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On gratitude and gratification.

G O Gabbard1

  • 1Menninger Clinic, Topeka, KS 66601-0829, USA. Gabbargo@menninger.edu

Journal of the American Psychoanalytic Association
|November 4, 2000
PubMed
Summary

Psychoanalysts may unconsciously seek patient gratitude for validation. Ungrateful patients can challenge this, revealing the analyst

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Area of Science:

  • Psychoanalysis
  • Psychodynamic Psychology
  • Clinical Psychology

Background:

  • The analyst's need for validation through patient gratitude.
  • The silent presence of this need during smooth therapeutic progress.
  • The potential impact of patient appreciation on the analyst's sense of competence.

Observation:

  • Ungrateful patients can surface the analyst's unconscious desires for specific relational dynamics.
  • This includes a longing for a selfless helper/appreciative patient dynamic.
  • Such patients may consciously or unconsciously thwart the analyst's gratification.

Findings:

  • Certain patients may experience "failure" as a form of success by withholding gratitude.
  • This can lead to a clinical stalemate in psychoanalytic work.
  • The dynamic highlights the complex interplay of transference and countertransference.

Implications:

  • Understanding this dynamic is crucial for navigating challenging psychoanalytic cases.
  • It informs therapeutic strategies for working with "ungrateful" patients.
  • Recognizing the analyst's countertransference needs is vital for effective treatment.

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