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Self Creation by Frank Summers

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1 Potential Space in Psychoanalytic Therapy

"I know that, Doctor, but it doesn't change anything!"These words, or similar ones, are the dreaded but all-too-frequently-heard expressions of patient frustration with the inability to translate understanding into sought-after shifts in behavior. Freud's (1914) response to this problem was his concept of "working through," the repetition of the insight until gradually the desired changes come about over time. However, because Freud never developed this concept beyond repeated insight with time (Mitchell, 1997), it did not become an additional clinical strategy. Consequently, Freud's concept of working through was little more than an acknowledgment that therapeutic effect requires time and repetition ...

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