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Adjusting the distance.

Michael Feldman¹

¹British Psychoanalytical Society, London, UK.

The International Journal of Psycho-Analysis

|March 12, 2024

Summary

This summary is machine-generated.

This study explores patient anxiety related to object relations, focusing on fears of engulfment versus abandonment. It highlights the struggle to find a tolerable distance in therapeutic relationships for both patient and analyst.

Keywords:

Distance agoraphobia claustro

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Area of Science:

Psychology
Psychoanalysis
Object Relations Theory

Background:

Patients often experience profound anxiety stemming from perceived threats to their sense of self.
These anxieties can manifest as fears of engulfment or, conversely, isolation and abandonment.

Purpose of the Study:

To describe the specific anxieties evoked in patients facing object-related threats.
To illustrate the patient's dynamic process of seeking a manageable interpersonal distance.
To examine the analyst's parallel challenge in maintaining therapeutic distance.

Main Methods:

Clinical case illustration
Psychoanalytic observation
Exploration of transference and countertransference dynamics

Main Results:

Patients oscillate between fears of engulfment and abandonment, seeking a tolerable distance from their objects.
The therapeutic relationship is characterized by the patient's struggle to establish this distance.
Analysts must manage patient projections to maintain a working therapeutic alliance.

Conclusions:

Understanding the dual anxieties of engulfment and abandonment is crucial in psychoanalytic treatment.
The concept of 'tolerable distance' is central to resolving these object-related anxieties.
Effective psychoanalytic work requires the analyst to maintain a reflective distance amidst intense patient projections.