In his presentation at the Round Table in 1956, Louis DeRosis addresses the importance of creating mutual trust in the therapeutic process in order to help the patient to develop a full range of feelings and nurture greater inner relatedness. These changes increasingly enable the patient to let go of their self-idealizations that have outlived their self-protective usefulness and gradually reduce their inner alienation. Dr. DeRosis describes the therapeutic connection not as a mere technique but as an expression of the life process, which allows the patient to connect more and more within himself and to broaden their hold on life in general.

This is a preview of subscription content, access via your institution.


  1. Danielian, J. (2011). In memoriam. Louis DeRosis, M.D., 1917–2010. American Journal of Psychoanalysis, 71, 182–184.

    Article  Google Scholar 

  2. DeRosis, L. (1957). What is effective in the therapeutic process? A round table discussion. American Journal of Psychoanalysis, 17, 26–30.

    Google Scholar 

  3. DeRosis, L. (1974). The invented self: Karen Horney’s theory applied to psychoanalysis in groups. Part II. American Journal of Psychoanalysis, 34, 199–212.

    Article  PubMed  Google Scholar 

  4. DeRosis, L. (1981). Horney theory and narcissism. American Journal of Psychoanalysis, 41, 337–346.

    Article  PubMed  Google Scholar 

  5. Eckardt, M.H. (2006). Celebrating the 50th anniversary of the American academy of psychoanalysis and dynamic psychiatry. Journal of the American Academy of Psychoanalysis, 34, 5–12.

    Article  Google Scholar 

  6. Slipp, S. (1999). From divergence to convergence in American psychoanalysis: The influence of Freud’s background on the splitting of the psychoanalytic movement. Journal of the American Academy of Psychoanalysis and Psychiatry, 27, 503–514.

    Google Scholar 

Download references

Author information



Corresponding author

Correspondence to Louis E DeRosis.

Additional information

Paper was presented at the Round Table Discussion, “What is effective in the therapeutic process?” at the Annual Meeting of the American Psychiatric Association in Chicago, Illinois on May 1, 1956. Panel was moderated by: Bella S. Van Bark, M.D. Other presenters were: Elizabeth Kilpatrick, M.D., Lewis Wolberg, M.D., Marianne Horney Eckardt, M.D., Frederick A. Weiss, M.D., Leslie H. Farber, M.D., and Silvano Arieti, M.D. This article was first published in the American Journal of Psychoanalysis, 1957, 17, 26–29, and is republished here.

1Louis E. DeRosis, MD, (1917—2010), was a psychoanalyst and psychiatrist, Faculty, Supervising and Training Analyst of the American Institute for Psychoanalysis, and one of the Charter Members of the American Academy of Psychoanalysis.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

DeRosis, L. WHAT IS EFFECTIVE IN THE THERAPEUTIC PROCESS? A ROUND TABLE DISCUSSION. Am J Psychoanal 75, 211–217 (2015). https://doi.org/10.1057/ajp.2015.6

Download citation


  • mutual trust
  • self-alienation
  • self-idealization
  • integration
  • relatedness
  • integrative functions