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The Case of David: on the Couch for Sixty Minutes,Nine Years of Once-a-week Treatment
Authors:Susan?Kavaler-Adler  author-information"  >  author-information__contact u-icon-before"  >  mailto:SUSKA@aol.com"   title="  SUSKA@aol.com"   itemprop="  email"   data-track="  click"   data-track-action="  Email author"   data-track-label="  "  >Email author
Affiliation:Object Relations Institute for Psychotherapy and Psychoanalysis, USA, SUSKA674@aol.com
Abstract:This paper illustrates a unique case of object relations psychoanalytic psychotherapy on a once-a-week treatment basis. The work of developmental mourning that would be thought to require two to five sessions a week was accomplished on a once-a-week basis. The analyst adjusted the treatment hour, in this one case, to 60 minutes, as opposed to the 45- or 50-minute hour. When treatment began, the analyst made an intuitive judgment to increase the patient's one session a week--which the patient made clear was all he was ready to do--to 60 minutes. The analyst made time in her practice for this 60-minute session and has continued with the patient using this format for 9 years of treatment. This had led up to the current stage of treatment, which has been so critical to the patient's self-integration process.
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