Psychoanalysis On and Off the Couch

"You have to understand the revolution of psychoanalysis as the idea that everything we represent both conceals something about our being-and-becoming as much as it reveals it. Once you are open to that, you, in a way, have entered the world in which free association is necessary, because free association, in my frame of reference, is not just uncensored talking. It's not just that. It's something that very specificall...

"I believe that to be inspiring, we have to have conviction. Conviction is the central thing to me. Conviction about treatment itself, and conviction about the way that we do treatment. I saw two analysts at two different times of my life, and they were very different. They had very different theoretical backgrounds, but one thing they had in common was their conviction - the conviction in the idea that this treatment ...

Although I believe that transference interpretation is the core mechanism of change in psychoanalysis, I don't believe it's the only mechanism. I think there are other things that go on too. I also think that alongside the transference relationship, there's a real relationship. The final chapter of the book is titled "A Cure by Love", and I do think that in the real relationship between patient and analyst, something h...

"In analytic training, and actually through my own analysis, is really where it happened. I think I just got more of a sense that whatever was going on with my students and the parents of my students was maybe not about me. It might not be all up to me, and something about that really freed me up to do better work. Another way I'll describe what you're talking about is that I had an adult violin student several years a...

"How do we continue doing this work when the socio-political realities are unimaginable? I've been living in Paris the last few years, and I continue to have a full caseload in Tehran and other cities. There was a time that the internet was cut off for our Iranian patients, so there is reality, and then there is a reality that actually affects the frame -  they couldn't contact their analyst. But in the middle of ...

"We have a trove of treasure. These are the case studies, and we need the case studies - these are the flora and fauna of our field. This is how we work. We work by reading case studies and they enrich us. Not only do they enrich the community, but they also enrich us as therapists who write their case studies, and they get to be involved in deeper layers of the actual case study. When we write a case study we are in a...

"I have always been fascinated by the world of animals. What fascinated me about them is that when you pay attention to animals, this is a world beyond words. Words are not part of their world, so you start paying attention to movement, to breath, to reaction, to the pause, all these things, and I found it fascinating…Certainly, in veterinary medicine, as any type of clinical medical practice, if a patient comes...

"As analysts, we have our own development - as humans, we have our own development. My view is that the work of analysis, if the developmental piece is present, requires some relatively sophisticated developmental capacity on the part of the analyst. The work is intimate, and the patient is going to know something of our inner lives, despite the fact that we work hard not to let our own selves interfere with the work. ...

"Humanism has been the dominant Western belief system of the last century. It's based on the worship of human wisdom, human creation, human experience, human mind, and psychoanalysis has very much emerged from this humanist tradition. We believe in psychoanalysis, that delving into our feelings, our thoughts, and our shared wisdom will allow us to access truth and meaning and find proper direction for navigating life. ...

"When I train candidates I always say start with Freud, learn the interpersonalist, learn the object relations folks, know from what you come, even if you want to be a radical interpersonalist, a radical relationalist, because having that stuff in your back pocket is organizing and creates an ideal to which you can aspire or choose not to follow, but at least you'll know what you're not following. My perspective on thi...

"I'm not suggesting that repression has lost its place as a fundamental defense mechanism. Repression remains central, coherent, and fundamental to the founding of the unconscious. It is what makes certain contents inaccessible to consciousness, and what we access as psychoanalysts through dreams, play, symptoms, and associations. That remains true. What I was observing, and I'm still observing more now, is something d...

"We are a group of analysts working in the greater context of the analytic world, but as a group, we have a profound analytic group process that's evolved and in profoundly successful ways - we've become a group that contains one another, and deals with great difficulties. Mel has given a taste of where we go to an emotional authenticity that's very compelling… Somehow, we've gotten to a place where nobody seems...

"In addition to the easy convenience of bathing two children together, or three children together, there are other motivations of bathing them together. Parents are less aware that there is an excitement in seeing the children naked - although convenience is what's stated first, I think other things do go into it. Through development reactions to the genital difference and nudity will change, and I believe that being a...

"All my writing before this has been poetry, and over the years in my books of poems I found the lines kept getting longer. I think the move towards prose had me working on this journal form, which I've not done. Many people write their journals their entire lives. For me, it's a more dipping in and out of this form of work. I began this segment when my father-in-law was dying, and it began as a small series of prose p...

"This came from an experience with a patient. It was early in my analytic training, and I was working with a supervisor who I really admired, and worked with her for a number of years. She was post-Kleinian, and was great at interpretation, formulation, and she was really helpful with just starting to guide me towards a lot of this work. I remember describing to her a patient session, and I was going through my process...

"[A couple state of mind] is the capacity to be subjectively involved with both individuals, but then importantly, to be able to step back, find a third position, and try to understand what the couple are creating together. Although it's kind of obvious in a way, because surely, that's what a couple therapist is doing, they're trying to understand the couple relationship. It can have quite a powerful effect on the coup...

"To come back to this idea of 'groaning' - I really like it because I think it's a good description of the work we do, but particularly because it refers to Antonio Ferro's concept of the absorbency of the frame, which I think is another way of referring to it, that the frame can take a little give and take, that there's something organic about it. It has a structure, but it's absorbent, it can move, it's alive. So tha...

"A saturated state is a state in which the conceptual or emotional object has absolute value, it is already stacked or closed to new meanings and therefore cannot undergo any kind of transformation. An unsaturated state, on the other hand, is a state in which the emotional or conceptual object is in an open state in which it is still open to transformation, to new meanings, to all kinds of change. What I think is inter...

"This patient taught me a lot. The context was that I just finished my second training as a psychodynamic psychotherapist and I felt I needed to prove a lot, and I clearly arrived with the wrong agenda. It was that if I was good enough and smart enough, a clever enough just graduated psychodynamic psychotherapist, I would manage to get into why the patient is struggling so much with the realization of his mother's canc...