Residues in the analyst of the patient's symbiotic connection at a somatic level: unrepresented states in the patient and analyst

J Anal Psychol. 2018 Feb;63(1):6-25. doi: 10.1111/1468-5922.12377.

Abstract

This paper discusses the residues of a somatic countertransference that revealed its meaning several years after apparently successful analytic work had ended. Psychoanalytic and Jungian analytic ideas on primitive communication, dissociation and enactment are explored in the working through of a shared respiratory symptom between patient and analyst. Growth in the analyst was necessary so that the patient's communication at a somatic level could be understood. Bleger's concept that both the patient's and analyst's body are part of the setting was central in the working through.

Keywords: Agieren; Bleger; Dissoziation; Durchlässigkeit; agir; conexión simbiótica; connessione simbiotica; contratransferencia somática; contretransfert somatique; controtransfert somatico; disociación; dissociation; dissociazione; enactment; estados sin representación; invasive object; invasives Objekt; lien symbiotique; nicht vertretene Zustände; objet envahissant; objeto invasivo; oggetto invasivo; porosidad; porosity; porosità; porosité; somatic countertransference; somatische Gegenübertragung; stati non rappresentati; symbiotic connection; symbiotische Verbindung; unrepresented states; états non-représentés; Блехер; диссоциация; инвазивный объект; нерепрезентированные состояния; отыгрывание; пористость; симбиотическая связь; соматический контрперенос; 侵袭性的客体; 共生连接; 多孔性; 未呈现的状态; 行动化; 解离; 身体反移情.

MeSH terms

  • Adult
  • Countertransference*
  • Dissociative Disorders / psychology*
  • Female
  • Humans
  • Male
  • Mental Disorders / therapy*
  • Professional-Patient Relations*