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Updated: Jul 1, 2025

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Published on: March 8, 2018
The Therapist Dissociates: Psychic Nodules and Group Process
Abstract:
I introduce the term nodule to call attention to the effects of a particular type of irruption into the therapist's psychology, leading to dissociation. A preoccupying state of mind emerges that muffles, mutes, or blots outs other internal and external channels of communications. The therapist's associations do not integrate usefully, furthering self-reflection and contributing to productive leadership. Rather, a nodule crystallizes as the therapist becomes preoccupied with an amalgamation of affects and feelings, fantasies, reality statements and suppositions, bodily states, actions, and actions-tendencies. I focus on the influence of psychic nodules on me, as a commandeered subject, and their effects on the communicative matrices (nodes) of three groups I led.
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