Creating analysts, creating analytic patients

Abstract

This paper applies a contemporary, ‘two‐track’– transformational as well as archaeological – perspective on psychoanalytic process to clinical issues in the creation of analytic patients: case finding, recommending analysis, and recommending and negotiating the intensification of frequency of sessions in analytic psychotherapy. Central importance is assigned to the role of the mind and analytic identity of the analyst, including the analyst’s capacity to maintain an internal analytic frame and analyzing attitude from the very first contact with the patient and throughout the treatment, the analyst’s confidence in and conviction about the usefulness of analysis for a given analytic dyad and the role of the analyst’s theory, which must be broad and consistent enough to allow the analyst to feel that he or she is operating analytically when addressing non‐neurotic (unrepresented and weakly represented mental states) as well as neurotic structures.