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Intricacies of Relational Intimacy: Approaching the Invasive Edge with a Schizoid Patient

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Abstract

In hopes of contributing to the developing self-critique of relational analysis, I offer a case that illustrates a modified approach, one informed by current dialogue. The patient described had considerable unmet selfobject needs and a schizoid sensitivity to intrusion, engendering the question explored: How do two minds meet if one is largely relationally dissociated and acutely vulnerable when integrated? A premature emphasis on intersubjectivity would have obscured the patient’s narcissistic needs and reinforced her tendency to retreat. Suspending the goal of intersubjectivity allowed for a regressive process to occur, and for contact to become safe before analyst and patient paved the way for future mutual relatedness.

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    Julia Sheehy

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Sheehy, J. Intricacies of Relational Intimacy: Approaching the Invasive Edge with a Schizoid Patient. Am J Psychoanal 83, 396–416 (2023). https://doi.org/10.1057/s11231-023-09409-7

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