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Related Experiment Videos

The "dis-affected" patient: reflections on affect pathology.

J McDougall

    The Psychoanalytic Quarterly
    |July 1, 1984
    PubMed
    Summary

    This study explores how patients may lack emotional expression in psychoanalysis, causing the analyst to experience the affect instead. It examines the psychic economy of maintaining unavailable affect.

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    Area of Science:

    • Psychoanalytic theory
    • Psychic economy
    • Affective neuroscience

    Background:

    • Psychoanalytic discourse often involves patients expressing ideas devoid of personal affect.
    • Analysts may inadvertently absorb or project the patient's unavailable affect.
    • This phenomenon is observed across various clinical presentations.

    Observation:

    • Patients may present with seemingly normal discourse but lack genuine emotional connection to their words.
    • The analyst experiences heightened emotional responses, compensating for the patient's deficit.
    • This dynamic can manifest in conditions like narcissistic personality disorders and psychosomatic presentations.

    Findings:

    • The study investigates the psychic mechanisms sustaining this pattern of functioning.
    • It focuses on the management and 'vicissitudes' of affect that remains inaccessible to the patient.
    • The core finding is the analyst's role in processing the patient's repressed or unavailable affect.

    Implications:

    • Understanding this dynamic can refine psychoanalytic treatment approaches.
    • It highlights the importance of the analyst's self-awareness regarding affective responses.
    • This conceptualization offers new insights into the management of emotional unavailability in clinical practice.

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