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Spezzano, C. (1998). The Triangle of Clinical Judgment. J. Amer. Psychoanal. Assn., 46(2):365-388.

(1998). Journal of the American Psychoanalytic Association, 46(2):365-388

The Triangle of Clinical Judgment

Charles Spezzano

There are always third elements intersecting the analytic pair. One such element is the analytic community. The analyst is therefore never in a dyadic relationship with the patient, but always in a triangle. In relation to the patient, the analyst will be concerned with useful practices. In relation to the analytic community, the analyst will be concerned with consensually approved principles. This tension is constant in analytic work and in the analytic literature.

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