A discussion paper by Bertram P. Karon, Ph.D. was added to the The Michigan Psychoanalytic Council site today. Here is a description of the file:
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It is traditional for psychoanalytic institutes to have a course in analyzability. The notion is that there are certain patients who are analyzable and certain patients who are not analyzable. In essence, the question is whether the patient is good enough to be analyzed; that is, whether the patient has a high level of ego functioning and object relations, which will make a therapeutic alliance easy to achieve, and a full transference neurosis easy to develop, easily tolerated, and easily resolved. A great deal of thought has gone into what aspects of ego functioning are most relevant and how best to measure them. On the other hand, history shows how vain this search is.
It is the wrong question. The right question is what needs to be done to make this person an analyzable patient.
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