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The stranger.

Carmen C Mion1

  • 1carmenmion@iol.com.br

The International Journal of Psycho-Analysis
|April 26, 2006
PubMed
Summary

This study explores a nine-year psychoanalytic case of a patient with profound emotional detachment. The findings highlight the analyst

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Area of Science:

  • Psychology
  • Psychoanalysis

Background:

  • Presents a nine-year psychoanalytic case study focusing on a patient with a marked inability to experience and express emotions.
  • Explores the challenges of therapeutic alliance and transference in the absence of discernible affective connection.

Observation:

  • The patient consistently attended sessions and provided rich material, yet accounts lacked emotional depth for both patient and analyst.
  • The therapeutic focus shifted from analyst-patient communication to facilitating the patient's self-communication.

Findings:

  • The patient's own contributions implicitly guided the analytical process, confirming Bion's concept of the patient as a valuable collaborator.
  • The case demonstrates a unique therapeutic trajectory where emotional expression evolved indirectly through the analytical process.

Implications:

  • Suggests that even in severe affective deficits, psychoanalytic work can be viable and lead to internal change.
  • Highlights the importance of adapting therapeutic strategies to the patient's specific presentation, utilizing theoretical frameworks by Bion, Ferro, and Winnicott.

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