Analytic Process (analytic + process)

Distribution by Scientific Domains

Selected Abstracts

Getting from Here to There: Analytic Love, Analytic Process

Gilead Nachmani
No abstract is available for this article. [source]

Good vibrations: Analytic process as coupled oscillations

Robert M. Galatzer-Levy
This paper develops a new model for the action of psychoanalysis based on concepts from non-linear dynamics (chaos theory and complexity theory). It shows that the analyst,analysand couple may be conceptualized as a new configuration with its own properties that promote complex development in both members of the couple. These developments are an emergent result of the formation of the analyst,analysand couple and are significantly independent of the particular content of the manifest interaction of the couple. The well-studied phenomena of coupled oscillators suggest the specific features of the analysand,analyst interaction that are likely to be most important in conceptualizing analytic change. The model has substantial clinical applications since efforts to arrange for a coupled oscillator system that is central to it are distinct from many of the traditional considerations associated with creating an analytic situation. [source]

"We Seem to Have Always Spoken in Prose . . ." Policy Analysis Is a Clinical Profession: Implications for Policy Analysis Practice and Instruction

Iris Geva-May
The purpose of this article is (i) to propose the concept of policy analysis as a clinical profession, (ii) to relate to the clinical intellectual processes involved in policy analysis, and (iii) following studies in other clinical disciplines, to infer implications for policy analysis and policy analysis instruction. The article will highlight notions of clinical reasoning and clinical cognitive processes relevant to policy analysis and will address reasoning errors associated with bounded rationality and uncertainty in the clinical analytic process. The article seeks to promote awareness of clinical notions and of their relevance for policy analysis practice and instruction. [source]

An interruption in unconscious communication in the analytic couple

Hilda María Feuerhake
The authors describe an interruption in communication in the analyses of two patients, which gradually brings the analytic process to a halt/standstill. They propose several hypotheses for understanding this situation. One explanation is mutual identification of primitive superegos in the analytic couple which generates a moralizing effect thereby hindering investigation and discovery. They emphasize the importance of countertransference involvement which partly provokes this particular type of impasse. They also suggest the idea of shared acting out, with complementary participations of analyst and patient. In this way the analytic couple supports a ,bastion' which protects against the risk of breaking the omnipotence of patient and analyst or contributes to this omnipotence. Their shared unconscious phantasy feeds collusion linked to unconscious persecutory guilt. The authors also describe movements to break free from this impasse. The enclave created by the analytic couple is detected and subsequently worked through by way of the patient's contribution of dream material and the analyst's work with her countertransference. [source]

Murdered father; dead father: Revisiting the Oedipus complex,

Rosine J. Perelberg
This paper recovers the notion of the sacrifice of sexuality as the central, tragic, element of the oedipal structure. This notion has been largely abandoned in the psychoanalytic literature that has tended to reduce the oedipal structure to processes of exclusion. The paper traces the development of the theoretical and clinical transformations of Freud,'s ideas on the role of the father and suggests that they allow us to more fully comprehend the Oedipus complex proposed by Freud. A paradox is explored: the killing of the father is, in Freud,'s view, the requirement for the creation of the social order which, from then on, prohibits all killings. The father, however, has to be killed metaphorically only, as the actual exclusion of the father lies at the origin of so many psychopathologies from violence to the psychoses and perversions. The paper analyses the fundamental asymmetry that is present in the Oedipal structure and suggests that the three elements of the oedipal triangle constitute the law (of the dead father, that institutes the sacrifice of sexuality), desire (for the lost object) and identification (with both father and mother). Two clinical examples are discussed. In the first, one can identify a perverse structure in which the father has been murdered; in the second, there is a progressive construction of the dead (symbolic) father in the analytic process. [source]

Truth, human relatedness, and the analytic process: An interpersonal/relational perspective

Philip M. Bromberg
First page of article [source]

Employing multiple theories and evoking new ideas: The use of clinical material

Judy L. Kantrowitz
In this paper, I wish to illustrate how working with a patient who had a certain kind of narcissistic difficulty led me to develop particular clinical strategies to facilitate the development of a sturdier sense of self, greater affect tolerance and modulation, the diminution of harshness of her superego, and the ownership of projected parts of herself, and to decrease paranoid ideation. I call upon concepts from various theoretical schools of psychoanalysis to make sense of the dynamic intricacies of the patient's psychological organization as they revealed themselves in the analytic process. These conceptualizations of the patient's difficulties and of clinical interventions to address them result in a hybrid theory of both theory and technique. What transpired in the clinical work also led me to propose an additional way to understand this kind of patient's difficulties with accepting interpretations or any view that differed from the patient's subjectivity. I am proposing that ,otherness' itself, rather than only specific conflictual aspects of the self, is disowned. It is the analyst's empathic stance toward all that is repudiated , the specific disowned aspects of the self and ,otherness' itself , along with empathy for the patient's conscious state that will enable reinternalization and ultimately healing. [source]

On the edge: The psychoanalyst's transference,

Aira Laine
Countertransference is a central topic in analytic work and in the literature. The concept of countertransference includes a basic question which has been understood in different ways. The author attempts to differentiate between the psychoanalyst's transference and his countertransference in the analytic process. It is hard to draw a line between them; analysts are always on the edge. The analyst's transference will be explored and described using three approaches: narcissism, regression profile and the analyst's phase of life. Regression profile is a new concept developed by the author, which may help us to understand the core of the analyst's transference in the analytic situation. She illustrates the topic by clinical vignettes. [source]

Between memory and destiny: Repetition,

This essay focuses mainly on the topic of repetition (agieren),on its metapsychological, clinical, and technical conceptions. It contains a core problem, that is, the question of the represented, the nonrepresented, and the unrepresentable in the psyche. This problem, in turn, brings to light the dialectical relation between drive and object and its specific articulation with the traumatic. The author attributes special significance to its clinical expression as ,destiny'. He points out a shift in the theory of the cure from recollection and the unveiling of unconscious desire, to the possibility of understanding ,pure' repetition, which would constitute the very essence of the drive. The author highlights three types of repetition, namely, ,representative' (oedipal) repetition, the repetition of the ,nonrepresented' (narcissistic), which may gain representation, and that of the ,unrepresentable' (sensory impressions, ,lived experiences from primal times,',prelinguistic signifiers,',ungovernable mnemic traces'). The concept-the metaphor-drive embryo brings the author close to the question of the archaic in psychoanalysis, where the repetition in the act would express itself. ,Another unconscious' would zealously conceal the entombed (verschüttet) that we are not yet able to describe-the ,innermost' rather than the ,buried' (untergegangen) or the ,annihilated' (zugrunde gegangen)-through a mechanism whose way of expression is repetition in the act. With ,Constructions in analysis' as its starting point, this paper suggests a different technical implementation from that of the Freudian construction; its main material is what emerges in the present of the transference as the repetition of ,something' lacking as history. The memory of the analytic process offers a historical diachrony whereby a temporality freed from repetition and utterly unique might unfold in the analysis. This diachrony would no longer be the historical reconstruction of material truth, but the construction of something new. The author briefly introduces some aspects of his conception of the psyche and of therapeutic work in terms of what he has designated as psychic zones. These zones are associated with various modes of becoming unconscious, and they coexist with different degrees of prevalence according to the psychopathology. Yet each of them will emerge with unique features in different moments of every analysis, determining both the analyst's positions and the very conditions of the analytic field. The zone of the death drive and of repetition is at the center of this essay. ,Pure' repetition expresses a time halted by the constant reiteration of an atemporal present. In this case, the ,royal road' for the expression of ,that' unconscious will be the act. The analyst's presence and his own drive wager will be pivotal to provide a last attempt at binding that will allow the creation of the lost ,psychic fabric' and the construction, in a conjectural way, of some sort of ,history' that may unravel the entombed (verschüttet) elements that, in these patients' case, come to the surface in the act. The analysand's ,pure' repetition touches, resonates with something of the new unconscious of the analyst. All of this leads the author to underline once again the value of the analyst's self-analysis and reanalysis in searching for connections and especially in differentiating between what belongs to the analyst and what belongs to the analysand. A certain degree of unbinding ensures the preservation of something ungraspable that protects one from the other's appropriation. [source]

The analyst's countertransference to the psychoanalytic process,

There is countertransference, not just to individual patients, but to the process of psychoanalysis itself. The analytic process is a contentious topic. Disagreements about its nature can arise from taking it as a unitary concept that should have a single defi nition whereas, in fact, there are several strands to its meaning. The need for the analyst's free associative listening, as a counterpart to the patient's free associations, implies resistance to the analytic process in the analyst as well as the patient. The author gives examples of the self-analysis that this necessitates. The most important happenings in both the analyst's and the patient's internal worlds lie at the boundary between conscious and unconscious, and the nature of an analyst's interventions depends on how fully what happens at that boundary is articulated in the analyst's consciousness. The therapeutic quality of an analyst's engagement with a patient depends on the freeing and enlivening quality, for the analyst, of the analyst's engagement with his or her countertransference to the analytic process. [source]

The act of interpretation,

The author understands the interpreting act as an attempt to perceive what happens in the transference/countertransference fi eld and not just what happens in the patient's mind. Interpretation transcends mere intellectual communication. It is also an experience in which analysts' emotions work as an important instrument in understanding their patients. Interpretation is seen to possess manifest as well as latent content; the latter would contain the analysts' feelings, emotions and personality. The unconscious content of an interpretation does not inconvenience or preclude the development of the analytic process, but, on the contrary, it allows new associative material to emerge, and it transforms the analytic session into a human relationship. Analysts' awareness of this content derived from patients' apperceptions is a signifi cant instrument for understanding what is happening in the analytic relationship, and what transpires in these sessions provides fundamental elements for analysts' self-analysis. Some clinical examples demonstrate these occurrences in analytic sessions, and how they can be apprehended and used for a better understanding of the patient. The author also mentions the occurrence of diffi culties during the analytic process. These diffi culties are often the result of lapses in an analyst's perception related to unconscious elements of the relationship. [source]


Judy L. Kantrowitz
A focus on the match between patient and analyst places attention on the dynamic effect of the interaction of character and conflict of both participants on the process that evolves between them. Match is neither a predictive nor static concept. Rather it refers to an unfolding transaction that itself shifts and changes during the course of analytic work. The treating analyst's perception of the effect of this match is by necessity limited by the analyst's own blind spots and other countertransference phenomena. Reporting the analyst's clinical experience to an analytically trained observer, external to the dyad, may broaden the analyst's perspective. Using the lens of the match, a colleague in the role of supervisor, consultant or peer can provide feedback from which the analyst may acquire insight. As a result of this process, the influence that the participants' similarities and differences have upon each other becomes clear to the analyst. This awareness, in turn, may lead the analyst to appreciate the effect of the analyst's stance of distance or closeness and to evaluate whether at this phase of treatment it is beneficial or detrimental to the analytic process. Clinical illustrations of the effect of the external observer's feedback in relation to the patient,analyst match are provided. [source]

The week the couch arrived

Robert F. Tyminski
Abstract:, Changes in the therapeutic environment can elicit intense and unpredictable responses from patients, who then react to the new elements with their own unique thoughts, fantasies, emotions and behaviours. When the change is very specific, and when it entails implications for the treatment itself, these patient responses can coalesce around more profound experiences of the transference as well as of the countertransference. The author, as a candidate or analyst-in-training, purchased an analytic couch for his office and observed the unfolding of what this new couch meant for existing treatments. Using clinical examples, he describes the three most common patient responses that occurred: rejecting, ambivalent, and embracing. The richly variant ideas and fantasies related to the analytic couch are described, and the couch's history within Freudian and Jungian contexts is reviewed. Personal determinants that could lead to the decision of whether to use a couch as part of analysis are considered from the standpoint of the analyst's preferences and own experience with the couch. The couch is discussed as a signifier of the analytic process with cultural meanings alluding not only to familiar stereotypes, but also to psychological healing and self-development. Translations of Abstract Des changements dans le lieu de la thérapie peuvent susciter des réactions intenses et imprévisibles chez les patients, chacun d'eux avec leurs propres pensées, fantasmes, émotions et attitudes. Quand le changement est très spécifique, et lorsqu'il porte des implications pour le traitement lui-même, les réactions de ces patients peuvent se combiner avec des vécus plus profonds du transfert ainsi que du contretransfert. L'auteur a acheté un divan pour son cabinet lorsqu'il a commencé sa formation analytique, et raconte ce qu'il a observé des effets juste de la présence de ce divan dans les traitements déjà en cours. A partir d'exemples cliniques il décrit les trois réactions les plus habituelles qui apparaissent chez les patients: rejet, ambivalence, adoption. Sont montrées les variations très riches dans les idées et fantasmes relatifs au divan. Une recension de l'histoire du divan dans les contextes freudiens et jungiens est faite. Les déterminants personnels qui peuvent amener à la décision de considérer le divan et son utilisation ou pas comme partie intégrante de l'analyse sont regardés du point de vue des préférences de l'analyste et de sa propre expérience du divan. Le divan est décrit comme étant un signifiant culturel du processus analytique se rapportant non seulement aux stereotypes connus, mais aussi à la détente et la cicatrisation psychologique ainsi qu'au développement du soi. Veränderungen in der therapeutischen Umgebung können intensive und unvorhersehbare Reaktionen der Patienten und Patientinnen hervorrufen, die auf das neue Element mit ihren eigenen einzigartigen Gedanken, Fantasien, Emotionen und Verhaltensweisen reagieren. Wenn es sich um eine sehr spezifische Veränderung handelt, die auch Implikationen für die Behandlung an sich beinhaltet, dann verbinden sich die Reaktionen der Patienten und Patientinnen mit tiefgehenden Erfahrungen in der Übertragung ebenso wie in der Gegenübertragung. Der Autor - als Kandidat oder Analytiker-in-Ausbildung - kaufte eine analytische Couch für seine Praxis und beobachtete, wie sich die Bedeutung dieser neuen Couch in den laufenden Behandlungen auswirkte und zeigte. Anhand klinischer Beispiele beschreibt er die drei am häufigsten vorkommenden Patientenreaktionen: zurückweisend, ambivalent und begeistert annehmend. Die sehr unterschiedlichen Ideen und Fantasien in bezug auf die analytische Couch werden beschrieben und die historische Bedeutung der Couch in Freudianischen und Jungianischen Zusammenhängen wird erörtert. Persönliche Determinanten, die zur Entscheidung führen könnten, ob eine Couch als ein Bestandteil der Analyse benutzt wird, werden vom Standpunkt der Präferenzen des Analytikers und der eigenen Erfahrung mit der Couch betrachtet. Die Couch wird als Signifikant des analytischen Prozesses diskutiert, in dem kulturelle Bedeutungen sich nicht nur auf vertraute Stereotypen beziehen, sondern auch auf psychische Heilung and Selbstverwirklichung. Cambiamenti nell'ambiente terapeutico possono elicitare risposte intense e imprevedibili da parte dei pazienti, che reagiscono allora ai nuovi elementi con i propri personali pensieri, fantasie, emozioni e comportamenti. Quando il cambiamento è molto specifico e quando comporta implicazioni per il trattamento stesso, le risposte di questi pazienti possono unirsi intorno a esperienze più profonde del transfert o del controtransfert. L'autore, quando era candidato e analista in training, acquistò un lettino analitico per il suo studio e osservò lo sviluppo di ciò che questo nuovo lettino significava per i trattamenti in corso. Usando esempi clinici, egli descrive le tre risposte più comuni dei pazienti: rifiuto, ambivalenza e accettazione. Vengono descritte le idee e le fantasie ricche di variazioni relative al lettino analitico e viene rivista la storia del lettino nei contesti freudiani e junghiani. Determinanti personali che potrebbe portare alla decisione se usare un lettino come parte dell'analisi vengono considerate dal punto di vista delle preferenze dell'analista e della sua personale esperienza del lettino. Il lettino viene discusso in quanto significante culturale del processo analitico, che incorpora regressione, rilassamento e il reclinare degli attaccamenti egoici precedentemente fissati. Los cambios en el entorno terapéutico pueden descubrir respuestas impredecibles en los pacientes, ellos reaccionan a los nuevos elementos con pensamientos, fantasías, emociones y conductas, estos son propios e individuales. Cuando el cambio es muy específico, y cuando connota implicaciones para el tratamiento en sí mismo, las respuestas de estos pacientes pueden estructurarse alrededor de experiencias aun mas profundas de la transferencia y así como en la contratransferencia. El autor, como candidato o analista en entrenamiento, compró un diván analítico para su oficinay observó lo que este diván significó para los tratamientos existentes. Mediante el uso de ejemplos clínicos, describe las tres respuestas que ocurren con mayor frecuencia: Rechazo, ambivalencia, y compromiso, Se describe la riquísima variedad de ideas y fantasías en relación con el diván, y se revisa la historia del diván en el contexto freudiano y junguiano. Se consideran los determinantes personales en la decisión para usar el diván como parte del análisis desde el p[unto de vista de las preferencias del analista y la experiencia personal con el diván. Se discute el diván como significante cultural del proceso analítico que incorpora a la respuesta regresiva y la declinación de las ataduras del ego fijadas previamente. [source]

The analysis of the homoerotic and the pursuit of meaning

Barry Miller
Abstract:, This paper explores the dynamic tension between an evolving collective phenomenon and the nature of analytic process. Specifically, the focus will be erotic experiences which acquire a meaning through the culture at large, a meaning that may not be supportable when that material is subjected to psychological analysis. This stimulates a conflict between the symbolic attitude and the cultural perspective of the time. While the struggle between the individual and collective consciousness always emerges in analysis, the subject of same-gender sexual relations has become such a controversial and divisive issue in the current political environment that views toward homosexuality demand powerful allegiances and identification with either historic or contemporary ideas. People now identify as ,gay' and tend to see themselves as something akin to a race or perhaps alternative gender. Sexuality and relationship between same gendered people tends to be viewed through the lens of civil rights and the undeniable need for social equality. In this far-reaching and expanding collective phenomenon, psychology, in its support of human rights and accommodation to emerging trends, may be diminished in its capacity to pursue the meaning inherent in these human experiences. The position developed in this paper is that psychological experience, whether in the imaginal realm, dreams or personal consciousness, must be available for full analysis. Clinical experience and dreams are used to amplify this challenge to dynamic analytic practice. [source]


Rob Weatherill
ABSTRACT This paper claims that the psychotherapeutic situation is haunted by the erotic transference which arises from the artificial setting of the analysis itself, which, with its care, attention and listening, reinvokes the primal seduction (Laplanche) or transformation (Bollas) of the infant by the mother. Freud wanted to distance himself from seduction, coming to prefer instead the productive work of analysis in a state of deprivation. I argue that modern practitioners and trainings (ironically, seductive in themselves!), responding to consumer demand and fearful of litigation, attempt to remove all risk from the,professional' setting of the therapy. Here, the great danger is the loss of the radical anarchic otherness of the unconscious, indeed the endless play of seduction itself, which alone animates the heart of the analytic process. Finally, psychosis is equated with the loss of seduction, as is our current cultural fascination with IT - cool seduction (Baudrillard). [source]