The clinical notion of working within

Bibliographic Data

ID6129729
AuthorsRobert Waska (San Francisco Center for Psychoanalysis, corresponding author)
Year2016
Volume39
Issue1
Pages35-45
Publication date2016-01-02
Open AccessNo
TypeARTICLE
VenueThe Scandinavian Psychoanalytic Review (JOURNAL)
Journal identifiersISSN: 0106-2301 • E-ISSN: 1600-0803
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/01062301.2016.1226078
OpenAlexW2520544113
LanguageEN
References cited18

Clinical material is used to illustrate the Modern Kleinian approach to and within a patient's defensive system and their particular transference profile. Rather than embrace the traditional concept of the working-through (WT) process, the author focuses on the analytic here-and-now of working within a patient's unconscious phantasy world, the transference, and any pathological organizations that are relied upon. This is a more holistic and comprehensive method of working analytically, based on working within a patient's internal object relational experience, which hopefully leads to growth and transformation. A summary of the first two analytic sessions with one patient, material from a psychotic patient in treatment for 6 months, and a higher functioning patient seen for more than a year are presented to show the utility of working in this manner with all patients regardless of their level of psychic organization

Cognitive science · Epistemology · Psychoanalysis · Philosophy · Psychiatric care and mental health services · Psychology · Social Sciences and Governance

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