Can there be an analytic practice of a non-analytic therapy?

Abstract

This paper explores the dilemma faced by many current analytic practitioners, particularly in the National Health Service. With the elevation of the idea of ‘evidence-based practice’ as the increasingly dominant mode of discourse, is it better to try to preserve one's analytic identity and practice by keeping to the psychodynamic model, or is there a case for seeking accommodation with other therapies, even if they are non-analytic? This paper describes the author's experience in pursuing the latter course, in learning a form of therapy called Interpersonal Psychotherapy. The author describes a piece of work using Interpersonal Psychotherapy, and then attempts to give a psychoanalytically informed reading of the same material. The aim is to suggest that although a perfectly adequate account can be given of this clinical work in terms of Interpersonal Psychotherapy, the therapeutic process can also be understood in terms of movements in the transference and in the patient's intra-psychic world. It is finally suggested that adding a psychoanalytic dimension to such a non-analytic therapy may enrich one's practice not only of these other therapies but also of analytic therapy itself.