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By Allan Frosch

The identify of this publication refers to a selected development of the area that brooks no uncertainty: 'things are the way in which i think them to be'. there isn't any opposite direction! it is a genuine improve to one's self belief - even supposing this conviction relies completely on our personal innovations or rapid event. whilst a bunch or association percentage a one-dimensional view of the area the experience of conviction takes the shape of a  Read more...

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Additional resources for Absolute Truth and Unbearable Psychic Pain : Psychoanalytic Perspectives on Concrete Experience

Sample text

Eventually his obstreperous behaviour faded away. He did not graduate from the conservatory, because he was offered a job in a professional company, which he accepted. At the time of the sessions to be reported, Mr A had lost and regained this job. He was chronically plagued by insecurities about his masculinity because of his foot fetishism, and was still prone to not taking care of the necessities of everyday life. Mr A was markedly concrete in treatment. He often responded to interpretations by accusing Dr B of criticising him.

This is half true, because difference implies separation. But difference also implies connection: “x” is not “y” (they are separate), but “x” is related to “y” (they are connected). To cite two major influences on my thinking: Loewald (1960) thought that every interpretation implies the differential between the patient and the analyst and that the “therapeutic action of psychoanalysis” is the internalisation of this differential; Winnicott (1951) said that symbolisation depends upon paradoxical transitionality, simultaneous separation and connection (difference itself).

Occasionally I have considered whether my guilt over being away and thus causing pain, perhaps even re-traumatising my patient, might impede my ability to be the fully receiving, containing object whom she needs. I think that the analyst at times can be so overwhelmed by her own guilt in causing such a painful repetition of loss that only in retrospect can she fully see how her guilt prolonged the concrete situation. On more than one occasion with Ms C, who approached my breaks with great apprehension, I found it very difficult to be deeply empathic with the pain my absence was about to bring.

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