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Hoffman, I.Z. (1994). Dialectical Thinking and Therapeutic Action in the Psychoanalytic Process. Psychoanal Q., 63:187-218.

(1994). Psychoanalytic Quarterly, 63:187-218

Dialectical Thinking and Therapeutic Action in the Psychoanalytic Process

Irwin Z. Hoffman, Ph.D.

ABSTRACT

The therapeutic action of the psychoanalytic process depends upon a special kind of power with which the analyst is invested by the patient and by society, a power that is enhanced by adherence to psychoanalytic rituals, including the asymmetrical aspects of the arrangement. It is important, however, that the analyst also engage with the patient in a way that is sufficiently self-expressive and spontaneous so that a bond of mutual identification can develop between the participants. At the core of the generic "good object" is an element of uncertainty as the analyst struggles to find an optimal position relative to this dialectic between formal psychoanalytic authority and personal responsivity and self-expression. At the core of the generic "bad object" is an uncritical commitment to one side of the dialectic at the expense of the other. An extended clinical vignette illustrates how the analyst's struggle with this dialectic has great therapeutic potential.

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