Psychoanalysis

Psychoanalysis (from Greek: ψυχή, psykhḗ, 'soul' + ἀνάλυσις, análysis, 'investigate') is a set of theories and therapeutic techniques[lower-roman 1] that deal in part with the unconscious mind,[lower-roman 2] and which together form a method of treatment for mental disorders. The discipline was established in the early 1890s by Austrian neurologist Sigmund Freud, who developed the practice from his theoretical model of personality organization and development, psychoanalytic theory.[1] Freud's work stems partly from the clinical work of Josef Breuer and others. Psychoanalysis was later developed in different directions, mostly by students of Freud, such as Alfred Adler and his collaborator, Carl Gustav Jung,[lower-roman 3] as well as by neo-Freudian thinkers, such as Erich Fromm, Karen Horney, and Harry Stack Sullivan.[2]

Psychoanalysis
ICD-9-CM94.31
MeSHD011572

Freud distinguished between a conscious and unconscious mind, arguing that the unconscious mind largely determines behaviour and cognition owing to instinctual unconscious drives. Freud observed that attempts to bring such drives into awareness triggers resistance in the form of defense mechanisms, particularly repression, and that conflicts between conscious and unconscious material can result in mental disturbances. He also postulated that unconscious material can be found in dreams and unintentional acts, including mannerisms and Freudian slips. Psychoanalytic therapy developed as a means to improve mental health by bringing unconscious material into consciousness. Psychoanalysts place a large emphasis on early childhood in an individual's development. During therapy, a psychoanalyst aims to induce transference, whereby patients relive their infantile conflicts by projecting onto the analyst feelings of love, dependence and anger.[3][4]

During psychoanalytic sessions, typically lasting 50 minutes,[5] ideally 4–5 times a week,[6] a patient traditionally lies on a couch, and an analyst traditionally sits just behind and out of sight. The patient expresses their thoughts, including free associations, fantasies, and dreams, from which the analyst infers the unconscious conflicts causing the patient's symptoms and character problems. Through the analysis of these conflicts, which includes interpreting the transference and countertransference (the analyst's feelings for the patient), the analyst confronts the patient's pathological defence mechanisms to help the patient understand themselves better.[7]

Psychoanalysis is a controversial discipline, and its effectiveness as a treatment has been contested, although it retains influence within psychiatry.[lower-roman 4][lower-roman 5] Psychoanalytic concepts are also widely used outside the therapeutic arena, in areas such as psychoanalytic literary criticism, as well as in the analysis of film, fairy tales, philosophical perspectives as Freudo-Marxism and other cultural phenomena.


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