Base, Holding, Initiation and Ending: A Four Stage Model of Brief Dynamic Psychotherapy Based on the Re-capitulation of Infantile Developmental Stages

Alistair D Sweet

Abstract

This paper considers some of the ubiquitous elements of brief dynamic psychotherapy and suggests that these can be conceptualized within a four stage treatment model. The author suggests that distinct stages in the therapeutic relationship - base, holding, initiation/uncertainty and ending - can be discerned in the unfolding of the therapeutic relationship. A parallel is drawn with earliest developmental processes in the life of the individual and the four stage model is situated in relation to these earliest developmental vicissitudes.

Relevant Publications in Psychological Abnormalities