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Waldron, S. Scharf, R.D. Hurst, D. Firestein, S.K. Burton, A. (2004). What happens in a psychoanalysis: A view through the lens of the analytic process scales (APS). Int. J. Psycho-Anal., 85(2):443-466.

(2004). International Journal of Psycho-Analysis, 85(2):443-466

What happens in a psychoanalysis: A view through the lens of the analytic process scales (APS)

Sherwood Waldron , Robert D. Scharf, David Hurst, Stephen K. Firestein and Anna Burton

A group ofexperienced analysts has developed scales and a coding manual illustrated with clinical examples to evaluate recorded analyses and psych dynamic therapies. The analytic process scales (APS) assesses three dimensions: (1) the contribution of the analyst: helping to develop a relationship in which the analyst can provide clarification and interpretation of transference and resistance; (2) the contribution of the patient: the communication of experience and the expression of feeling in ways which provide information about needs, wishes and conflicts, accompanied by self-reflection; and (3) interactional characteristics of the emerging relationship, explored by studying sessions divided into psychoanalytically coherent segments. A preliminary study of nine sessions has established that the variables assessed by the APS can be rated reliably. Study of the analysts' contributions illuminated their varied and complex structure. Important differences emerged among the three patien-analyst pairs studied, andchanges in scores over time tracked developments in the analytic work which would imply different treatment outcomes. The APS appears to be a reliable tool facilitating the systematic study of psychoanalyses.

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