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The difficult freedom from a plan.

T Böhm1

  • 1Swedish Psychoanalytic Society, Stockholm. kaplanbohm@swipnet.se

The International Journal of Psycho-Analysis
|July 17, 1999
PubMed
Summary

Psychoanalysts should avoid dogmatism or insecurity when presenting clinical material. Instead, they must clarify patient strategies and remain free from automatic programs for effective intervention.

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Area of Science:

  • Psychoanalysis
  • Psychology

Background:

  • Analysts may exhibit dogmatism or insecurity when presenting clinical material, idealizing knowledge or uncertainty.
  • These extremes can represent an idealization of intellectualization, stemming from reactions to complex patient psychological strategies.

Observation:

  • The author suggests clarifying patient strategies is crucial, rather than premature analyst intervention.
  • Analyst freedom from internal automatic programs is necessary to address these tendencies.
  • Clinical vignettes illustrate how analyst repression can influence interventions.

Findings:

  • Freud's technical papers emphasize freedom and preliminary truth in interpretations, aligning with Bion's 'without memory or desire' principle.
  • This principle signifies freedom from pre-set programs, essential for effective psychoanalytic practice.
  • The author proposes three guiding principles for interventions to prevent idealizing psychoanalysis.

Implications:

  • Classical psychoanalytic techniques, emphasizing freedom from idealised programs, remain relevant for modern analysts.
  • Understanding and managing analyst's internal programs is key to effective clinical practice.
  • This approach helps maintain a balanced perspective, avoiding idealization of knowledge or uncertainty.

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