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The analyst's interpretation as fetish

G S Reed1

  • 1Training Institute, New York Freudian Society, USA. 75330.3177@compuserve.com

Journal of the American Psychoanalytic Association
|January 1, 1997
PubMed
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This study examines how patients with perversion-related defenses enact sexualized transference, turning the analyst's interventions into a fetish to avoid dangerous fantasies and maintain therapeutic distance. The paper suggests focusing on disavowal and underlying wishes to navigate these analytic challenges.

Area of Science:

  • Psychoanalysis
  • Psychodynamic Psychiatry
  • Clinical Psychology

Background:

  • Individuals with character structures shaped by perversion-related conflict solutions present unique transference dynamics.
  • These patients may engage in sexualized enactments, transforming therapeutic interventions into fetishes.

Purpose of the Study:

  • To explore the transference dynamics and underlying fantasies in patients with perversion-related defenses.
  • To understand how sexualized enactments function to avoid perceived dangers and analyst's interpretations.
  • To propose a technical approach for managing these complex analytic situations.

Main Methods:

  • Exploration of transference dynamics in psychoanalytic treatment.
  • Analysis of underlying fantasies and defense mechanisms, specifically disavowal.

Related Experiment Videos

  • Focus on the patient's enactment of a sexualized transference dynamic.
  • Main Results:

    • Patients may defensively transform the analyst's interventions into fetishes, complicating the analytic process.
    • This enactment serves to avoid external stimuli triggering fantasies of danger, such as castration anxiety.
    • Analyst's interpretations are also fetishized, creating significant therapeutic obstacles.

    Conclusions:

    • The persistent use of disavowal, motivated by danger fantasies and vengeful wishes, undermines the analysis.
    • A suggested technical approach involves focusing on the contradiction, disavowal mechanisms, and underlying wishes.
    • Addressing these dynamics is crucial for therapeutic progress in cases of perversion-related character structures.