The Analyst Perceived and/but Ignored
Israël, Paul
The Analyst Perceived and/but Ignored - 2013.
43
Considering the frequency of borderline pathologies in psychoanalytic practice, the author attempts in this short article to demonstrate that the patient’s attachment often resembles a perceptual addiction in these treatments and induces a false transference, as a form of resistance to an interpretable and analysable transference. Reviewing the features of “borderline” functioning, in which acting out predominates over representation, the author’s practical reflection is based on an interpretation of borderline functioning that situates it at the very boundaries of metapsychology, at the origin of psychic life, between excitations and the drives. He points out that where associations with a source in representational life are lacking, the treatment becomes the opportunity for acted-out exchanges, whether behavioural, gestural or exclusively verbal. Rather than systematically challenging these enactments as evidence of a transference-countertransference collusion, the author suggests that they should be used as markers in a history of the treatment. The term interpret-action attempts to deal with all these moments as unexpected playlets that can be worked through to form possible transition-points towards memories or dreams that will give way to disqualified historical objects. In these treatments that often have to be accepted as long, and sometimes extremely long, it can be hoped that the psychoanalytic work will bring out the initial elements of a transference and allow a transition from interpret-action to actual interpretations.
The Analyst Perceived and/but Ignored - 2013.
43
Considering the frequency of borderline pathologies in psychoanalytic practice, the author attempts in this short article to demonstrate that the patient’s attachment often resembles a perceptual addiction in these treatments and induces a false transference, as a form of resistance to an interpretable and analysable transference. Reviewing the features of “borderline” functioning, in which acting out predominates over representation, the author’s practical reflection is based on an interpretation of borderline functioning that situates it at the very boundaries of metapsychology, at the origin of psychic life, between excitations and the drives. He points out that where associations with a source in representational life are lacking, the treatment becomes the opportunity for acted-out exchanges, whether behavioural, gestural or exclusively verbal. Rather than systematically challenging these enactments as evidence of a transference-countertransference collusion, the author suggests that they should be used as markers in a history of the treatment. The term interpret-action attempts to deal with all these moments as unexpected playlets that can be worked through to form possible transition-points towards memories or dreams that will give way to disqualified historical objects. In these treatments that often have to be accepted as long, and sometimes extremely long, it can be hoped that the psychoanalytic work will bring out the initial elements of a transference and allow a transition from interpret-action to actual interpretations.
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