Document Detail


Anticipatory interpretations: addressing "cautionary tales" and the problem of premature termination.
MedLine Citation:
PMID:  15262614     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article explores the use of anticipatory interpretations early in the therapeutic process as a means of addressing the problem of premature termination with some patients. The author argues that emerging transference references, detected through a close attention to "cautionary tales" or derivative communications, should be used in early interpretive interventions. It is suggested that such transference references form a "template of intention" that help determine future difficulties in the therapeutic alliance. Being able to communicate these observations in a future-orientated way lays the groundwork for "thinking about" actions that threaten the therapeutic alliance when they occur, in turn curtailing the possibility of acting out through termination. The author uses two case examples to illustrate his observations and goes on to suggest that anticipatory interpretations involve: (1) isolating derivatives and underlying anxieties, (2) future-orientated transference references, and (3) an affirmation of difficulty.
Authors:
Duncan Cartwright
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Bulletin of the Menninger Clinic     Volume:  68     ISSN:  0025-9284     ISO Abbreviation:  Bull Menninger Clin     Publication Date:  2004  
Date Detail:
Created Date:  2004-07-20     Completed Date:  2004-08-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7507032     Medline TA:  Bull Menninger Clin     Country:  United States    
Other Details:
Languages:  eng     Pagination:  95-114     Citation Subset:  IM    
Affiliation:
University of Durban-Westville, Durban, South Africa. duncanc@webone.com.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Anxiety / therapy*
Attitude to Health*
Female
Humans
Male
Patient Dropouts*
Psychoanalytic Therapy / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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