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Transference interpretations in perversion: a reading of ISI published case studies through Lacan's L-schema

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Abstract
Thomä and Kächele (1992) noted that interpretation in psychoanalytic therapy may contribute iatrogenically to a traumatic repetition of earlier pathogenic situations. In cases of severe disorders, such as perversions, interpretations of the transference/countertransference can be harmful because the patient experiences them as if the analyst were repeating the behavior of the self-centered primary object, always demanding to be the centre of the patient’s attention and concern. We will outline this problem, illustrate it with case material drawn from the Single Case Archive (www.singlecasearchive.com), and suggest a solution based on a Lacanian perspective on transference. From a Lacanian point of view, the imaginary dimension of transference consists in the repetition of past relationships to primary caregivers by the projection of emotions and phantasies onto the analyst. This aspect of transference is particularly obstinate and difficult to bear in the treatment of perverse patients, who tend to erotize the transference and entangle the analyst in their ideological view of sexual life. However, focusing interpretations on such projections (“you are confusing me with your mother”) in order to ‘correct’ them, reinforces the transference. This will be elaborated with transference-related fragments from case studies on perversion. Rather, the analyst should focus on the symbolic dimension of the transference, by paying attention to the content of the transference and by stimulating the patient to put his emotions and phantasies into words. In that way, the patient can establish the connection between current transference phantasies and the original experiences that gave rise to them.
Keywords
perversion, interpretation, transference, psychoanalysis, Lacan

Citation

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Chicago
Willemsen, Jochem. 2012. “Transference Interpretations in Perversion: a Reading of ISI Published Case Studies Through Lacan’s L-schema.” In Society for Psychotherapy Research Conference of the European and UK Chapters, Abstracts.
APA
Willemsen, J. (2012). Transference interpretations in perversion: a reading of ISI published case studies through Lacan’s L-schema. Society for Psychotherapy Research conference of the European and UK chapters, Abstracts. Presented at the Society for Psychotherapy Research conference of the European and UK chapters.
Vancouver
1.
Willemsen J. Transference interpretations in perversion: a reading of ISI published case studies through Lacan’s L-schema. Society for Psychotherapy Research conference of the European and UK chapters, Abstracts. 2012.
MLA
Willemsen, Jochem. “Transference Interpretations in Perversion: a Reading of ISI Published Case Studies Through Lacan’s L-schema.” Society for Psychotherapy Research Conference of the European and UK Chapters, Abstracts. 2012. Print.
@inproceedings{3050437,
  abstract     = {Thom{\"a} and K{\"a}chele (1992) noted that interpretation in psychoanalytic therapy may contribute iatrogenically to a traumatic repetition of earlier pathogenic situations. In cases of severe disorders, such as perversions, interpretations of the transference/countertransference can be harmful because the patient experiences them as if the analyst were repeating the behavior of the self-centered primary object, always demanding to be the centre of the patient{\textquoteright}s attention and concern. We will outline this problem, illustrate it with case material drawn from the Single Case Archive (www.singlecasearchive.com), and suggest a solution based on a Lacanian perspective on transference. From a Lacanian point of view, the imaginary dimension of transference consists in the repetition of past relationships to primary caregivers by the projection of emotions and phantasies onto the analyst. This aspect of transference is particularly obstinate and difficult to bear in the treatment of perverse patients, who tend to erotize the transference and entangle the analyst in their ideological view of sexual life. However, focusing interpretations on such projections ({\textquotedblleft}you are confusing me with your mother{\textquotedblright}) in order to {\textquoteleft}correct{\textquoteright} them, reinforces the transference. This will be elaborated with transference-related fragments from case studies on perversion. Rather, the analyst should focus on the symbolic dimension of the transference, by paying attention to the content of the transference and by stimulating the patient to put his emotions and phantasies into words. In that way, the patient can establish the connection between current transference phantasies and the original experiences that gave rise to them.},
  author       = {Willemsen, Jochem},
  booktitle    = {Society for Psychotherapy Research conference of the European and UK chapters, Abstracts},
  keyword      = {perversion,interpretation,transference,psychoanalysis,Lacan},
  language     = {eng},
  location     = {Porto, Portugal},
  title        = {Transference interpretations in perversion: a reading of ISI published case studies through Lacan's L-schema},
  year         = {2012},
}