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In this book, the authors look at the way psychoanalysts have defined analysis on both sides of the Atlantic, decade by decade, from Freud down to the present day. From this basis they develop a theory about aims which is relevant to clinical practice, in which they discuss the issues from the point of view of the conscious and unconscious processes in the psychoanalyst's mind.

In clear language and with an extraordinary depth of scholarship, Dreher describes the history of psychoanalytic research and dissects the structure of empirical and conceptual research endeavours.