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Biomedical subjects

J F Chused

Publications and source records attributed to J F Chused.

8 recordsLinked to original sources

The analyst's mistakes.

The analyst's mistakes are an inevitable aspect of his conduct of psychoanalysis. They result from the inherent uncertainties and ambiguities of the analytic process itself, and from the continuing effect upon analytic technique of the analyst's unresolved conflicts, as manifested in countertransference attitudes and enactments. Variables of clinical experience, skill, and the vicissitudes of the analyst's life also contribute to the susceptibility to error. When the analyst's mistakes result from his active engagement in the psychoanalytic process, they yield important clues for understanding clinical material as well as present potential obstacles to analytic progress.

Adolescent

The patient's perception of the analyst: the hidden transference.

Just as the person of the analyst becomes a nidus for the manifestations of transference, so does the analyst's technique. When the patient misperceives person and technique, identifying the transference is not difficult. More complicated are those situations in which the patient's perception of the analyst and of his or her technique is congruent with the analyst's self-representation, or when the patient uses reality aspects of the analysis and the analyst as a resistance. Clinical material from the analysis of three patients is used to illustrate this.

Adolescent

The evocative power of enactments.

The inevitability of analytic enactments, defined as symbolic interactions between patient and analyst, is discussed. Clinical material from the psychoanalysis of a latency-age child is presented to illustrate the role of enactments and to demonstrate their usefulness in furthering the analytic work.

Adolescent

Neutrality in the analysis of action-prone adolescents.

An adolescent patient's action during analysis reflects both neurotic conflicts and the developmentally determined task of establishing an integrated self-representation. Concern for the consequences of the action often provokes the analyst to respond, covertly, with interventions intended to change the action through influence rather than understanding. This can lead to a distortion of the analytic process which, in itself, may be an enactment of the developmental conflict. Examination of such interventions reveals a lack of analytic neutrality and an unconscious participation in the patient's neurotic and developmental conflicts. Clinical material from the analyses of two fourteen-year-old girls and a sixteen-year-old boy is presented to illustrate and support this hypothesis.

Adolescent

Transference across gender lines.

Four clinical examples of oedipal-based transference across gender lines are presented with the aim of illustrating (1) its existence, (2) the defenses against its emergence, and (3) the use of the analyst's gender as both an organizer of and resistance to certain transference manifestations. Factors that contribute to the availability for analysis of cross-gender transference are discussed, as are the resistances and other obstacles to its actualization.

Adult

Idealization of the analyst by the young adult.

Idealization is an intrapsychic process that serves many functions. In addition to its use defensively and for gratification of libidinal and aggressive drive derivatives, it can contribute to developmental progression, particularly during late adolescence and young adulthood. During an analysis, it is important to recognize all the determinants of idealization, including those related to the reworking of developmental conflicts. If an analyst understands idealization solely as a manifestation of pathology, he may interfere with his patient's use of it for the development of autonomous functioning.

Adolescent