Northwestern Dental School
240 E. Huron Rm 3380
Presenter: Arnold Wilson
Clinical psychoanalysis has long labored with two primary pseudo-world hypotheses, one organized around internalization and the other around intrapsychic conflict. The characteristics of these (as seemingly autonomous and self-sufficient aggregates) have delayed a process-centered comparative psychoanalysis from contributing to the maturation and evolution of our theory. Hierarchy is a construct that can help boost contemporary structural psychoanalysis past this hurdle into a next necessary synthetic stage of model building. The opening phase is put forward as an example of how these can be transcended. Preparing an analysand for what is to come -- kindling a passion for analyzing -- becomes an inextricable part of beginning an analysis, and adds a welcome freedom to the analyst's technical vision. Several depictions of "analytic preparation" are offered as illustrations. Positioning oneself "inside" bidirectional processes or "outside" the transference becomes a central axis of analytic technique. The assumption that transference must invariably and assiduously be protected against contamination is critically examined and it is noted that at times, the transference must be first contaminated if it is to later be successfully analyzed. The role of countertransference as either an induced response or an irreducible aspect of the analyst's subjectivity is clarified by the discussion of pseudo-world hypotheses.
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