The Problems and Contradictions Inherent in Analytic Training and the Ultimate Requirement: Working with Uncertainty

Abstract

In this essay, the author’s aim is to outline the specifics of psychoanalytic intervention and its current relevance. She explores the boundaries of the clinician’s identity, (whether psychotherapist or psychoanalyst), examines the training itself, as well as how and where one can develop the skills necessary to engage in this profession. She specifically assesses the Italian situation. For the construction of the identity of the therapist/psychoanalyst it is fundamental to learn how to tolerate uncertainty, seen here as a value, not a limitation, in contrast with the certainties which characterize other forms of psychotherapy. The complexity of psychoanalytic training is thus demonstrated as a function of two particularities, that of methodological rigor, incorporating all the necessary theoretical knowledge, and the delicate skill of being able to maneuver within the world of passion, regulated by the personal identity of the clinician.

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Acknowledgements

I would like to acknowledge the support of Dr. Ian Miller, who invited me to contribute to this Special Issue and extend my gratitude to Prof. Pier Francesco Galli (1986), with whom I discussed this topic several years ago.

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Correspondence to Anna Maria Loiacono.

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Anna Maria Loiacono, Ph.D., President, “H.S. Sullivan” Institute of Florence; Faculty, Training and Supervising Analyst, Institute of Analytic Psychotherapy of Florence; Relational/Interpersonal Psychotherapist and Psychoanalyst in Florence, Italy.

Address correspondence to Dott. Anna Maria Loiacono, Via GiambattistaVico, 13, 50136 Firenze, Italy. Email: annaloiacono55@gmail.com; Website: http://www.annamarialoiacono.it.

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Loiacono, A.M. The Problems and Contradictions Inherent in Analytic Training and the Ultimate Requirement: Working with Uncertainty. Am J Psychoanal 81, 51–59 (2021). https://doi.org/10.1057/s11231-021-09284-0

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Keywords

  • psychoanalytic training
  • identity
  • uncertainty
  • passion
  • narcissistic injuries