Session Frequency or Working Model? An Investigation into How We Can Think of the Difference Between ‘Intensive’ and ‘Non-Intensive’ Work Using the Comparative Clinical Method

IF 0.5 Q4 PSYCHIATRY British Journal of Psychotherapy Pub Date : 2024-07-28 DOI:10.1111/bjp.12916
Laurence Spurling, Jan McGregor Hepburn, Ronald Doctor
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Abstract

This is an exploratory account of an applied clinical method, the Comparative Clinical Method, used to address a specific question: how can we best think of the difference between intensive and non-intensive analytic work? Normally, it is session frequency that is taken as a determining difference, as a marker of a different approach or method being employed. In our investigation, which consisted of the three authors presenting examples of their clinical work to each other, we did not find the intensive and non-intensive work of each author to demonstrate clear and easily defined differences in method or technique. Instead, we found more evidence of each author adopting a coherent and consistent approach, based on an underlying and implicit working model, across their intensive and non-intensive work. We conclude from this that the differences between intensive and non-intensive work are best explored by encouraging more conceptually rigorous and clinically specific descriptions of the different kinds of analytic assumptions and methods employed in ordinary analytic clinical work.

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疗程频率还是工作模式?使用临床比较法研究如何看待 "强化 "和 "非强化 "工作之间的区别
这是对一种应用临床方法--比较临床方法--的探索性论述,用于解决一个具体问题:我们如何才能最好地思考密集型分析工作与非密集型分析工作之间的区别?通常,会话频率被认为是决定性的区别,是所采用的不同方式或方法的标志。在我们的调查中,三位作者相互介绍了他们的临床工作实例,我们并没有发现每位作者的密集型和非密集型工作在方法或技巧上有明显且易于界定的差异。相反,我们发现更多的证据表明,每位作者都采用了一种连贯一致的方法,这种方法基于一种潜在的、隐含的工作模式,贯穿于他们的密集型和非密集型工作中。我们由此得出结论,探讨深入研究与非深入研究之间的差异,最好的办法是鼓励对普通分析性临床工作中采用的不同类型的分析假设和方法进行概念上更严谨、临床上更具体的描述。
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来源期刊
CiteScore
0.90
自引率
50.00%
发文量
91
期刊介绍: The British Journal of Psychotherapy is a journal for psychoanalytic and Jungian-analytic thinkers, with a focus on both innovatory and everyday work on the unconscious in individual, group and institutional practice. As an analytic journal, it has long occupied a unique place in the field of psychotherapy journals with an Editorial Board drawn from a wide range of psychoanalytic, psychoanalytic psychotherapy, psychodynamic, and analytical psychology training organizations. As such, its psychoanalytic frame of reference is wide-ranging and includes all schools of analytic practice. Conscious that many clinicians do not work only in the consulting room, the Journal encourages dialogue between private practice and institutionally based practice. Recognizing that structures and dynamics in each environment differ, the Journal provides a forum for an exploration of their differing potentials and constraints. Mindful of significant change in the wider contemporary context for psychotherapy, and within a changing regulatory framework, the Journal seeks to represent current debate about this context.
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