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The Play of Mourning.

Steven H Cooper

    Journal of the American Psychoanalytic Association
    |April 5, 2023
    PubMed
    Summary

    This study explores "playing" in psychoanalysis, differentiating it from formal interpretation. It highlights how play, using humor and direct confrontation, addresses patient experiences of loss and waste in real-time analytic interactions.

    Area of Science:

    • Psychoanalysis
    • Psychotherapy
    • Clinical Psychology

    Background:

    • Psychoanalytic interpretation traditionally focuses on defense, fantasy, and transference.
    • A shift towards more dynamic, affect-laden interactions is observed in contemporary analytic practice.

    Purpose of the Study:

    • To define and differentiate "playing" as a distinct psychoanalytic intervention.
    • To explore how playing facilitates the processing of loss and waste in the analytic dyad.
    • To illustrate the real-time enactment of internal conflicts through play.

    Main Methods:

    • Qualitative analysis of clinical vignettes.
    • Exploration of the characteristics differentiating play from formal interpretation.
    • Focus on affective expression, idiomatic language, and analyst's reactions.
    Keywords:
    countertransferenceenactmentinternalizationinterpretationintersubjectivitymourningplayseparationtransferenceunconscious

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    Main Results:

    • Playing involves humor, irony, or direct confrontation of fantasy and reality.
    • It is characterized by heightened affective expression and idiomatic language.
    • Play emphasizes enacted experiences of loss and waste, often within transference-countertransference dynamics.

    Conclusions:

    • Playing offers a dynamic pathway to address patient experiences of loss and waste in the present.
    • This form of play facilitates real-time processing, moving beyond past "frozen memorializations."
    • Analytic play fosters immediate engagement with internal and external realities.