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In this article, the author arguments on a study titled "Dreaming the session.". Topics discussed include mechanisms of change in the psychoanalytical therapy, changes generated by psychoanalysis in the patient's life, and how psychoanalysis can be used as a therapeutic practice and method of knowledge.

The psychoanalytic theory of the clinical situation is in increasing disarray, helping clinical psychoanalysis to drift disastrously away from a specific modality toward 'anything goes.' This article aims to discuss the core elements that the analyst's ordinary everyday clinical theory will cover as he works, whether the analysts knows it or not. A framework for discussing and discovering that theory, which I developed with my colleagues in the European Psychoanalytic Federation Working Party on Comparative Clinical Methods, is introduced. Five clinical examples showing how different psychoanalysts worked follow. Briefly, I then review 9 core elements that appear to me to divide how contemporary psychoanalysts actually work. Each element raises reasonably precise theoretical questions that are fundamental, but to which answers are often very confused. The core elements of clinical psychoanalysis require much clearer reflection, understanding and discussion, which is what I hope to provoke. [ABSTRACT FROM AUTHOR]

Discusses the ethical good practice when data from patients was disclosed in medical publications. Position of psychoanalysts on the disclosure of patient data; Claim of psychoanalytical psychotherapists on their profession; Issues facing the self-regulation of the profession of psychoanalytic psychotherapy.

Discusses the role of psychoanalysis in the wider context of the changing between medical professions and society. Features of successful modern professions; Correlation between the effectiveness of psychotherapy and affiliation of the investigator; Models of doing psychoanalysis and psychotherapy.