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Consenting and Assenting to Psychoanalytic Work

Bibliographic Data

ID8334483
AuthorsAllannah Furlong (0000-0002-1757-5869, corresponding author)
Year2020
Volume68
Issue4
Pages583-613
Publication date2020-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of the American Psychoanalytic Association (JOURNAL)
Journal identifiersISSN: 0003-0651 • E-ISSN: 1941-2460
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/0003065120954353
PMID32927986
OpenAlexW3087331456
LanguageEN
Citations received3
References cited33

The moment is opportune for a renewed look at what we understand about patient consent to treatment. Until recently, little reference to informed consent could be found in the literature, as though it has never been a preoccupation for psychoanalytic practitioners. Yet several post-Freudian authors offer reasons to suppose the risk of misunderstandings about consent. In fact, the very discovery of transference, replete with unrequited infantile wishes, implies that at some level, at some moment, in every psychoanalytic treatment there will be moments when “consent” will to some extent vacillate. A distinction, justifiable on etymological and intersubjective grounds, is made between patients’ consent as a cognitive, somewhat passive, acceptance and patients’ assent as an arduous, conflicted, partial disagreement with the symbolically limiting details of analytic work. It is in the discovery and working through of unexpected unconscious responses to aspects of the analytic setting and to the analyst that patients become “informed” of the unique risks to their psychic equilibrium the process poses, as well as its benefits. Instead of a static and unitary contractual event, informed consent in psychoanalysis is more properly conceived as a multilayered, repetitively posed, and necessarily ambivalent process of good-enough assenting over time

Ambivalence · Argument (complex analysis) · Epistemology · Freudian slip · Informed consent · Psychic · Psychoanalysis · Psychoanalytic theory · Psychotherapist · Unconscious mind · Medicine · Mental Health and Psychiatry · Philosophy · Psychoanalysis and Psychopathology Research · Psychology · Psychotherapy Techniques and Applications · Social Psychology

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Unique citing works3
Citations per year3
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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