José Bleger's thinking about psychoanalysis

The Use of Collaborative/Therapeutic Assessment With Oppositional Defiant Disorder

“…Therefore, the aim of this study was to show how the collaborative evaluation process could help a teenager to develop her own interest and curiosity about herself and her life, to commit to her psychotherapy, and to better understand some of her conflicts and concerns expressed during psychotherapy sessions. Using the theoretical framework proposed by Bleger (2002Bleger ( , 2017 the present single-case study demonstrates the effectiveness of a therapeutic evaluation model (CTA) using psychometric instruments and projective techniques administered over a period of 4 years to a teenage girl (13-17 years of age) with oppositional defiant disorder (ODD) . An alternative treatment approach was used, combining psychodynamic psychotherapy with collaborative and Therapeutic Assessment.…”

“…cours de séances de psychothérapie. En utilisant le cadre théorique proposé par Bleger (2002Bleger ( , 2017, la présente étude de cas unique démontre l'efficacité d'un modèle d'évaluation thérapeutique (C / TA) utilisant des instruments psychométriques et des techniques projectives administrées à une adolescente atteinte d'un trouble oppositionnel avec provocation (ODD) pendant quatre ans (13 à 17 ans).…”

“…Utilizando el marco teórico propuesto por Bleger (2002Bleger ( , 2017, el presente estudio de caso único demuestra la efectividad de un modelo de evaluación terapéutica (C / TA) que emplea instrumentos psicométricos y técnicas proyectivas administradas a una adolescente con Trastorno Oposicionista Desafiante (ODD) durante cuatro años (13 a 17 años de edad). Se utilizó un enfoque de tratamiento alternativo, que combina la psicoterapia psicodinámica con la evaluación colaborativa y terapéutica.…”

“…Both the CTA and psychotherapy follow the Bleger model (2002, 2017), whereby one of the main conditions for success is the persistence of the setting. Bleger attaches great importance to concepts derived from psychoanalysis including analytical situation , setting , as well as transfer and countertransference .…”

“…The analyst must ensure the stability of the setting; that is to say it should not be ambiguous, or unpredictable, or altered. In this sense, the analytical session (Bleger, 2017; Faimberg, 2012) is a dialectical development shaped as a spiral between what the patient “brings” or says, what the analyst interprets, and the effect of this interpretation, which is not a “reply.” The intervention approach is suitable considering the characteristics of this particular case, involving challenges in accepting standards, lack of attachment, challenging and impulsive behavior. It seeks to develop a stable, secure link, set within the framework of a collaborative intervention approach that respects the setting and that meets the needs of security and acceptance.…”