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The incontinent analyst
1Avenida Venezuela, Policlínica Americana, Consultorio 4-D, Urb. El Rosal, Caracas 1060, Venezuela. ralander@viptel.com
The International Journal of Psycho-Analysis
|September 19, 2003
Summary
Psychoanalytic phenomena like analyst anxiety and identification can lead to breaches of confidentiality. Understanding these dynamics is crucial for maintaining trust in the therapeutic relationship.
Area of Science:
- Psychoanalysis
- Psychology
- Clinical Psychology
Background:
- The psychoanalytic process involves a complex interplay between analyst and analysand.
- Maintaining confidentiality is a cornerstone of the therapeutic alliance.
Purpose of the Study:
- To explore phenomena that can motivate a psychoanalyst to breach confidentiality.
- To examine the role of symmetry and identification in the analytic dyad.
Main Methods:
- Conceptual analysis of psychoanalytic theory.
- Exploration of analyst-related factors influencing therapeutic boundaries.
Main Results:
- Symmetry between analyst and analysand can lead to identification, activating the analyst's ideals and value judgments.
- Analyst's anxiety, loneliness, narcissistic deficiencies, and symptoms can precipitate breaches of confidentiality.
Conclusions:
- The inherent dialectic of symmetry and asymmetry poses risks to confidentiality.
- Addressing analyst's internal phenomena is vital for upholding the promise of confidentiality.