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PEP-Web Tip of the Day

The Information icon (an i in a circle) will give you valuable information about PEP Web data and features. You can find it besides a PEP Web feature and the author’s name in every journal article. Simply move the mouse pointer over the icon and click on it for the information to appear.

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

Sirote, A. (2015). The Patient Who Had Me Committed: A Mutually Influential Relationship Between Patient and Analyst in the Context of a Broadening Analytic Frame. Psychoanal. Perspect., 12(1):1-14.

(2015). Psychoanalytic Perspectives, 12(1):1-14

Papers

The Patient Who Had Me Committed: A Mutually Influential Relationship Between Patient and Analyst in the Context of a Broadening Analytic Frame

Alan Sirote, LCSW

Patients and analysts frequently become locked in enactments generated by their reciprocal dissociations. Emerging from this quagmire often entails the capacity of the dyad to confront each other and negotiate out of these impasses. When discussing the analyst’s role in facing her own dissociations, much of the analytic literature refers to minor omissions or blind spots that are effectively dealt with by slight attitude adjustments toward the patient. I suggest that in some instances the therapist’s willingness to grapple with her deeper and more profound dissociations, while struggling and negotiating with her patient’s, could lead to intense mutual influence and spirited collaboration between the two, including invitations to participate in architecting the therapy itself. Broadening the analytic frame to include external environmental factors could further advance this deep relational and collaborative process. A detailed case vignette is presented.

[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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