|Busch, F. (2004). A missing link in psychoanalytic technique: Psychoanalytic consciousness. Int. J. Psycho-Anal., 85:567-572.|
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(2004). International Journal of Psycho-Analysis, 85(3):567-572
A missing link in psychoanalytic technique: Psychoanalytic consciousness
For much of our we have suffered from a pedestrian view of , leading to discussions on this topic since Freud best characterized as a distant murmur within proliferating theories of . While many outside of consider as one of the great mysteries of science , within , if we consider at all, it is as an epiphenomenon. Given this perspective it is not surprising that a majority of psychoanalysts seem to consider a distraction from the true interest of , . We have not come very far from what said over 65 years ago, ‘Somehow or other, many analysts conceived the idea that, in analysis, the value of the scientific and therapeutic work was in direct proportion to the depth of the psychic strata upon which was focused’ (, p. 3).
It is my that inherent in every of in clinical is an implied definition of psychoanalytic . Whenever we interpret something unknown to a patient we express our belief it is knowable. Can we imagine taking a that, for the majority of psychoanalytic patients, it is a good idea to leave fantasies that are causing major in a patient's life at the level of ? Every is an attempt to bring something from closer to the surface of the mind. Yet it is my impression we haven't spent enough time considering the reasons for this, leading to interpretive methods with little consideration for surfaces in the mind.
Freud struggled with this same issue when discussing the method of . He any attempt on the patient's part to exert control of associations, but in an attempt to acknowledge another clinical finding he approvingly quotes Schiller:
Looked at in a thought may seem very trivial or very fantastic; but it may be important by another thought that comes after it, and, in conjunction with thoughts that seem equally absurd, it may turn out to form a most effective link. Reason cannot form any opinion upon all this unless it retains the thought long enough to look at it in conjunction with other
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