That Was Then, This is Now: Psychoanalytic Psychotherapy for the Rest of Us Jonathan Shedler, PhD Department of Psychiatry University of Colorado Health Sciences Center Address correspondence to Jonathan Shedler, PhD, University North Pavilion, 4455 East 12th Avenue A011-99, Denver, CO 80220 or send email to
[email protected] © 2005-2006 by Jonathan Shedler, PhD. All rights reserved. Chapter 1: Roots of Misunderstanding Psychoanalytic psychotherapy may be the most misunderstood of all therapies. I teach a course in psychoanalytic therapy for clinical psychology doctoral students, many of whom would not be there if it were not required. I begin by asking the students to write down their prior beliefs about psychoanalytic therapy. Most express highly inaccurate preconceptions. The preconceptions come not from first-hand encounters with psychoanalytic practitioners, but from depictions in the popular media, from undergraduate psychology professors who refer to psychoanalytic concepts in their courses but understand little about psychoanalytic thought, and from textbooks that present caricatures of psychoanalytic theories that were out of date half a century ago. Some of the more memorable misconceptions are: That psychoanalytic concepts apply only to the privileged and wealthy; that psychoanalytic psychotherapy has been empirically invalidated; that psychoanalysts reduce “everything” to sex and aggression; that they keep patients in long term treatment purely for financial gain; that psychoanalytic theories are sexist or racist (insert your preferred politically incorrect adjective); that Sigmund Freud, the originator of psychoanalysis, was a cocaine addict who developed his theories under the influence; that he was a child molester (a graduate of an Ivy League university had gotten this bizarre notion from her professors); and that the terms “psychoanalytic” and “Freudian” are synonyms—as if psychoanalytic knowledge has not evolved since the early 1900s.