View source for Social:Psychoanalysis

{{short description|Psychological theory and therapy established by Sigmund Freud}}
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'''Psychoanalysis''' (from [[Social:Greek language|Greek]]: {{Lang-grc|{{wikt-lang|en|psycho-|ψυχή}}|translit=psykhḗ|lit=soul|label=none}} + {{Lang-grc|{{wikt-lang|en|analysis|ἀνάλυσις}}|translit=análysis|lit=investigate|label=none}}) is a set of [[Theory|theories]] and [[Chemistry:Therapy|therapeutic]] techniques<ref group="lower-roman">"What is psychoanalysis? Of course, one is supposed to answer that it is many things — a theory, a research method, a therapy, a body of knowledge. In what might be considered an unfortunately abbreviated description, Freud said that anyone who recognizes transference and resistance is a psychoanalyst, even if he comes to conclusions other than his own.… I prefer to think of the analytic situation more broadly, as one in which someone seeking help tries to speak as freely as he can to someone who listens as carefully as he can with the aim of articulating what is going on between them and why. David Rapaport (1967a) once defined the analytic situation as carrying the method of interpersonal relationship to its last consequences."

Gill, Merton M. 1999. "[https://web.archive.org/web/20090610013708/http://americanmentalhealthfoundation.org/a.php?id=38 Psychoanalysis, Part 1: Proposals for the Future]." ''The Challenge for Psychoanalysis and Psychotherapy: Solutions for the Future''. New York: American Mental Health Foundation. Archived 10 June 2009.</ref> that deal in part with the [[Biology:Unconscious mind|unconscious mind]],<ref group="lower-roman">"All psychoanalytic theories include the idea that unconscious thoughts and feelings are central in mental functioning."

Milton, Jane, Caroline Polmear, and Julia Fabricius. 2011. ''A Short Introduction to Psychoanalysis''. SAGE. p. 27.</ref> and which together form a method of treatment for [[Medicine:Mental disorder|mental disorder]]s. The discipline was established in the early 1890s by Austrian [[Biology:Neurology|neurologist]] [[Biography:Sigmund Freud|Sigmund Freud]], who retained the term ''psychoanalysis'' for his own school of thought.<ref name="Mitchell, Juliet 2000">Mitchell, Juliet. 2000. ''Psychoanalysis and Feminism: A Radical Reassessment of Freudian Psychoanalysis''. London: Penguin Books. p. 341.</ref> 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, [[Biography:Carl Jung|Carl Gustav Jung]],<ref name=":0" group="lower-roman">Alfred Adler developed the school of thought known as individual psychology, while [[Biography:Carl Jung|Carl Jung]] established [[Philosophy:Analytical psychology|analytical psychology]].</ref> as well as by neo-Freudian thinkers, such as [[Biography:Erich Fromm|Erich Fromm]], Karen Horney, and Harry Stack Sullivan.<ref name="Birnbach, Martin 1961">Birnbach, Martin. 1961. ''Neo-Freudian Social Philosophy''. Stanford: Stanford University Press. p. 3.</ref>

Psychoanalysis is a controversial discipline, and its [[Physics:Effectiveness|effectiveness]] as a treatment has been contested. It has been largely replaced by the similar but broader [[Medicine:Psychodynamic psychotherapy|psychodynamic psychotherapy]] in the mid-20th century.<ref name=encMH>{{cite book |last1=Freedheim |first1=D.K. |last2=DiFilippo |first2=J.M |last3=Klostermann |first3=S. |title=Encyclopedia of Mental Health |date=2015 |publisher=Elsevier |location=New York |isbn=978-0-12-397753-3 |pages=348–356 |edition=2nd}}</ref> although it retains a salient influence within [[Biology:Psychiatry|psychiatry]].<ref group="lower-roman">"Psychoanalysis has existed before the turn of the 20th century and, in that span of years, has established itself as one of the fundamental disciplines within psychiatry. The science of psychoanalysis is the bedrock of psychodynamic understanding and forms the fundamental theoretical frame of reference for a variety of forms of therapeutic intervention, embracing not only psychoanalysis itself but also various forms of psychoanalytically oriented psychotherapy and related forms of therapy using psychodynamic concepts."

Sadock, Benjamin J., and Virginia A. Sadock. 2007. ''Kaplan and Sadock's Synopsis of Psychiatry'' (10th ed.). Lippincott Williams & Wilkins. p. 190.</ref><ref group="lower-roman">"Psychoanalysis continues to be an important paradigm organizing the way many psychiatrists think about patients and treatment. However, its limitations are more widely recognized and it is assumed that many important advances in the future will come from other areas, particularly biologic psychiatry. As yet unresolved is the appropriate role of psychoanalytic thinking in organizing the treatment of patients and the training of psychiatrists after that biologic revolution has born fruit. Will treatments aimed at biologic defects or abnormalities become technical steps in a program organized in a psychoanalytic framework? Will psychoanalysis serve to explain and guide supportive intervention for individuals whose lives are deformed by biologic defect and therapeutic interventions, much as it now does for patients with chronic physical illness, with the psychoanalyst on the psychiatric dialysis program? Or will we look back on the role of psychoanalysis in the treatment of the seriously mentally ill as the last and most scientifically enlightened phase of the humanistic tradition in psychiatry, a tradition that became extinct when advances in biology allowed us to cure those we had so long only comforted?"

Michels, Robert. 1999. "[https://web.archive.org/web/20090606094737/http://americanmentalhealthfoundation.org/a.php?id=24 Psychoanalysis and Psychiatry: A Changing Relationship]." ''The Challenge for Psychoanalysis and Psychotherapy: Solutions for the Future''. New York: American Mental Health Foundation. Archived 6 June 2009.</ref> 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 [[Philosophy:Freudo-Marxism|Freudo-Marxism]] and other cultural phenomena.

==Basic tenets==
The basic tenets of psychoanalysis include:<ref>[[Biography:Erich Fromm|Fromm, Erich]]. 1992. ''The Revision of Psychoanalysis''. New York: Open Road. pp. 12–13. (points 1 to 6).</ref>

# A person's development is determined by often forgotten events in early childhood, rather than by [[Biology:Heredity|inherited traits]] alone.
# Human behaviour and [[Cognition|cognition]] are largely determined by instinctual drives that are rooted in the unconscious.
# Attempts to bring such drives into awareness triggers resistance in the form of defense mechanisms, particularly repression.
# Conflicts between conscious and unconscious material can result in [[Medicine:Mental disorder|mental disturbances]], such as [[Medicine:Neurosis|neurosis]], neurotic traits, [[Medicine:Anxiety|anxiety]], and [[Medicine:Depression (mood)|depression]].
# Unconscious material can be found in [[Unsolved:Dream interpretation#Freud|dreams]] and unintentional acts, including mannerisms and slips of the tongue.
# Liberation from the effects of the unconscious is achieved by bringing this material into the conscious mind through therapeutic intervention.
# The "centerpiece of the psychoanalytic process" is the transference, whereby patients relive their infantile conflicts by [[Philosophy:Psychological projection|projecting]] onto the analyst feelings of love, dependence and anger.<ref>Chessick, Richard D. 2007. ''The Future of Psychoanalysis''. Albany: [[Organization:State University of New York|State University of New York Press]]. p. 125.</ref>

==Practice==
During psychoanalytic sessions, typically lasting 50 minutes,<ref name=":1">Thompson, M. Guy. 2004. ''The Ethic of Honesty: The Fundamental Rule of Psychoanalysis''. [[Company:Rodopi (publisher)|Rodopi]]. p. 75.</ref> ideally 4–5 times a week,<ref>Hinshelwood, Robert D. 2001. "Surveying the Maze." In ''Psychoanalysis and Psychotherapy: The Controversies and the Future'', edited by S. Frisch, R. D. Hinshelwood, and J-M. Gauthier. Karnac Publishing. p. 128. [session frequency].</ref> the patient (or {{Wikt-lang|en|analysand}}) may lie on a couch, and the analyst may sit just behind and out of sight. The patient expresses his or her thoughts, including free associations, [[Philosophy:Fantasy (psychology)|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<ref>Stefana, Alberto. 2017. ''History of Countertransference: From Freud to the British Object Relations School''. London: [[Company:Routledge|Routledge]]. {{ISBN|978-1138214613}}.</ref> (the analyst's feelings for the patient), the analyst confronts the patient's pathological defenses to help the patient gain [[Insight|insight]].

==History==

[[Biography:Sigmund Freud|Sigmund Freud]] first used the term 'psychoanalysis' ({{Lang-fr|psychanalyse}}) in 1896, ultimately retaining the term for his own school of thought.<ref name="Mitchell, Juliet 2000" /> In November 1899, he wrote the ''Interpretation of Dreams'' ({{Lang-de|Die Traumdeutung}}), which Freud thought of as his "most significant work."<ref>Gay, Peter. 1988. ''Freud: A Life for Our Time''. New York: W. W. Norton. pp. 3–4, 103.</ref>

Psychoanalysis was later developed in different directions, mostly by students of Freud such as Alfred Adler and Carl Gustav Jung,<ref name=":0" group="lower-roman" /> and by neo-Freudians such as [[Biography:Erich Fromm|Erich Fromm]], Karen Horney and Harry Stack Sullivan.<ref name="Birnbach, Martin 1961" />

Psychologist in Frank Sulloway in his book ''Freud, Biologist  of  the  Mind: Beyond the Psychoanalytic Legend'' argues that Freud's biological theories like libido were rooted in the biological hypothesis that accompanied the work of [[Biography:Charles Darwin|Charles Darwin]], citing theories of Krafft-Ebing, Molland, Havelock Ellis, [[Biography:Ernst Haeckel|Haeckel]], Wilhelm Fliess as influencing Freud.<ref name=":10" />{{Rp|30}}

===1890s===
The idea of psychoanalysis ({{lang-de|psychoanalyse}}) first began to receive serious attention under [[Biography:Sigmund Freud|Sigmund Freud]], who formulated his own theory of psychoanalysis in [[Place:Vienna|Vienna]] in the 1890s. Freud was a [[Biology:Neurology|neurologist]] trying to find an effective treatment for patients with [[Medicine:Neurosis|neurotic]] or hysterical symptoms. Freud realised that there were mental processes that were not conscious, whilst he was employed as a neurological consultant at the Children's Hospital, where he noticed that many [[Medicine:Aphasia|aphasic]] children had no apparent organic cause for their symptoms. He then wrote a [[Monograph|monograph]] about this subject.<ref>Stengel, E. 1953. ''Sigmund Freud on Aphasia'' ''(1891)''. New York: [[Company:International Universities Press|International Universities Press]].</ref> In 1885, Freud obtained a grant to study with Jean-Martin Charcot, a famed neurologist, at the Salpêtrière in Paris, where Freud followed the clinical presentations of Charcot, particularly in the areas of hysteria, paralyses and the anaesthesias. Charcot had introduced hypnotism as an experimental research tool and developed the photographic representation of clinical symptoms.

Freud's first theory to explain hysterical symptoms was presented in ''Studies on Hysteria'' (1895; {{lang-de|Studien über Hysterie|label=none}}), co-authored with his mentor the distinguished physician Josef Breuer, which was generally seen as the birth of psychoanalysis.<ref name=":2" /> The work was based on Breuer's treatment of Bertha Pappenheim, referred to in case studies by the [[Pseudonym|pseudonym]] "Anna O.", treatment which Pappenheim herself had dubbed the "talking cure". Breuer wrote that many factors could result in such symptoms, including various types of emotional trauma, and he also credited work by others such as Pierre Janet; while Freud contended that at the root of hysterical symptoms were repressed memories of distressing occurrences, almost always having direct or indirect sexual associations.<ref name=":2">Freud, Sigmund, and Josef Breuer. 1955 [1895]. ''Studies on Hysteria'', ''Standard Editions'' 2, edited by J. Strachey. London: Hogarth Press.</ref>

Around the same time, Freud attempted to develop a neuro-physiological theory of unconscious mental mechanisms, which he soon gave up. It remained unpublished in his lifetime.<ref>Freud, Sigmund. 1966 [1895]. "[http://users.clas.ufl.edu/burt/freud%20fleiss%20letters/200711781-013.pdf Project for a Scientific Psychology]." Pp. 347–445 in ''Standard Editions'' 3, edited by J. Strachey. London: Hogarth Press.</ref> The term 'psychoanalysis' ({{Lang-fr|psychoanalyse|label=none}}) was first introduced by Freud in his essay titled "Heredity and etiology of neuroses" ("{{Lang-fr|L'hérédité et l’étiologie des névroses|label=none}}"), written and published in French in 1896.<ref>Freud, Sigmund. 1896. "[http://psychanalyse-paris.com/1275-L-Heredite-et-l-etiologie-des.html L'hérédité et l’étiologie des névroses]" [Heredity and the etiology of neuroses]. ''Revue neurologique'' 4(6):161–69. via Psychanalyste Paris.</ref><ref>Roudinesco, Élisabeth, and Michel Plon. 2011 [1997]. ''Dictionnaire de la psychanalyse''. Paris: Fayard. p. 1216.</ref>

In 1896, Freud also published his ''seduction theory'', claiming to have uncovered repressed memories of incidents of sexual abuse for all his current patients, from which he proposed that the preconditions for hysterical symptoms are sexual excitations in infancy.<ref name=":3">Freud, Sigmund. 1953 [1896]. "The Aetiology of Hysteria." Pp. 191–221 in ''The Standard Edition'' 3, edited by J. Strachey. London: Hogarth Press. [http://courses.washington.edu/freudlit/Hysteria.Notes.html Lay summary] via [[Organization:University of Washington|University of Washington]].</ref> However, by 1898 he had privately acknowledged to his friend and colleague Wilhelm Fliess that he no longer believed in his theory, though he did not state this publicly until 1906.<ref name=":4">Freud, Sigmund. 1953 [1906]. "My Views on the Part Played by Sexuality in the Aetiology of the Neuroses." Pp. 269–79 in ''The Standard Edition'' 7, edited by J. Strachey. London: Hogarth Press.</ref> Though in 1896 he had reported that his patients "had no feeling of remembering the [infantile sexual] scenes", and assured him "emphatically of their unbelief,"<ref name=":3" />{{Rp|204}} in later accounts he claimed that they had told him that they had been sexually abused in infancy. This became the received historical account until challenged by several Freud scholars in the latter part of the 20th century who argued that he had imposed his preconceived notions on his patients.<ref>Cioffi, F. 1998 [1973]. "Was Freud a Liar?" Pp. 199–204 in ''Freud and the Question of Pseudoscience''. [[Company:Open Court Publishing Company|Open Court]].</ref><ref>Schimek, J. G. 1987. "Fact and Fantasy in the Seduction Theory: a Historical Review." ''Journal of the American Psychoanalytic Association'' 35:937–65.</ref><ref>Esterson, Allen. 1998. "Jeffrey Masson and Freud's seduction theory: A new fable based on old myths (synopsis in Human Nature Review)." ''History of the Human Sciences'' 11(1):1–21. {{Doi|10.1177/095269519801100101}}.</ref> However, building on his claims that the patients reported infantile sexual abuse experiences, Freud subsequently contended that his clinical findings in the mid-1890s provided evidence of the occurrence of unconscious fantasies, supposedly to cover up memories of infantile masturbation.<ref name=":4" /> Only much later did he claim the same findings as evidence for [[Philosophy:Oedipus complex|Oedipal]] desires.<ref>Freud, Sigmund. 1959 [1925]. "[https://www.sas.upenn.edu/~cavitch/pdf-library/Freud_Autobiographical_Study.pdf An Autobiographical Study]." Pp. 7–74 in ''Standard Edition'' 20, edited by J. Strachey. London: Hogarth Press. – via [[Organization:University of Pennsylvania|University of Pennsylvania]].

[http://www.mhweb.org/mpc_course/freud.pdf Transcribed version] via Michigan Mental Health Networker.</ref>

By 1899, Freud had theorised that dreams had symbolic significance, and generally were specific to the dreamer. Freud formulated his second psychological theory— which hypotheses that the unconscious has or is a "primary process" consisting of symbolic and condensed thoughts, and a "secondary process" of logical, conscious thoughts. This theory was published in his 1899 book, ''The Interpretation of Dreams''.<ref>Freud, Signmund. 1913 [1899]. ''The Interpretation of Dreams''. Macmillan.</ref> Chapter VII is a re-working of the earlier "Project" and Freud outlined his ''topographic theory''. In this theory, which was mostly later supplanted by the Structural Theory, unacceptable sexual wishes were repressed into the "System Unconscious," unconscious due to society's condemnation of premarital sexual activity, and this repression created anxiety. This "[[Earth:Topography|topographic]] theory" is still popular in much of Europe, although it has fallen out of favour in much of North America.<ref>Arlow, Brenner. 1964. ''Psychoanalytic Concepts and the Structural Theory''. New York: [[Company:International Universities Press|International Universities Press]].</ref>

===1900–1940s===
In 1905, Freud published ''Three Essays on the Theory of Sexuality'' in which he laid out his discovery of the ''psychosexual phases'':<ref>Freud, Sigmund. 1955 [1905]. "Three Essays on the Theory of Sexuality." ''Standard Editions'' 7, edited by J. Strachey. London: Hogarth Press.</ref>

* Oral (ages 0–2);
* Anal (2–4);
* Phallic-oedipal or First genital (3–6);
* Latency (6-puberty); and 
* Mature genital (puberty-onward).

His early formulation included the idea that because of societal restrictions, sexual wishes were repressed into an unconscious state, and that the energy of these unconscious wishes could be turned into anxiety or physical symptoms. Therefore, the early treatment techniques, including hypnotism and abreaction, were designed to make the unconscious conscious in order to relieve the pressure and the apparently resulting symptoms. This method would later on be left aside by Freud, giving free association a bigger role.

In ''On Narcissism'' (1915), Freud turned his attention to the titular subject of [[Philosophy:Narcissism|narcissism]].<ref>Freud, Sigmund. 1955 [1915]. "[https://www.sas.upenn.edu/~cavitch/pdf-library/Freud_SE_On_Narcissism_complete.pdf On Narcissism]." Pp. 73–102 in ''Standard Edition'' 14, edited by J. Strachey. London: Hogarth Press. – via [[Organization:University of Pennsylvania|University of Pennsylvania]].</ref> Still using an energic system, Freud characterized the difference between energy directed at the self versus energy directed at others, called ''cathexis''. By 1917, in "Mourning and Melancholia," he suggested that certain depressions were caused by turning guilt-ridden anger on the self.<ref name=":5">Freud, Sigmund. 1955 [1917]. "[http://www.english.upenn.edu/~cavitch/pdf-library/Freud_MourningAndMelancholia.pdf Mourning and Melancholia] {{Webarchive|url=https://web.archive.org/web/20150501002425/http://www.english.upenn.edu/~cavitch/pdf-library/Freud_MourningAndMelancholia.pdf |date=2015-05-01 }}." Pp. 243–58 in ''Standard Edition'' 17, edited by J. Strachey. London: Hogarth Press. – via [[Organization:University of Pennsylvania|University of Pennsylvania]].

Also available via [https://web.archive.org/web/20150501002425/http://www.english.upenn.edu/~cavitch/pdf-library/Freud_MourningAndMelancholia.pdf Internet Archive].</ref> In 1919, through "A Child is Being Beaten," he began to address the problems of [[Philosophy:Self-destructive behavior|self-destructive behavior]] (moral masochism) and frank sexual masochism.<ref>Freud, Sigmund. 1955 [1919]. "[https://icpla.edu/wp-content/uploads/2017/11/Freud-S.-Child-is-Being-Beaten%E2%80%99-A-Contribution-to-the-Study-of-the-Origin-of-Sexual-Perversions.pdf A Child is Being Beaten]." Pp. 175–204 in ''Standard Edition'' 17, edited by J. Strachey. London: Hogarth Press. – via The Institute of Contemporary Psychoanalysis.</ref> Based on his experience with depressed and self-destructive patients, and pondering the carnage of [[Social:World War I|World War I]], Freud became dissatisfied with considering only oral and sexual motivations for behavior. By 1920, Freud addressed the power of identification (with the leader and with other members) in groups as a motivation for behavior (in "Group Psychology and the Analysis of the Ego").<ref>Freud, Sigmund. 1922 [1920]. "Group Psychology and the Analysis of the Ego," translated by J. Strachey. New York: Boni & Liveright. {{Hdl|2027/mdp.39015003802348}}.

— 1955 [1920]. "[http://freudians.org/wp-content/uploads/2014/09/Freud_Group_Psychology.pdf Group Psychology and the Analysis of the Ego]." Pp. 65–144 in ''Standard Edition'' 18, translated by J. Strachey. London: Hogarth Press.</ref><ref>"Group Psychology and the Analysis of the Ego" (review). ''Nature'' 3(2784):321. [[Company:Nature Research|Nature Publishing Group]] 1923. {{Doi|10.1038/111321d0}}.  {{Bibcode|1923Natur.111T.321.}}.</ref> In that same year, Freud suggested his '<nowiki/>''dual drive' theory'' of sexuality and aggression in "Beyond the Pleasure Principle," to try to begin to explain human destructiveness. Also, it was the first appearance of his "structural theory" consisting of three new concepts id, ego, and superego.<ref>Freud, Sigmund. 1920. "[https://www.libraryofsocialscience.com/assets/pdf/freud_beyond_the_pleasure_principle.pdf Beyond the Pleasure Principle]," translated by C. J. M. Hubback. ''International Psycho-Analytic Library'' 4, edited by E. Jones. London: International Psycho-Analytic Press. – via Library of Social Science.

— 1955 [1920]. "Beyond the Pleasure Principle." In ''Standard Edition'' 18, translated by J. Strachey. London: Hogarth Press.</ref>

Three years later, in 1923, he summarised the ideas of id, ego, and superego in "The Ego and the Id."<ref name=":6">Freud, Sigmund. 1955 [1923]. "The Ego and the Id." In ''Standard Edition'' 19, edited by J. Strachey. London: Hogarth Press.

Lay summaries via [https://www.simplypsychology.org/psyche.html Simply Psychology] and [https://daily.jstor.org/virtual-roundtable-on-the-ego-and-the-id/ JSTOR Daily Roundtable]. [https://www3.nd.edu/~dlapsle1/Lab/Articles%20&%20Chapters_files/Entry%20for%20Encyclopedia%20of%20Human%20Behavior%28finalized4%20Formatted%29.pdf Glossary] via University of Notre Dame.</ref> In the book, he revised the whole theory of mental functioning, now considering that repression was only one of many defense mechanisms, and that it occurred to reduce anxiety. Hence, Freud characterised repression as both a cause and a result of anxiety. In 1926, in "Inhibitions, Symptoms and Anxiety," Freud characterised how intrapsychic conflict among drive and superego (wishes and guilt) caused [[Medicine:Anxiety|anxiety]], and how that anxiety could lead to an inhibition of mental functions, such as intellect and speech.<ref name=":7">Freud, Sigmund. 1955 [1926]. "Inhibitions, Symptoms and Anxiety." In ''Standard Edition'' 20, edited by J. Strachey. London: Hogarth Press. {{Doi|10.1080/21674086.1936.11925270}}. {{S2CID|142804158}}.</ref> "Inhibitions, Symptoms and Anxiety" was written in response to Otto Rank, who, in 1924, published ''Das Trauma der Geburt'' (''The Trauma of Birth''), analysing how art, myth, religion, philosophy and therapy were illuminated by separation anxiety in the "phase before the development of the Oedipus complex."<ref>{{cite book|last=Mustafa, A.|url=https://books.google.com/books?id=RpWuBwAAQBAJ&pg=PT378|title=Organisational Behaviour|date=2013|publisher=Global Professional Publishing Limited|isbn=9781908287366|via=Google Books}}</ref> Freud's theories, however, characterized no such phase. According to Freud, the Oedipus complex, was at the centre of neurosis, and was the foundational source of all art, myth, religion, philosophy, therapy—indeed of all human culture and civilization. It was the first time that anyone in the inner circle had characterised something other than the Oedipus complex as contributing to intrapsychic development, a notion that was rejected by Freud and his followers at the time.

By 1936 the "Principle of Multiple Function" was clarified by Robert Waelder.<ref>Waelder, Robert. 1936. "The Principles of Multiple Function: Observations on Over-Determination." ''The Psychoanalytic Quarterly'' 5:45–62. {{Doi|10.1080/21674086.1936.11925272}}.</ref> He widened the formulation that psychological symptoms were caused by and relieved conflict simultaneously. Moreover, symptoms (such as [[Medicine:Phobia|phobia]]s and [[Medicine:Compulsive behavior|compulsions]]) each represented elements of some drive wish (sexual and/or aggressive), superego, anxiety, reality, and defenses. Also in 1936, Anna Freud, Sigmund's daughter, published her seminal book, ''The Ego and the Mechanisms of Defense'', outlining numerous ways the mind could shut upsetting things out of consciousness.<ref name=":8">Freud, Anna. 1968 [1937]. ''The Ego and the Mechanisms of Defence'' (revised ed.). London: Hogarth Press.</ref>

===1940s–present===
When Hitler's power grew, the Freud family and many of their colleagues fled to London. Within a year, Sigmund Freud died.<ref>{{cite book|author=Kuriloff, Emily A.|title=Contemporary Psychoanalysis and the Legacy of the Third Reich|publisher=Routledge|year=2013|isbn=978-1136930416|page=45}}</ref>  In the United States, also following the death of Freud, a new group of psychoanalysts began to explore the function of the ego. Led by Heinz Hartmann, the group built upon understandings of the ''synthetic'' function of the ego as a mediator in psychic functioning, distinguishing such from ''autonomous'' ego functions (e.g. memory and intellect, which could be secondarily affected by conflict). These "Ego Psychologists" of the 1950s paved a way to focus analytic work by attending to the defenses (mediated by the ego) before exploring the deeper roots to the unconscious conflicts.

In addition, there was burgeoning interest in child psychoanalysis. Although criticized since its inception, psychoanalysis has been used as a research tool into childhood development,<ref group="lower-roman">cf. ''The Psychoanalytic Study of the Child'', academic journal</ref> and is still used to treat certain mental disturbances.<ref name="Wallerstein 2000">Wallerstein. 2000. ''Forty-Two Lives in Treatment: A Study of Psychoanalysis and Psychotherapy''.</ref> In the 1960s, Freud's early thoughts on the childhood development of female sexuality were challenged; this challenge led to the development of a variety of understandings of female sexual development,<ref>{{Cite book|last=1885–1952.|first=Horney, Karen (Karen Clementina Theodora)|url=http://worldcat.org/oclc/780458101|title=Feminine psychology|date=1973|publisher=Norton|isbn=0-393-00686-7|oclc=780458101}}</ref> many of which modified the timing and normality of several of Freud's theories (which had been gleaned from the treatment of women with mental disturbances). Several researchers followed Karen Horney's studies of societal pressures that influence the development of women.<ref>Blum, H. 1979. ''Masochism, the Ego Ideal and the Psychology of Women.'' JAPA.</ref>

In the first decade of the 21st century, there were approximately 35 training institutes for psychoanalysis in the United States accredited by the American Psychoanalytic Association (APsaA), which is a component organization of the International Psychoanalytical Association (IPA), and there are over 3000 graduated psychoanalysts practicing in the United States. The IPA accredits psychoanalytic training centers through such "component organisations" throughout the rest of the world, including countries such as Serbia, France, Germany, Austria, Italy, Switzerland,<ref>{{citation |url = http://www.ipa.org.uk/en/Societies/Europe/ComponentSocieties.aspx |title = IPA Component Organisations in Europe |access-date = 2012-11-20 |archive-url = https://web.archive.org/web/20151023113323/http://www.ipa.org.uk/en/Societies/Europe/ComponentSocieties.aspx |archive-date = 2015-10-23 |url-status = dead }}</ref> and many others, as well as about six institutes directly in the United States.

=== Developments of alternative forms of psychotherapy ===

==== Cognitive behavioural therapy (CBT) ====
In the 1950s, psychoanalysis was the main modality of [[Medicine:Psychotherapy|psychotherapy]]. Behavioural models of psychotherapy started to assume a more central role in psychotherapy in the 1960s.{{Efn|"By the 1960s it would assume a more central place in the psychotherapy arena" <ref name="NorcrossVandenBos2011">{{cite book|author1=John C. Norcross|author2=Gary R. VandenBos|author3=Donald K. Freedheim|title=History of Psychotherapy: Continuity and Change|url=https://books.google.com/books?id=xBkbQwAACAAJ|year=2011|publisher=American Psychological Association|isbn=978-1-4338-0762-6}}</ref>|name=|group=}} Aaron T. Beck, a psychiatrist trained in a psychoanalytic tradition, set out to test the psychoanalytic models of depression empirically and found that conscious ruminations of loss and personal failing were correlated with depression. He suggested that distorted and biased beliefs were a causal factor of depression, publishing an influential paper in 1967 after a decade of research using the construct of [[Philosophy:Schema (psychology)|schemas]] to explain the depresion.<ref name="NorcrossVandenBos2011" />{{Rp|221}} Beck developed this empirically supported hypothesis for the cause of depression, into a talking therapy called [[Medicine:Cognitive behavioral therapy|Cognitive behavioral therapy]], CBT, in the early 1970s.

==== Attachment theory ====
[[Philosophy:Attachment theory|Attachment theory]] was developed theoretically by [[Biography:John Bowlby|John Bowlby]] and formalized empirically by [[Biography:Mary Ainsworth|Mary Ainsworth]].<ref>{{Cite journal|last=Bretherton|first=Inge|date=1992|title=The origins of attachment theory: John Bowlby and Mary Ainsworth.|url=http://doi.apa.org/getdoi.cfm?doi=10.1037/0012-1649.28.5.759|journal=Developmental Psychology|language=en|volume=28|issue=5|pages=759–775|doi=10.1037/0012-1649.28.5.759|issn=0012-1649}}</ref> Bowlby was trained psychoanalytically but was concerned about some properties of psychoanalysis<ref name=":14">{{Cite book|url=https://www.worldcat.org/oclc/32856560|title=Attachment theory : social, developmental, and clinical perspectives|date=1995|publisher=Analytic Press|others=Susan Goldberg, Roy Muir, John Kerr|isbn=0-88163-184-1|location=Hillsdale, NJ|oclc=32856560}}</ref>{{Rp|23}} and in response developed an alternative conceptualization of child behaviour based on principles on [[Biology:Ethology|ethology]].<ref name=":14" />{{Rp|24}} Holmes argues is that Attachment theories conceptualization is more testable than psychoanalysis.<ref name=":14" />{{Rp|25}} Bowlby's theory of attachment rejects Freud's model of psychosexual development based on the Oedipal model.<ref name=":14" />{{Rp|25}}  In response to his publications Bowlby was shunned from psychoanalytical circles who did not accept his theories, but this conceptualization was taken by mother infant research in the 1970s.<ref name=":14" />{{Rp|26}} Bowlby's work on attachment largely ignores internal (intrapersonal/ psychodynamic) aspects of psychology. Holmes argues that the work of Winnocott and Wilfred Bion carried out analogous work intrapersonally within psychoanalysis.<ref name=":14" />{{Rp|27}}

Bowlby joined the British Psychoanalytical Society in the 1930s and was trained by Joan Riviere, a [[Biography:Melanie Klein|Kleinian]], during a time of conflict Kleinian and Freudian psychoanalysis. He became training secretary for the council, later becoming deputy president to [[Biography:Donald Winnicott|Donald Winnicott]] in 1956.<ref name=":14" />{{Rp|23,24}} Bowlby was troubled by the dogmatism of psychoanalysis at the time, it's arcane terminology, the lack of attention to environment in child behaviour, and the concepts derived from talking therapy to child behaviour.<ref name=":14" />{{Rp|23}}

In 1951, Bowlby published the [[Organization:World Health Organization|World Health Organization]] report ''Maternal care and Mental Health'', which argued for the importance of childhood environmental factors in mental health. After reading ethologist [[Biography:Konrad Lorenz|Konrad Lorenz]]'s book, King Solomon's Ring, Bowlby saw the opportunity to refound psychoanalysis on the principles of [[Biology:Ethology|ethology]], the study of animal behaviour.  Bowlby published three papers expounding these theories, which were expanded into three books entitled Attachment, Separation and Loss. <ref name=":14" />{{Rp|24}}

These papers introduced the idea of an innate relationship between a mother and their child distinct from the Freudian conception of "oral drive", which Holmes argues was similar to Winnicott's concept of "environmental" and "object" mother; and Fairbairn's concept of drives as signposts to objects. Bowlby also introduced the concept of separation anxiety, which Holmes argues is similar to Freud's later conceptualization of anxiety. Holmes argues that Bowlby's theory differs from psychoanalysis in that it was interpersonal, describing reality in terms of the relationship between individuals rather than the mental state; implied harmony between the mother and and infant, rather than conflict, downplays the psychosexual model of child psychology replacing it with drives for play and nurturing.<ref name=":14" />{{Rp|25}}

==Theories==
The predominant psychoanalytic theories can be organised into several theoretical schools. Although these perspectives differ, most of them emphasize the influence of unconscious elements on the conscious. There has also been considerable work done on consolidating elements of conflicting theories.<ref>cf. Dorpat, Theodore, B. Killingmo, and S. Akhtar. 1976. ''Journal of the American Psychoanalytical Association'' 24:855–74.</ref>

As in the field of [[Medicine:Medicine|medicine]], there are some persistent conflicts regarding specific causes of certain syndromes, and disputes regarding the ideal treatment techniques. In the 21st century, psychoanalytic ideas are embedded in [[Social:Western culture|Western culture]],{{Vague|date=October 2013}} especially in fields such as childcare, education, [[Philosophy:Literary criticism|literary criticism]], [[Social:Cultural studies|cultural studies]], [[Social:Mental health|mental health]], and particularly [[Medicine:Psychotherapy|psychotherapy]]. Though there is a [[Philosophy:Mainstream|mainstream]] of evolved analytic [[Philosophy:Idea|idea]]s, there are groups who follow the [[Philosophy:Precept|precept]]s of one or more of the later theoreticians. Psychoanalytic ideas also play roles in some types of literary analysis such as [[Philosophy:Archetypal literary criticism|Archetypal literary criticism]].<ref>{{Cite book|last=E.|first=Bressler, Charles|url=http://worldcat.org/oclc/651487421|title=Literary criticism : an introduction to theory and practice|date=2011|publisher=Pearson Longman|isbn=978-0-205-79169-9|pages=123–142|oclc=651487421}}</ref>

===Topographic theory===
''Topographic theory'' was named and first described by [[Biography:Sigmund Freud|Sigmund Freud]] in ''The Interpretation of Dreams'' (1899).<ref>Freud, Sigmund. 1955 [1915]. "The Unconscious." In ''Standard Edition'' 14, edited by J. Strachey. London: Hogarth Press.</ref> The theory hypothesizes that the mental apparatus can be divided into the systems [[Philosophy:Consciousness|Conscious]], [[Philosophy:Preconscious|Preconscious]], and [[Biology:Unconscious mind|Unconscious]]. These systems are not [[Biology:Anatomy|anatomical]] structures of the brain but, rather, mental processes. Although Freud retained this theory throughout his life he largely replaced it with the ''structural theory''.<ref name="Langs R 2010">Langs, Robert. 2010. ''Freud on a Precipice: How Freud's Fate pushed Psychoanalysis over the Edge''. Lanham, MD: Jason Aronson.</ref> The Topographic theory remains as one of the meta-psychological points of view for describing how the mind functions in classical psychoanalytic theory.

===Structural theory===
Structural theory divides the psyche into the id, the [[Philosophy:Id, ego and super-ego|ego]], and the super-ego. The id is present at birth as the repository of basic instincts, which Freud called "''Triebe''" ("drives"): unorganized and unconscious, it operates merely on the 'pleasure principle', without realism or foresight. The ego develops slowly and gradually, being concerned with mediating between the urging of the id and the realities of the external world; it thus operates on the 'reality principle'. The super-ego is held to be the part of the ego in which self-observation, self-criticism and other reflective and judgmental faculties develop. The ego and the super-ego are both partly conscious and partly unconscious.<ref name="Langs R 2010"/>

===Theoretical and clinical approaches===
During the twentieth century, many different clinical and theoretical models of psychoanalysis emerged.

====Ego psychology====
[[Social:Ego psychology|Ego psychology]] was initially suggested by Freud in "Inhibitions, Symptoms and Anxiety" (1926),<ref name=":7" /> while major steps forward would be made through Anna Freud's work on defense mechanisms, first published in her book ''The Ego and the Mechanisms of Defence'' (1936).<ref name=":8" />

The theory was refined by Hartmann, Loewenstein, and Kris in a series of papers and books from 1939 through the late 1960s. Leo Bellak was a later contributor. This series of constructs, paralleling some of the later developments of cognitive theory, includes the notions of autonomous ego functions: mental functions not dependent, at least in origin, on intrapsychic conflict. Such functions include: sensory perception, motor control, symbolic thought, logical thought, speech, abstraction, integration (synthesis), orientation, concentration, judgment about danger, reality testing, adaptive ability, executive decision-making, hygiene, and self-preservation. Freud noted that inhibition is one method that the mind may utilize to interfere with any of these functions in order to avoid painful emotions. Hartmann (1950s) pointed out that there may be delays or deficits in such functions.<ref>{{Cite book|last=Hartmann|first=Heinz|title=Essays on Ego Psychology Selected Problems in Psychoanalytic Theory}}</ref>

Frosch (1964) described differences in those people who demonstrated damage to their relationship to reality, but who seemed able to test it.<ref>{{Cite journal|last=Frosch|first=John|date=1964|title=The psychotic character: Clinical psychiatric considerations|url=http://dx.doi.org/10.1007/bf01573368|journal=The Psychiatric Quarterly|volume=38|issue=1–4|pages=81–96|doi=10.1007/bf01573368|pmid=14148396|s2cid=9097652|issn=0033-2720}}</ref>

According to ego psychology, ego strengths, later described by Otto F. Kernberg (1975), include the capacities to control oral, sexual, and destructive impulses; to tolerate painful affects without falling apart; and to prevent the eruption into consciousness of bizarre symbolic fantasy.<ref>Kernberg, Otto. 1975. ''Borderline Conditions and Pathological Narcissism''. New York: Jason Aronson.</ref> Synthetic functions, in contrast to autonomous functions, arise from the development of the ego and serve the purpose of managing conflict processes. Defenses are synthetic functions that protect the conscious mind from awareness of forbidden impulses and thoughts. One purpose of ego psychology has been to emphasize that some mental functions can be considered to be basic, rather than derivatives of wishes, affects, or defenses. However, autonomous ego functions can be secondarily affected because of unconscious conflict.{{Citation needed|date=May 2020}} For example, a patient may have an hysterical amnesia (memory being an autonomous function) because of intrapsychic conflict (wishing not to remember because it is too painful).

Taken together, the above theories present a group of metapsychological assumptions. Therefore, the inclusive group of the different classical theories provides a cross-sectional view of human mental processes. There are six "points of view", five described by Freud and a sixth added by Hartmann. Unconscious processes can therefore be evaluated from each of these six points of view:<ref>Rapaport, Gill. 1959. "The Points of View and Assumptions of Metapsychology." ''The International Journal of Psychoanalysis'' 40: 153–62. {{PMID|14436240}}.</ref>

# Topographic
# Dynamic (the theory of conflict)
# Economic (the theory of energy flow)
# Structural
# Genetic (i.e. propositions concerning origin and development of psychological functions)
# Adaptational (i.e. psychological phenomena as it relates to the external world)

====Modern conflict theory====
''Modern conflict theory'', a variation of [[Social:Ego psychology|ego psychology]], is a revised version of structural theory, most notably different by altering concepts related to where repressed thoughts were stored.<ref name=":6" /><ref name=":7" /> Modern conflict theory addresses emotional symptoms and character traits as complex solutions to mental conflict.<ref>Brenner, Charles. 2006. "Psychoanalysis: Mind and Meaning." ''Psychoanalytic Quarterly.''</ref> It dispenses with the concepts of a fixed [[Philosophy:Id, ego and superego|id, ego and superego]], and instead posits conscious and unconscious conflict among wishes (dependent, controlling, sexual, and aggressive), guilt and shame, emotions (especially anxiety and depressive affect), and defensive operations that shut off from consciousness some aspect of the others. Moreover, healthy functioning (adaptive) is also determined, to a great extent, by resolutions of conflict.

A major objective of modern conflict-theory psychoanalysis is to change the balance of conflict in a patient by making aspects of the less adaptive solutions (also called "compromise formations") conscious so that they can be rethought, and more adaptive solutions found. Current theoreticians who follow the work of Charles Brenner, especially ''The Mind in Conflict'' (1982), include Sandor Abend,<ref>Abend, Sandor, Porder, and Willick. 1983. ''Borderline Patients: Clinical Perspectives''.</ref> Jacob Arlow,<ref>Arlow, Jacob and Charles Brenner. 1964. ''Psychoanalytic Concepts and the Structural Theory''.</ref> and Jerome Blackman.<ref name=":9">Blackman, Jerome. 2003. ''101 Defenses: How the Mind Shields Itself''.</ref>

====Object relations theory====
''[[Philosophy:Object relations theory|Object relations theory]]'' attempts to explain human relationships through a study of how mental representations of the self and others are organized.<ref>{{Cite web|title=Object Relations Theory|url=https://web.sonoma.edu/users/d/daniels/objectrelations.html|access-date=2020-07-20|website=web.sonoma.edu}}</ref> The clinical symptoms that suggest object relations problems (typically developmental delays throughout life) include disturbances in an individual's capacity to feel: warmth, empathy, trust, sense of security, identity stability, consistent emotional closeness, and stability in relationships with significant others.

Klein discusses the concept of introjection, creating a mental representation of external objects; and [[Philosophy:Psychological projection|projection]], applying this mental representation to reality.<ref name=":15">{{Cite book|last=Abrahams|first=Deborah|url=https://www.worldcat.org/oclc/1239743018|title=A clinical guide to psychodynamic psychotherapy|date=2021|others=Poul Rohleder|isbn=978-1-351-13858-1|location=Abingdon, Oxon|oclc=1239743018}}</ref>{{Rp|24}} Wilfred Bion introduced the concept of ''containment'' of projections in the mother-child relationship where a mother understands an infants projections, modifies them and returns them to the child.<ref name=":15" />{{Rp|27}}

Concepts regarding internal representation (aka 'introspect,' 'self and object representation,' or 'internalization of self and other'), although often attributed to [[Biography:Melanie Klein|Melanie Klein]], were actually first mentioned by Sigmund Freud in his early concepts of drive theory (''Three Essays on the Theory of Sexuality'', 1905). Freud's 1917 paper "Mourning and Melancholia," for example, hypothesized that unresolved grief was caused by the survivor's internalized image of the deceased becoming fused with that of the survivor, and then the survivor shifting unacceptable anger toward the deceased onto the now complex [[Philosophy:Self-image|self-image]].<ref name=":5" />

Vamik Volkan, in "Linking Objects and Linking Phenomena," expanded on Freud's thoughts on this, describing the syndromes of "established pathological mourning" vs. "reactive depression" based on similar dynamics. Melanie Klein's hypotheses regarding internalization during the first year of life, leading to paranoid and depressive positions, were later challenged by René Spitz (e.g., ''The First Year of Life'', 1965), who divided the first year of life into a coenesthetic phase of the first six months, and then a diacritic phase for the second six months. Mahler, Fine, and Bergman (1975) describe distinct phases and subphases of child development leading to "separation-individuation" during the first three years of life, stressing the importance of constancy of parental figures in the face of the child's destructive aggression,  internalizations, stability of affect management, and ability to develop healthy [[Autonomy|autonomy]].<ref>Mahler, Margaret, Fine, and Bergman. 1975. ''The Psychological Birth of the Human Infant''.</ref>

John Frosch, Otto Kernberg, Salman Akhtar, and Sheldon Bach have developed the theory of self and object constancy as it affects adult psychiatric problems such as psychosis and borderline states.{{Citation needed|date=May 2020}} Blos (1960) described how similar separation-individuation struggles occur during adolescence, of course with a different outcome from the first three years of life: the teen usually, eventually, leaves the parents' house (varying with culture).<ref>Blos, Peter. 1960. ''On Adolescence''.</ref>

During adolescence, [[Biography:Erik Erikson|Erik Erikson]] (1950–1960s) described the 'identity crisis,' that involves identity-diffusion anxiety. In order for an adult to be able to experience "Warm-ETHICS: (warmth, Empathy, Trust, [[Biography:Donald Winnicott|Holding environment]], Identity, Closeness, and Stability) in relationships, the teenager must resolve the problems with identity and redevelop self and object constancy.<ref name=":9" />

====Self psychology====
''[[Philosophy:Self psychology|Self psychology]]'' emphasizes the development of a stable and integrated sense of self through empathic contacts with other humans, primary significant others conceived of as '[[Philosophy:Self-objectification|selfobjects]].'{{Citation needed|date=May 2020}} ''Selfobjects'' meet the developing self's needs for mirroring, idealization, and twinship, and thereby strengthen the developing self. The process of treatment proceeds through "transmuting internalizations" in which the patient gradually internalizes the selfobject functions provided by the therapist.{{Citation needed|date=May 2020}}
Self psychology was proposed originally by Heinz Kohut, and has been further developed by Arnold Goldberg, Frank Lachmann, Paul and Anna Ornstein, Marian Tolpin, and others.

====Lacanian psychoanalysis====
[[Philosophy:Lacanianism|Lacanian psychoanalysis]], which integrates psychoanalysis with [[Structural linguistics|structural linguistics]] and Hegelian philosophy, is especially popular in France and parts of Latin America. Lacanian psychoanalysis is a departure from the traditional British and American psychoanalysis. [[Biography:Jacques Lacan|Jacques Lacan]] frequently used the phrase "retourner à Freud" ("return to Freud") in his seminars and writings, as he claimed that his theories were an extension of Freud's own, contrary to those of Anna Freud, the Ego Psychology, object relations and "self" theories and also claims the necessity of reading Freud's complete works, not only a part of them. Lacan's concepts concern the "[[Philosophy:Mirror stage|mirror stage]]", [[Philosophy:The Real|the "Real"]], [[Philosophy:The Imaginary (psychoanalysis)|the "Imaginary"]], and [[Philosophy:The Symbolic|the "Symbolic"]], and the claim that "the unconscious is structured as a language."<ref>[[Biography:Jacques Lacan|Lacan, Jacques]]. 2006. ''The Function and Field of Speech and Language in Psychoanalysis'', translated by B. Fink. New York: W. W. Norton.</ref>

Though a major influence on psychoanalysis in France and parts of Latin America, Lacan and his ideas have taken longer to be translated into English and he has thus had a lesser impact on psychoanalysis and psychotherapy in the English-speaking world. In the United Kingdom and the United States, his ideas are most widely used to analyze texts in [[Philosophy:Literary theory|literary theory]].<ref>Evans, Dylan. 2005. "From Lacan to Darwin." In ''The Literary Animal; Evolution and the Nature of Narrative'', edited by J. Gottschall and D. S. Wilson. Evanston: Northwestern University Press.</ref> Due to his increasingly critical stance towards the deviation from Freud's thought, often singling out particular texts and readings from his colleagues, Lacan was excluded from acting as a training analyst in the IPA, thus leading him to create his own school in order to maintain an institutional structure for the many candidates who desired to continue their analysis with him.<ref>[[Biography:Jacques Lacan|Lacan, Jacques]]. 1990 [1974]. ''Television: A Challenge to the Psychoanalytic Establishment''.</ref>

==== Adaptive paradigm ====
The ''adaptive paradigm'' of psychotherapy develops out of the work of Robert Langs. The ''adaptive paradigm'' interprets psychic conflict primarily in terms of conscious and unconscious adaptation to reality. Langs’ recent work in some measure returns to the earlier Freud, in that Langs prefers a modified version of the topographic model of the mind (conscious, preconscious, and unconscious) over the structural model (id, ego, and super-ego), including the former's emphasis on trauma (though Langs looks to death-related traumas rather than sexual traumas).<ref name="Langs R 2010"/> At the same time, Langs’ model of the mind differs from Freud's in that it understands the mind in terms of evolutionary biological principles.<ref>Langs, Robert. 2010. ''Fundamentals of Adaptive Psychotherapy and Counseling''. London: [[Company:Palgrave Macmillan|Palgrave-MacMillan]].</ref>

====Relational psychoanalysis====
''Relational psychoanalysis'' combines interpersonal psychoanalysis with object-relations theory and with inter-subjective theory as critical for mental health. It was introduced by Stephen Mitchell.<ref>Mitchell, Stephen. 1997. ''Influence and Autonomy in Psychoanalysis''. The Analytic Press.</ref> Relational psychoanalysis stresses how the individual's personality is shaped by both real and imagined relationships with others, and how these relationship patterns are re-enacted in the interactions between analyst and patient. In New York, key proponents of relational psychoanalysis include Lew Aron, Jessica Benjamin, and Adrienne Harris. Fonagy and Target, in London, have propounded their view of the necessity of helping certain detached, isolated patients, develop the capacity for "mentalization" associated with thinking about relationships and themselves. Arietta Slade, Susan Coates, and Daniel Schechter in New York have additionally contributed to the application of relational psychoanalysis to treatment of the adult patient-as-parent, the clinical study of mentalization in parent-infant relationships, and the intergenerational transmission of attachment and trauma.{{Citation needed|date=May 2020}}

====Interpersonal-relational psychoanalysis====
The term ''interpersonal-relational psychoanalysis'' is often used as a professional identification. Psychoanalysts under this broader umbrella debate about what precisely are the differences between the two schools, without any current clear consensus.{{Citation needed|date=May 2020}}

==Psychopathology (mental disturbances)==
===Adults===
The various psychoses involve deficits in the autonomous ego functions (see above) of integration (organization) of thought, in abstraction ability, in relationship to reality and in reality testing. In depressions with psychotic features, the self-preservation function may also be damaged (sometimes by overwhelming depressive affect). Because of the integrative deficits (often causing what general psychiatrists call "loose associations," "blocking," "flight of ideas," "verbigeration," and "thought withdrawal"), the development of self and object representations is also impaired. Clinically, therefore, psychotic individuals manifest limitations in warmth, empathy, trust, identity, closeness and/or stability in relationships (due to problems with self-object fusion anxiety) as well.

In patients whose autonomous ego functions are more intact, but who still show problems with object relations, the diagnosis often falls into the category known as "borderline".  Borderline patients also show deficits, often in controlling impulses, affects, or fantasies – but their ability to test reality remains more or less intact. Adults who do not experience guilt and shame, and who indulge in criminal behavior, are usually diagnosed with [[Medicine:Psychopathy|psychopathy]] or [[Medicine:Antisocial personality disorder|antisocial personality disorder]].

[[Medicine:Neurosis|''Neurotic symptoms'']]—including panic, phobias, conversions, obsessions, compulsions and depressions—are not usually caused by deficits in functions. Instead, they are caused by intrapsychic conflicts. The conflicts are generally among sexual and hostile-aggressive wishes, guilt and shame, and reality factors. The conflicts may be conscious or unconscious, but create anxiety, depressive affect, and anger. Finally, the various elements are managed by defensive operations—essentially shut-off brain mechanisms that make people unaware of that element of conflict.

''Repression'' is the term given to the mechanism that shuts thoughts out of consciousness. ''Isolation of affect'' is the term used for the mechanism that shuts sensations out of consciousness. Neurotic symptoms may occur with or without deficits in ego functions, object relations, and ego strengths. Therefore, it is not uncommon to encounter obsessive-compulsive schizophrenics, panic patients who also suffer with [[Medicine:Borderline personality disorder|borderline personality disorder]], etc.

This section above is partial to ego psychoanalytic theory ''autonomous ego functions''.

===Childhood origins===
Freudian theories hold that [[Biology:Adult|adult]] problems can be traced to unresolved conflicts from certain phases of childhood and [[Social:Adolescence|adolescence]], caused by fantasy, stemming from their own drives. Freud, based on the data gathered from his patients early in his career, suspected that neurotic disturbances occurred when children were sexually abused in childhood (i.e. ''seduction theory''). Later, Freud came to believe that, although child abuse occurs, neurotic symptoms were not associated with this. He believed that neurotic people often had unconscious conflicts that involved incestuous fantasies deriving from different stages of development. He found the stage from about three to six years of age (preschool years, today called the "first genital stage") to be filled with fantasies of having romantic relationships with both parents. Arguments were quickly generated in early 20th-century Vienna about whether adult seduction of children, i.e. [[Medicine:Child sexual abuse|child sexual abuse]], was the basis of neurotic illness. There still is no complete agreement, although nowadays professionals recognize the negative effects of child sexual abuse on mental health.<ref>{{cite web |url = http://www.ptsd.va.gov/professional/pages/child_sexual_abuse.asp |title = Apologies: Page Not Found – PTSD: National Center for PTSD |url-status = dead |archive-url = https://web.archive.org/web/20130728202304/http://www.ptsd.va.gov/professional/pages/child_sexual_abuse.asp |archive-date = 2013-07-28 }}</ref>

==== Oedipal conflicts ====
Many psychoanalysts who work with children have studied the actual effects of child abuse, which include ego and object relations deficits and severe neurotic conflicts. Much research has been done on these types of trauma in childhood, and the adult sequelae of those. In studying the childhood factors that start neurotic symptom development, Freud found a constellation of factors that, for literary reasons, he termed the '''[[Philosophy:Oedipus complex|Oedipus complex]]''', based on the play by Sophocles, ''Oedipus Rex'', in which the protagonist unwittingly kills his father and marries his mother. The validity of the ''Oedipus complex'' is now widely disputed and rejected.<ref name="Miller, Alice 1984, pp. 105">Miller, Alice. 1984. ''Thou Shalt Not Be Aware: Society's Betrayal of the Child''. New York: Farrar Straus and Giroux. pp. 105–227.</ref><ref name="Kupfersmid, Joel">Kupfersmid, Joel. 1995. ''Does the Oedipus complex exist?'' [[Organization:American Psychological Association|American Psychological Association]].</ref>

The shorthand term, ''oedipal''—later explicated by Joseph J. Sandler in "On the Concept Superego" (1960)<ref>{{Cite journal|last=Sandler|first=Joseph|date=January 1960|title=On the Concept of Superego1|url=https://www.tandfonline.com/doi/full/10.1080/00797308.1960.11822572|journal=The Psychoanalytic Study of the Child|language=en|volume=15|issue=1|pages=128–162|doi=10.1080/00797308.1960.11822572|pmid=13746181|issn=0079-7308}}</ref> and modified by Charles Brenner in ''The Mind in Conflict'' (1982)—refers to the powerful attachments that children make to their parents in the preschool years. These attachments involve fantasies of sexual relationships with either (or both) parent, and, therefore, competitive fantasies toward either (or both) parents. Humberto Nagera (1975) has been particularly helpful in clarifying many of the complexities of the child through these years.{{Citation needed|date=May 2020}}

"Positive" and "negative" oedipal conflicts have been attached to the heterosexual and homosexual aspects, respectively. Both seem to occur in development of most children. Eventually, the developing child's concessions to reality (that they will neither marry one parent nor eliminate the other) lead to identifications with parental values. These identifications generally create a new set of mental operations regarding values and guilt, subsumed under the term ''superego''. Besides superego development, children "resolve" their preschool oedipal conflicts through channeling wishes into something their parents approve of ("sublimation") and the development, during the school-age years ("latency") of age-appropriate obsessive-compulsive defensive maneuvers (rules, repetitive games).{{Citation needed|date=May 2020}}

==Treatment==
Using the various analytic and psychological techniques to assess mental problems, some believe{{by whom|date=July 2021}} that there are particular constellations of problems that are especially suited for analytic treatment (see below) whereas other problems might respond better to medicines and other interpersonal interventions.<ref name="INSERM" /> To be treated with psychoanalysis, whatever the presenting problem, the person requesting help must demonstrate a desire to start an analysis. The person wishing to start an analysis must have some capacity for speech and communication. As well, they need to be able to have or develop trust and insight within the psychoanalytic session. Potential patients must undergo a preliminary stage of treatment to assess their amenability to psychoanalysis at that time, and also to enable the analyst to form a working psychological model, which the analyst will use to direct the treatment. Psychoanalysts mainly work with neurosis and hysteria in particular; however, adapted forms of psychoanalysis are used in working with schizophrenia and other forms of psychosis or mental disorder. Finally, if a prospective patient is severely suicidal a longer preliminary stage may be employed, sometimes with sessions which have a twenty-minute break in the middle. There are numerous modifications in technique under the heading of psychoanalysis due to the individualistic nature of personality in both analyst and patient.

The most common problems treatable with psychoanalysis include: [[Medicine:Phobia|phobia]]s, conversions, [[Medicine:Compulsive behavior|compulsions]], obsessions, anxiety attacks, [[Medicine:Depression (mood)|depressions]], [[Medicine:Sexual dysfunction|sexual dysfunction]]s, a wide variety of relationship problems (such as dating and marital strife), and a wide variety of character problems (for example, painful shyness, meanness, obnoxiousness, workaholism, hyperseductiveness, hyperemotionality, hyperfastidiousness). The fact that many of such patients also demonstrate deficits above makes diagnosis and treatment selection difficult.

Analytical organizations such as the IPA, APsaA and the European Federation for Psychoanalytic Psychotherapy have established procedures and models for the indication and practice of psychoanalytical therapy for trainees in analysis. The match between the analyst and the patient can be viewed as another contributing factor for the indication and contraindication for psychoanalytic treatment. The analyst decides whether the patient is suitable for psychoanalysis. This decision made by the analyst, besides made on the usual indications and pathology, is also based to a certain degree by the "fit" between analyst and patient. A person's suitability for analysis at any particular time is based on their desire to know something about where their illness has come from.  Someone who is not suitable for analysis expresses no desire to know more about the root causes of their illness.

An evaluation may include one or more other analysts' independent opinions and will include discussion of the patient's financial situation and insurances.

===Techniques===
The basic method of psychoanalysis is interpretation of the patient's unconscious conflicts that are interfering with current-day functioning – conflicts that are causing painful symptoms such as phobias, anxiety, depression, and compulsions. Strachey (1936) stressed that figuring out ways the patient distorted perceptions about the analyst led to understanding what may have been forgotten.<ref group="lower-roman">also see Freud's paper "Repeating, Remembering, and Working Through"</ref> In particular, unconscious hostile feelings toward the analyst could be found in symbolic, negative reactions to what Robert Langs later called the "frame" of the therapy<ref>Langs, Robert. 1998. ''Ground Rules in Psychotherapy and Counselling''. London: Karnac.</ref>—the setup that included times of the sessions, payment of fees, and necessity of talking. In patients who made mistakes, forgot, or showed other peculiarities regarding time, fees, and talking, the analyst can usually find various unconscious "resistances" to the flow of thoughts (aka free association).

When the patient reclines on a couch with the analyst out of view, the patient tends to remember more experiences, more resistance and transference, and is able to reorganize thoughts after the development of insight – through the interpretive work of the analyst. Although fantasy life can be understood through the examination of [[Biology:Dream|dream]]s, masturbation fantasies<ref group="lower-roman">cf. Marcus, I. and J. Francis. 1975. ''Masturbation from Infancy to Senescence''.</ref> are also important. The analyst is interested in how the patient reacts to and avoids such fantasies.<ref>Gray, Paul. 1994. ''The Ego and Analysis of Defense''. J. Aronson.</ref> Various memories of early life are generally distorted—what Freud called ''screen memories''—and in any case, very early experiences (before age two)—cannot be remembered.<ref group="lower-roman">see the child studies of Eleanor Galenson on "evocative memory"</ref>

====Variations in technique====
There is what is known among psychoanalysts as ''classical technique'', although Freud throughout his writings deviated from this considerably, depending on the problems of any given patient.

''Classical technique'' was summarized by Allan Compton as comprising:{{Citation needed|date=May 2020}}

* instructions: telling the patient to try to say what's on their mind, including interferences; 
* exploration: asking questions; and 
* clarification: rephrasing and summarizing what the patient has been describing.

As well, the analyst can also use confrontation to bringing an aspect of functioning, usually a defense, to the patient's attention. The analyst then uses a variety of interpretation methods, such as:{{Citation needed|date=May 2020}}

* Dynamic interpretation: explaining how being too nice guards against guilt (e.g. defense vs. affect);
* Genetic interpretation: explaining how a past event is influencing the present; 
* Resistance interpretation: showing the patient how they are avoiding their problems; 
* Transference interpretation: showing the patient ways old conflicts arise in current relationships, including that with the analyst; or
* Dream interpretation: obtaining the patient's thoughts about their dreams and connecting this with their current problems.

Analysts can also use reconstruction to estimate what may have happened in the past that created some current issue. These techniques are primarily based on [[Social:Conflict theories|''conflict theory'']] (see above). As ''object relations theory'' evolved, supplemented by the work of [[Biography:John Bowlby|John Bowlby]] and [[Biography:Mary Ainsworth|Mary Ainsworth]], techniques with patients who had more severe problems with basic trust ([[Biography:Erik Erikson|Erikson]], 1950) and a history of [[Philosophy:Maternal deprivation|maternal deprivation]] (see the works of Augusta Alpert) led to new techniques with adults. These have sometimes been called interpersonal, intersubjective (cf. Stolorow), relational, or corrective object relations techniques. These techniques include expressing an empathic attunement to the patient or warmth; exposing a bit of the analyst's personal life or attitudes to the patient; allowing the patient autonomy in the form of disagreement with the analyst (cf. I. H. Paul, ''Letters to Simon''); and explaining the motivations of others which the patient misperceives.{{Citation needed|date=May 2020}}

Ego psychological concepts of deficit in functioning led to refinements in supportive therapy. These techniques are particularly applicable to psychotic and near-psychotic (cf., Eric Marcus, "Psychosis and Near-psychosis") patients. These supportive therapy techniques include discussions of reality; encouragement to stay alive (including hospitalization); psychotropic medicines to relieve overwhelming depressive affect or overwhelming fantasies (hallucinations and delusions); and advice about the meanings of things (to counter abstraction failures).{{Citation needed|date=May 2020}}

The notion of the "silent analyst" has been criticized. Actually, the analyst listens using Arlow's approach as set out in "The Genesis of Interpretation", using active intervention to interpret resistances, defenses creating pathology, and fantasies. Silence is not a technique of psychoanalysis (see also the studies and opinion papers of Owen Renik). "[[Medicine:Neutrality (psychoanalysis)|Analytic neutrality]]" is a concept that does not mean the analyst is silent. It refers to the analyst's position of not taking sides in the internal struggles of the patient. For example, if a patient feels guilty, the analyst might explore what the patient has been doing or thinking that causes the guilt, but not reassure the patient not to feel guilty. The analyst might also explore the identifications with parents and others that led to the guilt.{{Citation needed|date=May 2020}}

Interpersonal–relational psychoanalysts emphasize the notion that it is impossible to be neutral. Sullivan introduced the term ''[[Participant observation|participant-observer]]'' to indicate the analyst inevitably interacts with the analysand, and suggested the detailed inquiry as an alternative to interpretation. The detailed inquiry involves noting where the analysand is leaving out important elements of an account and noting when the story is obfuscated, and asking careful questions to open up the dialogue.{{Citation needed|date=May 2020}}

===Group therapy and play therapy===
Although single-client sessions remain the norm, psychoanalytic theory has been used to develop other types of psychological treatment. Psychoanalytic group therapy was pioneered by Trigant Burrow, Joseph Pratt, Paul F. Schilder, [[Biography:Samuel Slavson|Samuel R. Slavson]], Harry Stack Sullivan, and Wolfe. Child-centered counseling for parents was instituted early in analytic history by Freud, and was later further developed by Irwin Marcus, Edith Schulhofer, and Gilbert Kliman. Psychoanalytically based couples therapy has been promulgated and explicated by Fred Sander. Techniques and tools developed in the first decade of the 21st century have made psychoanalysis available to patients who were not treatable by earlier techniques. This meant that the analytic situation was modified so that it would be more suitable and more likely to be helpful for these patients. Eagle (2007) believes that psychoanalysis cannot be a self-contained discipline but instead must be open to influence from and integration with findings and theory from other disciplines.<ref>Eagle, Morris N. 2007. "[https://semanticscholar.org/paper/2403e3b4cb03f1b54e1b8205053a010d3416aab6 Psychoanalysis and its critics]." ''Psychoanalytic Psychology'' 24:10–24. {{Doi|10.1037/0736-9735.24.1.10}}.</ref>

Psychoanalytic constructs have been adapted for use with children with treatments such as play therapy, [[Medicine:Art therapy|art therapy]], and [[Social:Storytelling|storytelling]]. Throughout her career, from the 1920s through the 1970s, Anna Freud adapted psychoanalysis for children through play. This is still used today for children, especially those who are preadolescent.<ref group="lower-roman">see Leon Hoffman, New York Psychoanalytic Institute Center for Children</ref> Using toys and games, children are able to symbolically demonstrate their fears, fantasies, and defenses; although not identical, this technique, in children, is analogous to the aim of free association in adults. Psychoanalytic play therapy allows the child and analyst to understand children's conflicts, particularly defenses such as disobedience and withdrawal, that have been guarding against various unpleasant feelings and hostile wishes. In art therapy, the counselor may have a child draw a portrait and then tell a story about the portrait. The counselor watches for recurring themes—regardless of whether it is with art or toys.{{Citation needed|date=May 2020}}

===Cultural variations===
Psychoanalysis can be adapted to different cultures, as long as the therapist or counselor understands the client's culture.{{Citation needed|date=May 2020}} For example, Tori and Blimes found that defense mechanisms were valid in a normative sample of 2,624 Thais. The use of certain defense mechanisms was related to cultural values. For example, Thais value calmness and collectiveness (because of [[Religion:Buddhism|Buddhist]] beliefs), so they were low on regressive emotionality. Psychoanalysis also applies because Freud used techniques that allowed him to get the subjective perceptions of his patients. He takes an objective approach by not facing his clients during his talk therapy sessions. He met with his patients wherever they were, such as when he used free association—where clients would say whatever came to mind without self-censorship. His treatments had little to no structure for most cultures, especially Asian cultures. Therefore, it is more likely that Freudian constructs will be used in structured therapy.<ref name=":1" /> In addition, Corey postulates that it will be necessary for a therapist to help clients develop a [[Social:Cultural identity|cultural identity]] as well as an ego identity.

=== Psychodynamic therapy ===
Psychodynamic therapies refer therapies that draw from psychoanalytic approaches but are designed to be shorter in duration or less intensive.<ref name=":15" />{{Rp|1}}

===Cost and length of treatment===
The cost to the patient of psychoanalytic treatment ranges widely from place to place and between practitioners.{{Citation needed|date=May 2020}} Low-fee analysis is often available in a psychoanalytic training clinic and graduate schools. Otherwise, the fee set by each analyst varies with the analyst's training and experience. Since, in most locations in the United States, unlike in Ontario and Germany, classical analysis (which usually requires sessions three to five times per week) is not covered by health insurance, many analysts may negotiate their fees with patients whom they feel they can help, but who have financial difficulties. The modifications of analysis, which include psychodynamic therapy, brief therapies, and certain types of group therapy,<ref group="lower-roman">cf. Slavson, S. R., ''A Textbook in Analytic Group Therapy''</ref> are carried out on a less frequent basis – usually once, twice, or three times a week – and usually the patient sits facing the therapist. As a result of the defense mechanisms and the lack of access to the unfathomable elements of the unconscious, psychoanalysis can be an expansive process that involves 2 to 5 sessions per week for several years. This type of therapy relies on the belief that reducing the symptoms will not actually help with the root causes or irrational drives. The analyst typically is a 'blank screen', disclosing very little about themselves in order that the client can use the space in the relationship to work on their unconscious without interference from outside.{{Citation needed|date=May 2020}}

The psychoanalyst uses various methods to help the patient to become more self-aware and to develop insights into their behavior and into the meanings of symptoms. First and foremost, the psychoanalyst attempts to develop a confidential atmosphere in which the patient can feel safe reporting his feelings, thoughts and fantasies. Analysands (as people in analysis are called) are asked to report whatever comes to mind without fear of reprisal. Freud called this the "fundamental rule". Analysands are asked to talk about their lives, including their early life, current life and hopes and aspirations for the future. They are encouraged to report their fantasies, "flash thoughts" and dreams. In fact, Freud believed that dreams were, "the royal road to the unconscious"; he devoted an entire volume to the interpretation of dreams. Freud had his patients lay on a couch in a dimly lit room and would sit out of sight, usually directly behind them, as to not influence the patients thoughts by his gestures or expressions.{{Citation needed|date=May 2020}}<ref>{{Cite book|last1=Hergenhahn|first1=Baldwin|title=An Introduction to Theories of Personality|last2=Olson|first2=Matthew|publisher=Pearson Prentice Hall|year=2007|isbn=978-0-13-194228-8|location=Upper Saddle River, New Jersey, 07458|pages=45–46}}</ref>

The psychoanalyst's task, in collaboration with the analysand, is to help deepen the analysand's understanding of those factors, outside of his awareness, that drive his behaviors. In the safe environment of the psychoanalytic setting, the analysand becomes attached to the analyst and pretty soon he begins to experience the same conflicts with his analyst that he experiences with key figures in his life such as his parents, his boss, his significant other, etc. It is the psychoanalyst's role to point out these conflicts and to interpret them. The transferring of these internal conflicts onto the analyst is called "transference".{{Citation needed|date=May 2020}}

Many studies have also been done on briefer "dynamic" treatments; these are more expedient to measure, and shed light on the therapeutic process to some extent. Brief Relational Therapy (BRT), Brief Psychodynamic Therapy (BPT), and Time-Limited Dynamic Therapy (TLDP) limit treatment to 20–30 sessions. On average, classical analysis may last 5.7 years{{citation needed|date=June 2014}}, but for phobias and depressions uncomplicated by ego deficits or object relations deficits, analysis may run for a shorter period of time.{{mcn|date=September 2018}} Longer analyses are indicated for those with more serious disturbances in object relations, more symptoms, and more ingrained character pathology.{{Citation needed|date=May 2020}}

==Training and research<!--'Psychoanalytic psychotherapy' redirects here-->==
Psychoanalysis continues to be practiced by psychiatrists, social workers, and other mental health professionals; however, its practice has declined.<ref name="Science">{{cite journal|date=25 February 2005|title=French Psychoflap|journal=Science|volume=307|issue=5713|pages=1197a|doi=10.1126/science.307.5713.1197a|s2cid=220106659}}</ref><ref>{{cite journal|title=Is Psychoanalysis Still Relevant to Psychiatry?|year=2017|pmc=5459228|last1=Paris|first1=J.|journal=Canadian Journal of Psychiatry|volume=62|issue=5|pages=308–312|doi=10.1177/0706743717692306|pmid=28141952}}</ref> It has been largely replaced by the similar but broader [[Medicine:Psychodynamic psychotherapy|psychodynamic psychotherapy]] in the mid-20th century.<ref name=encMH/> Psychoanalytic approaches continue to be listed by the UK NHS as possibly helpful for depression.<ref>{{Cite web|title=Clinical depression – Treatment|url=https://www.nhs.uk/conditions/clinical-depression/treatment/|date=2017-10-24}}</ref>

=== United States ===
Psychoanalytic training in the United States involves a personal psychoanalysis for the trainee, approximately 600 hours of class instruction, with a standard curriculum, over a four or five-year period.

Typically, this psychoanalysis must be conducted by a Supervising and Training Analyst. Most institutes (but not all) within the American Psychoanalytic Association, require that Supervising and Training Analysts become certified by the American Board of Psychoanalysts. Certification entails a blind review in which the psychoanalyst's work is vetted by psychoanalysts outside of their local community. After earning certification, these psychoanalysts undergo another hurdle in which they are specially vetted by senior members of their own institute. Supervising and Training analysts are held to the highest clinical and ethical standards. Moreover, they are required to have extensive experience conducting psychoanalyses.{{Citation needed|date=May 2020}}

Similarly, class instruction for psychoanalytic candidates is rigorous. Typically classes meet several hours a week, or for a full day or two every other weekend during the academic year; this varies with the institute.{{Citation needed|date=May 2020}}

Candidates generally have an hour of supervision each week, with a Supervising and Training Analyst, on each psychoanalytic case. The minimum number of cases varies between institutes, often two to four cases. Male and female cases are required. Supervision must go on for at least a few years on one or more cases. Supervision is done in the supervisor's office, where the trainee presents material from the psychoanalytic work that week. In supervision, the patient's unconscious conflicts are explored, also, transference-countertransference constellations are examined. Also, clinical technique is taught.{{Citation needed|date=May 2020}}

Many psychoanalytic training centers in the United States have been accredited by special committees of the APsaA or the IPA. Because of theoretical differences, there are independent institutes, usually founded by psychologists, who until 1987 were not permitted access to psychoanalytic training institutes of the APsaA. Currently there are between 75 and 100 independent institutes in the United States.  As well, other institutes are affiliated to other organizations such as the [[Organization:American Academy of Psychoanalysis and Dynamic Psychiatry|American Academy of Psychoanalysis and Dynamic Psychiatry]], and the National Association for the Advancement of Psychoanalysis. At most psychoanalytic institutes in the United States, qualifications for entry include a terminal degree in a mental health field, such as Ph.D., Psy.D., M.S.W., or M.D. A few institutes restrict applicants to those already holding an M.D. or Ph.D., and most institutes in Southern California confer a Ph.D. or Psy.D. in psychoanalysis upon graduation, which involves completion of the necessary requirements for the state boards that confer that doctoral degree. The first training institute in America to educate non-medical psychoanalysts was The National Psychological Association for Psychoanalysis (1978) in New York City. It was founded by the analyst Theodor Reik. The Contemporary Freudian (originally the New York Freudian Society) an offshoot of the National Psychological Association has a branch in Washington, DC.  It is a component society/institute or the IPA.{{Citation needed|date=May 2020}}

Some psychoanalytic training has been set up as a post-doctoral fellowship in university settings, such as at Duke University, Yale University, New York University, Adelphi University and Columbia University. Other psychoanalytic institutes may not be directly associated with universities, but the faculty at those institutes usually hold contemporaneous faculty positions with psychology Ph.D. programs and/or with medical school psychiatry residency programs.{{Citation needed|date=May 2020}}

The IPA is the world's primary accrediting and regulatory body for psychoanalysis. Their mission is to assure the continued vigor and development of psychoanalysis for the benefit of psychoanalytic patients. It works in partnership with its 70 constituent organizations in 33 countries to support 11,500 members. In the US, there are 77 psychoanalytical organizations, institutes associations in the United States, which are spread across the states of America. APSaA has 38 affiliated societies which have 10 or more active members who practice in a given geographical area. The aims of APSaA and other psychoanalytical organizations are: provide ongoing educational opportunities for its members, stimulate the development and research of psychoanalysis, provide training and organize conferences. There are eight affiliated study groups in the United States. A study group is the first level of integration of a psychoanalytical body within the IPA, followed by a provisional society and finally a member society.{{Citation needed|date=May 2020}}

The Division of Psychoanalysis (39) of the [[Organization:American Psychological Association|American Psychological Association]] (APA) was established in the early 1980s by several psychologists.  Until the establishment of the Division of Psychoanalysis, psychologists who had trained in independent institutes had no national organization. The Division of Psychoanalysis now has approximately 4,000 members and approximately 30 local chapters in the United States. The Division of Psychoanalysis holds two annual meetings or conferences and offers continuing education in theory, research and clinical technique, as do their affiliated local chapters. The European Psychoanalytical Federation (EPF) is the organization which consolidates all European psychoanalytic societies. This organization is affiliated with the IPA. In 2002 there were approximately 3,900 individual members in 22 countries, speaking 18 different languages. There are also 25 psychoanalytic societies.{{Citation needed|date=May 2020}}

The American Association of Psychoanalysis in Clinical Social Work (AAPCSW) was established by Crayton Rowe in 1980 as a division of the Federation of Clinical Societies of Social Work and became an independent entity in 1990. Until 2007 it was known as the National Membership Committee on Psychoanalysis. The organization was founded because although social workers represented the larger number of people who were training to be psychoanalysts, they were underrepresented as supervisors and teachers at the institutes they attended.  AAPCSW now has over 1000 members and has over 20 chapters. It holds a bi-annual national conference and numerous annual local conferences.{{Citation needed|date=May 2020}}

Experiences of psychoanalysts and psychoanalytic psychotherapists and research into infant and child development have led to new insights. Theories have been further developed and the results of [[Empirical research|empirical research]] are now more integrated in the [[Philosophy:Psychoanalytic theory|psychoanalytic theory]].<ref name="NPI">{{citation |url = http://www.psychoanalytischinstituut.nl/ |title = Nederlands Psychoanalytisch Instituut |url-status = dead |archive-url = https://web.archive.org/web/20081014064319/http://www.psychoanalytischinstituut.nl/ |archive-date = 2008-10-14 }}</ref>

===United Kingdom===
The London Psychoanalytical Society was founded by Ernest Jones on 30 October 1913.{{Citation needed|date=May 2020}} After [[Social:World War I|World War I]] with the expansion of psychoanalysis in the United Kingdom, the Society was reconstituted and named the British Psychoanalytical Society in 1919. Soon after, the Institute of Psychoanalysis was established to administer the Society's activities. These include: the training of psychoanalysts, the development of the theory and practice of psychoanalysis, the provision of treatment through The London Clinic of Psychoanalysis, the publication of books in The New Library of Psychoanalysis and Psychoanalytic Ideas. The Institute of Psychoanalysis also publishes ''The International Journal of Psychoanalysis'', maintains a library, furthers research, and holds public lectures. The society has a Code of Ethics and an Ethical Committee. The society, the institute and the clinic are all located at ''Byron House'' in West London.{{Citation needed|date=May 2020}}

The Society is a constituent society of the International Psychoanalytical Association, IPA, a body with members on all five continents which safeguards professional and ethical practice.{{Citation needed|date=May 2020}} The Society is a member of the British Psychoanalytic Council (BPC); the BPC publishes a register of British psychoanalysts and psychoanalytical psychotherapists. All members of the British Psychoanalytic Council are required to undertake continuing professional development, CPD. Members of the Society teach and hold posts on other approved psychoanalytic courses, e.g.: [[Organization:British Psychotherapy Foundation|British Psychotherapy Foundation]] and in academic departments, e.g.[[Organization:University College London|University College London]].

Members of the Society have included: Michael Balint, Wilfred Bion, [[Biography:John Bowlby|John Bowlby]], Ronald Fairbairn, Anna Freud, Harry Guntrip, [[Biography:Melanie Klein|Melanie Klein]], Donald Meltzer, Joseph J. Sandler, Hanna Segal, J. D. Sutherland and [[Biography:Donald Winnicott|Donald Winnicott]].

The Institute of Psychoanalysis is the foremost publisher of psychoanalytic literature. The 24-volume ''Standard Edition of the Complete Psychological Works of Sigmund Freud'' was conceived, translated, and produced under the direction of the British Psychoanalytical Society. The Society, in conjunction with {{wipe|Random House}}, will soon publish a new, revised and expanded Standard Edition. With the New Library of Psychoanalysis the Institute continues to publish the books of leading theorists and practitioners. ''The International Journal of Psychoanalysis'' is published by the Institute of Psychoanalysis. Now in its 84th year, it has one of the largest circulations of any psychoanalytic journal.{{Citation needed|date=May 2020}}

===India===

Psychoanalytical practice is emerging slowly in India, but is not yet recognised by the government. In 2016, India decriminalised suicide in its mental health bill.<ref>{{cite news |url=https://www.theweek.in/features/society/another-freudian-slip.html |title=Another Freudian Slip? |work=The Week |first=Supriya |last=Thanawala |date=20 August 2016}}</ref>

===Psychoanalytic psychotherapy===
There are different forms of psychoanalysis and psychotherapies in which psychoanalytic thinking is practiced. Besides classical psychoanalysis there is for example '''psychoanalytic psychotherapy''',<!--bold per WP:R#PLA--> a therapeutic approach which widens "the accessibility of psychoanalytic theory and clinical practices that had evolved over 100 plus years to a larger number of individuals."<ref>[What is Psychoanalytic Psychotherapy? Toronto Psychoanalytic Society and Institute – ]</ref> Other examples of well known therapies which also use insights of psychoanalysis are [[Social:Mentalization-based treatment|mentalization-based treatment]] (MBT), and [[Medicine:Transference focused psychotherapy|transference focused psychotherapy]] (TFP).<ref name="NPI"/> There is also a continuing influence of psychoanalytic thinking in mental health care.<ref>{{citation |url = http://www.npg-utrecht.nl/npg.htm |title = Nederlands Psychoanalytisch Genootschap |url-status = dead |archive-url = https://web.archive.org/web/20090916045816/http://www.npg-utrecht.nl/npg.htm |archive-date = September 16, 2009 }}</ref>

===Research===
Over a hundred years of case reports and studies in the journal ''Modern Psychoanalysis'', the ''Psychoanalytic Quarterly'', the ''International Journal of Psychoanalysis'' and the ''Journal of the American Psychoanalytic Association'' have analyzed the efficacy of analysis in cases of [[Medicine:Neurosis|neurosis]] and character or personality problems. Psychoanalysis modified by object relations techniques has been shown to be effective in many cases of ingrained problems of intimacy and relationship (cf. the many books of Otto Kernberg). Psychoanalytic treatment, in other situations, may run from about a year to many years, depending on the severity and complexity of the pathology.

Psychoanalytic theory has, from its inception, been the subject of criticism and controversy. Freud remarked on this early in his career, when other physicians in Vienna ostracized him for his findings that hysterical conversion symptoms were not limited to women. Challenges to analytic theory began with Otto Rank and Alfred Adler (turn of the 20th century), continued with behaviorists (e.g. Wolpe) into the 1940s and '50s, and have persisted (e.g. Miller). Criticisms come from those who object to the notion that there are mechanisms, thoughts or feelings in the mind that could be unconscious. Criticisms also have been leveled against the idea of "infantile sexuality" (the recognition that children between ages two and six imagine things about procreation). Criticisms of theory have led to variations in analytic theories, such as the work of Ronald Fairbairn, Michael Balint, and [[Biography:John Bowlby|John Bowlby]]. In the past 30 years or so, the criticisms have centered on the issue of empirical verification.<ref>{{citation |author = Tallis RC |year = 1996 |url = http://www.human-nature.com/freud/tallis.html |title = Burying Freud |journal = Lancet |volume = 347 |pages = 669–671 |pmid = 8596386 |doi = 10.1016/S0140-6736(96)91210-6 |issue = 9002 |s2cid = 35537033 }}</ref>

Psychoanalysis has been used as a research tool into childhood development (cf. the journal ''The Psychoanalytic Study of the Child''), and has developed into a flexible, effective treatment for certain mental disturbances.<ref name="Wallerstein 2000"/> In the 1960s, Freud's early (1905) thoughts on the childhood development of [[Philosophy:Human female sexuality|female sexuality]] were challenged; this challenge led to major research in the 1970s and 80s, and then to a reformulation of female sexual development that corrected some of Freud's concepts.<ref>{{citation |editor = Blum HP |year = 1977 |title = Female Psychology |location = New York |publisher = International Universities Press }}</ref> Also see the various works of Eleanor Galenson, Nancy Chodorow, Karen Horney, Françoise Dolto, [[Biography:Melanie Klein|Melanie Klein]], Selma Fraiberg, and others. Most recently, psychoanalytic researchers who have integrated attachment theory into their work, including Alicia Lieberman, Susan Coates, and Daniel Schechter have explored the role of parental traumatization in the development of young children's mental representations of self and others.<ref>{{cite journal |author1 = Schechter DS |author2 = Zygmunt A |author3 = Coates SW |author4 = Davies M |author5 = Trabka KA |author6 = McCaw J |author7 = Kolodji A. |author8 = Robinson JL |year = 2007 |title = Caregiver traumatization adversely impacts young children's mental representations of self and others |journal = Attachment & Human Development |volume = 9 |issue = 3 |pages = 187–20 |doi = 10.1080/14616730701453762 |pmid = 18007959 |pmc = 2078523 }}</ref>

== Effectiveness ==
The psychoanalytic profession has been resistant to researching efficacy.<ref name="businessinsider.com.au">{{Cite web|title=Here's what psychoanalysis really is, and what research says about its effectiveness|url=https://www.businessinsider.com.au/heres-what-psychoanalysis-is-and-what-research-says-about-its-effectiveness-2016-8/amp|last=Vickers|first=Christine Brett|date=15 August 2016|website=Business Insider}}</ref> Evaluations of effectiveness based on the interpretation of the therapist alone cannot be proven.<ref name="Psychology: Tenth edition in modules">Myers, D. G. (2014). ''Psychology: Tenth edition in modules''. New York: Worth Publishers.{{page needed|date=June 2018}}</ref>

===Research results===
Numerous studies have shown that the efficacy of therapy is primarily related to the quality of the therapist, rather than the school or technique or training.<ref name="Horvath A 2001 365–372">Horvath, A. 2001. "The Alliance." ''Psychotherapy: Theory, Research, Practice, Training'' 38(4):365–72. {{Doi|10.1037/0033-3204.38.4.365}}.</ref>

[[Meta-analysis|Meta-analyses]] in 2012 and 2013 found support or evidence for the efficacy of psychoanalytic therapy, thus further research is needed.<ref>{{cite journal|last=Leichsenring, Falk, Allan Abbass, Patrick Luyten, Mark Hilsenroth, and Sven Rabung|year=2013|title=The emerging evidence for long-term psychodynamic therapy|url=http://pdfs.semanticscholar.org/729f/6f7721dd8491f768cd53eefae8d06afc5629.pdf|archive-url=https://web.archive.org/web/20190226202546/http://pdfs.semanticscholar.org/729f/6f7721dd8491f768cd53eefae8d06afc5629.pdf|url-status=dead|archive-date=2019-02-26|journal=Psychodynamic Psychiatry|volume=41|issue=3|pages=361–84|doi=10.1521/pdps.2013.41.3.361|pmid=24001160|s2cid=10911045|s2cid-access=free}}</ref><ref name=":0">{{cite journal|last1=De Maat, Saskia, Frans de Jonghe, Ruth de Kraker|last2=Falk Leichsenring, Allan Abbass, Patrick Luyten, Jacques P. Barber, Rien Van, and Jack Dekker|display-authors=1|year=2013|title=The current state of the empirical evidence for psychoanalysis: A meta-analytic approach|journal=Harvard Review of Psychiatry|volume=21|issue=3|pages=107–37|doi=10.1097/HRP.0b013e318294f5fd|pmid=23660968|doi-access=free}}</ref> Other meta-analyses published in the recent years showed psychoanalysis and [[Medicine:Psychodynamic psychotherapy|psychodynamic therapy]] to be effective, with outcomes comparable or greater than other kinds of [[Medicine:Psychotherapy|psychotherapy]] or antidepressant drugs,<ref>{{Citation|author=Shedler|first=Jonathan|title=The Efficacy of Psychodynamic Psychotherapy|journal=American Psychologist|volume=65|issue=2|pages=98–109|year=2010|citeseerx=10.1.1.607.2980|doi=10.1037/a0018378|pmid=20141265}}</ref><ref>{{citation|last1=Leichsenring|first1=F.|title=Are psychodynamic and psychoanalytic therapies effective|url=https://pdfs.semanticscholar.org/a6e0/b5e267dbc8ac9b075a3c67006757b40fd652.pdf|journal=International Journal of Psychoanalysis|volume=86|issue=3|pages=841–68|year=2005|doi=10.1516/rfee-lkpn-b7tf-kpdu|pmid=16096078|s2cid=38880785|s2cid-access=free}}</ref><ref>Leichsenring, Falk, and Sven Rabung. 2011. "[https://www.cambridge.org/core/services/aop-cambridge-core/content/view/3088C7939D17CA5DFD2144FB84AC9379/S000712500025575Xa.pdf/longterm_psychodynamic_psychotherapy_in_complex_mental_disorders_update_of_a_metaanalysis.pdf Long-term psychodynamic psychotherapy in complex mental disorders: update of a meta-analysis]." ''British Journal of Psychiatry'' 199(1):15–22. {{Doi|10.1192/bjp.bp.110.082776}}. {{PMID|21719877}} – via {{wipe|Cambridge University Press}}.</ref> but these arguments have also been subjected to various criticisms.<ref>McKay, Dean. 2011. "[https://fordham.bepress.com/psych_facultypubs/318 Methods and mechanisms in the efficacy of psychodynamic psychotherapy]{{Access indicator|closed}}." ''American Psychologist'' 66(2):147–8. {{Doi|10.1037/a0021195}}. {{PMID|21299262}}.</ref><ref>Thombs, Brett D., Lisa R. Jewett, and Marielle Bassel. 2011. "Is there room for criticism of studies of psychodynamic psychotherapy?" ''American Psychologist'' 66(2):148–49. {{Doi|10.1037/a0021248}}. {{PMID|21299263}}.</ref><ref>Anestis, Michael D., Joye C. Anestis, and Scott O. Lilienfeld. 2011. "When it comes to evaluating psychodynamic therapy, the devil is in the details." ''American Psychologist'' 66(2):149–51. {{Doi|10.1037/a0021190}}. {{PMID|21299264}}.</ref><ref>Tryon, Warren W., and Georgiana S. Tryon. 2011. "No ownership of common factors." ''American Psychologist'' 66(2):151–52. {{Doi|10.1037/a0021056}}. {{PMID|21299265}}.</ref> In particular, the inclusion of pre/post studies rather than randomized controlled trials, and the absence of adequate comparisons with control treatments is a serious limitation in interpreting the results.<ref name=":0" /> A French 2004 report from INSERM concluded that psychoanalytic therapy is less effective than other psychotherapies (including [[Medicine:Cognitive behavioral therapy|cognitive behavioral therapy]]) for certain diseases.<ref name="INSERM" /> 

In 2011, the [[Organization:American Psychological Association|American Psychological Association]] made 103 comparisons between psychodynamic treatment and a non-dynamic competitor and found that 6 were superior, 5 were inferior, 28 had no difference and 63 were adequate. The study found that this could be used as a basis "to make psychodynamic psychotherapy an 'empirically validated' treatment."<ref name="Gerber">{{cite journal|last1=Gerber|first1=Andrew J|last2=Kocsis|first2=James H|last3=Milrod|first3=Barbara L|last4=Roose|first4=Steven P|last5=Barber|first5=Jacques P|last6=Thase|first6=Michael E|last7=Perkins|first7=Patrick|last8=Leon|first8=Andrew C|display-authors=3|year=2011|title=A Quality-Based Review of Randomized Controlled Trials of Psychodynamic Psychotherapy|journal=American Journal of Psychiatry|volume=168|issue=1|pages=19–28|doi=10.1176/appi.ajp.2010.08060843|pmid=20843868}}</ref>{{explain|date=September 2018}}

Meta-analyses of Short Term Psychodynamic Psychotherapy (STPP) have found [[Effect size|effect size]]s ([[Effect size#Cohen's d|Cohen's d]]) ranging from .34 to .71 compared to no treatment and was found to be slightly better than other therapies in follow up.<ref>{{cite journal|author1=Anderson, Edward M., and Michael J. Lambert|year=1995|title=Short-term dynamically oriented psychotherapy: A review and meta-analysis|journal=Clinical Psychology Review|volume=15|issue=6|pages=503–514|doi=10.1016/0272-7358(95)00027-m}}</ref> Other reviews have found an effect size of .78 to .91 for somatic disorders compared to no treatment<ref>{{cite journal|author1=Abbass, Allan, Stephen Kisely, and Kurt Kroenke|year=2009|title=Short-Term Psychodynamic Psychotherapy for Somatic Disorders. Systematic Review and Meta-Analysis of Clinical Trials|url=https://www.semanticscholar.org/paper/e089087c0b723bd69b7d55a57176f9e1a62568be|journal=Psychotherapy and Psychosomatics|volume=78|issue=5|pages=265–74|doi=10.1159/000228247|pmid=19602915|hdl=10072/30557|s2cid=16419162|hdl-access=free}}</ref>  and .69 for treating depression.<ref>{{cite journal|author=Abass, Allen A.|display-authors=0|year=2010|title=The efficacy of short-term psychodynamic psychotherapy for depression: A meta-analysis|journal=Clinical Psychology Review|volume=30|issue=1|pages=25–36|doi=10.1016/j.cpr.2009.08.010|pmid=19766369}}</ref> A 2012 ''Harvard Review of Psychiatry'' meta-analysis of Intensive Short-Term Dynamic Psychotherapy (ISTDP) found effect sizes ranging from .84 for interpersonal problems to 1.51 for depression. Overall ISTDP had an effect size of 1.18 compared to no treatment.<ref>{{cite journal |last1 = Abbass |first1=Allan |last2=Town|first2 = Joel |last3 = Driessen|first3= Ellen |year = 2012 |title = Intensive Short-Term Dynamic Psychotherapy: A Systematic Review and Meta-analysis of Outcome Research |journal = Harvard Review of Psychiatry |volume = 20 |issue = 2 |pages = 97–108 |doi = 10.3109/10673229.2012.677347 |pmid = 22512743 |citeseerx=10.1.1.668.6311 |s2cid=6432516 }}</ref>

A meta-analysis of Long Term Psychodynamic Psychotherapy in 2012 found an overall effect size of .33, which is modest. This study concluded the recovery rate following LTPP was equal to control treatments, including treatment as usual, and found the evidence for the effectiveness of LTPP to be limited and at best conflicting.<ref name="ReferenceA">{{cite journal |last1 = Smit |first1 = Y. |last2 = Huibers |first2 = J. |last3 = Ioannidis |first3 = J. |last4 = van Dyck |first4 = R. |last5 = van Tilburg |first5 = W. |last6 = Arntz |first6 = A. |title = The effectiveness of long-term psychoanalytic psychotherapy — A meta-analysis of randomized controlled trials |journal = Clinical Psychology Review |volume = 32 |issue = 2 |pages = 81–92 |year = 2012 |doi = 10.1016/j.cpr.2011.11.003 |pmid = 22227111 }}</ref> Others have found effect sizes of .44–.68.<ref>{{cite journal |last1 = Leichsenring |first1 = Falk |last2 = Rabung |first2 = Sven |title = Long-term psychodynamic psychotherapy in complex mental disorders: update of a meta-analysis |journal = The British Journal of Psychiatry |year = 2011 |doi = 10.1192/bjp.bp.110.082776 |pmid = 21719877 |volume = 199 |issue = 1 |pages = 15–22 |doi-access = free }}</ref>

According to a 2004 French review conducted by INSERM, psychoanalysis was presumed or proven effective at treating [[Medicine:Panic disorder|panic disorder]], post-traumatic stress, and personality disorders, but did  not find evidence of its effectiveness in treating [[Medicine:Schizophrenia|schizophrenia]], obsessive compulsive disorder, specific phobia, bulimia and anorexia.<ref name="INSERM">INSERM Collective Expertise Centre. 2004. "[https://www.ncbi.nlm.nih.gov/books/NBK7123/pdf/Bookshelf_NBK7123.pdf Psychotherapy: Three approaches evaluated]." ''INSERM Collective Expert Reports.'' Paris: Institut National de la Santé et de la Recherche Médicale (2000). {{PMID|21348158}}. [[Organization:National Center for Biotechnology Information|NCBI]] {{NCBIBook2|NBK7123}}.</ref>

A 2001 systematic review of the medical literature by the Cochrane Collaboration concluded that no data exist demonstrating that psychodynamic psychotherapy is effective in treating schizophrenia and severe mental illness, and cautioned that medication should always be used alongside any type of [[Medicine:Psychotherapy|talk therapy]] in schizophrenia cases.<ref name=pmid11686988>{{cite journal |doi=10.1002/14651858.CD001360 |pmid=11686988 |pmc=4171459 |title=Individual psychodynamic psychotherapy and psychoanalysis for schizophrenia and severe mental illness |journal=Cochrane Database of Systematic Reviews |issue=3 |pages=CD001360 |year=2001 |last1=Malmberg |first1=Lena |last2=Fenton |first2=Mark |last3=Rathbone |first3=John }}</ref> A French review from 2004 found the same.<ref name="INSERM"/> The Schizophrenia Patient Outcomes Research Team advises against the use of [[Medicine:Psychodynamic psychotherapy|psychodynamic therapy]] in cases of schizophrenia, arguing that more trials are necessary to verify its effectiveness.<ref>Kreyenbuhl, Julie, Robert W. Buchanan, Faith B. Dickerson, and Lisa B. Dixon. 2010 [2009]. "[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2800150/pdf/sbp130.pdf The Schizophrenia Patient Outcomes Research Team (PORT): Updated Treatment Recommendations 2009]." ''Schizophrenia Bulletin'' 36(1):94–103. {{Doi|10.1093/schbul/sbp130}}. {{PMID|19955388}}. {{PMCID|PMC2800150}}.</ref><ref>Lehman, Anthony F., and Donald M. Steinwachs. 1998. "Patterns of usual care for schizophrenia: initial results from the Schizophrenia Patient Outcomes Research Team (PORT) Client Survey." ''Schizophrenia Bulletin'' 24(1):11–20, disc. 20–32. {{Doi|10.1093/oxfordjournals.schbul.a033303}}. {{PMID|9502543}}.</ref>

==Criticism==<!-- Criticism of Freud and Criticism of Psychoanalysis redirect here -->
Both Freud and psychoanalysis have been criticized in extreme terms.<ref name="Brunner">{{Citation |title = Freud and the politics of psychoanalysis |year = 2001 |author = Brunner, José |page = xxi |publisher = Transaction |isbn = 978-0-7658-0672-7 }}</ref> Exchanges between critics and defenders of psychoanalysis have often been so heated that they have come to be characterized as the ''Freud Wars''.<ref>{{cite web |url = https://www.washingtonpost.com/wp-srv/style/longterm/books/chap1/dispatchesfromthefreudwars.htm |title = washingtonpost.com: Dispatches from the Freud Wars: Psychoanalysis and Its Passions |website = {{wipe|The Washington Post}} }}</ref> Linguist [[Biography:Noam Chomsky|Noam Chomsky]] has criticized psychoanalysis for lacking a scientific basis.<ref>{{cite web|title=The Professorial Provocateur, Noam Chomsky interviewed by Deborah Solomon|url=http://www.chomsky.info/interviews/20031102.htm}}</ref> Evolutionary biologist [[Biography:Stephen Jay Gould|Stephen Jay Gould]] considered psychoanalysis influenced by pseudoscientific theories such as [[Biology:Recapitulation theory|recapitulation theory]].<ref>{{cite book|last1=Gould|first1=Stephen Jay|url=https://archive.org/details/ontogenyphylogen00goul|title=Ontogeny and Phylogeny|date=1977|publisher=Harvard University Press|isbn=9780674639409|url-access=registration}}</ref> Psychologists [[Biography:Hans Eysenck|Hans Eysenck]] (1985), [[Biography:John Kihlstrom|John F. Kihlstrom]] (2012/2000) and others have also criticized the field as pseudoscience.<ref>[[Biography:Hans Eysenck|Eysneck, Hans]]. 1985. ''Decline and Fall of the Freudian Empire''.</ref><ref>[[Biography:John Kihlstrom|Kihlstrom, John F.]] 2012 [2000]. "[https://web.archive.org/web/20130510073935/http://ist-socrates.berkeley.edu/~kihlstrm/freuddead.htm Is Freud Still Alive? No, Not Really]" (updated ed.). ''John F. Kihlstrom''. Berkley: [[Organization:University of California, Berkeley|University of California, Berkeley]]. Archived from the [http://ist-socrates.berkeley.edu/~kihlstrm/freuddead.htm original] 10 May 2013.

— 2000/2003/2009. "Is Freud Still Alive? No, Not Really." ''Hilgard's Introduction to Psychology'' (13/14/15th ed.), edited by R. Atkinson, R. C. Atkinson, E. E. Smith, D. J. Bem, and S. Nolen-Hoeksema. New York: Harcourt Brace Jovanovich.</ref><ref name="Popper1981">{{cite book | last = Popper | first = Karl Raimund |  title = Conjectures and Refutations: The Growth of Scientific Knowledge | publisher = Routledge | edition = 4th | date = 1981 | location = London | pages = 38 | url = https://www.routledge.com/9780415285940 | doi = | isbn = 9780415285940 | quote = And as for Freud's epic of the Ego, the Super-ego, and the Id, no substantially stronger claim to scientific status can be made for it than for Homer's collected stories from Olympus. }}</ref><ref name="Georgiev2017">{{cite book | last = Georgiev | first = Danko D. | author-link = | title = Quantum Information and Consciousness: A Gentle Introduction | publisher = CRC Press | edition = 1st | date = 2017-12-06 | location = Boca Raton | pages = 4 | language = English | url = https://books.google.com/books?id=OtRBDwAAQBAJ | doi = 10.1201/9780203732519 | oclc = 1003273264 | isbn = 9781138104488 | zbl = 1390.81001 | quote = Terms such as ''subconsciousness'' or ''superego'' that are frequently used in ''psychoanalysis'' originated by Sigmund Freud (1856–1939) are relegated to the realm of pseudoscience where most of Freud's work justifiably belongs. }}</ref>

=== Debate over status as scientific  ===
The theoretical foundations of psychoanalysis lie in the same philosophical currents that lead to interpretive [[Philosophy:Phenomenology (psychology)|phenomenology]] rather than in those that lead to [[Science|scientific]] [[Philosophy:Positivism|positivism]], making the theory largely incompatible with positivist approaches to the study of the mind.<ref name=":11" /><ref name="Popper">[[Biography:Karl Popper|Popper, Karl R]]. 1990. "Science: Conjectures and Refutations." Pp. 104–10 in ''Philosophy of Science and the Occult'', edited by P. Grim. Albany, p. 109, [https://books.google.de/books?id=5VewAkDw8h0C&pg=PA80&dq=Philosophy+of+Science+and+the+Occult,+edited+by+P.+Grim.+Albany&hl=de&sa=X&ved=2ahUKEwiA64fH9-HsAhWNsKQKHUllDVwQ6AEwAHoECAIQAg#v=onepage&q=Freud&f=false Preview Google Books] See also ''Conjectures and Refutations''.</ref><ref name="Webster, Richard 1996">Webster, Richard. 1996. ''Why Freud was wrong. Sin, science and psychoanalysis''. London: Harper Collins.</ref>

Early critics of psychoanalysis believed that its theories were based too little on quantitative and experimental research, and too much on the clinical case study method.{{cn|date=July 2021}}  Philosopher Frank Cioffi cites false claims of a sound scientific verification of the theory and its elements as the strongest basis for classifying the work of Freud and his school as pseudoscience.<ref>Cioffi, Frank. 2005. "[http://www.butterfliesandwheels.org/2005/was-freud-a-pseudoscientist/ Was Freud a Pseudoscientist?]" ''Butterflies & Wheels''.

Translated and published in {{Lang-fr|[http://www.psychaanalyse.com/pdf/LE%20LIVRE%20NOIR%20DE%20LA%20PSYCHANALYSE%20%28833%20Pages%20-%2018.8%20Mo%29.pdf Le livre noir de la psychoanalyse: Vivre, penser et aller mieux sans Freud]|label=none}}, edited by C. Meyer, with M. Borch-Jacobsen, J. Cottraux, D. Pleux, and J. Van Rillaer. Paris: les arènes (2005). Retrieved 8 May 2020.</ref>

[[Biography:Karl Popper|Karl Popper]] argued that psychoanalysis is a [[Unsolved:Pseudoscience|pseudoscience]] because its claims are not testable and cannot be refuted; that is, they are not falsifiable:<ref name="Popper" /><blockquote>....those "clinical observations" which analysts naively believe confirm their theory cannot do this any more than the daily confirmations which astrologers find in their practice. And as for Freud's epic of the Ego, the Super-ego, and the Id, no substantially stronger claim to scientific status can be made for it than for Homer's collected stories from the Olympus.</blockquote>In addition, [[Biography:Imre Lakatos|Imre Lakatos]] wrote that "Freudians have been nonplussed by Popper's basic challenge concerning scientific honesty. Indeed, they have refused to specify experimental conditions under which they would give up their basic assumptions."<ref>[[Biography:Imre Lakatos|Lakatos, Imre]]. 1978. "The Methodology of Scientific Research Programmes." ''Philosophical Papers'' 1, edited by I. Lakatos, [[Biography:John Worrall (philosopher)|J. Worrall]], and G. Currie. Cambridge: {{wipe|Cambridge University Press}}. p. [https://books.google.co.uk/books?id=RRniFBI8Gi4C&pg=PA146 146].</ref> In ''Sexual Desire'' (1986), philosopher [[Biography:Roger Scruton|Roger Scruton]] rejects Popper's arguments pointing to the theory of repression as an example of a Freudian theory that does have testable consequences. Scruton nevertheless concluded that psychoanalysis is not genuinely scientific, on the grounds that it involves an unacceptable dependence on metaphor.<ref>{{cite book|author=Scruton, Roger|title=Sexual Desire: A Philosophical Investigation|publisher=Phoenix Books|year=1994|isbn=978-1-85799-100-0|page=201|author-link=Roger Scruton}}</ref> The philosopher and physicist [[Biography:Mario Bunge|Mario Bunge]] argued that psychoanalysis is a pseudoscience because it violates the [[Philosophy:Ontology|ontology]] and [[Scientific method|methodology]] inherent to science.<ref name="Bunge">{{cite news|last=Bunge|first=Mario|year=1984|title=What is pseudoscience?|volume=9|pages=36–46|publisher=The Skeptical Inquirer}}</ref> According to Bunge, most psychoanalytic theories are either untestable or unsupported by evidence.<ref name="Bunge2">{{cite news|last=Bunge|first=Mario|year=2001|title=Philosophy in Crisis: The Need for Reconstruction|pages=229–235|publisher=Prometheus Lectures}}</ref>

[[Cognitive science|Cognitive scientists]], in particular, have also weighed in. Martin Seligman, a prominent academic in [[Social:Positive psychology|positive psychology]] wrote that:<ref>Seligman, Martin, ''Authentic Happiness'' (The Free Press, Simon & Schuster, 2002), pp. 64–65.</ref><blockquote>Thirty years ago, the cognitive revolution in psychology overthrew both Freud and the behaviorists, at least in academia.… The imperialistic Freudian view claims that emotion always drives thought, while the imperialistic cognitive view claims that thought always drives emotion. The evidence, however, is that each drives the other at times.</blockquote>[[Biography:Adolf Grünbaum|Adolf Grünbaum]] argues in ''Validation in the Clinical Theory of Psychoanalysis'' (1993) that psychoanalytic based theories are falsifiable, but that the causal claims of psychoanalysis are unsupported by the available clinical evidence.<ref name=":13">[[Biography:Adolf Grünbaum|Grünbaum, Adolf]]. 1993. ''Validation in the Clinical Theory of Psychoanalysis: A Study in the Philosophy of Psychoanalysis''. Madison, CT: [[Company:International Universities Press|International Universities Press]]. {{ISBN|978-0-8236-6722-2}}. {{OCLC|26895337}}.{{page needed|date=June 2018}}</ref>

Historian Henri Ellenberger, who wrote researched the history of Freud, Jung, Adler, and Janet,<ref name=":10">{{Cite book|last1=Borch-Jacobsen|first1=Mikkel|url=https://books.google.com/books?id=ifXXnQEACAAJ|title=The Freud Files: An Inquiry into the History of Psychoanalysis|last2=Shamdasani|first2=Sonu|date=2011-11-24|publisher=Cambridge University Press|isbn=978-0-521-72978-9|language=en}}</ref>{{Rp|20}} writing his book ''The Discovery of the Unconscious: The History and Evolution of Dynamic Psychiatry'',<ref name=":10" />{{Rp|17}} argued that psychoanalysis was not scientific on the grounds of both its methodology and social structure:<ref name=":10" />{{Rp|21}}
{{Blockquote|text=Psychoanalysis,  is  it  a  science?  It  does  not  meet  the criteria (unified science, defined domain and methodology). It corresponds to the traits of a philosophical sect (closed organisation, highly personal initiation, a doctrine which is changeable but defined by its official adoption, cult and legend of the founder).|author=Henri Ellenberger}}

=== Freud ===
Some have accused Freud of fabrication, most famously in the case of Anna O.<ref>[[Biography:Mikkel Borch-Jacobsen|Borch-Jacobsen, Mikkel]]. 1996. ''Remembering Anna O: A Century of Mystification.'' London: Routledge. {{ISBN|0-415-91777-8}}.</ref> Others have speculated that patients suffered from now easily identifiable conditions unrelated to psychoanalysis; for instance, Anna O. is thought to have suffered from an organic impairment such as tuberculous meningitis or [[Medicine:Temporal lobe epilepsy|temporal lobe epilepsy]] and not hysteria (see modern interpretations).<ref name="Webster, Richard 1996" />

Henri Ellenberger and Frank Sulloway argue that Freud and his followers created an inaccurate "Legend" of Freud as his work of Freud to popularize psychoanalysis<ref name=":10" />{{Rp|12}}  Borch-Jacobson and Shamdasani argue that this legend is adapted to different times and situations.<ref name=":10" />{{Rp|13}} [[Biography:Isabelle Stengers|Isabelle Stengers]] states that psychoanalytic circles have tried to stop historians from accessing documents about the life of Freud.<ref name=":10" />{{Rp|32}}

=== Witch doctors ===
[[Biography:Richard Feynman|Richard Feynman]] wrote off psychoanalysts as mere "witch doctors:"<ref>{{Cite book|last=Feynman|first=Richard|title=The Meaning of It All: Thoughts of a Citizen-Scientist|publisher=Penguin|year=2007|location=London|pages=114–5|orig-year=1998}} Feynman was also speaking here of psychiatrists.</ref>

{{Quote| If you look at all of the complicated ideas that they have developed in an infinitesimal amount of time, if you compare to any other of the sciences how long it takes to get one idea after the other, if you consider all the structures and inventions and complicated things, the ids and the egos, the tensions and the forces, and the pushes and the pulls, I tell you they can't all be there. It's too much for one brain or a few brains to have cooked up in such a short time.<ref group=lower-roman>Feynman was also speaking here of psychiatrists.</ref>|author=|title=|source=}}

Likewise, psychiatrist [[Biography:E. Fuller Torrey|E. Fuller Torrey]], in ''Witchdoctors and Psychiatrists'' (1986), agreed that psychoanalytic theories have no more scientific basis than the theories of traditional native healers, "witchdoctors" or modern "cult" alternatives such as EST.<ref name=":11">[[Biography:E. Fuller Torrey|Torrey, E. Fuller]]. 1986. ''Witchdoctors and Psychiatrists''. p. 76.</ref> Psychologist Alice Miller charged psychoanalysis with being similar to the [[Social:Poisonous pedagogy|poisonous pedagogies]], which she described in her book ''For Your Own Good''. She scrutinized and rejected the validity of Freud's drive theory, including the Oedipus complex, which, according to her and Jeffrey Masson, blames the child for the abusive sexual behavior of adults.<ref>{{cite book |title = ''Thou shalt not be aware: society's betrayal of the child'' |last = Miller |first = Alice |publisher = Meridan Printing |year = 1984 |location = NY }}</ref> Psychologist Joel Kupfersmid investigated the validity of the Oedipus complex, examining its nature and origins. He concluded that there is little evidence to support the existence of the Oedipus complex.<ref name="Kupfersmid, Joel" />

=== Critical perspectives ===
[[Biography:Michel Foucault|Michel Foucault]] and [[Biography:Gilles Deleuze|Gilles Deleuze]] claimed that the institution of psychoanalysis has become a center of power and that its [[Religion:Confessional|confessional]] techniques resemble the [[Religion:Christian tradition|Christian tradition]].<ref>Weeks, Jeffrey. 1989. ''Sexuality and its Discontents: Meanings, Myths, and Modern Sexualities''. New York: Routledge. {{ISBN|978-0-415-04503-2}}. p. 176.</ref> [[Biography:Jacques Lacan|Jacques Lacan]] criticized the emphasis of some American and British psychoanalytical traditions on what he has viewed as the suggestion of imaginary "causes" for symptoms, and recommended the return to Freud.<ref>[[Biography:Jacques Lacan|Lacan, Jacques]]. 1977. ''Ecrits: A Selection and The Seminars'', translated by Alan Sheridan. London: Tavistock.</ref> Together with Deleuze, [[Biography:Félix Guattari|Félix Guattari]] criticised the Oedipal structure.<ref>[[Biography:Gilles Deleuze|Deleuze, Gilles]], and [[Biography:Félix Guattari|Félix Guattari]]. 1984 [1972]. ''Anti-Oedipus: Capitalism and Schizophrenia''. London: Athlone. {{ISBN|978-0-485-30018-5}}.</ref> [[Biography:Luce Irigaray|Luce Irigaray]] criticised psychoanalysis, employing [[Biography:Jacques Derrida|Jacques Derrida]]'s concept of [[Philosophy:Phallogocentrism|phallogocentrism]] to describe the exclusion of the woman from Freudian and Lacanian psychoanalytical theories.<ref>{{citation |author = Irigaray L |title = Speculum |location = Paris |publisher = Minuit |year = 1974 |isbn = 978-2-7073-0024-9 }}</ref> Deleuze and Guattari (1972), in ''Anti-Œdipus'', take the cases of Gérard Mendel, Bela Grunberger and Janine Chasseguet-Smirgel, prominent members of the most respected associations (IPA), to suggest that, traditionally, psychoanalysis enthusiastically embraces a [[Social:Police state|police state]].<ref>[[Biography:Gilles Deleuze|Deleuze, Gilles]], and [[Biography:Félix Guattari|Félix Guattari]]. 1984 [1972]. "The Disjunctive Synthesis of Recording." Section 2.4 in ''Anti-Oedipus: Capitalism and Schizophrenia''. London: Athlone. {{ISBN|978-0-485-30018-5}}. p. 89.</ref>

===Freudian theory===
{{quote box|width=30%|align=right|quote=Many aspects of Freudian theory are indeed out of date, and they should be: Freud died in 1939, and he has been slow to undertake further revisions. His critics, however, are equally behind the times, attacking Freudian views of the 1920s as if they continue to have some currency in their original form. Psychodynamic theory and therapy have evolved considerably since 1939 when Freud's bearded countenance was last sighted in earnest. Contemporary psychoanalysts and psychodynamic therapists no longer write much about ids and egos, nor do they conceive of treatment for psychological disorders as an archaeological expedition in search of lost memories.|source=—[[Biography:Drew Westen|Drew Westen]], 1998<ref>Drew Westen, "The Scientific Legacy of Sigmund Freud Toward a Psychodynamically Informed Psychological Science". November 1998 Vol. 124, No. 3, 333–371</ref>}}
A survey of scientific research suggested that while personality traits corresponding to Freud's oral, anal, Oedipal, and genital phases can be observed, they do not necessarily manifest as stages in the development of children. These studies also have not confirmed that such traits in adults result from childhood experiences.<ref>Fisher, Seymour, and Roger P. Greenberg. 1977. ''The Scientific Credibility of Freud's Theories and Therapy''. New York: Basic Books. p. 399.</ref> However, these stages should not be viewed as crucial to modern psychoanalysis. What is crucial to modern psychoanalytic theory and practice is the power of the unconscious and the transference phenomenon.<ref>{{cite book|author=Milton, Jane.|title=Psychoanalysis and Cognitive Behaviour Therapy|year=2000|pages=440}}</ref>

The idea of "unconscious" is contested because human behavior can be observed while human mental activity has to be inferred. However, the unconscious is now a popular topic of study in the fields of experimental and social psychology (e.g., implicit attitude measures, fMRI, and [[Physics:Positron emission tomography|PET scans]], and other indirect tests). The idea of unconscious, and the transference phenomenon, have been widely researched and, it is claimed, validated in the fields of [[Philosophy:Cognitive psychology|cognitive psychology]] and social psychology,<ref name=":12">Westen, and Gabbard. 2002.{{Clarify|reason=Proper citation needed.|date=May 2020}}</ref> though a Freudian interpretation of unconscious mental activity is not held by the majority of cognitive psychologists. Recent developments in neuroscience have resulted in one side arguing that it has provided a biological basis for unconscious emotional processing in line with psychoanalytic theory i.e., [[Philosophy:Neuropsychoanalysis|neuropsychoanalysis]],<ref name=":12" /> while the other side argues that such findings make psychoanalytic theory obsolete and irrelevant.

Shlomo Kalo explains that the scientific materialism that flourished in the 19th century severely harmed religion and rejected whatever called spiritual. The institution of the [[Religion:Confession|confession]] priest in particular was badly damaged. The empty void that this institution left behind was swiftly occupied by the newborn psychoanalysis. In his writings, Kalo claims that psychoanalysis basic approach is erroneous. It represents the mainline wrong assumptions that happiness is unreachable and that the natural desire of a human being is to exploit his fellow men for his own pleasure and benefit.<ref>Kalo, Shlomo. 1997. "Powerlessness as a Parable." ''The Trousers – Parables for the 21st Century''. UK: D.A.T. Publications. pp. 16, back cover.</ref>

[[Biography:Jacques Derrida|Jacques Derrida]] incorporated aspects of psychoanalytic theory into his theory of [[Philosophy:Deconstruction|deconstruction]] in order to question what he called the '[[Philosophy:Metaphysics of presence|metaphysics of presence]]'.  Derrida also turns some of these ideas against Freud, to reveal tensions and contradictions in his work. For example, although Freud defines religion and metaphysics as displacements of the identification with the father in the resolution of the Oedipal complex, Derrida (1987) insists that the prominence of the father in Freud's own analysis is itself indebted to the prominence given to the father in Western metaphysics and theology since [[Biography:Plato|Plato]].<ref>[[Biography:Jacques Derrida|Derrida, Jacques]], and Alan Bass. 1987. ''The Post Card: From Socrates to Freud and Beyond''. Chicago: [[Organization:University of Chicago|University of Chicago]].{{page needed|date=June 2018}}</ref>

==See also==
* [[Philosophy:Analytical psychology|Analytical psychology]]
* List of schools of psychoanalysis
* Psychoanalytic sociology
* Psychoanalysis and music
* Training analysis

==References==

=== Notes ===
{{Reflist|35em|group=lower-roman}}

{{notelist}}

=== Citations ===
{{Reflist|25em}}

== Further reading ==
{{Refbegin|2}}

===Introductions===
*Brenner, Charles (1954). ''An Elementary Textbook of Psychoanalysis''.
*Elliott, Anthony (2002). ''Psychoanalytic Theory: An Introduction'' (2nd ed.). Duke University Press. --<br>An introduction that explains psychoanalytic theory with interpretations of major theorists.
* Fine, Reuben (1990). ''The History of Psychoanalysis.'' (expanded ed.). Northvale: Jason Aronson.{{ISBN|0-8264-0452-9|}}
* Samuel, Lawrence R. (2013). ''Shrink: A Cultural History of Psychoanalysis in America''. University of Nebraska Press. 253 pp.
*Freud, Sigmund (2014) [1926]. "[http://www.britannica.com/topic/Sigmund-Freud-on-psychoanalysis-1983319 Psychoanalysis]." ''[[Encyclopædia Britannica]]''.

====Reference works====
*de Mijolla, Alain, ed. (2005). ''International dictionary of psychoanalysis'' [enhanced American version] 1,2,&3. Detroit: Thomson/Gale.
*[[Biography:Jean Laplanche|Laplanche, Jean]], and J. B. Pontalis (1974). "The Language of Psycho-Analysis". W. W. Norton & Company. {{ISBN|0-393-01105-4|}}
*Freud, Sigmund (1940). ''An Outline of Psychoanalysis''. ePenguin.;General {{ISBN|978-0393001518|}}
*Edelson, Marshall (1984). ''Hypothesis and Evidence in Psychoanalysis''. Chicago: Chicago University Press. {{ISBN|0-226-18432-3|}}
*Etchegoyen, Horacio (2005). ''The Fundamentals of Psychoanalytic Technique'' (new ed.). Karnac Books. {{ISBN|1-85575-455-X|}}
*[[Biography:Ernest Gellner|Gellner, Ernest]]. ''The Psychoanalytic Movement: The Cunning of Unreason'', . A critical view of Freudian theory. {{ISBN|0-8101-1370-8|}}
*Green, André (2005). "Psychoanalysis: A Paradigm For Clinical Thinking". Free Association Books. {{ISBN|1-85343-773-5|}}
*[[Biography:Luce Irigaray|Irigaray, Luce]] (2004). ''Key Writings''. Continuum. {{ISBN|0-8264-6940-X|}}
*Jacobson, Edith (1976). ''Depression; Comparative Studies of Normal, Neurotic, and Psychotic Conditions''. [[Company:International Universities Press|International Universities Press]]. {{ISBN|0-8236-1195-7|}}
* Kernberg, Otto (1993). ''Severe Personality Disorders: Psychotherapeutic Strategies''. Yale University Press.  {{ISBN|0-300-05349-5|}}
*Kohut, Heinz (2000). ''Analysis of the Self: Systematic Approach to Treatment of Narcissistic Personality Disorders''. [[Company:International Universities Press|International Universities Press]]. {{ISBN|0-8236-8002-9|}}
*Kovacevic, Filip (2007). ''Liberating Oedipus? Psychoanalysis as Critical Theory''. Lexington Books.  {{ISBN|0-7391-1148-5|}}
*[[Biography:Julia Kristeva|Kristeva, Julia]] (1986). ''The Kristeva Reader'', edited by T. Moi. Columbia University Press. {{ISBN|0-231-06325-3|}}
*Meltzer, Donald (1983). ''Dream-Life: A Re-Examination of the Psycho-Analytical Theory and Technique''.  Karnac Books. {{ISBN|0-902965-17-4|}}
*— (1998). ''The Kleinian Development'' (new ed.). Karnac Books; reprint:  {{ISBN|1-85575-194-1|}}
*Mitchell, S. A., and M. J. Black (1995). ''Freud and beyond: a history of modern psychoanalytic thought.'' New York: Basic Books. pp. xviii–xx.
*Pollock, Griselda (2006). "Beyond Oedipus. Feminist Thought, Psychoanalysis, and Mythical Figurations of the Feminine." In ''Laughing with Medusa'', edited by V. Zajko and M. Leonard. Oxford: Oxford University Press. {{ISBN|0-19-927438-X|}}
*Spielrein, Sabina (1993). ''Destruction as cause of becoming''. {{OCLC|44450080}}
*Stoller, Robert (1993). ''Presentations of Gender''. Yale University Press. {{ISBN|0-300-05474-2|}}
*Stolorow, Robert, George Atwood, and Donna Orange (2002). ''Worlds of Experience: Interweaving Philosophical and Clinical Dimensions in Psychoanalysis''. New York: Basic Books.
*Spitz, René (2006). ''The First Year of Life: Psychoanalytic Study of Normal and Deviant Development of Object Relations''. International Universities Press. {{ISBN|0-8236-8056-8|}}
*Tähkä, Veikko (1993). ''Mind and Its Treatment: A Psychoanalytic Approach.'' Madison, CT: International Universities Press. {{ISBN|0-8236-3367-5|}}
{{Refend}}

===Book series===
*''Contemporary Psychoanalytic Studies''. Amsterdam & New York: [[Company:Rodopi (publisher)|Rodopi]].

===Analyses, discussions and critiques===
{{Refbegin|2}}
*Aziz, Robert (2007). ''The Syndetic Paradigm: The Untrodden Path Beyond Freud and Jung''. Albany: State University of New York Press. {{ISBN|978-0-7914-6982-8|}}.
*[[Biography:Mikkel Borch-Jacobsen|Borch-Jacobsen, Mikkel]] (1991). ''Lacan: The Absolute Master'', Stanford: Stanford University Press. {{ISBN|0-8047-1556-4|}}
*— (1996). ''Remembering Anna O: A century of mystification'' London: Routledge. {{ISBN|0-415-91777-8|}}
*{{cite journal|author=Brockmeier Jens|year=1997|title=Autobiography, narrative and the Freudian conception of life history|journal=Philosophy, Psychiatry, & Psychology|volume=4|pages=175–200}}
* Burnham, John, ed. ''After Freud Left: A Century of Psychoanalysis in America'' (University of Chicago Press, 2012) 274 pp. 
*Cioffi, Frank. (1998). ''Freud and the Question of Pseudoscience'', Open Court Publishing Company. {{ISBN|0-8126-9385-X|}}
*Crews, Frederick (1995). ''The Memory Wars: Freud's Legacy in Dispute'', New York: New York Review of Books. {{ISBN|1-86207-010-5|}}
*Crews, Frederick, ed. (1998). ''Unauthorized Freud: Doubters Confront a Legend'', New York: Viking. {{ISBN|0-14-028017-0|}}
*Dufresne, Todd (2000). ''Tales From the Freudian Crypt: The Death Drive in Text and Context'', Stanford: Stanford University Press. {{ISBN|0-8047-3885-8|}}
*— (2007). ''Against Freud: Critics Talk Back'', Stanford: Stanford University Press. {{ISBN|0-8047-5548-5|}}
*Erwin, Edward, ''A Final Accounting: Philosophical and Empirical Issues in Freudian Psychology'' {{ISBN|0-262-05050-1|}}
*Esterson, Allen. ''Seductive Mirage: An Exploration of the Work of Sigmund Freud.'' Chicago: Open Court, 1993. {{ISBN|0-8126-9230-6|}}
*Fisher, Seymour, and Roger P. Greenberg (1977). ''The Scientific Credibility of Freud's Theories and Therapy''. New York: Basic Books.
*— (1996). ''Freud Scientifically Reappraised: Testing the Theories and Therapy''. New York: John Wiley.
*Gellner, Ernest, ''The Psychoanalytic Movement: The Cunning of Unreason. A critical view of Freudian theory'', {{ISBN|0-8101-1370-8|}}
*{{cite journal|author=Grünbaum Adolf|year=1979|title=Is Freudian Psychoanalytic Theory Pseudo-Scientific by Karl Popper's Criterion of Demarcation?|journal=American Philosophical Quarterly|volume=16|pages=131–141}}
*— (1985). ''The Foundations of Psychoanalysis: A Philosophical Critique'' {{ISBN|0-520-05017-7|}}
*Macmillan, Malcolm, ''Freud Evaluated: The Completed Arc'' {{ISBN|0-262-63171-7|}}
*{{cite journal|vauthors=Morley S, Eccleston C, Williams A|year=1999|title=Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache|journal=Pain|volume=80|issue=1–2|pages=1–13|doi=10.1016/s0304-3959(98)00255-3|pmid=10204712|s2cid=21572242}}
*Roustang, Francois (1982). Dire Mastery: Discipleship From Freud to Lacan, Baltimore: Johns Hopkins University Press. {{ISBN|0-88048-259-1|}}
*Webster, Richard. (1995). ''Why Freud Was Wrong'', New York: Basic Books, Harper Collins. {{ISBN|0-465-09128-8|}}
*[[Biography:Richard Wollheim|Wollheim, Richard]], editor. (1974). ''Freud: A Collection of Critical Essays.'' New York: Anchor Books. {{ISBN|0-385-07970-2|}}
{{Refend}}

===Responses to critiques===
{{Refbegin}}
* Köhler, Thomas 1996: ''Anti-Freud-Literatur von ihren Anfängen bis heute. Zur wissenschaftlichen Fundierung von Psychoanalyse-Kritik.'' Stuttgart: Kohlhammer Verlag. {{ISBN|3-17-014207-0}}
* Ollinheimo, Ari — Vuorinen, Risto (1999): Metapsychology and the Suggestion Argument: A Reply to Grünbaum's Critique of Psychoanalysis. ''Commentationes Scientiarum Socialium'', 53. Helsinki: Finnish Academy of Science and Letters. {{ISBN|951-653-297-7}}
*Robinson, Paul (1993). ''Freud and his Critics.'' Berkeley & Los Angeles: University of California Press. {{ISBN|0-520-08029-7}}
*Gomez, Lavinia: [https://books.google.com/books?id=ZLaflqbuI-IC&printsec=frontcover&hl=en&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false ''The Freud Wars: An Introduction to the Philosophy of Psychoanalysis'']. Routledge, 2005. [https://www.researchgate.net/publication/247519230_The_Freud_wars_an_introduction_to_the_philosophy_of_psychoanalysis Review]: ''Psychodynamic Practice'' 14(1):108–111. Feb., 2008. 
{{Refend}}

==External links==
{{Library resources box|by=no|onlinebooks=no|about=yes|lcheading=psychoanalysis}}
* [https://web.archive.org/web/19980118035119/http://www.ipa.org.uk/ International Psychoanalytical Association (IPA)] – world's primary regulatory body for psychoanalysis, founded by Sigmund Freud
* [http://www.apa.org/about/division/div39.aspx Psychoanalysis – Division 39 – American Psychological Association (APA)]
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{{Psychotherapy}}


[[Category:Branches of psychology]]

{{Sourceattribution|Psychoanalysis|1}}