Q(B&$06!):!7#$<&!2*2<46$6!1%27($70!$*!(#0!R>Q>!
H)::92*_!A_!I2%B6#_!5>!I>_!S2%:$*M<0_!@>!Q>_!5))60_!Q>!/>_!G!8#0%%4_!Q>![+,,\^>!=!7%)6E607($)*2! N">#+@B&"!&,-%&/$%#)?@+&'(A?-"@+@BA,)?&/(("?)@,)"+O ! Jb []^_!\--E\-d>! @0%7#2*(_!=>_!G!H)::92*_!A>![+,-P^>!52$6$*D!(#0!7B%(2$*?!8)*Y0%62($)*6!Z$(#!7#$<&!2*&!2&)<0670*(!2*2<46(6!!;*!@>! NmA)BD#<$*!['&>^_! 1-%&S(%(&"!&'(A?-"@+@BA()(&)+&E"#a)+L&=),-&8-)B*#%+n(&2$",)"+@B&5)<%( ![11>!P]-EP.+^>!a0Z!e)%M! i26)*!=%)*6)*>! >-001(3! There have been continued questions about the viability of the field of psychoanalysis, especially Child and Adolescent (C/A) analysis. Given the low number of child and adolescent analytic patients, the question must be asked, "Is C/A analytic education and analytic treatment relevant to adult analytic education and, more importantly, to the general mental health treatment of children?” Although there have been many scientific communications about the relevance of C/A analysis to adult analysis, there remains a lack of appreciation of the potential of C/A analysis even by the adult analytic community and in the general mental health field. In order to understand the problem more clearly and in quantifiable terms, this work is an expansion of prior work by others such as Abrams (1979) that reported that nationally, there was a mean of 2.2 C/A cases per C/A analysts. The first step in our research was to conduct a survey which was reported in JAPA titled, A Cross-Sectional Survey of Child and Adolescent Analysts in New York City (JAPA, 2009, pp 911-917). This survey demonstrated that the majority of graduate child and adolescent analysts did not have active C/A analytic practices. As a result we developed a semi-structured interview to see if we could identify those factors that contribute to the development of a variety of career paths for C/A analysts. The interview was divided into three parts: Demographic and Questions about Professional Experiences Factual questions about practice and education, incidents or moments in treatment with child, adolescent, and adult analytic/therapy patients and Personal and social histories of the analysts themselves. 20 Graduate Analysts from Child and/or Adolescent Training programs from NYC and from other parts of the USA were interviewed (recorded with a high level recording device to allow for acoustic analysis). The audio-taped interviews were transcribed and analyzed using the measures of the referential process developed by Bucci and Maskit and colleagues. (See Measures of the Referential Process, ODR this edition for details of procedures) . H&0$Y(1%4*/2! 13 males and 7 females; 6 were child psychiatrists, 10 were psychiatrists, and 4 were in other mental health professions.12 were from NYC and 8 from other parts of the USA. Practice: Total number of analytic patients (3 or more times a week): 3.35 per C/A Analyst (compared to 3.2+/-2.6 in the Cross- sectional survey). Number of C/A analytic patients .5 per C/A Analyst (compared to .9+/-1.2 in the Cross-sectional survey). The group was divided into C/A analysts who currently treated C/A analytic patients (8) and those who did not (12).
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