access•Bernard Reith•The International Journal of…•2014

  • The analyst's anxieties in the first interview

    Open Access•Mette Møller•The International Journal of…•2014

  • Delving into the ‘emotional storms’

    Open Access•Alejandra Pérez, Penelope Crick et al.•The International Journal of…•2015

  • Consenting and Assenting to Psychoanalytic Work

    Open Access•Allannah Furlong•Journal of the American…•2020

  • The Analyst’s Trust in Psychoanalysis and The Communication of That Trust in Initial Interviews

    Open Access•Robbert Wille•The Psychoanalytic Quarterly•2012

  • A Perspective on Doing a Consultation and Making the Recommendation of Analysis to a Prospective Analysand

    Arnold Rothstein•The Psychoanalytic Quarterly•1994

  • Initiating Psychoanalysis

    Open Access•Kate Pugh•The International Journal of…•2013

  • Creating analysts, creating analytic patients

    Open Access•Howard B Levine•The International Journal of…•2010

  • The analyst's anxieties in the first interview

    Open Access•Mette Møller•The International Journal of…•2014

  • The profession of ferryman

    Open Access•Stefano Bolognini•The International Journal of…•2006

  • On the Efficacy of Psychoanalysis

    Open Access•Henry Bachrach, Henry M Bachrach et al.•Journal of the American…•1991

  • Why We Recommend Analytic Treatment for Some Patients and Not for Others

    Open Access•Eve Caligor, Barry L Stern et al.•Journal of the American…•2009

  • The Analyst's Reluctance To Begin a New Analysis

    Open Access•Lena Theodorou Ehrlich•Journal of the American…•2004

Unique citing works5
Citations per year0,42
Citation span2014 - 2025 (12)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 5
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