Acute enactment as a 'resource' in disclosing a collusion between the analytical dyad.
The author discusses various aspects of the function of enactment in analytical practice, reviewing the concept, then describing a borderline patient with whom the analytic process seemed to be developing productively. Following a change in the setting, an intense, acute enactment took place. Understanding this led to observation of an unconscious collusion, in which a symbiotic relationship had been established between the patient, the analyst and his family, as a chronic enactment. This relationship had prevented the analyst from touching on highly destructive unconscious fantasies and archaic traumatic situations. Comprehension of the enactment enabled the collusion to be dissolved. The author suggests that, besides the resistance aspect, the collusion may have been useful in strengthening the patient's mental mechanisms and trust in the analytical work, which required some time. The acute enactment arose, unveiling the collusion, when the patient and the analyst felt able to face the terrible feelings related to the triangular situation. He speculates that both enactments may occur in the analysis of these kinds of patients, as part of the 'natural history' of the analytical process, and their function is to relive archaic experiences in the analysis, also with the aim of working them through. Finally, the author proposes a classification of enactments: normal, pathological, acute and chronic.
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D000184:Acting Out; D000328:Adult; D001883:Borderline Personality Disorder / Q000523:psychology* / Q000628:therapy; D003674:Defense Mechanisms; D005201:Fantasy; D006801:Humans; D008297:Male; D009769:Object Attachment; D011369:Professional-Patient Relations; D011573:Psychoanalytic Interpretation; D011575:Psychoanalytic Therapy; D014473:Unconscious, Psychology