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Working Through the "Caesura": A Clinical Illustration
Journal of the American Psychoanalytic Association
|September 10, 2016
Summary
Psychoanalytic therapy can help patients engage in treatment, fostering personal transformation. Understanding therapeutic collusion, or "playing together," is key to flexible, effective analysis.
Area of Science:
- Psychology
- Psychoanalysis
Background:
- Analysts increasingly encounter patients needing to develop analytic capacity.
- Patient H. presented with significant life stagnation, behavioral issues, and substance use.
Purpose of the Study:
- To explore how psychoanalytic concepts can facilitate therapeutic engagement.
- To examine the role of therapeutic technique and collusion in psychoanalysis.
Main Methods:
- Utilized concepts from Bion and Winnicott to establish a therapeutic relationship.
- Analyzed the dynamic of therapist-patient collusion and its impact on analytic practice.
Main Results:
- The patient recognized the value of analytic thinking for life transformation.
- Acknowledging collusion allows for flexibility while remaining true to Freudian principles.
Conclusions:
- Therapeutic collusion, reframed as "playing together," enables flexible psychoanalysis.
- Bion's theories offer a framework for deconstructing observational perspectives within the analytic setting.
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