RT Journal A1 GRINKER RR T1 A transactional model for psychotherapy JF A.M.A. Archives of General Psychiatry JO A.M.A. Archives of General Psychiatry YR 1959 FD August 1 VO 1 IS 2 SP 132 OP 148 DO 10.1001/archpsyc.1959.03590020028002 UL http://dx.doi.org/10.1001/archpsyc.1959.03590020028002 AB Currently this is an era of intense interest in therapy of all kinds oriented toward making psychiatric patients better or, by the incurably optimistic, curing them. Operations, drugs, milieu attitudes induced regressions for the patients and sometimes the therapist, and various forms of psychotherapy are credited with curative powers in the identical magical percentage ranges. The mad rush for statistical criteria of improvement has resulted in a rash of rating scales based on observations of behavior, on value systems involving social and work adjustment, personal happiness, and creativity, and on a consensus between patient and therapist.However, some psychoanalysts contend that only their reconstructive method cures, if continued long enough, and that psychotherapy, although harder for the therapist, gives only an illusion of significant and permanent change. Even Frieda Fromm Reichmann2 stated recently: ‘The goal of intensive psychotherapy is reached by gaining insight to