title: Caring and coercive aspects of the psychoanalytic situation.
abstract: Certain ambivalent reactions to undergoing analysis add content and intensity to the analysand's transference and to some extent to the analyst's countertransference. A significant share of these reactions may be attributed to the structure of the psychoanalytic situation. Among other things, analysands' reactions feature fantasized and sometimes realistic experiences of being coerced by their analyst's counter-transferences. However, to achieve a clear view of these coercive experiences, they must be considered in relation to another, equally weighty structural feature: ambivalent reactions to the analyst's concerned care. Observation suggests that an intervention can be experienced, simultaneously or sequentially, as both coercive and caring, and that, when analyzed, each of these experiences is usually found to be saturated with mixed feelings.
authors.affiliation: Columbia University Center for Psychoanalytic Training and Research, USA. royschafer@mindspring.com
authors.forename: Roy
authors.initials: R
authors.lastname: Schafer
mesh_terms: D003068:Coercion; D003073:Cognitive Dissonance; D003299:Cooperative Behavior; D003379:Countertransference; D004645:Empathy; D005201:Fantasy; D005608:Free Association; D006801:Humans; D007389:Internal-External Control; D010817:Physician-Patient Relations; D011573:Psychoanalytic Interpretation; D011575:Psychoanalytic Therapy; D014167:Transference, Psychology