From Psychoanalytic Narrative to Empirical Single Case Research: Implications for Psychoanalytic Practice

by Kaechele; Horst

• ISBN13: 9780881634891
• ISBN10: 0881634891
• eBook ISBN(s): 9781135468804
• Edition: 1st
• Format: Nonspecific Binding
• Copyright: 2008-07-22
• Publisher: Routledge
• More Book Details

Summary

Recognition of the need for empirical research and interest in its findings are growing in psychoanalysis. Many psychoanalysts now acknowledge that research is imperative to try to deal with the factors propelling the diminution in status and prestige of the discipline, as well as the number of patients in intensive psychoanalytic treatment. In addition, there is increased pressure to expose and acquaint candidates with analytic research in the course of their education. From Psychoanalytic Narrative to Empirical Single Case Research revivifies the experimental potential of psychoanalysis by focusing a number of structured research methods on a single case study. Drs. K'žchele, Schachter, and Thom'ž, in tandem with the Ulm Psychoanalytic Process Research Study Group, bring their formidable tools and knowledge to bear on Amalia X, a former patient of Dr. Thom'ž's, whose case history is well-documented, preserved and available for formal empirical study. After providing an intensive review of the problematicaspects of clinical psychoanalytic research and an exegesis on the use of the case study itself, the specific case history of Amalia X, which will dominate and center the remainder of the book, is thoroughly examined. The following two chapters - utilizing clinical and linguistic models, respectively - deconstruct Amalia's psychopathology along a variety of methodological axes in an effort not only to uncover the roots of her presenting symptoms, but also to reify and validate the strange bedfellows of psychoanalysis and empiricism in general. The book would be incomplete, however, without its final chapter, which provides suggestions and insights into the clinical applications and implications of their combined research.

Table of Contents

Foreword	p. xi
Editors	p. xvii
Contributors	p. xix
Preface	p. xxiii
Psychoanalytic Therapy Process Research	p. 1
Introduction	p. 1
Research in Contemporary Psychoanalysis	p. 5
Conceptual Research	p. 7
The Contemporary Version of Freud's Inseparable Bond Thesis	p. 7
Comparison of Single Case and Group Studies	p. 9
The Pro and Contra of Tape Recordings	p. 12
Testing of Process Models	p. 14
Our Methodological Approach	p. 18
Conclusion	p. 20
Problems of Metascience and Methodology in Clinical Psychoanalytic Research	p. 21
Additional Remarks Some 30 Years Later	p. 21
Psychoanalysis as Science?	p. 35
Hermeneutics and Psychoanalysis	p. 36
The Limits of the Hermeneutical Point of View	p. 40
On the Relationship between the Interpretive Practice of Psychoanalysis and Its Explanatory Theories	p. 48
General and Historical Interpretations	p. 59
Description, Explanation, and Prognosis in Psychoanalysis	p. 72
Circularity and Self-Fulfilling Prophecy	p. 85
Summary	p. 96
The Significance of the Case History in Clinical Psychoanalytic Research	p. 99
Freud's Case Histories as a Methodological Paradigm	p. 99
From the Case History to the Single Case Study	p. 121
Amalia X: The German Psychoanalytic Specimen Case	p. 143
Why Specimen Cases?	p. 143
The Patient Amalia X	p. 144
The Psychoanalytic Treatment of Amalia X	p. 150
Amalia X in Cross-Section	p. 163
Coda	p. 220
Guided Clinical Judgments	p. 221
Comparative Psychoanalysis on the Basis of a New Form of Treatment Report	p. 221
Comparative Psychoanalysis	p. 221
Introductory Comments to the Audio Recording of Analytic Treatments	p. 223
Two Sessions of the Case of Amalia	p. 224
Discussion	p. 234
Emotional Insight	p. 238
Introduction	p. 238
Method: The Rating Procedure	p. 240
Empirical Investigations	p. 243
Discussion	p. 244
Changes in Self-Esteem	p. 245
Self-Esteem as a Concept in Treatment Research	p. 245
Case Description and Hypotheses	p. 247
Sample and Method	p. 250
Results and Discussion	p. 252
Theoretical Considerations	p. 254
Suffering from Oneself and from Others	p. 256
Theoretical Remarks	p. 256
Methods	p. 258
Results	p. 259
Qualitative Results and Discussion	p. 263
Dream Series Analysis as Process Tool	p. 266
Dream Series in Clinical Practice and in Research	p. 266
Theoretical Model	p. 267
Results of the First Study	p. 269
Method: Theory-Guided Complex Ratings and Hypothesis	p. 271
Description of the Material	p. 272
Results	p. 273
Discussion and Summary	p. 277
Studying the Core Conflictual Relationship Theme (CCRT)	p. 278
Introduction	p. 278
Current Status of Research and Aim of the Study	p. 279
Clinical Notes	p. 279
The CCRT Method	p. 280
Sample and Statistics	p. 281
Results	p. 282
Discussion	p. 294
The Unconscious Plan	p. 297
Introduction	p. 297
The Control-Mastery Theory	p. 297
The Plan Formulation Method	p. 298
Results of Empirical Research Using the Plan Formulation Method	p. 300
Plan Formulation of Amalia X	p. 301
Results of the Reliability Test	p. 302
Structuring of the Items by Content	p. 302
Plan Formulation for Amalia	p. 303
Comparison with a Different Psychoanalytic Case Conception	p. 305
Discussion	p. 309
The Reaction to Breaks as an Indicator of Change	p. 312
Loss-Separation Model	p. 312
Material and Method	p. 314
Results	p. 316
Discussion	p. 323
The Psychotherapy Process Q-Sort	p. 326
Introduction	p. 326
Data and Methodology	p. 327
Results	p. 328
Discussion	p. 330
Linguistic Studies	p. 333
Introductory Remarks	p. 333
The Ulm Textbank	p. 341
Introduction	p. 341
Methods	p. 343
Verbal Activity in the Psychoanalytic Dialogue	p. 352
Therapeutic Dialogues	p. 352
How Much Talking Do Amalia X and Her Analyst Do?	p. 353
Discussion	p. 354
The Emotional Vocabulary	p. 355
Vocabulary Analyses	p. 355
Affective Dictionary Ulm (ADU)	p. 357
Analysis of the Text Corpus of Amalia X: Qualitative Analysis by Examples	p. 360
The Analyst's Work with Category 1-Love (Session 11)	p. 360
Category 5-Rage on the Therapist (Session 172)	p. 361
Category 7-Depression and Enduring of Helplessness (Session 175)	p. 363
Relationship Reflections at the End of the Therapy (Session 502)	p. 365
Quantitative Analysis of the Text Corpus	p. 366
Coda	p. 368
The Characteristic Vocabulary of an Analyst	p. 369
Introduction	p. 369
An Analyst's Characteristic Vocabulary	p. 371
Discussion	p. 374
Emotional and Cognitive Regulation in the Psychoanalytical Process: A Microanalytical Study	p. 375
The Therapeutic Cycles Model	p. 375
Example from Session 152 of Amalia X	p. 376
Discussion and Conclusions	p. 382
Attachment and Loss	p. 383
Introduction	p. 383
The Adult Attachment Interview with Amalia X	p. 385
A Summary and Implications of Research for Psychoanalytic Practice	p. 391
Introduction	p. 391
Implications for Psychoanalytic Practice	p. 400
Conclusion	p. 402
References	p. 405
Index	p. 459
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