The author, an American-trained psychoanalyst, currently a member of a
theoretically heterogeneous European psychoanalytic society, reflects
on his experiences with the different types of analysis practised in
continental Europe and in the United States. Sharing some 'common grou
nd' assumptions does not mean that analysts worldwide use comparable c
linical methodology. Practitioners from disparate schools differ not o
nly in their metatheoretical frameworks, but also in their theories of
technique. Differences in clinical methods affect the scientific qual
ity of clinical researches and, probably, influence therapeutic outcom
e. The lack of commonality in psychoanalytic methods often seems relat
ed to the disparate uses of logical fallacies in clinical reasoning; t
his, in turn, may be a consequence of socio-historical determinants. S
everal discussions of one clinical presentation are supplied as an ill
ustration. It is suggested that efforts be made to further examine the
relative validity of disparate inference-making models, and the pract
ical results of applying different clinical methods.