NYMC Faculty Publications

The Therapeutic Relationship: Intrapsychic and Behavioral Changes in Both Patient and Analyst

Author Type(s)

Faculty

DOI

10.1521/pdps.2023.51.1.63

Journal Title

Psychodynamic Psychiatry

First Page

63

Last Page

75

Document Type

Article

Publication Date

3-1-2023

Department

Psychiatry and Behavioral Sciences

Abstract

This article explores how the therapeutic relationship facilitates intrapsychic and behavioral changes in both the patient and the analyst. Key elements of the therapeutic relationship are reviewed, including transference, countertransference, introjective and projective identification, as well as the "real relationship." Special attention is paid to the "transformative relationship," which is a special kind of bond that develops between analyst and patient that is unique and transformative. It consists of mutual respect, emotional intimacy, trust, understanding, and affection. Empathic attunement is a key element in the evolution of a transformative relationship. This attunement optimally promotes intrapsychic and behavioral changes in both the patient and the analyst. This process is illustrated by a case presentation.

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