ABSTRACT
Las autoras describen una interrupción en la comunicación en los análisis de dos pacientes, que va conduciendo a una detención en el proceso analítico. Se plantean algunas hipótesis con el propósito de entender esta situación. Una de las explicaciones es la mutua identificación de superyoes primitivos en la pareja analítica, lo que genera un efecto moralizador, impidiendo la investigación y el descubrimiento. Se enfatiza la importancia del compromiso contratransferencial que provoca en parte este tipo particular de impasse. Se sugiere, así mismo, la idea de una actuación compartida, en la que la analista participa en forma complementaria con el paciente. La pareja analítica sostiene así un baluarte que ampara o protege el riesgo de quiebre de la omnipotencia del paciente y de la analista. Ambos comparten una fantasía inconsciente que alimenta una colusión vinculada a una culpa persecutoria inconsciente. También se describe el movimiento de salida de este impasse. El enclave entre analista y paciente es detectado y posteriormente elaborado a partir de la colaboración del paciente con material onírico y del trabajo de la analista con su contrantrasferencia
The authors describe an interruption in communication in the analyses of two patients, which gradually brings the analytic process to a halt ⁄ standstill. They propose several hypotheses for understanding this situation. One explanation is mutual identification of primitive superegos in the analytic couple which generates a moralizing effect thereby hindering investigation and discovery. They emphasize the importance of countertransference involvement which partly provokes this particular type of impasse. They also suggest the idea of shared acting out, with complementary participations of analyst and patient. In this way the analytic couple supports a bastion which protects against the risk of breaking the omnipotence of patient and analyst or contributes to this omnipotence. Their shared unconscious phantasy feeds collusion linked to unconscious persecutory guilt. The authors also describe movements to break free from this impasse. The enclave created by the analytic couple is detected and subsequently worked through by way of the patients contribution of dream material and the analysts work with her countertransference
Subject(s)
Humans , Male , Female , Middle Aged , Communication , Dreams , Physician-Patient Relations , Psychoanalysis , Countertransference , Identification, Psychological , Patients , Somatoform Disorders , SuperegoABSTRACT
The authors describe an interruption in communication in the analyses of two patients, which gradually brings the analytic process to a halt/standstill. They propose several hypotheses for understanding this situation. One explanation is mutual identification of primitive superegos in the analytic couple which generates a moralizing effect thereby hindering investigation and discovery. They emphasize the importance of countertransference involvement which partly provokes this particular type of impasse. They also suggest the idea of shared acting out, with complementary participations of analyst and patient. In this way the analytic couple supports a 'bastion' which protects against the risk of breaking the omnipotence of patient and analyst or contributes to this omnipotence. Their shared unconscious phantasy feeds collusion linked to unconscious persecutory guilt. The authors also describe movements to break free from this impasse. The enclave created by the analytic couple is detected and subsequently worked through by way of the patient's contribution of dream material and the analyst's work with her countertransference.
