The American Journal of Psychoanalysis

, Volume 66, Issue 4, pp 381–390

An Analyst’s Experience Working In A Skilled Nursing Facility: A Case Study


DOI: 10.1007/s11231-006-9030-6

Cite this article as:
Ollech, D. Am J Psychoanal (2006) 66: 381. doi:10.1007/s11231-006-9030-6


With the closing of long-term psychiatric facilities, no alternative social institution has arisen to treat those persons whose chronic mental illness makes self-care impossible. This paper explores the typical paths to placement in a skilled nursing facility or nursing home and the author’s experience in working with this population using the principles and techniques of interpersonal psychoanalysis. She presents several case examples and explicates both the analyst’s and the patient’s transference. The author discusses the difficulties inherent in creating an analytic space in such a setting and working outside of the usual psychoanalytic frame.


interpersonal psychoanalysisskilled nursing facilitycase study

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  1. 1.William Alanson White InstituteNew YorkUSA