Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
:
Login
Tip: To search for text within the article you are viewing…

PEP-Web Tip of the Day

You can use the search tool of your web browser to perform an additional search within the current article (the one you are viewing). Simply press Ctrl + F on a Windows computer, or Command + F if you are using an Apple computer.

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

Schwaber, E.A. (1997). Reflections on the Concept “The Patient's Psychic Reality”. Psychoanal. St. Child, 52:042-053.

(1997). Psychoanalytic Study of the Child, 52:042-053

Reflections on the Concept “The Patient's Psychic Reality”

Evelyne Albrecht Schwaber, M.D.

The concept the “patient's psychic reality” describes a fundamental epistemological and clinical position regarding the notion of reality. Two distinctions are implied: the patient's psychic reality as opposed to another's (e.g., the analyst's), and psychic as contrasted with objective reality. It is my contention, illustrated in some detail, that these distinctions are frequently clouded in our clinical propositions, and our methodology. We tend to speak as though the analyst's view—even about his or her own subjectivity—is the “truer” reality, and the patient's view however defensively or non-verbally communicated is more distorted, “transferencebased,” or, it is simply presumed. By thus blurring the boundaries between the patient's and the analyst's vantage point, we fail to distinguish between hypothesis and evidence, bypassing nuances of clinical data that do not fit the path on which we seem to be. Reflecting more rigorously on the question of how we arrive at what we believe we know may help us find our way far less inferentially onto pathways heretofore unconscious, deepening our recognition of multiple levels of the patient's psychic reality.

[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 © 2019, 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.