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Journal of the American Psychoanalytic Association
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How Can We Know What We Need To Know? Reflections On Clinical Judgment Formation

Cordelia Schmidt-Hellerau

246 Eliot Street Chestnut Hill, MA 02467, drfredbusch{at}comcast.net

Fred Busch

246 Eliot Street Chestnut Hill, MA 02467, drcshpd{at}comcast.net

What distinguishes a psychoanalyst from any other psychologically minded, empathic human being? This seemingly simple question goes to the heart of our profession, the way we see ourselves as competent clinicians. To understand a patient`s material beyond ordinary empathy—that is, to come to a clinical judgment—we need to step out of the dyadic, countertransference situation and reflect what we've experienced in reference to our clinical theories. An analytic vignette shows how a theoretical background can be used to understand and interpret to a patient in a way that is deeply meaningful.

Journal of the American Psychoanalytic Association, Vol. 52, No. 3, 689-707 (2004)
DOI: 10.1177/00030651040520030201


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