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Consenting and Assenting to Psychoanalytic Work.

Allannah Furlong

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    Summary
    This summary is machine-generated.

    Patient consent in psychoanalysis is complex. It involves an ongoing, ambivalent process of "assent," not just passive acceptance, as patients navigate unconscious responses during treatment.

    Keywords:
    ethicsframeworkgood-enough assentinginformed consentprofessional guidelines

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    Area of Science:

    • Psychoanalysis
    • Psychology
    • Medical Ethics

    Background:

    • Historically, patient consent in psychoanalytic literature has been underexplored.
    • Post-Freudian theories suggest potential for misunderstandings regarding consent in psychoanalysis.
    • The concept of transference introduces complexities to patient consent.

    Purpose of the Study:

    • To re-examine the understanding of patient consent to treatment within psychoanalysis.
    • To differentiate between cognitive 'consent' and conflicted 'assent'.

    Main Methods:

    • Conceptual analysis based on psychoanalytic theory and literature.
    • Distinction between etymological and intersubjective grounds for consent and assent.
    • Exploration of unconscious responses within the analytic setting.

    Main Results:

    • Psychoanalytic consent is not a static, one-time event but a dynamic, evolving process.
    • Patients' 'assent' is characterized by conflict and partial disagreement with analytic work.
    • Informed consent emerges through working through unconscious reactions to the analytic process.

    Conclusions:

    • Informed consent in psychoanalysis is a multilayered, repetitive, and ambivalent process.
    • It is better understood as 'good-enough assenting' over time rather than a simple agreement.
    • This process acknowledges the inherent complexities of the psychoanalytic relationship.