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Wilson, M. (2015). Commentary on “Patients’ Pregnancies During Treatment: The Influence of the Analyst’s Psychology” by Richard Almond. Psychoanal. Dial., 25(3):359-367.

(2015). Psychoanalytic Dialogues, 25(3):359-367

Commentary on “Patients’ Pregnancies During Treatment: The Influence of the Analyst’s Psychology” by Richard Almond

Mitchell Wilson, M.D.

Richard Almond’s paper challenges us to think deeply about the analyst’s impactful desires on the patient. My discussion considers different aspects of this impact: phallic, maternal, ethical. Specifically, I assert that Almond’s position in relation to the female patients he describes is more maternal, or “matricial,” than phallic. Chetrit-Vatine’s concept of matricial space is used to elucidate this point. Further, Almond’s paper asks us to consider seriously psychoanalysis as an ethics regarding responsibility for desire as it relates to countertransference and enactment. The specific desire I focus on is Almond’s desire for his patients’ love. Such as desire involves inherent clinical difficulties.

[This is a summary excerpt from the full text of the journal article. The full text of the document is available to journal subscribers on the publisher's website here.]

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