title: An alternative conception of termination and follow-up.
abstract: Traditional psychoanalytic theory prescribes total patient-analyst separation after termination to facilitate mourning the loss of the analyst. This paper provides a rationale derived from contemporary (especially relational/interpersonal) theory for an alternative conception of termination and follow-up based on the central role of the analyst as a real person involved in a mutually caring patient-analyst relationship. Patient-analyst follow-up may provide numerous positive benefits: The patient may reexperience the analyst's caring, may reinvigorate helpful introjections of the analyst, and may have additional opportunity to deal with unresolved idealization of the analyst. The analyst may learn about the patient's unpredictable, inevitable post-termination changes, positive and negative, and improve his or her understanding of the course and outcome of treatment.
authors: Columbia University Psychoanalytic Center for Training and Research, New York, NY 10023, USA. Jschachter2@nyc.rr.com
authors: Joseph
authors: J
authors: Schachter
authors: Horst
authors: H
authors: Kächele
mesh_terms: D000328:Adult; D000359:Aftercare / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006117:Grief; D006801:Humans; D007062:Identification, Psychological; D008134:Long-Term Care / Q000523:psychology; D008297:Male; D011369:Professional-Patient Relations; D011574:Psychoanalytic Theory; D011575:Psychoanalytic Therapy / Q000379:methods*; D013811:Psychotherapeutic Processes