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Where is here? When is now?

Edna O'Shaughnessy1

  • 1ednaos@btinternet.com

The International Journal of Psycho-Analysis
|February 27, 2013
PubMed
Summary

Psychoanalytic treatment explores the patient's subjective world in the present moment. This case study shows how understanding the 'here and now' can transform a patient's sense of time and relationships.

Area of Science:

  • Psychoanalysis
  • Psychodynamic Psychology
  • Clinical Psychology

Background:

  • The concept of the 'here and now' is central to psychoanalytic practice.
  • Betty Joseph's Kleinian perspective offers a framework for understanding subjective experience.

Purpose of the Study:

  • To examine the psychoanalytic 'here and now' using clinical material.
  • To illustrate the evolution of a patient's sense of place and time within analysis.
  • To explore the implications of these changes for psychoanalytic technique.

Main Methods:

  • A Kleinian psychoanalytic approach influenced by Betty Joseph.
  • In-depth analysis of clinical material from a patient (Mr. X).
  • Examination of the initial phase and a later session (five years into analysis).

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Main Results:

  • The patient, Mr. X, initially struggled with issues of place and time.
  • Over the course of analysis, Mr. X moved from isolated relationships to Oedipal/family dynamics.
  • The patient developed a coherent sense of duration, integrating past, present, and future.

Conclusions:

  • The psychoanalytic 'here and now' is a dynamic space reflecting the patient's inner world.
  • Changes in the patient's experience of place and time are linked to therapeutic progress.
  • Understanding and working with the 'here and now' has significant implications for psychoanalytic technique.