Abstract
This paper addresses the difficulties in developing and maintaining the therapeutic alliance with a patient who regularly sought consultations with other therapists during the initial phase of treatment. Separation individuation theory illuminated her approach-avoidance behavior as enacted inside and outside the treatment room; a behavior reminiscent of the ambitendent toddler of the rapprochment subphase of development. Separation-individuation theory aided the therapist in the management of her countertransference, thus avoiding the undermining of the tentative treatment alliance.
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References
Blanck G. & Blanck, R. (1979).Ego psychology II: Psychoanalytic developmental psychology. New York: Columbia University Press.
Mahler, M., Pine, F. & Bergman, A. (1975).The psychological birth of human infant. New York: Basic Books.
Sandler, J. (1960). The background of safety.International Journal of Psychoanalysis, 41, 352–356.
Winnicott, D.W. (1965).The maturational processes and the facilitating environment. New York: International Universities Press.
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Pierce, M. Maintaining the therapeutic alliance with Ms. T. in the initial phase of treatment. Clin Soc Work J 15, 334–341 (1987). https://doi.org/10.1007/BF00752969
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DOI: https://doi.org/10.1007/BF00752969