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Cogan, R. (2007). Therapeutic Aims and Outcomes of Psychoanalysiss. Psychoanal. Psychol., 24(2):193-207.

(2007). Psychoanalytic Psychology, 24(2):193-207


Therapeutic Aims and Outcomes of Psychoanalysiss

Rosemary Cogan, Ph.D.

Psychoanalysts described real and ideal patients ending psychoanalysis with a Q-sort measure, the Shedler-Westen Assessment Procedure-200 (SWAP-200). Of 25 descriptions of patients ending analysis with mutual agreement between patient and analyst, 17 described patients ending psychoanalysis with and 8 described patients ending psychoanalysis without maximum benefit. A third group of 22 psychoanalysts described their ideal prototype of a patient at the end of analysis, providing a perspective on positive mental health. Analyses with maximum benefit were longer than those without maximum benefit (M = 83.0 vs. 52.4 months, p = .05). Patients ending analysis with maximum benefit were seen as happier and more comfortable with others than were patients ending analysis without maximum benefit. With the ideal, the person is able to love and work with contentment.

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