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Schlessinger, N. Robbins, F.P. (1975). The Psychoanalytic Process: Recurrent Patterns of Conflict and Changes in Ego Functions. J. Amer. Psychoanal. Assn., 23:761-782.

(1975). Journal of the American Psychoanalytic Association, 23:761-782

The Psychoanalytic Process: Recurrent Patterns of Conflict and Changes in Ego Functions

Nathan Schlessinger, M.D. and Fred P. Robbins, M.D.

IT IS OUR INTENT TO CONSIDER the nature of the analytic process in the light of assessment and follow-up studies, with a particular focus on intrapsychic conflict and its resolution. We shall first describe our position with regard to clinical theory and then present a case study of a successful analysis and its follow-up to illustrate our findings in an ongoing research and permit some elucidation of our current hypothesis.

Follow-up studies by Pfeffer (1959), (1961), (1963), Norman (Panel, 1973b), and ourselves (1974) have demonstrated the interesting finding that a repetition of the analytic process in miniature occurs in the course of a few interviews. Such studies provide an avenue of approach for the review of phenomena of the analytic process within an analytic frame of reference, by a follow-up analyst other than the treating analyst.

In studying the psychoanalytic process, French (1958) described recurrent psychodynamic cycles, explaining them as based on the persistence and repetitiveness of integrative patterns as conflicts are activated. He wrote, "From the point of view of the integrative mechanism as a whole we can distinguish two kinds of problems.

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