Enclaves and excursions.
This paper describes and names as 'enclaves' and 'excursions' two deteriorations of the psychoanalytic situation, which occur when an analyst exceeds the limited, partial acting out inevitable in clinical work. Under pressure from his patient an analyst may unwittingly turn the analysis into a refuge from disturbance, i.e. an enclave. If he succumbs to pressures to move away from, instead of towards, knowing what is psychically urgent, an analyst may turn the analysis into a series of flights, i.e. an excursion. Unrecognized, these deformations interfere with or even halt the therapeutic process, which requires that the analyst find a way of working which accommodates both the patient's communication of, and need for, a refuge or flight with the analyst, while at the same time analysing it.
O'Shaughnessy
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D000328:Adult; D003674:Defense Mechanisms; D004532:Ego; D005260:Female; D006801:Humans; D010553:Personality Development; D010817:Physician-Patient Relations; D011573:Psychoanalytic Interpretation; D011575:Psychoanalytic Therapy / Q000379:methods*; D014167:Transference, Psychology