MODES OF CURE IN PSYCHOANALYSIS AND PSYCH OANALYTIC PSYCHOTHERAPY

Three therapeutic modalities are defined in terms of the analyst's lev el of listening, formulating, intervening, validating, and relating. T hese are identified as working with (a) manifest contents, (b) Type On e derivatives (isolated inferences from the patient's material), and ( c) Type Two derivatives (material organized around the prevailing prec ipitant or adaptive context - as a rule, the analyst's attitude and in terventions). The curative factors in the first two modes of therapy a re conceptualized as barrier systems designed to seal off the most per tinent and chaotic truths within both patient and analyst. The curativ e elements in the third mode is seen in terms of dynamically truthful realizations providing access to the most compelling actualities, both conscious and unconscious, within the ongoing, spiralling communicati ve interaction between patient and analyst. The development of these i deas are traced out, the necessary concepts defined, and illustrations are drawn from the literature and discussed. The implications of thes e proposals are then considered.