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Kavaler-Adler, S. (2005). The Case of David: On the Couch for Sixty Minutes, Nine Years of Once-a-Week Treatment. Am. J. Psychoanal., 65(2):103-134.
    

(2005). American Journal of Psychoanalysis, 65(2):103-134

The Case of David: On the Couch for Sixty Minutes, Nine Years of Once-a-Week Treatment

Susan Kavaler-Adler, Ph.D., ABPP

This paper illustrates a unique case of object relations psychoanalytic psychotherapy on a once-a-week treatment basis. The work of developmental mourning that would be thought to require two to five sessions a week was accomplished on a once-a-week basis. The analyst adjusted the treatment hour, in this one case, to 60 minutes, as opposed to the 45nnnnnnndash; or 50-minute hour. When treatment began, the analyst made an intuitive judgment to increase the patient's one session a week—which the patient made clear was all he was ready to do—to 60 minutes. The analyst made time in her practice for this 60-minute session and has continued with the patient using this format for 9 years of treatment. This had led up to the current stage of treatment, which has been so critical to the patient's self-integration process.

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