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A note on notes: note taking and containment.

Howard B Levine1

  • 1Psychoanalytic Institute of New England, East, USA. hblevine@aol.com

The Psychoanalytic Quarterly
|August 19, 2007
PubMed
Summary
This summary is machine-generated.

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In psychoanalysis, extreme projective identification can lead to mutual fears of psychic annihilation. This paper explores the nuanced meanings of note-taking in the analytic relationship, moving beyond generalized attention issues.

Area of Science:

  • Psychoanalysis
  • Psychology
  • Psychotherapy

Background:

  • Massive projective identification involves shared fantasies of psychic annihilation.
  • Previous work has addressed generalized attention deficits and destabilization of analytic functioning.

Observation:

  • The specific transference meanings of note-taking in psychoanalysis were explored through a clinical example.
  • Note-taking was not merely a generalized human response or a simple destabilization of analytic functioning.

Findings:

  • The dilemma around note-taking held specific, pair-unique transference meanings.
  • A nuanced, dynamic, and pair-specific consideration of the analyst's functioning is crucial.

Implications:

  • Reopening dialogue on note-taking encourages moving away from categorical rules in analysis.

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  • Further clinical experience is needed to determine the universality and varied functions of note-taking in analytic pairs.