Guidelines for organizing 3-LM Groups

The Three Level Model (3-LM) is a flexible model that has evolved over time. The model is used as a guide in clinical groups, in various settings, to explore a psychoanalytic clinical material and can be adapted to meet the needs of our different institutions. The model’s aim is to ask more and more useful, cogent, and accurate questions that help to understand the changes in patients in analysis. The aim of the Project Committee on Clinical Observation is to promote a more accurate and systematic clinical observation, useful for theory testing and theory building. The model aims to enrich and refine clinical observation, analyzing its functioning and different levels of clinical practice, focused on the transformation that occurs in the patient during analysis. The guidelines for the Three-Level Model that are presented outline a method for heuristic evaluation of change and no change in psychoanalysis, ways to refine, systematize, and conceptualize clinical observations.