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Strachey, J. (1934). The Nature of the Therapeutic Action of Psycho-Analysis. Int. J. Psycho-Anal., 15:127-159.

(1934). International Journal of Psycho-Analysis, 15:127-159

The Nature of the Therapeutic Action of Psycho-Analysis Language Translation

James Strachey

SUMMARY

I will end by summarizing the four main points of the hypothesis I have put forward:

1. The final result of psycho-analytic therapy is to enable the neurotic patient's whole mental organization, which is held in check at an infantile stage of development, to continue its progress towards a normal adult state.

2. The principal effective alteration consists in a profound qualitative modification of the patient's super-ego, from which the other alterations follow in the main automatically.

3. This modification of the patient's super-ego is brought about in a series of innumerable small steps by the agency of mutative interpretations, which are effected by the analyst in virtue of his position as object of the patient's id-impulses and as auxiliary super-ego.

4. The fact that the mutative interpretation is the ultimate operative factor in the therapeutic action of psycho-analysis does not imply the exclusion of many other procedures (such as suggestion, reassurance, abreaction, etc.) as elements in the treatment of any particular patient.

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