Analysts at Work: Practice, Principles, and Techniques

by Joseph Reppen

A collection of 12 essays by American and European analysts that describe the methods and techniques they use in their clinical work. This book includes descriptions of specific treatment situations and an examination of the nature of patient-therapist interaction.

268 pages, Paperback

First published July 7, 1977

Reviews

[Dovilė Stonė · Rating 5 out of 5]

Apie gėdą ir kaltę

“Acute unidentified or unacknowledged shame is often hard to distinguish from its rapid transfor- mation into depressive ideation. Unidentified guilt is usually experienced in transformation as obsessive worry or fear (dread) of specific happenings.” (Lewis)

Apie analizės klaidumą

“...even with patients for whom reasonable success can be anticipated, we stumble, fumble, muddle along, struggle with many hypotheses, and often wonder if we are getting anywhere.” (Peterfreund)

“As I view analytic therapy, I do not see it as a situation where the therapist has automatic answers, and certainly not simplistic ones derived from some clinical theory that is imposed on the supposedly ever resistant patient. I view analytic therapy as a unique method of inquiry and investigation, as a special probe (...), which enables more to be learned about a pa- tient’s inner life and which simultaneously widens and enriches a patient’s experiences. Analytic therapy is a process which, at best, allows us to struggle productively with the very complex phenomena of a patient’s personal life. And its path is not simple, direct, or predictable.” (Peterfreund)

Apie ėjimą paskui pacientą

“It is true that I often hear from the patient a hidden message before the patient recognizes that message himself. But I cannot hear it before the patient says it. No matter how much it may seem otherwise to the patient at first, I am always behind the patient.” (Poland)

“I believe that each person—whether psychotic, Republican, Jewish, poetic, or whatever— does what he does and lives his life as he does because it is the best way of getting along in the world as he sees it. I believe that what analysis uniquely offers each person is the specially developed occasion to learn how it happens that he sees the world as he does and to come thereby to widen his range of vision and action both internally and, as a consequence, in the world he helps to create around him.” (Poland)

Apie pasipriešinimą

“Resistance has long been recognized as the clinical manifestation within the analytic dyad of conflict and defense on the intrapsychic level. Resistance is of the essence of the analytic process; it is not insubordination.” (Poland)

"Unrecognized, resistance becomes a hook that captures the analyst on his own ambition, his own urge for power or control. Recognized, resistance is a valued friend. Without resistance there is no analytic work, but recognized, resistance is the cutting edge of progress, the primary road to clinical analysis. Resistance brings forth the analytic questions, 'How come this?' and 'Why now?'" (Poland)

Apie perkėlimą

“...transference is not the end point for cure simply by the dynamics of a corrective interpersonal experience. It is rather the means by which underlying genetic roots can be known emotionally and intellectually and be mastered.” (Poland)

Apie gedulą kaip būtiną procesą siekiant gilių pokyčių

"The process from insight to change does not, however, simply involve an act of will, as Rangell implies. It always involves giving up either a self-representation or an object relationship, and both of these involve loss and mourning. Becoming less enraged at an absent father, for example, involves giving up one’s relationship with that father, giving up all of the hopes, expectations, and passions that went with it, and mourning them. Freeing oneself from a passivity that results from an identification with a passive mother does not automatically occur after insight into the existence of that identification. In addition, one must deeply recognize the motivations for that identification, and these always include the preservation of some aspect of an object relationship with mother. Giving up the identification means giving up the relationship, and that requires mourning. Change takes place for many reasons, but I hold that change in the absence of this process of giving up a relationship and its accompanying mourning is usually not the deep kind of change that we call structural. And mourning, as we well know, is a genuine relinquishment which cannot take place without awareness of the loss, without insight. To be sure, a sense of loss can occur unconsciously, but the reparative mourning process, the actual affective giving up, requires conscious awareness for its successful completion. The need for mourning, incidentally, is probably one of the main reasons for the importance of working through." (Pulver)

Apie analizę kaip žaidimą

“As Greenacre (1959) noted, “The anxiety provoking problems of today in the child’s life become the subjects of the play of tomorrow", and of the analysis of tomorrow as well. Working through and mastery are achieved by the child in play, and by the adult in psychoanalysis.” (Thickstun)

“The play mode of psychoanalysis provides the freedom to experiment with new, outlandish combinations of ideas and to risk failure without the usual fear of consequences. Psychoanalysis thus creates an optimal situation for learning. Experimentation with fantasy and reality lead to new solutions and new behaviors, at first within the safe play space of analysis and later by advances into “reality.” This occurs in the learning and developmental style of childhood play. Regression, repetition, working through, mastery, and progression lead to changes in intrapsychic structure and overt behavior.” (Thickstun)