Time for Change

Altmann de Litvan, Marina

• IPA Project Committee on Clinical Observation and Testing -- Series Editor’s Foreword -- Foreword -- Introduction -- Introducing the Three-Level Model for Observing Patient Transformations -- The three-level model (3-LM) for observing patient transformations -- Leticia: the emergence of questions about herself -- Irina: an adolescent -- Observing and Working with the 3-LM -- Tracking patient transformations: the function of observation in psychoanalysis -- Depression and trauma: the psychoanalysis of a patient suffering from chronic depression -- Close to observation: some reflections on the value of the three-level-model for studying change -- Working with the third level of the three-level model: the incidence of our theoretical model on our clinical thinking -- A Patient, A Concept, and A Case -- A traumatised patient in analysis: observing patients’ transformations -- The 3-LM: A Case, Report, and Discussion -- Transformations in Paula with “no history” -- A report on Paula with “no history” -- Discussion of Paula with “no history” -- Clinical Concepts -- Some reflections on the three-level model: organising psychoanalytic knowledge through clinical observations and generalisations -- The assessment of changes: diagnostic aspects -- An Application of the 3-LM at the End of Analytic Training -- The three-level model in psychoanalytic training -- The use of the 3-LM to teach candidates to observe transformations in clinical cases -- Further Developments of the 3-LM in Child Analysis -- Three-level model for observing child patient transformations -- Brief guidelines: IPA clinical observation groups -- Clinical observation group, San Francisco (CO-SF1), May–August 2012 -- Suggested questions for group discussion -- Forms to be used before and after the group discussion -- Clinical observation work groups (2011–2013)