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Hope and Despair in the Therapeutic Relationship

The Paradoxical Power of Letting Go

Bibliographic Data

ID21630604
AuthorsGary Rodin (0000-0002-6626-6974, Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada, corresponding author)
Year2022
Volume32
Issue4
Pages376-380
Publication date2022-07-04
Open AccessNo
TypeARTICLE
VenuePsychoanalytic Dialogues (JOURNAL)
Journal identifiersISSN: 1048-1885 • E-ISSN: 1940-9222
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10481885.2022.2088207
OpenAlexW4297097042
LanguageEN
References cited10

Christian Sell describes a therapeutic process with a patient who struggled with feelings of hopelessness and despair. He reveals how unbearable he initially found the passivity of the patient to be and how tormented he felt by the sessions at that time. He suggests that helping the patient to find hope depended upon the therapist’s resistance to the patient’s despair and maintenance of a therapeutic posture intermediate between activity and passivity. It is proposed here that empathic immersion in despair, rather than resistance to it, may be an essential therapeutic factor in this circumstance. This view is consistent with Sell’s experience that “letting go” of his position was paradoxically necessary in order for him to overcome his feelings of powerlessness. Hope then seemed to emerge from the deep sense of connection in a shared experience, rather than from resistance to it. This may have been what allowed the patient to reveal vivid and terrifying childhood memories, to join with the therapist in a fluid process of creative imagination, and for the shared task of reclaiming a life to begin. Relationality, rather than resistance, is sometimes what is needed in order for the light to come in

Aesthetics · Feeling · Passivity · Psychoanalysis · Psychotherapist · Therapeutic relationship · Mental Health and Psychiatry · Optimism, Hope, and Well-being · Philosophy · Psychology · Psychotherapy Techniques and Applications · Social Psychology

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  • Radical Hope

    Jonathan Lear•Radical Hope•2006

  • Implicit relational knowing

    Open Access•Karlen Lyons-Ruth, Karlen Lyons‐Ruth et al.•Infant Mental Health Journal•1998

Highly citedNo

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