Obstacles facing the psychoanalyst when interpreting narcissistic pathologies: characteristics of the authoritarian patient.
This paper explores the unconscious agreements between patient and analyst that promote some aspects of conflict to be excluded from the content of the interpretations. This generates an experience of exerting omnipotent control over the analyst, which subsequently consolidates a narcissistic phantasy. A stagnation of the analytic process is established in the course of the analysis but this remains hidden by areas of partial progress in the patient. Clinical material is provided in order to show the vicissitudes of the interrelationship between patient and analyst. It also demonstrates the working through by the analyst of a situation of both transferential and countertransferential conflict. This leads to an inhibition on the part of the analyst in his interpreting function. The use of projective identifications, which are mutually contradictory and incompatible, is also under discussion. This, as a result of being expressed simultaneously, constitutes a paradox, which may lead the analyst to confusion and an experience of paralysis. The subsequent confusional anxieties are considered. Additionally, authoritarianism is discussed, including its attendant difficulties of establishing boundaries between the self and the object. Finally, under consideration is the risk one takes in formulating authoritarian interpretations, which, in certain cases, can impose criteria on the patient.
Maldonado
Jorge Luis
JL
jorgeluismaldonado@arnet.com.ar
D000328:Adult; D001318:Authoritarianism; D006801:Humans; D008297:Male; D009289:Narcissism; D009497:Neurotic Disorders / Q000523:psychology* / Q000628:therapy*; D010554:Personality Disorders / Q000523:psychology* / Q000628:therapy*; D011573:Psychoanalytic Interpretation; D011575:Psychoanalytic Therapy; D014167:Transference, Psychology