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A description and clinical research application of the control-mastery theory

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Abstract

An introduction to the key concepts in a new psychoanalytic theory, “control-mastery theory” is offered. The role of the trauma and the resulting development of pathogenic beliefs is emphasized in the etiology of all psychopathology. The clinical interventions therapists can use to help patients disconfirm pathogenic beliefs are described. An empirical study is referred to which demonstrates the power of the theory to predict the patient's immediate reactions to the therapist's termination interpretations (Bush & Gassner 1986).

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References

  • Bush, M. & Gassner, S. (1986). The immediate effects of the analyst's termination intervention on the patient's resistance to termination. In J. Weiss, et al.,The psychoanalytic process: theory, clinical observation and empirical research. New York: Guilford Press, 299–320.

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  • Freud, S. (1926).Inhibitions, symptoms and anxiety.Standard edition. London: Hogarth Press, Vol. 20, 77–175.

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  • Weiss, J., Sampson, H., & the Mount Zion Psychotherapy Research Group (1986).The psychoanalytic process: theory, clinical observation and empirical research. New York: Guilford Press.

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This is an informal term used by the Mount Zion Psychotherapy Research Group to refer to the theory which is presented in this paper. The control portion of the term refers to the hypothesis that patients can exercise some control over their unconscious mental life. The mastery portion of the term refers to the hypothesis that psychotherapy patients are motivated to master their problems in treatment.

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Bush, M., Gassner, S.M. A description and clinical research application of the control-mastery theory. Clin Soc Work J 16, 231–242 (1988). https://doi.org/10.1007/BF00753293

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