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A study of 36 psychoanalyses and 41 psychotherapies terminated by candidates at the Center for Psychoanalytic Training and Research of Columbia University between 1962–1971, is eompared with an earlier (1945–1962) and larger (581 patients) sample which was reported recently in this journal. Data were collected directly from patients, analysts and supervisors in the study reported here.
The major findings of the earlier paper were all confirmed by this study. The large majority of cases were judged 'much improved' or 'improved' overall, and according to their circumstances of termination. Patients in psychoanalysis did better than those in psychotherapy. Half of the patients whose analyses terminated after their analysts completed training were rated as having developed an analytic process. Reflecting the selection procedures employed, psychoanalytic patients were again rated initially as functioning at higher levels than psychotherapy patients. In spite of new data directly obtained from candidates and supervisors, once again the degree of therapeutic benefit or analysability could not be predicted from the information available at initial assessment. Treatment length was again associated with outcome among analytic patients, but measures relating to the candidate's ability were not.