On Choosing a Guiding Theory for Treatment in a Pluralistic Psychoanalytic World: My Personal Journey

P. Ornstein
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Abstract

This article is a reflection on the evolution of my becoming a self psychologist–psychoanalyst and the personal and professional factors that may have been responsible for this choice. I indicate that life experiences, supervision of control cases, and one’s Weltanschaung deeply affect this choice even when one is not fully conscious of them. Included among the factors affecting the choice is one’s personal analysis. I describe two clinical vignettes to illustrate this point. In my search, I was primarily motivated to find a psychoanalytic theory that could improve the therapeutic impact on all forms of psychoanalytic treatment modalities: brief-focal, long-term psychotherapy, and psychoanalysis—treatment modalities, which, in my view, constitute a continuum.
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在多元化的精神分析世界中选择治疗指导理论:我的个人旅程
这篇文章是对我成为一名自我心理学家和精神分析学家的过程的反思,以及可能导致我做出这一选择的个人和职业因素。我指出,即使一个人没有完全意识到这一点,生活经历、对对照案例的监督和一个人的世界观也会深刻地影响这种选择。影响选择的因素包括个人的分析。我描述了两个临床小插曲来说明这一点。在我的研究中,我的主要动机是找到一种精神分析理论,它可以提高对所有形式的精神分析治疗模式的治疗效果:短期焦点,长期心理治疗和精神分析治疗模式,在我看来,它们构成了一个连续体。
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