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Modern psychoanalytic psychotherapy makes use of the fact that such difficulties emerge in the therapy itself, in the same way as they arise in daily life, so that when they are encountered ‘live’ in the therapy, then they can be thought about and understood in new ways. This can create anxiety,
because the patient is becoming more conscious of areas of experience which were previously kept out of awareness. Because of this, there needs to be a ‘good enough’ working relationship between therapist and patient.

In a psychoanalytic therapy, we are confronted by our entrenched ways of coping and so become more aware of certain aspects of who we are and what we are like. Although it can be both painful and hard work, bringing to light and accepting our unknown selves allows those parts of our personalities to grow which we might previously have neglected or turned away from. This renewed growth can bring about change and can establish a capacity to carry on developing once the therapy is over.


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