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The Analyst’s Courage and Vulnerability in the Countertransference

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Abstract

Courage requires us to persist and persevere despite fear. We make choices everyday—some are courageous, and some are not courageous at all. This dimension of psychoanalytic work is significant, yet relatively neglected in the psychoanalytic literature. Maintaining a courageous stance as an analyst can be challenging and threatening. Often, the therapist faces deeply rooted fears about abandonment, envy, competition, anger, or other forms of intense emotional arousal. This requires us to confront ourselves but also, at times, confront our patient’s behaviors. It is crucial to think and act independently, and deal with their disapproval and opposition, despite the risks challenging patients present. Ultimately, we need to manage our vulnerable feelings while remaining authentic, rather than hiding behind an overly clinical stance. The author presents two patients who required and inspired the courage to face her own anxieties, ultimately contributing to the treatments’ progress.

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References

  • Akhtar, S. (2014). Good stuff: Courage, resilience, gratitude, generosity, forgiveness, and sacrifice. Maryland: Jason Aronson Inc.

  • Akhtar, S. (2015). Some psychoanalytic reflections on the concept of dignity. American Journal of Psychoanalalysis, 75(3), 244–266.

  • Bion, W. R. (1974). Brazillian lectures. Rio de Janeiro: Imago Editoria, Ltd. 1975.

  • Bion, W. R. (1979). Making the best of a bad job. In Clinical seminars and other works. F. Bion (Ed.). (pp. 321–332). London & New York: Routledge.

  • Castelloe, M. S. (2015). Book review: Salman Akhtar: Good stuff: Courage, resilience, gratitude, generosity, forgiveness, and sacrifice. American Journal of Psychoanalysis, 75, 234–237.

    Article  Google Scholar 

  • Doherty, W. (1995). Soul searching: Why psychotherapy must promote moral responsibility. New York: Basic Books.

  • Ferenczi S. (1928). The elasticity of psychoanalytic technique. In Final contributions to the problems and methods of psychoanalysis. (pp. 87–101). London: Karnac Books. 1994.

  • Ferenczi, S. (1932). The Clinical Diary of Sándor Ferenczi. J. Dupont (Ed). M. Balint & N. Z. Jackson (Trans). Cambridge, MA: Harvard University Press. 1988.

  • Freud, S. (1910). Letter from Sigmund Freud to Sándor Ferenczi, October 17, 1910. In The correspondence of Sigmund Freud and Sándor Ferenczi, Volume. 1, 1908–1914. E. Brabant, E. Falzeder & P. Giampieri-Deutsch (Eds.). (p. 227). Cambridge, MA: Belknap/Harvard University Press. 1993.

  • Friedman, D. (2009). Book Review: Irwin Hirsch: Coasting in the countertransference: Conflicts of self interest between analyst and patient. American Journal of Psychoanalysis, 69, 271–274.

    Article  Google Scholar 

  • Gans, J. S. (2010). Difficult topics in group psychotherapy: A journey from shame to courage. London: Karnac.

  • Geller, J. D. (2014, April). Courage and the effective practice of psychoanalytic psychotherapy: A tri-part model of the concept of courage. Paper presented at the 31st annual spring meeting of American Psychological Association Division 39. New York, NY.

  • Hirsch, I. D. (2008). Coasting in the countertransference: Conflicts of self interest between analyst and patient. New York & London: Analytic Press.

  • Jacobs, T. J. (2008). On courage. Psychoanalytic Psychology, 25(3), 550–555.

    Article  Google Scholar 

  • Kissen, M. (1991). Courage: A neglected issue in contemporary psychoanalytic treatment. American Psychological Association Annual Meeting Summaries, August, 1991.

  • Ogden, T. (1994). The analytic third: Working with intersubjective clinical facts. International Journal of Psycho-Analysis, 75, 3–19.

    PubMed  Google Scholar 

  • Orange, D. (2009). Kohut Memorial Lecture: Attitudes, values and inter-subjective vulnerability. International Journal of Psychoanalytic Self Psychology, 4, 235–252.

    Article  Google Scholar 

  • Parker, D. (1929). The artist’s reward. New Yorker, November 22, 28–31.

  • Poland, S. W. (2008). “The best thing in me”: The analyst’s courage in clinical practice. Psychoanalytic Psychology, 25(3), 556–559.

    Article  Google Scholar 

  • Racker, H. (1957). The meanings and uses of countertransference. The Psychoanalytic Quarterly, 26, 303–357.

    Article  PubMed  Google Scholar 

  • Searles, H. F. (2017). Concerning transference and countertransference. Psychoanalytic Dialogues, 27(2), 192–210.

    Article  Google Scholar 

  • Shapiro, E. & Gans, J. S. (2008). The courage of the group therapist. International Journal of Group Psychotherapy, 58(3), 345–361.

    Article  PubMed  Google Scholar 

  • Stefana, A. (2017). History of countertransference. From Freud to the British object relations school. London: Routledge.

  • Woodard, C. R. & Pury, C. L. (2007). The construct of courage: Categorization and measurement. Consulting Psychology Journal: Practice and Research, 59(2), 135–147.

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Correspondence to Melinda Blitzer.

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Address correspondence to Melinda Blitzer, PhD, 3 Carpenter Place, Sea Cliff, NY 11579, USA. Email: melinda.blitzer@esc.edu

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Blitzer, M. The Analyst’s Courage and Vulnerability in the Countertransference. Am J Psychoanal 83, 74–88 (2023). https://doi.org/10.1057/s11231-023-09392-z

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