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Contributors: Marina Altmann de Litvan, Raquel Andreucci Gomes, Ricardo Bernardi, Beatriz de Leon de Bernardi, Nancy Delprestito, Carolyn Ellman, Mayela Falvy, Margaret Ann Fitzpatrick Hanly, Lilian Fudin de Winograd, Natalia Goungian, Siri Gullestad, Charles Hanly, Mette Hvalstad, Juan Pablo Jimenez, Bernadette Kovach, Marianne Leuzinger-Bohleber, Luisa Perez Suquilvide, Pilar Raffo de Lavalle, Griselda Revella, Andrea Rodriquez Quiroga de Pereira, Bruno Salesio, Patricia Singer, Beth Steinberg, Robert White.
This book presents the continuing work by the IPA Committee on Clinical Observation (Altmann de Litvan 2014) in developing new methods for studying the psychoanalytic process. The observational research uses a specific methodology, the “Three-Level Model” (3-LM), based on psychoanalytic cases presented to small groups in which over 1000 analysts from around the world have participated. The groups focus on changes, or lack of changes, in patients in psychoanalytic treatment and how to account for these phenomena in the analysts’
technical interventions. The book comprises reports of verbatim process material and discussions of these cases by twenty-four contributors from the three regions of the IPA representing diverse theoretical backgrounds. Accounts of the cases are interspersed with discussions by highly respected psychoanalytic clinicians, researchers and epistemologists addressing the questions of the validity and reliability of their hypotheses and more basic epistemological questions. The enormous time and effort put into this endeavour are impressive; equally impressive is the degree of self- scrutiny and care shown by the authors as they present their observations, assumptions and tentative conclusions.
The discussions in the clinical groups follow three steps or levels. For level 1, a psychoanalyst presents verbatim process notes from a long-time treatment taken from the very beginning hours and from two other times later in the analysis. At first,