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

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  • Edition: 1st
  • Format: Nonspecific Binding
  • Copyright: 2008-07-22
  • Publisher: Routledge

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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

Forewordp. xi
Editorsp. xvii
Contributorsp. xix
Prefacep. xxiii
Psychoanalytic Therapy Process Researchp. 1
Introductionp. 1
Research in Contemporary Psychoanalysisp. 5
Conceptual Researchp. 7
The Contemporary Version of Freud's Inseparable Bond Thesisp. 7
Comparison of Single Case and Group Studiesp. 9
The Pro and Contra of Tape Recordingsp. 12
Testing of Process Modelsp. 14
Our Methodological Approachp. 18
Conclusionp. 20
Problems of Metascience and Methodology in Clinical Psychoanalytic Researchp. 21
Additional Remarks Some 30 Years Laterp. 21
Psychoanalysis as Science?p. 35
Hermeneutics and Psychoanalysisp. 36
The Limits of the Hermeneutical Point of Viewp. 40
On the Relationship between the Interpretive Practice of Psychoanalysis and Its Explanatory Theoriesp. 48
General and Historical Interpretationsp. 59
Description, Explanation, and Prognosis in Psychoanalysisp. 72
Circularity and Self-Fulfilling Prophecyp. 85
Summaryp. 96
The Significance of the Case History in Clinical Psychoanalytic Researchp. 99
Freud's Case Histories as a Methodological Paradigmp. 99
From the Case History to the Single Case Studyp. 121
Amalia X: The German Psychoanalytic Specimen Casep. 143
Why Specimen Cases?p. 143
The Patient Amalia Xp. 144
The Psychoanalytic Treatment of Amalia Xp. 150
Amalia X in Cross-Sectionp. 163
Codap. 220
Guided Clinical Judgmentsp. 221
Comparative Psychoanalysis on the Basis of a New Form of Treatment Reportp. 221
Comparative Psychoanalysisp. 221
Introductory Comments to the Audio Recording of Analytic Treatmentsp. 223
Two Sessions of the Case of Amaliap. 224
Discussionp. 234
Emotional Insightp. 238
Introductionp. 238
Method: The Rating Procedurep. 240
Empirical Investigationsp. 243
Discussionp. 244
Changes in Self-Esteemp. 245
Self-Esteem as a Concept in Treatment Researchp. 245
Case Description and Hypothesesp. 247
Sample and Methodp. 250
Results and Discussionp. 252
Theoretical Considerationsp. 254
Suffering from Oneself and from Othersp. 256
Theoretical Remarksp. 256
Methodsp. 258
Resultsp. 259
Qualitative Results and Discussionp. 263
Dream Series Analysis as Process Toolp. 266
Dream Series in Clinical Practice and in Researchp. 266
Theoretical Modelp. 267
Results of the First Studyp. 269
Method: Theory-Guided Complex Ratings and Hypothesisp. 271
Description of the Materialp. 272
Resultsp. 273
Discussion and Summaryp. 277
Studying the Core Conflictual Relationship Theme (CCRT)p. 278
Introductionp. 278
Current Status of Research and Aim of the Studyp. 279
Clinical Notesp. 279
The CCRT Methodp. 280
Sample and Statisticsp. 281
Resultsp. 282
Discussionp. 294
The Unconscious Planp. 297
Introductionp. 297
The Control-Mastery Theoryp. 297
The Plan Formulation Methodp. 298
Results of Empirical Research Using the Plan Formulation Methodp. 300
Plan Formulation of Amalia Xp. 301
Results of the Reliability Testp. 302
Structuring of the Items by Contentp. 302
Plan Formulation for Amaliap. 303
Comparison with a Different Psychoanalytic Case Conceptionp. 305
Discussionp. 309
The Reaction to Breaks as an Indicator of Changep. 312
Loss-Separation Modelp. 312
Material and Methodp. 314
Resultsp. 316
Discussionp. 323
The Psychotherapy Process Q-Sortp. 326
Introductionp. 326
Data and Methodologyp. 327
Resultsp. 328
Discussionp. 330
Linguistic Studiesp. 333
Introductory Remarksp. 333
The Ulm Textbankp. 341
Introductionp. 341
Methodsp. 343
Verbal Activity in the Psychoanalytic Dialoguep. 352
Therapeutic Dialoguesp. 352
How Much Talking Do Amalia X and Her Analyst Do?p. 353
Discussionp. 354
The Emotional Vocabularyp. 355
Vocabulary Analysesp. 355
Affective Dictionary Ulm (ADU)p. 357
Analysis of the Text Corpus of Amalia X: Qualitative Analysis by Examplesp. 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 Corpusp. 366
Codap. 368
The Characteristic Vocabulary of an Analystp. 369
Introductionp. 369
An Analyst's Characteristic Vocabularyp. 371
Discussionp. 374
Emotional and Cognitive Regulation in the Psychoanalytical Process: A Microanalytical Studyp. 375
The Therapeutic Cycles Modelp. 375
Example from Session 152 of Amalia Xp. 376
Discussion and Conclusionsp. 382
Attachment and Lossp. 383
Introductionp. 383
The Adult Attachment Interview with Amalia Xp. 385
A Summary and Implications of Research for Psychoanalytic Practicep. 391
Introductionp. 391
Implications for Psychoanalytic Practicep. 400
Conclusionp. 402
Referencesp. 405
Indexp. 459
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