Mr. Analysand. Meet your man I'm an analysand. Because analysis can be amazing, but it can also be agonizing. After my I am: Mr. Analysand. SHARE. Dec 1, Psychoanalysis evolved from a practice in which the ideal analyst was as an unconscious aspect of the relationship of analysand to analyst. Clinical Values: Emotions That Guide Psychoanalytic Treatment (Book Review) that enhance the therapeutic relationship for both analyst and analysand.
Buechler identifies four important elements for inspiring hope; 1 the willing suspension of disbelief, 2 an acceptance of mystery, 3 an acceptance of contradiction and paradox; and 4 awareness that hope and faith are impossible to separate.
- The great unknown
These elements are also key concepts in eroding paranoid defenses, promoting patience, and the active exploration of new and different explanations for conflict along with courses of action. However, Buechler warns of possible dangers when the analysand hopes for idealistic or unrealistic outcomes.
This is especially important for the narcissistic or borderline patient who experiences difficulty with the acceptance of limitations and unpleasant affects.
Buechler further examines how reality is co-constructed by analyst and analysand in the course of therapy and how uncertainties and paradox must be embraced realistically. From a cultural perspective, Buechler indicates that emotional triggers may vary from culture to culture.
However, surprise and uncertainty can be emotional motivators for change and self-extension. This highlights a shift for the analyst from processing the countertransference to self-disclosure and weathering the surprises and uncertainties arising during the course of treatment. These discussions conclude with an emphasis on hope for the therapist to avoid burnout and discontent.
Buechler lists three considerations for instilling hope in the analyst: If we will do anything a treatment requires, we have a greater basis for hope. She references Mitchell regarding the necessity of love for the therapeutic work and the passion for promoting life and growth. Buechler cites inspiration for courage from the writings of Aristotle.
His view of courage involved a balance between rashness and timidity and stems more from personal character. For the therapist, Buechler suggests the following paraphrase of Aristotle: The courage on the part of the therapist involves modeling for the patient what it is to be human and imperfect while also taking responsibility for the consequences of choices.
This may include apologizing for mistakes p. With case examples, Buechler identifies instances in which these approaches may hinder progress. On the other hand, timidity on the part of the therapist can result in a stagnant therapeutic relationship.
Clinical Values: Emotions That Guide Psychoanalytic Treatment (Book Review)
For this reviewer, these discussions are reminiscent of my experiences with inpatient adolescent group therapy. A female adolescent, with borderline traits, consistently attempted to split and sabotage the group process. During a rather heated session several weeks following her admissionshe became highly agitated and personally attacked a peer who provided her insightful and appropriate feedback.
She used projection and displaced anger to avoid confronting her core issues. Caught within the countertransference and unrest of the group, I responded in a terse and sarcastic manner that she was hurting others because she was in pain. She countered by berating me for being sarcastic. This was a pivotal event for the patient and the group in that, to my amazement, the group members began accepting responsibilities for their emotionally-charged shortcomings and mirroring my words. This group experience allowed the patient and I to overcome her impasse to treatment progress in individual therapy and to acknowledge unpleasant affects while managing them adaptively.
Therefore, for me, Dr. The text also explores the topic of termination and how our profession is unique in that we must sever ties with patients. This can be difficult for both parties after extensive emotional work is undertaken. Buechler provides helpful discussions relating the termination process to parental encouragement for children to branch out and take independent steps.
These discussions are especially beneficial for students and inexperienced therapists. Establishing a sense of purpose for therapist and patient is another key topic for the text. Buechler provides rich illustrations of the motivating contributions a sense of purpose provides to therapeutic progress. These discussions also parallel the research findings of Cramer that analysts often perceive a lack of treatment progress when failing to neatly conform to theoretical models while their patients endorse highly positive experiences in treatment.
Buechler also warns the therapist to avoid being too much of a new affirmative object at the expense of allowing the patient to exhibit and work through self-destructive urges. Allowing the patient to achieve emotional balance is necessary for meaningful progress. The previously addressed chapters and topics in this review only scratch the surface of the wealth of information, clinical thought and literary metaphors available in this text.
If a hypnotised subject is told there is no furniture in a room, and then instructed to cross it, he will naturally avoid the furniture. When asked why he took such an odd route, rather than admit the existence of the furniture he will invent false explanations: Rather than seeing these false explanations as restricted to the hypnotic state, Freud believed that they were a basic feature of the human ego.
Although we might not crash into furniture, we spend every day deceiving ourselves about why we do things. We tell ourselves we love this person because of some inner quality, rather than because they share some trait with our mother.
We think we get angry with our bosses because they are unreasonable, without noticing it is because they are echoing the behaviour of our father. We are excessively kind to other people, not realising this is overcompensation against our wish to harm them.
Reaching the repressed The world of the unconscious isn't nice. It's all about the sexuality and violence directed to those closest to us. These thoughts are unbearable, so we repress them. But repression is nearly always incomplete: By taking these strange phenomena seriously, we can be led back to our unconscious desires. Making this kind of connection can hardly ever happen through armchair introspection, and that is why Freud had to invent a new technique to access the unconscious.
The patient would lie on a couch and "free associate". As they said anything that came to mind, repetitive motifs would emerge, and little details would surface that allowed connections to be made.
Repressed ideas seeking representation would use the most inconspicuous trivia to smuggle themselves past our psychical censorship. With dreams, for example, it is often the tiniest, seemingly trivial details that turn out to have the greatest significance. Psychoanalysis was thus a strange kind of conversation.
The patient would be speaking on a couch to a listener they couldn't see, following the associative threads of their discourse, however meaningless or random they seemed. Where many other therapies offered a straight face-to-face chat, with advice and guidance, here was something else. Analysis didn't even claim to offer cure or happiness. Freud compared it with a train ticket - an access to the unconscious - which we can either use or discard.
Yet it became clear to Freud and his colleagues that there is much more to the psyche than what we repress.
Emotions That Guide Psychoanalytic Treatment (Book Review)
The id, for example, was made up of drives that never fully became part of the unconscious. Later analysts explored those areas of our psychical life that were buried even deeper than the repressed. Some material, they thought, could never be accessed through ideas or images, yet caused us the most intense suffering and misery. Its effects could be seen in problems such as drug addictions and alcoholism. The challenge for them was to find new techniques to engage with this lost part of our psyche.
Beyond Freud Distancing himself from Freud, Carl Jung felt that there had been too much emphasis on personal history at the expense of collective human history.
If you talk to your analyst about your mother, it is not simply your own mother but also a representation at an unconscious level of everything we understand by "mother". Jung called these universal forms "archetypes" and believed that we can never know them directly. He encouraged the study of myth, folklore, religion and dreaming to learn more about archetypes, and he saw therapy as involving an organic process of self-realisation he termed "individuation".
Later analysts such as Jacques Lacan emphasised not only symbolic forms but their absence. For them, it was the non-existence of archetypes that gave rise to human invention, creativity and neurosis. Since there was no archetype of birth or death, the child must invent solutions for him or herself. As psychoanalysis became part of popular culture, the analyst was often pictured as a kind of detective: Yet Freud recognised that things were hardly so simple.What is Transference In Therapy? - Kati Morton
Human beings tend to cling to their symptoms and suffering and are usually loth to give them up. There is a powerful pull to self-destruction, a kind of masochism and pleasure in pain that Freud called the "death drive. Melanie Klein believed that the unconscious was formed from a complex set of processes of introjection and projection, while Lacan thought that it was created through speech, the words that are imposed on us in our childhood. We act out scripts without knowing it, while at the same time a crucial area of our mental life is governed by an unrepresentable and unbearable domain that we only ever encounter fleetingly: Where Kleinians tend to interpret the relationship between analyst and analysand systematically, Lacanians don't believe that they know more than the analysand.