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Traumatizing Disorders of "Everyday Life"
Journal of the American Psychoanalytic Association
|June 15, 2024
Summary
This paper explores maintaining safety in psychoanalytic therapy during overwhelming historical times. It addresses how clinicians can preserve secure therapeutic environments amidst pervasive external dangers.
Area of Science:
- Psychoanalysis and Psychotherapy
- Clinical Psychology
- Sociology of Mental Health
Background:
- Contemporary historical moments present unprecedented psychological challenges, exceeding individual coping capacities.
- The concept of "too muchness" disrupts the traditional notion of the psychoanalytic consulting room as a "safe" space.
- External dangers and unrepresentable threats increasingly infiltrate the therapeutic dyad.
Purpose of the Study:
- To examine the difficulties in maintaining therapeutic safety in the current historical context.
- To explore strategies for preserving a sense of safety within clinical psychoanalytic work.
- To address the challenge of remaining open to external dangers without compromising the therapeutic environment.
Main Methods:
- Grounded in clinical examples and case illustrations.
- Theoretical exploration of the impact of historical "too muchness" on the analytic setting.
- Focus on the analyst-patient relationship within a context of pervasive threat.
Main Results:
- The "too muchness" of the current era significantly challenges the containment of psychic distress.
- Preserving safety requires acknowledging and integrating external disruptive forces, not just internal ones.
- Therapists face the dual task of maintaining a secure space while being open to overwhelming external realities.
Conclusions:
- Maintaining a "safe" consulting room necessitates adapting to the "too muchness" of our historical moment.
- Clinical work must find ways to hold both internal psychic experience and external unrepresentable dangers.
- Further exploration is needed on how to foster resilience and safety in psychoanalysis amidst global crises.
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