By Lesley Murdin

How a lot is adequate? addresses this crucial query, taking a look at the explanations why remedy can pass on for too lengthy or can come to a destructively untimely finishing, and providing suggestion on the best way to stay away from both, with a well timed end. utilizing brilliant examples and sensible directions, Lesley Murdin examines the theoretical, technical and moral elements of endings. She emphasises that it's not in simple terms the sufferer who must switch if one is to accomplish a passable final result. The therapist needs to observe the adjustments in him/herself that are had to let an finishing in psychotherapy. How a lot is adequate? is a distinct contribution to healing literature, and should end up valuable to scholars and pros alike.

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This formality does not prevent powerful and passionate emotions from arising, but it does perhaps serve to remind both parties to the work that this is a finite relationship with a limit to it somewhere in time and always a limit to the availability of the therapist. Other formal reminders of limitation are the ends of sessions and the preparations for holidays and breaks when the therapist takes care to make clear that he or she is going away and that although there might be concern for the patient, it will not stop the therapist from leading his or her own life.

Even when the therapist’s power is great, the patient’s own defences may be greater, but a resolution as negotiation or redistribution may be essential. When Sandor Ferenczi persuaded Freud to take him into analysis, he had only three periods lasting a matter of weeks in each case, between 1914 and 1916. Ferenczi had been called up to serve in the army and was able to come for sessions only when he was on leave. For this reason, he had several periods of intensive therapy; at one time he attended for three hours per day.

They must ‘free associate’; then it would seem they develop feelings for the person in front of whom they have so abased themselves. The intensity of the feeling so generated appears to confirm the validity both of the theoretical and the specific insights attained in the course of the therapeutic sessions, thus producing that characteristic blend of strong feeling and sense of cognitive and liberating illumination which defines mystical experience. (In Dryden and Feltham 1992: 52) If Gellner were right, the therapeutic situation itself might be generating all the effects that we observe in therapy.

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