Abstract
This paper introduces a concept the authors refer to as private enactments. While the majority of the relational literature has focused on the more dramatic enactments in treatment, private enactments emerge as the therapist becomes aware through reveries and personal associations that she is facing a parallel struggle with the patient, one shaped by the unfolding relational unconscious cocreated in treatment. These moments are private in the sense that the therapist experiences them internally after a period of sustained, often confusing private reflection during moments of clinical impasse. The authors elucidate this process with two cases with traumatized patients that highlight how the eventual resolution of private enactments offered new perspective on the clinical stalemate, novel understanding that evolved into constructive interventions after both authors became aware of shared, dissociated conflicts involving threads of trauma and loss, leading further to mutual reparation. Far from being dramatic moments acted out between therapist and patient, or far from simply involving unresolved emotional conflicts in the therapist, the cases of help illustrate how these subtle, often unnoticed musings operating sub rosa can highlight a shared, cocreated struggle that if identified can provide new insight and relief from impasse, so that we change as our patients change by metabolizing our private associations.
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References
Aron, L. (1996). A meeting of the minds: Mutual influence in psychoanalysis. Hillsdale, NJ: The Analytic Press.
Bass, A. (2014). Three pleas for a measure of uncertainty, reverie, and private contemplation in the chaotic, interactive, nonlinear dynamic field of interpersonal/intersubjective relational psychoanalysis. Psychoanalytic Dialogues, 24, 663–675. doi:10.1080/10481885.2014.970967.
Bollas, C. (1987). The shadow of the object: Psychoanalysis of the unthought known. New York, NY: Columbia University Press.
Bromberg, P. M. (1998). Standing in the spaces: Essays on clinical process, trauma, & dissociation. Hillsdale, NJ: Analytic Press.
Buechler, S. (2008). Making a difference in patients’ lives: Emotional experience in the therapeutic setting. New York, NY: Routledge.
Cooper, S. (2014). The things we carry: Finding/creating the object and the analyst’s self-reflective participation. Psychoanalytic Dialogues, 24, 621–636. doi:10.1080/10481885.2014.970963.
Corbett, K. (2014). The analyst’s private space: Spontaneity, ritual, psychotherapeutic action, and self-care. Psychoanalytic Dialogues, 24, 637–647. doi:10.1080/10481885.2014.970964.
Davies, J. M. (2004). Whose bad objects are we anyway? Repetition and our elusive love affair with evil. Psychoanalytic Dialogues, 14, 711–732. doi:10.1080/10481881409348802.
Davies, J. M., & Frawley, M. G. (1994). Treating the adult survivor of childhood sexual abuse: A psychoanalytic perspective. New York, NY: Basic Books.
Faimberg, H. (2005). The telescoping of generations: Listening to the narcissistic links between generations. New York, NY: Routledge.
Freud, S. (1958). Remembering, repeating and working through. In J. Strachey (Ed. &, Trans.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 12, pp. 145–163). London, UK: Hogarth Press and the Institute of Psycho-Analysis.
Ganzer, C. (2013). Variations from the frame. Clinical Social Work Journal, 41, 57–61.
Gerson, S. (2004). The relational unconscious: A core element of intersubjectivity, thirdness, and clinical process. Psychoanalytic Quarterly, 73, 63–98. doi:10.1002/j.2167-4086.2004.tb00153.x.
Harris, A. (2009). “You Must Remember This”. Psychoanalytic Dialogues, 19, 2–21. doi:10.1080/10481880802634537.
Harris, A. (2014). Introduction. Psychoanalytic Dialogues, 24, 615–620. doi:10.1080/10481885.2014.970962.
Hoffman, I. Z. (1983). The patient as interpreter of the analyst’s experience. Contemporary Psychoanalysis, 25, 169–211. doi:10.1080/00107530.1983.10746615.
Hoffman, I. Z. (1998). Ritual and spontaneity in psychoanalytic process: A dialectical-constructivist view. Hillsdale, NJ: Analytic Press.
Loewald, H. W. (1980). Papers on psychoanalysis. New Haven, CT: Yale University Press.
Mitchell, S. A. (1988). Relational concepts in psychoanalysis: An integration. Cambridge, MA: Harvard University Press.
Mitchell, S. A. (1995). Hope and dread in psychoanalysis. Hillsdale, NJ: The Analytic Press.
Mitchell, S. A. (2003). Relationality: From attachment to intersubjectivity. Hillsdale, NJ: Analytic Press.
Ogden, T. H. (1994). The analytic third: Working with intersubjective clinical facts. International Journal of Psycho-Analysis, 75, 3–19.
Ogden, T.H. (1997). Reverie and metaphor: Some thoughts on how I work as a psychoanalyst. International Journal of Psycho-Analysis, 78, 719–732.
Ogden, T. H. (2004). The analytic third: Implications for psychoanalytic theory and technique. Psychoanalytic Quarterly, 73, 167–195. doi:10.1002/j.2167-4086.2004.tb00156.x.
Seligman, S. (2014). Paying attention and feeling puzzled: The analytic mindset as an agent of therapeutic change. Psychoanalytic Dialogues, 24, 248–662. doi:10.1080/10481885.2014.970966.
Stern, D. B. (1997). Unformulated experience: From dissociation to imagination in psychoanalysis. Hillsdale, NJ: Analytic Press.
Stern, D. B. (2010). Partners in thought: Working with unformulated experience, dissociation, and enactment. New York, NY: Routledge.
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Krohn, D., Ganzer, C. Clinicians’ Reverie as Private Enactments. Clin Soc Work J 46, 8–17 (2018). https://doi.org/10.1007/s10615-017-0617-6
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DOI: https://doi.org/10.1007/s10615-017-0617-6