The Impossible Ideal: A Patient-Oriented Therapy

Our profession is being challenged theoretically and by practical realities. Many of its basic premises are being questioned and a hostile managed care bureaucracy has been curtailing treatment opportunities. These challenges force a latent issue into full view: Is psychoanalytic wisdom tied to its dogma and technical rituals or can much of its wisdom be integrated into a more inclusive interdisciplinary perspective? Psychoanalysis has a history of resisting change. It defined too early what was and what was not to be considered psychoanalysis. Dogmatization made idols out of theories and the rituals of techniques. Theories are valuable tools only and not scientific truth. While institutes and official sanctions have lacked in open-mindedness, the unofficial practicing psychoanalyst has been far more creative in adapting psychoanalysis to the patient's needs and embracing the freedom to develop his or her idiosyncratic ways, wisdom, and skills. We need to increase our therapeutic repertoire beyond those that carry the label of psychoanalysis. I present some considerations that derive from my experience as a psychoanalytically trained dynamic psychotherapist.

Keywords:

• Patient-ORIENTED
• Open-MINDEDNESS
• Creative
• Dogmatization