Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
Tip: To see definitions for highlighted words…

PEP-Web Tip of the Day

Some important words in PEP Web articles are highlighted when you place your mouse pointer over them. Clicking on the words will display a definition from a psychoanalytic dictionary in a small window.

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

Caston, J. (1993). Can Analysts Agree? the Problems of Consensus and the Psychoanalytic Mannequin: I. a Proposed Solution. J. Amer. Psychoanal. Assn., 41:493-511.

(1993). Journal of the American Psychoanalytic Association, 41:493-511

Can Analysts Agree? the Problems of Consensus and the Psychoanalytic Mannequin: I. a Proposed Solution

Joseph Caston, M.D.


Psychoanalysis, plagued by lack of demonstrable consensus on clinical formulations, is as much endangered by overinflated agreement from stereotypical dynamic formulas: tests of psychoanalytic hypotheses derived from any such formulations may therefore rest on questionable foundations. The problems that give rise to artifactual overagreement or failure to reach agreement are here traced in earlier empirical psychoanalytic research.

Review reveals that although new and inventive empirical strategies (applied in the last two decades) achieve adequate success in the area of agreement, they demonstrate little headway in ruling out that stereotypy may underlie such consensus. The present investigation offers a solution for testing agreement in complex clinical psychoanalytic propositions, in a way that sets up a "test of the mannequin": that is, whether stereotypical assumptions about the patient's dynamics are overridden (revised) by the specific character of a given patient's narrative.

The mannequin concept introduces a new and epistemically crucial consideration in the making of psychodynamic formulations and is relevant to both empirically controlled and clinical contexts of observation and formulation. No psychoanalytic paradigm, whether classically ego-psychological, self-psychological, control-mastery, or object-relational, escapes this problem.

[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 © 2019, 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.