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After you perform a search, you can sort the articles by Source. This will rearrange the results of your search, displaying articles according to their appearance in journals and books. This feature is useful for tracing psychoanalytic concepts in a specific psychoanalytic tradition.

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Janssen, E. (2009). When Only a Jolt Will Do: The Crunch, a Case Discussion. Psychoanal. Perspect., 6(2):35-64.

(2009). Psychoanalytic Perspectives, 6(2):35-64

When Only a Jolt Will Do: The Crunch, a Case Discussion

Elizabeth Janssen, M.A., NP, PMHCNS, BC

I was well aware of the fact that analytic patients were made, not assigned, when I was approached by the intake committee member about Ray. “Do you think he might be interested in coming more frequently?” I asked. “Hmm, maybe.” She seemed somewhat cautious, not her usual welcoming self. I brushed it aside as something not to be wondered about openly because this would be my first potential analytic patient.

She gave me a brief history of a 33-year-old man who described himself as depressed and anxious his whole life. On the intake form he wrote that he felt “caught in a holding pattern,” that he could “no longer keep playing the game,” and that he was “seeking to understand the cause of why I live in fear.” The form detailed numerous serious suicide attempts, a long history of drug use and periodic binge drinking. The final line read: “Needs experienced therapist.” Educated I was; experienced I was not. I felt intimidated, but I needed him for my training requirement. How bad could it be, I thought. With over 10 years working as a nurse on an inpatient psychiatric unit, I certainly was no stranger to these issues. So armed with my curiosity, I met Ray. He appeared younger than 33.

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