NARRATIVE
Case material, disguised for confidentiality, is used to show the way interpretations are made from the Modern Kleinian Therapy approach and how these interpretations evolve during the course of a session and throughout treatment. Issues of focus on defense and/or internal phantasy conflict are discussed. Transference, extra-transference, and phantasy are then illustrated with case reports. The process of working through psychic conflict and resolving psychic distress will be examined using a three-phase model of finding, facing, and challenging old internal and interpersonal patterns. The patient’s internal object relational struggles are highlighted, explored, and challenged with supportive interpretation with a focus on transference, countertransference, and containment throughout the working through process.
The consistent exploration of unconscious phantasy is highlighted as the bedrock of psychoanalytic intervention. Transference is the externalization and direct expression of internal phantasy onto the analyst. Transference is an essential aspect of the treatment, but not always available to work with. Ongoing extra-transference associations are usually present for the analyst to follow and interpret instead and often easier for the patient to understand and engage with. Interpretation of phantasy, transference, and extra-transference encourages the working through process. The theoretical basis of interpretation will be explored and case material will demonstrate how transference, phantasy, and extra-transference are often all present in every session. The material shows how to best choose what and when to interpret.











