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Published on: January 18, 2013
Living an experience of defence: Exploring defensive process within the play framework
1Training and Supervising Analyst, Boston Psychoanalytic Society and Institute; Training and Supervising Analyst, Columbia Center for Psychoanalytic Training and Research Clinical Professor in Psychiatry, Columbia University, New York, NY, USA.
Play in psychoanalysis involves vivid patient defenses, distinct from formal interpretations. This approach complements existing defense analysis methods, offering new insights into the analytic process.
Area of Science:
- Psychoanalysis
- Psychology
- Psychotherapy
Background:
- Defense analysis is crucial in analytic work.
- Traditional defense analysis often involves formal interpretation.
- The role of 'play' in defense analysis is less explored.
Purpose of the Study:
- To deconstruct how defense analysis operates during 'play' in analytic work.
- To theorize the defense process occurring within the analytic couple during play.
- To examine these clinical processes through case vignettes.
Main Methods:
- Theoretical deconstruction of defense analysis during play.
- Clinical examination of defense processes in two patient vignettes.
- Integration of epistemological and ontological perspectives.
Main Results:
- Defense analysis during play is characterized by aliveness and vividness.
- This form of analysis is adjacent to, rather than a replacement for, formal defense interpretation.
- Simultaneous operation of epistemological and ontological approaches is observed.
Conclusions:
- Play offers a unique modality for analyzing defenses in psychoanalysis.
- This approach enriches the understanding of defense mechanisms.
- Defense analysis can be multifaceted, incorporating diverse therapeutic strategies.
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