Abstract
The crisis of psychoanalytic theory, which was the central topic of Chap.1 of the companion volume on the principles of psychoanalytic practice, has inevitably had some effects on psychoanalytic technique. In the last decade it has also become apparent that the perspectives of psychoanalytic therapy rooted in interpersonal theories have caused many concepts relevant to psychoanalytic practice to be reevaluated. It is now essential to distinguish between, on the one hand, the theory of the genesis or the explanation of psychic and psychosomatic illnesses and, on the other, the theory of therapeutic change and how it is brought about. Of course, all assumptions about structural changes depend on the observation of variations and alterations of symptoms.
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