Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
:
Login
Tip: To save articles in ePub format for your eBook reader…

PEP-Web Tip of the Day

To save an article in ePub format, look for the ePub reader icon above all articles for logged in users, and click it to quickly save the article, which is automatically downloaded to your computer or device. (There may be times when due to font sizes and other original formatting, the page may overflow onto a second page.).

You can also easily save to PDF format, a journal like printed format.

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Casement, P.J. (1982). Some Pressures on the Analyst for Physical Contact During the Re-Living of an Early Trauma. Int. R. Psycho-Anal., 9:279-286.

(1982). International Review of Psycho-Analysis, 9:279-286

Some Pressures on the Analyst for Physical Contact During the Re-Living of an Early Trauma

Patrick J. Casement

SUMMARY

The patient described in this clinical presentation had been seriously scalded when she was 10 months old. At the age of 17 months she had been operated on (under local anaesthetic) to release scar tissue from the surrounding skin. During this the patient's mother had fainted. In re-living this experience, of being left alone with the surgeon who continued to operate on her regardless of the mother's absence, the patient asked and later demanded to be allowed to hold the analyst's hand if the anxiety were to become too intolerable to bear. Without this possibility she felt she would have to terminate the analysis. In considering this demand the analyst decided that it would amount to a collusive avoidance of the central aspect of the original trauma, the absence of the mother's hands after she had fainted. The restoration of the analytic 'holding', without any physical contact, and the eventual resolution of the near-delusional transference at this time in the analysis is examined in detail. The interpretation which eventually proved effective in restoring contact with the patient's readiness to continue with the analysis emerged from a close following of the countertransference responses to the patient and the projective-identificatory pressures upon the analyst during the clinical sequence described.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2020, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.