Tussen spreekkamer en samenleving over behoud van psychoanalytisch denken

The societal position of psychoanalysis is chronically insecure. Analogous to an ambivalent-preoccupied attachment pattern, there is currently a response style among practitioners in which psychoanalysis is entangled in a sweeping social adjustment that has a reductive effect on its content. However, analogous in turn to an avoidant-dismissive pattern of attachment, there is also a tendency to idealize and isolate psychoanalysis, which marginalizes it. The socio-dynamics of reductive adaptation and marginalizing idealization is a burden to the substantive professional debate on the relation between psychoanalysis and psychoanalytic psychotherapy and on what works for whom.
The author presumes that autonomous psychoanalytic thinking about the capacities and
limitations of psychoanalysis and psychoanalytic psychotherapy is best preserved at the micro-level of the interaction between a patient and a therapist in the reflective space of the
consulting room. He supports this postulate with a case study of a treatment consisting of
psychoanalysis as well as psychoanalytic psychotherapy. For this purpose, he interviewed
a patient and the therapist after the completion of treatment following the procedure of
a Patient-Therapist Adult Attachment Interview (pt-aai).