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Related Experiment Video

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Psychic time as occasion for enactment.

Sara Collins1

  • 1British Psychoanalytic Association, London, UK.

The International Journal of Psycho-Analysis
|May 4, 2021
PubMed
Summary

Psychoanalytic breaks can trigger enactments due to anxiety and frame disruptions. These unconscious actions, when understood through guilt and shame, can advance the analytic process.

Area of Science:

  • Psychoanalysis
  • Psychodynamic Therapy
  • Clinical Psychology

Background:

  • Analytic breaks are integral to psychoanalysis but can induce anxiety and disrupt the therapeutic frame.
  • Threats to the frame's integrity during breaks create vulnerability, potentially leading to enactments.
  • Enactments may arise from unmetabolized psychic disturbances lacking verbal expression, particularly linked to a patient's unique temporal experience.

Purpose of the Study:

  • To explore the role of enactments within the temporality of the analytic process, especially around analytic breaks.
  • To understand enactments as representations of unconscious material that require retrospective containment.
  • To examine how guilt and shame following enactments can be utilized to further the analytic process.

Main Methods:

Keywords:
Traumacontainmentcountertransferenceenactmentsettingtime

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  • The study focuses on theoretical analysis of enactments within the psychoanalytic context.
  • It examines the interplay between psychic time, analytic time, and frame integrity.
  • A clinical illustration of a mental enactment during a break is presented.

Main Results:

  • Enactments occurring around analytic breaks are linked to psychic vulnerability and disruptions in containment.
  • These enactments represent unconscious material that is processed retrospectively by analytic thinking.
  • The analyst often becomes aware of enactments only after an "unthought-out action."

Conclusions:

  • Enactments, particularly those occurring around breaks, can be understood as expressions of unconscious readiness for transformation.
  • The conjunction of psychic time and the analytic time frame occasions these enactments.
  • Utilizing the affects of guilt and shame post-enactment can foster deeper understanding and advance the analytic process.