Document Detail

Studies in listening: when patients talk about their patients.
MedLine Citation:
PMID:  8063484     Owner:  NLM     Status:  MEDLINE    
The literature is curiously silent about special challenges in the analysis of psychotherapists, including the interactive tensions that result when analysands talk about their own patients. When analysands talk about their patients, the analyst may be deflected away from a focus on the analysand's intrapsychic experience by transient identifications with the analysand's patient and by multiple identificatory processes which press the material away from mutually observed metaphor toward enactment and actualisation. Using detailed illustrations of the clinical process when patients talk about their patients, the author illustrates the manner in which the analyst's listening itself may be drawn into the process of enactment and explores how transference-countertransference interactions alter both the analyst's and the patient's listening. These interactions and identifications are compared to the triadic identificatory processes that lead to what has been called the 'parallel phenomenon' in supervision. Because the challenges that arise when patients talk about their own patients may be of more general significance, they merit further study.
H F Smith
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The International journal of psycho-analysis     Volume:  75 ( Pt 2)     ISSN:  0020-7578     ISO Abbreviation:  Int J Psychoanal     Publication Date:  1994 Apr 
Date Detail:
Created Date:  1994-09-20     Completed Date:  1994-09-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985179R     Medline TA:  Int J Psychoanal     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  281-90     Citation Subset:  IM    
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MeSH Terms
Countertransference (Psychology)
Identification (Psychology)
Interprofessional Relations*
Middle Aged
Patient Care Team*
Psychoanalytic Interpretation
Psychoanalytic Therapy / education*
Transference (Psychology)

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