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Sandler, A. (1988). Aspects of the Analysis of a Neurotic Patient. Int. J. Psycho-Anal., 69:317-326.

(1988). International Journal of Psycho-Analysis, 69:317-326

Aspects of the Analysis of a Neurotic Patient

Anne-Marie Sandler

The Programme Committee has asked me to present an account of the analytic treatment of a case of neurosis, and my brief is to indicate how patients 'with most typical indications for standard analysis, that is, with psychoneuroses, change throughout treatment'. At the same time I have been told that this session would be dedicated 'to an exploration of the influence of contemporary developments in technique on the process and outcome of psychoanalytic treatment'. Of course, it is very difficult to say nowadays what standard analysis is, for what is standard for one person may not be standard for another. Moreover, we have each been affected in our own way by developments in technique since Freud. In this presentation I can only give an indication of my own technique, and I shall take the liberty of making some comments on this at the end of the paper. Of course in the account which follows a number of details have been changed to protect the patient's anonymity.

I first saw Mrs D when I was living and working abroad. She had telephoned me, explaining that she and her husband were in the last year of a three-year posting at an international organization. She was 32 and wanted to see me for analytic help because she had been extremely unhappy and anxious for some time. A close friend of hers had been helped by analysis, and she knew that I was returning to London during the following year. If I would take her into analysis we could continue in London. I made an appointment to see her the following week.

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