Losing a father all over again: the termination of an analysis of an adolescent boy suffering from father loss.
Criteria for beginning and conducting the termination phase of psychoanalysis have provoked debate and confusion from the early days of psychoanalysis. Gabbard (2009) has recently pointed to the field's tendency to cling to idealized versions of these criteria as a way to deal with disagreements. The situation becomes more complicated for child and adolescent psychoanalysts because their patients are in the midst of a developmental process at the very time they are engaged in a psychoanalytic process. The termination phase of an adolescent male suffering from father loss is presented in depth in order to provide clinical data toward further consideration of the vexing questions surrounding termination in psychoanalysis. His termination is used to examine the relative importance of losing the analyst as a transference object as against a developmental object; the meaning of action during termination; the complicating role of trauma vis-à-vis termination; and the importance of the post-termination phase of analysis. It is suggested that his termination phase demonstrates that a "good enough" termination involves the development of a self-analyzing capacity that continues to evolve and develop after termination.
San Diego Psychoanalytic Society and Institute, University of California-San Diego, 4180 La Jolla Village Drive, La Jolla, CA 92037, USA. mumford2@cox.net
Alan
A
Sugarman
D000293:Adolescent; D001601:Bereavement; D005220:Fathers; D006801:Humans; D008297:Male; D009769:Object Attachment; D011369:Professional-Patient Relations; D011575:Psychoanalytic Therapy; D014167:Transference, Psychology