Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
Tip: To refine your search with the author’s first initial…

PEP-Web Tip of the Day

If you get a large number of results after searching for an article by a specific author, you can refine your search by adding the author’s first initial. For example, try writing “Freud, S.” in the Author box of the Search Tool.

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

Goldberg, S.H. (1994). The Evolution of Patients' Theories of Pathogenesis. Psychoanal Q., 63:54-83.

(1994). Psychoanalytic Quarterly, 63:54-83

The Evolution of Patients' Theories of Pathogenesis

Steven H. Goldberg, M.D.


The author views the patient's theory of pathogenesis as a compromise formation to which both patient and analyst contribute in important ways. Unlike conventional autobiography or case histories, the patient's theory of pathogenesis is an ever-evolving product of the analytic collaboration that is subject to ongoing analysis and self-inquiry. Like any explanatory theory, it both opens and constrains interpretive possibilities. The collaborative attempt to arrive at the best possible explanatory narratives entails both uncovering and joint construction. Explanatory efforts that are anchored in consensually agreed-upon present experiences of resistances and transferences are more closely related to therapeutic action and are more likely to be verifiable than explanatory theories tied to distant past events. The open-ended nature of the life historical and explanatory narratives leads to an emphasis on continued self-analytic activities after termination.

[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 © 2021, 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.