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Kächele, H. (2010). Horst Kächele's Response to F. Busch and D. Widlöcher. Int. J. Psycho-Anal., 91(1):55-57.

(2010). International Journal of Psycho-Analysis, 91(1):55-57

Horst Kächele's Response to F. Busch and D. Widlöcher Related Papers Language Translation

Horst Kächele

F. Busch's effort to distinguish psychoanalysis from psychotherapy elaborates that “the goals and treatment outcomes differentiate the two forms of treatment”. He points out that the “methods of working become distinguished based upon these factors”. In his view “the process of knowing is as important as what is known”. It is easy for me to agree that, in relatively successful psychoanalytic treatments, what can be achieved is a way of knowing, and not simply knowing. Whether the parameters of psychotherapy make it unlikely that the psychotherapy patient can reach this goal depends on the way a treatment format is installed. The shorter a treatment the less likely this capacity may develop. The interesting comparison resides in the comparison of long-term psychoanalytic treatments with low and high frequency as the German catamnestic project (Leuzinger-Bohleber et al., 2003) has studied. They found that, in high-frequency patients, the capacity for self-reflection and the internalization of the function of the analyst was more comprehensive, the reflection of what has changed more differentiated and the development of potential resources more creative than in long-term psychoanalytic therapy of low frequency. As these treatments were performed by well-trained analysts we might take home the message from this study that long-term treatments (average of 4 years' treatment in both groups) do achieve similar similar symptomatic outcome, but the more intensive version provides better chances of developing the self-analytic function.

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