Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
Tip: To download the bibliographic list of all PEP-Web content…

PEP-Web Tip of the Day

Did you know that you can download a bibliography of all content available on PEP Web to import to Endnote, Refer, or other bibliography manager? Just click on the link found at the bottom of the webpage. You can import into any UTF-8 (Unicode) compatible software which can import data in “Refer” format. You can get a free trial of one such program, Endnote, by clicking here.

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Martinez, D. (1989). Pains and Gains: A Study of Forced Terminations. J. Amer. Psychoanal. Assn., 37:89-115.

(1989). Journal of the American Psychoanalytic Association, 37:89-115

Pains and Gains: A Study of Forced Terminations

Diane Martinez, M.D.


The forced termination of psychoanalysis, such as occurs when the analyst makes a geographic move, uniquely disrupts the analytic setting. This paper recounts the author's experience of terminating a full-time private practice of psychoanalysis and psychoanalytic therapy for such a move. The limited literature on the subject is reviewed with a focus on the use of technical variation in the forced termination situation. The author delineates three areas of interaction with patients where technical variation proved in her experience to be of value: dealing with countertransference and counter-reaction, providing information about the move, and the consideration and process of referral for continued therapy. As opposed to what would be predicted from a classical psychoanalytic perspective, the use of such technical maneuvers seemed to facilitate rather than impede analytic work. These variations in technique served at crucial times to maintain the analytic alliance, to preserve the patient's capacity to recognize and make use of transference, and to provide avenues for resolving past traumas in the transference and the actual loss of the analyst. The concept of the analyst as a new or useable object is proposed as providing a theoretical framework for understanding these observations.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2020, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.