Abstract
Of recent, there is a growing trend towards an eclecticism that leads to the use of interventions based upon an amalgam of techniques and naive assumptions about the curative power of relationships. As an alternative, the author reviews recent psychoanalytic studies that provide an in-depth understanding of developmental and interactional clinical processes. He concludes that for many of our clients supportive approaches are not helpful since they fail to deal with the internalized pathology that impedes growth. Case material is provided to illustrate that the appropriate management of the therapeutic situation provides an opportunity for meaningful structural change.
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