Abstract

This article describes the special circumstances involved in a psychoanalytically oriented treatment o f antisocial adolescents, and discusses how to establish an effective treatment alliance with a rejecting and distrustful patient category. To establish this alliance, it is important to analyze the patient's resistance and the therapist's countertransference. This article presents an argument that classic psychoanalytic psychotherapy should be revised for this patient category, especially the traditional position of therapeutic neutrality. In certain situations the therapist should stop being neutral and introduce personal material. These questions are discussed and selected sequences from therapeutic sessions provide concrete illustrations.

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