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In this article I describe an approach to brief psychoanalytic treatment that is consistent with many of the key principles of the relational tradition. In this approach the treatment process is conceptualized as an ongoing cycle of therapeutic enactment, disembedding, and understanding, enactment and disembedding. Particular emphasis is placed on the use of countertransference disclosure for purposes of facilitating the collaborative exploration of relational scenarios that are being unwittingly enacted between patient and therapist. The influence of the brief time frame on the treatment process is explored and differences between the current approach and other approaches to brief psychoanalytic treatment are examined. A case is presented to illustrate the approach, and a number of questions are explored regarding the nature of change in short-versus long-term treatments.
In this article I. Reply to commentaries on my paper, >Brief Relational Psychoanalytic Treatment.< The discussants have raised a number of thoughtful and discerning questions that provide me with an opportunity to clarify some of the major points in my original article and to elaborate on certain issues in greater depth. Some of the key questions addressed in my. Reply are: (1) How is the tension between the emphasis on openness and receptivity and the time-limited nature of treatment negotiated in Brief Relational Psychoanalytic Treatment? (2) To what extent does an emphasis on openness and receptivity interfere with the process of establishing a productive focus? (3) How does one resolve the tension between the desire for change and the need for acceptance? (4) What are the therapeutic implications of regarding the mind as embodied and what roles do emotion and bodily felt experience play in the change process? In addition, I take up the question of whether or not adhering to a constructivist epistemology is incompatible with conducting and valuing psychotherapy research.