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The Therapist's Transition.

Nicolas Evzonas1, Laurie Laufer

  • 1CRPMS (Centre for Research in Psychoanalysis, Medicine, and Society), University of Paris, F-75013 Paris, France.

Psychoanalytic Review
|September 19, 2019
PubMed
Summary
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This psychoanalytic narrative explores a clinician's journey with a transgender adult, highlighting the risks of objectification and the importance of mindful, ethical practice in gender-affirming care.

Area of Science:

  • Psychoanalytic Psychology
  • Gender Studies
  • Clinical Psychology

Background:

  • Historical mistreatment and theoretical arrogance toward gender-variant populations in clinical settings.
  • The need for clinicians to critically examine their biases and countertransference.
  • The complex interplay of intrapsychic concerns and sociocultural norms in patient suffering.

Purpose of the Study:

  • To narrate a clinician-researcher's personal experiences and challenges with a transgender adult from a psychoanalytic perspective.
  • To address the therapist's vulnerability and countertransference issues in this therapeutic relationship.
  • To offer a cautionary tale on avoiding objectification within psychoanalytic practice.

Main Methods:

  • First-person narrative and reflective self-analysis by a cis-gendered male clinician-researcher.

Related Experiment Videos

  • Psychoanalytic exploration of intrapsychic dynamics and sociocultural influences.
  • Critical reflection on previous attempts to articulate the experience, including identified pitfalls.

    • Main Results:

    • The author identifies potential pitfalls in psychoanalytic engagement with transgender patients, particularly the risk of objectification.
    • The narrative emphasizes the therapist's vulnerability and the challenges of countertransference.
    • A pluralistic perspective is adopted to understand the patient's suffering and the therapist's role.

    Conclusions:

    • Clinicians must remain vigilant against objectification, which can be rooted in the history of psychoanalytic thought.
    • Mindful self-reflection and supervision are crucial for ethical and effective psychoanalytic work with transgender individuals.
    • This cautionary tale underscores the importance of avoiding theoretical arrogance and embracing humility in clinical practice.