PubMed · 8177296
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W J Fourie. 1994. Practical problems creating a therapeutic milieu.. https://pubmed.ncbi.nlm.nih.gov/8177296/
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This article examines some clinical dilemmas engendered by moving. At such times, certain patients (or the analysts themselves) may lose their sense of containment that the therapeutic space has provided. When such a disruption threatens the course of treatment, this changed condition may be archetypally termed 'temenos lost'. Consideration of this condition has led the author to reconceptualize healing as composed of two distinct components: the healing relationship and the healing space. Together, these components define the healing archetype. Using two historical examples, the King's Evil in Tudor England and healing pilgrimages in Israel, he shows how each component may indeed operate independently. More often, however, they function together. Using an extended published case (Volkan 1984), the author examines various aspects of how patients and analysts cope with 'temenos lost'. He emphasizes the importance of the emotional atmosphere in the physical setting, anticipatory anxiety of losing the temenos, and the basic anxiety that the move will damage the analysis. The importance of the rite of re-entry for the patient is emphasized as a symbolic way of resolving 'temenos loss' that permits a healing move into a 'temenos regained'.
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