Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
Tip: To see papers related to the one you are viewing…

PEP-Web Tip of the Day

When there are articles or videos related to the one you are viewing, you will see a related papers icon next to the title, like this: RelatedPapers32Final3For example:


Click on it and you will see a bibliographic list of papers that are related (including the current one). Related papers may be papers which are commentaries, responses to commentaries, erratum, and videos discussing the paper. Since they are not part of the original source material, they are added by PEP editorial staff, and may not be marked as such in every possible case.


For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Gross, J. Hallerman, B. Brodie, J. (1995). Impasses and Ruptures in Therapy: The Role of a Consultant Presenter: Sue Nathanson Elkind, Ph.D. Moderator: Joyce Lerner, C.S.W. October 27, 1994. Am. J. Psychoanal., 55(2):179-180.

(1995). American Journal of Psychoanalysis, 55(2):179-180

Scientific Meetings of the Association for the Advancement of Psychoanalysis

Impasses and Ruptures in Therapy: The Role of a Consultant Presenter: Sue Nathanson Elkind, Ph.D. Moderator: Joyce Lerner, C.S.W. October 27, 1994

Edited by:
Joan Gross, CSW, Betsy Hallerman, CSW

Janis Brodie, CSW

In a manner of presentation less formal than frequently seen in this forum, Sue Nathanson Elkind presented “Resolving Impasses in Therapeutic Situations,” a chapter from a forthcoming book on supervision, as well as material from her current consultation practice. Her controversial subject, the utilization of consultant, was a dramatic departure for most of the audience.

According to Elkind, the tools available to most of us for resolving impasses in treatment are quite limited and almost never involve direct intervention by a third party. In her role as consultant, Elkind stresses that she is careful not to intrude upon the therapeutic relationship, and remains a respectful distance from it, yet is available to both therapist and patient for feedback.

Since there exists no model for this work, Elkind relies on the current relationship between patient and therapist, as well as on the entrenched historical material. In her consultations, Elkind attempts to create a safe holding environment in which primary vulnerability and the quality of the relational mode, including their transference and countertransference implications, can be revealed. Once uncovered, further options become available to both patient and therapist. These include a referral to another therapist, continuing to work through the impasse with the present therapist, or on some occasions, the postponement of legal action. Although what makes for success in the process of working through a seemingly unbreachable impasse is not entirely known, Elkind, in her current explorations, has found that both patient and therapist report feeling an immeasurable amount of relief through the understanding, validation, and empowerment that result from her consultations.

Elkind's topic generated heated discussion. Many in the audience voiced their appreciation that the issue of impasse and ruptured therapeutic relationship is acknowledged by the author as a two-party responsibility.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2020, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.