Abstract
The transference/countertransference (third space) analysis is considered to be central in the therapeutic effectiveness of the analytic process. Less emphasis has been placed on the actual experiences of analyst and analysand in the conflictual reenactment of third space experience and its resolution. This paper recounts the shared experience of a patient who was silent throughout most of the analysis, and my reaction, in fantasy and enactment, to this disturbing experience—both for him and for myself. I argue that it is the affective re-experiencing of past repressed trauma in the analytic space that has a therapeutic impact, leading to growth in the patient and also the therapist. I contrast Freud’s emphasis on insight, making the unconscious conscious, with Ferenczi’s suggestion that the therapeutic impact lies in the repetition of past traumatic experience in the analysis but with the possibility of a different outcome with a more benign object, leading to symbolic representation of repressed trauma. Re-experiencing and symbolization, in the third space, of past traumatic experience can be an exit point from the endless repetition of trauma in internal and external object relations, leading to a new beginning in the patient’s life. Immersed in the experience of deadness in the analysis, which had become a dead womb, the struggle to remain alive and thinking led to a rupture out of the dead womb, like the Caesura of birth, into aliveness and the ability to mentalize what had previously remained unmentalized.
Similar content being viewed by others
References
Borgogno, F. (2013). A particular form of repetition in the transference and countertransference. In The girl who committed hara-kiri and other clinical and historical essays. A. Spencer (Trans.). (pp. 273–285). London: Karnac, 2013.
Boschan, P. J. (2011). Transference and countertransference in Sándor Ferenczi’s Clinical Diary. American Journal of Psychoanalysis, 71 (4), 309–320.
Casement, P. J. (1985). Learning from the patient. New York; London: Guildford Press.
Eliot, T. S. (1925). The hollow men. In The complete poems and plays. London: Faber and Faber, 1969.
Ferenczi, S. (1932). The Clinical Diary of Sándor Ferenczi, J. Dupont (Ed.), M. Balint & N. Z. Jackson (Trans.). Cambridge, MA: Harvard University Press, 1988 (second printing, 1995).
Ferenczi, S. & Rank, O. (1924). The development of psycho-analysis, C. Newton (Trans.). New York; Washington DC: Nervous and Mental Disease Publishing Company, 1925.
Green, A. (2001). Life narcissism, death narcissism, A. Weller (Trans.). London; New York: Free Association Books.
Grotstein, J. (1990a). Nothingness, meaninglessness, chaos and the black hole, I. The importance of nothingness, meaninglessness and chaos in psychoanalysis. Contemporary Psychoanalysis, 26 (2), 257–290.
Grotstein, J (1990b). Nothingness, meaninglessness, chaos and the black hole, II. The black hole. Contemporary Psychoanalysis, 26 (3), 377–407.
Grotstein, J. (1991). Nothingness, meaninglessness, chaos and the black hole, III. Self and interactional regulation and the background presence of primary identification. Contemporary Psychoanalysis, 27 (1), 1–33.
Harlow, H. F. (1962). Development of affection in primates. In E. L. Bliss (Ed.) Roots of behavior (pp. 157–166). New York: Harper.
Jacobs, T. J. (2001). On unconscious communications and covert enactments. Psychoanalytic Inquiry, 21 (1), 4–23.
King, P. (1978). Affective response of the analyst to the patient’s communications. International Journal of Psycho-Analysis, 59 (2–3), 329–334.
Ogden, T. H. (1979). On projective identification. International Journal of Psycho-Analysis, 60 (2), 357–373.
Ogden, T. H. (1995). Analysing forms of aliveness and deadness in the transference—countertransference. International Journal of Psycho-Analysis, 76, 695–709.
Sandler, J. (1976). Countertransference and role-responsiveness. International Review of Psycho-Analysis, 3 (1), 43–47.
Searles, H. F. (1975). The patient as therapist to his analyst. In Countertransference and related subjects: Selected papers (pp. 380–459). New York: International Universities Press, 1979.
Author information
Authors and Affiliations
Additional information
Paper presented at the conference: “Sincerity and freedom in psychoanalysis: A studio conference inspired by Sándor Ferenczi’s Clinical Diary,” October 2013, Freud Museum, London.
1Endre Koritar, M.D., FRCP(C) is a training and supervising analyst of the Canadian Psychoanalytic Society and Vancouver Institute of Psychoanalysis. He is a Clinical Assistant Professor of Psychiatry at the University of British Columbia. He is active in organizing conferences revisiting the relevance of Sándor Ferenczi’s ideas and research to contemporary psychoanalytic work and discourse.
Rights and permissions
About this article
Cite this article
Koritar, E. Surviving Deadness in the Analytic Experience. Am J Psychoanal 74, 357–366 (2014). https://doi.org/10.1057/ajp.2014.32
Published:
Issue Date:
DOI: https://doi.org/10.1057/ajp.2014.32