Patients as Instruments of Change in the Analyst

Their Role in the Analytic Process

Change in the patient sometimes requires change in the analyst. When progress in an analysis has reached the vanishing point, when disagreements or negative feelings disrupt the ability of patient and analyst to work together, or, when for other reasons a stalemate develops in treatment, problems in the analyst often contribute in significant ways to the impasse that has developed.

This is not surprising, for doing analysis inevitably stirs powerful emotions in the analyst, awakening old conflicts and old anxieties that are related to our patient’s struggles. Not infrequently the feelings aroused in us make it difficult for us to hear all that our patients are ...

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