The analyst's implicit alpha-function, trauma and enactment in the analysis of borderline patients.
The present paper discusses situations in which patient and analyst are involved in obstructive collusions, non-dreams-for-two, shaping enactments. Specifically, it describes explosions in the analytical field, acute enactments, which the analyst assigns, at first sight, to his faulty conduct. The subsequent amplification of the analytical dyad's capacity of symbolization makes the analyst investigate his presumed fault. The present work shows how acute enactments revive traumatic situations that were concealed by previous obstructive collusions, or chronic enactments. During chronic enactments unconscious exchanges occur between the dyad, in which the analyst provides implicit alpha-function to the patient, little by little recovering the traumatized parts. When there is enough recovery, the protective collusion is undone and the trauma is revived as acute enactment. This revival will not be traumatic because there are mental resources ready at hand to symbolize it. These situations are articulated with borderline patients. The patient clings to the analyst, using him as a protective shield against reality traumas. The implicit and explicit alpha-function exerted by the analyst contributes to the processing and symbolization of this reality, recovering the injured mind and elaborating the trauma. So the patient creates a triangular space to dream and think.
Cassorla
Roosevelt M Smeke
RM
Brazilian Psychoanalytic Society of São Paulo, Av. Francisco Glicerio 2331/24, Campinas, SP 13023-101, Brazil. rcassorla@sbpsp.org.br
D001883:Borderline Personality Disorder / Q000523:psychology / Q000628:therapy*; D003142:Communication; D004325:Dreams; D006801:Humans; D008016:Life Change Events; D011574:Psychoanalytic Theory; D011575:Psychoanalytic Therapy / Q000379:methods*; D014473:Unconscious, Psychology