title: Psychic reality in the psychoanalytic process.
abstract: The case is made for regarding psychic reality as synonymous with subjective (conscious) experience, which is inherently open to, but not reducible to, unconscious determinants. Both analyst and analysand engage in the analytic relation and interaction from the perspective of their respective psychic realities. Thus, components of the analytic relation--transference/countertransference, alliance, and real relation--are forms of psychic reality. The tensions of subjectivity and objectivity are discussed in relation to the analytic situation, especially with regard to whether the patient's or the analyst's psychic reality is to be given priority or preference. The same reality, situation, or relationship can be viewed from different perspectives and subjected to varying interpretations without any one being exclusively true or false-each may be partially true and/or partially false. The patient's recounting of his history is a part of the patient's psychic reality that intersects with a necessarily divergent account constructed by the analyst. The ensuing dialogue seeks a form of real coherence that is mutually realistic and makes realistic sense for both parties. Reliance on subjective psychic reality becomes a possible, but precarious and potentially misleading, basis for analytic understanding without other observational (verbal and behavioral) or objective data.
authors.affiliation: Boston Psychoanalytic Institute, USA. Meissner@bc.edu
authors.forename: W W
authors.initials: WW
authors.lastname: Meissner
mesh_terms: D003071:Cognition; D003379:Countertransference; D006801:Humans; D011369:Professional-Patient Relations; D011575:Psychoanalytic Therapy / Q000592:standards*; D014473:Unconscious, Psychology