@)15-1.*$#! This study is among the first metasyntheses of psychoanalytic case studies. This method has great potential when it comes to empirical research in psychoanalysis, especially for psychoanalytic concepts that resist operationalization in quantitative terms. However, the methodology also suffers from several shortcomings. The method is qualitative and descriptive rather than predictive with regard to the treatment of sexual perversion. In other words, based on our results we cannot conclude that focusing on the Symbolic dimension will be effective in the treatment of perversion, or that treating perversion through psychoanalysis will result in a positive outcome. The scientific method of metasynthesis suffers from some limitations. The data of this metasynthesis are accounts and interpretations made by the authors of published case studies. The case studies used alternate between detailed descriptions of therapeutic processes and more abstract elaborations. As a result, our study is based on clinical data from different levels of abstraction. Moreover, the case reports greatly varied in writing style, psychoanalytic orientation and level of detail. While some case studies provide almost no information on transference, others contained abundant information. These different levels of abstraction and quality of information constitute a drawback to this study. G$#.1/.\!
Jochem Willemsen PhD
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