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  • Title: The case of David: on the couch for sixty minutes, nine years of once-a-week treatment.
    Author: Kavaler-Adler S.
    Journal: Am J Psychoanal; 2005 Jun; 65(2):103-34. PubMed ID: 15959671.
    Abstract:
    This paper illustrates a unique case of object relations psychoanalytic psychotherapy on a once-a-week treatment basis. The work of developmental mourning that would be thought to require two to five sessions a week was accomplished on a once-a-week basis. The analyst adjusted the treatment hour, in this one case, to 60 minutes, as opposed to the 45- or 50-minute hour. When treatment began, the analyst made an intuitive judgment to increase the patient's one session a week--which the patient made clear was all he was ready to do--to 60 minutes. The analyst made time in her practice for this 60-minute session and has continued with the patient using this format for 9 years of treatment. This had led up to the current stage of treatment, which has been so critical to the patient's self-integration process.
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