"Postscripts: Reflections on The Post-Termination Phase" with Ruth K. Karush, MD
Discussant: Karen Gilmore, MD
In certain situations, child, adolescent and adult analysands may return to the analyst following termination, either to touch base or to seek further treatment. A patient’s return may enable the analyst to critique not only the long-term outcome of her analytic work, but also the effects of the termination on the patient. These two aspects of the analysis are, of course, inseparable: if the ending of an analytic relationship is not handled with sensitivity, much of what has been accomplished may be undone. Furthermore, the quality of post-termination contact itself may affect the long-term outcome of the analysis. This paper examines the post-termination phase both as a source of insight into the effects of termination and as an opportunity to continue helping the patient negotiate new challenges.
Clinical vignettes are used to demonstrate how patients may need to touch base with the analyst or actually return for a period of continued treatment. The process of terminating is crucial in setting the stage for continued self-analysis or for the return to analytic treatment.
New York Psychoanalytic Society & Institute
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