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Dialectical thinking and therapeutic action in the psychoanalytic process

I Z Hoffman

    The Psychoanalytic Quarterly
    |April 1, 1994
    PubMed
    Summary

    The analyst

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    Area of Science:

    • Psychoanalytic theory and practice
    • Clinical psychology
    • Psychotherapy research

    Background:

    • The therapeutic efficacy of psychoanalysis relies on the power dynamics between analyst and patient.
    • Psychoanalytic rituals and asymmetrical arrangements reinforce this power.
    • Mutual identification is crucial for therapeutic progress.

    Observation:

    • The analyst must balance formal authority with personal self-expression and spontaneity.
    • This balance creates a dynamic tension central to the therapeutic process.
    • The analyst's internal struggle with this dialectic is a key observation.

    Findings:

    • The "good object" involves navigating the uncertainty of this dialectic.
    • The "bad object" results from an uncritical adherence to one side of the dialectic.
    • An extended clinical example demonstrates the therapeutic potential of the analyst's struggle.

    Implications:

    • Understanding this dialectic enhances the analyst's therapeutic effectiveness.
    • The analyst's self-awareness and adaptability are critical for successful treatment.
    • This framework offers insights into the core mechanisms of psychoanalytic healing.

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