From the Initial Interview to Therapy

Abstract

This chapter focuses on the all-important step from the initial interview to therapy, complementing the corresponding chapter in Vol.1. This step can be demonstrated particularly clearly with regard to those patients who are often considered unsuited for psychoanalysis or analytic therapy. Experience shows that social class, delinquincy, and adolescence are factors posing special problems, at least in the initial phase (see Sect. 6.2). The manner in which the analyst deals with the patient’s family is another of the factors that can influence therapy one way or another (see Sect. 6.3). In this chapter we extend the detailed description of the problems associated with third-party payment, given in Vol.1, by referring to a concrete example (Sect. 6.4). We also devote a separate section (Sect. 6.5) to the consequences that peer reports within the German health insurance system can have on transference.