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Related Experiment Videos

Illness in the doctor: implications for the psychoanalytic process.

H J Schwartz

    Journal of the American Psychoanalytic Association
    |January 1, 1987
    PubMed
    Summary

    Serious illness in therapists impacts the analytic space and patient fantasy life. Maintaining therapist neutrality during illness enhances patient insight into unconscious fantasy and its lasting effects.

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    Area of Science:

    • Psychology
    • Psychoanalysis

    Background:

    • The impact of a therapist's serious illness on the analytic setting is under-explored.
    • Existing literature offers limited guidance on patient disclosure of therapist illness.

    Observation:

    • The author's personal experience with serious illness influenced his clinical work.
    • Patient case material illustrates maintaining analytic neutrality during distressing events.

    Findings:

    • Therapist serious illness affects the intrapsychic analytic space, analyzing field, and patient fantasy.
    • An abstinent therapeutic stance is effective even with real-world disturbances.
    • Freud's experience with disability offers historical context.

    Implications:

    • Major illness presents unique challenges to the analytic relationship.
    • Therapist neutrality during illness can reveal deep unconscious fantasies.
    • This experience can illuminate the lasting influence of fantasy on adult functioning.

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