Meeting Patients Where They Are: Construction And Maintenance Of Analytic Intimacy

Psychoanal Q. 2023;92(4):665-686. doi: 10.1080/00332828.2023.2290022. Epub 2023 Dec 14.

Abstract

This paper aims to describe the processes of construction and maintenance of analytic intimacy, understood as a shared state of relative internal freedom that is most permeable to preconscious and unconscious communications, which facilitate the processes of subjectivation, dreaming, and digestion of unprocessed trauma. The author illustrates the theoretical and technical features related to the concept of intimacy, highlighting the transformations of a clinical case followed in supervision. This article is presented in the form of a conversation with the supervisee, so as to evoke in the reader the dialogic and co-constructive experience of thought construction.

Keywords: Intimacy; analyzability; conversation; emotional tuning; interpsychic; intersubjectivity; modesty; online; setting; supervision.

MeSH terms

  • Communication*
  • Humans
  • Psychotherapy* / methods