In relational psychoanalysis, the term enactment is used to describe the non-reflecting playing out of a mental scenario, rather than verbally describing the associated thoughts and feelings.
The term was first introduced by Theodore Jacobs (1986) to describe the re-actualization of unsymbolized and unconscious emotional experiences involved in the relationship between the patient and the therapist. [1] More precisely, Jacobs refers to the countertransference enactment, highlighting the implications of the personality characteristics, affective frame, representations and analyst's conflicts for the patient and the interactional behaviour.
In relational psychoanalysis, the concept of enactment is usually used to explain the re–experience of a role assumed during childhood, which is recited on the stage of the analyst's consulting room. The analyst is given a specific role to play, and in this context both the patient and the analyst lose their sense of distance, interacting with each other verbally and non–verbally to create intra-psychic dynamics in the form of interactions within the therapeutic setting.
According to relational theorists, though enactments are unconscious patterns of dyadic interactions to which both the analyst and the patient contribute, they are generally considered to be initiated by the patient. In the perspective of relational psychoanalysis, the central aspect of therapeutic change is given by the liberation of the patient and the analyst from the repetitive unconscious patterns due to the reflective awareness' acquisition of the relational interchange and the contribution of both parties.
Traumatized patients tend to bond with their therapists not so much through words as through enactments, expressing unconsciously—by the action—the dissociated aspects of the self and the object representation. [2]
Psychoanalysis is a set of theories and therapeutic techniques that deal in part with the unconscious mind, and which together form a method of treatment for mental disorders. The discipline was established in the early 1890s by Sigmund Freud, whose work stemmed partly from the clinical work of Josef Breuer and others. Freud developed and refined the theory and practice of psychoanalysis until his death in 1939. In an encyclopedic article, he identified the cornerstones of psychoanalysis as "the assumption that there are unconscious mental processes, the recognition of the theory of repression and resistance, the appreciation of the importance of sexuality and of the Oedipus complex." Freud's colleagues Alfred Adler and Carl Gustav Jung developed offshoots of psychoanalysis which they called individual psychology (Adler) and analytical psychology (Jung), although Freud himself wrote a number of criticisms of them and emphatically denied that they were forms of psychoanalysis. Psychoanalysis was later developed in different directions by neo-Freudian thinkers, such as Erich Fromm, Karen Horney, and Harry Stack Sullivan.
Sándor Ferenczi was a Hungarian psychoanalyst, a key theorist of the psychoanalytic school and a close associate of Sigmund Freud.
Transactional analysis is a psychoanalytic theory and method of therapy wherein social interactions are analyzed to determine the ego state of the communicator as a basis for understanding behavior. In transactional analysis, the communicator is taught to alter the ego state as a way to solve emotional problems. The method deviates from Freudian psychoanalysis, which focuses on increasing awareness of the contents of subconsciously held ideas. Eric Berne developed the concept and paradigm of transactional analysis in the late 1950s.
Gestalt therapy is a form of psychotherapy that emphasizes personal responsibility and focuses on the individual's experience in the present moment, the therapist–client relationship, the environmental and social contexts of a person's life, and the self-regulating adjustments people make as a result of their overall situation. It was developed by Fritz Perls, Laura Perls and Paul Goodman in the 1940s and 1950s, and was first described in the 1951 book Gestalt Therapy.
In psychology, introjection is the unconscious adoption of the thoughts or personality traits of others. It occurs as a normal part of development, such as a child taking on parental values and attitudes. It can also be a defense mechanism in situations that arouse anxiety. It has been associated with both normal and pathological development.
Countertransference, in psychotherapy, refers to a therapist's redirection of feelings towards a patient or becoming emotionally entangled with them. This concept is central to the understanding of therapeutic dynamics in psychotherapy.
Transference is a phenomenon within psychotherapy in which repetitions of old feelings, attitudes, desires, or fantasies that someone displaces are subconsciously projected onto a here-and-now person. Traditionally, it had solely concerned feelings from a primary relationship during childhood.
Relational psychoanalysis is a school of psychoanalysis in the United States that emphasizes the role of real and imagined relationships with others in mental disorder and psychotherapy. 'Relational psychoanalysis is a relatively new and evolving school of psychoanalytic thought considered by its founders to represent a "paradigm shift" in psychoanalysis'.
Interpersonal psychoanalysis is based on the theories of American psychiatrist Harry Stack Sullivan (1892–1949). Sullivan believed that the details of a patient's interpersonal interactions with others can provide insight into the causes and cures of mental disorder.
William Ronald Dodds Fairbairn FRSE was a Scottish psychiatrist, psychoanalyst and a central figure in the development of the Object Relations Theory of psychoanalysis. He was generally known and referred to as "W. Ronald D. Fairbairn".
Harold Frederic Searles was one of the pioneers of psychiatric medicine specializing in psychoanalytic treatments of schizophrenia. Searles had the reputation of being a therapeutic virtuoso with difficult and borderline patients; and of being, in the words of Horacio Etchegoyen, president of the International Psychoanalytical Association, "not only a great analyst but also a sagacious observer and a creative and careful theoretician".
In psychoanalysis, resistance is the individual's efforts to prevent repressed drives, feelings or thoughts from being integrated into conscious awareness.
Psychological resistance, also known as psychological resistance to change, is the phenomenon often encountered in clinical practice in which patients either directly or indirectly exhibit paradoxical opposing behaviors in presumably a clinically initiated push and pull of a change process. In other words, the concept of psychological resistance is that patients are likely to resist physician suggestions to change behavior or accept certain treatments regardless of whether that change will improve their condition. It impedes the development of authentic, reciprocally nurturing experiences in a clinical setting. Psychological resistance can manifest in various ways, such as denying the existence or severity of a problem, rationalizing or minimizing one's responsibility for it, rejecting or distrusting the therapist's or consultant's suggestions, withholding or distorting information, or sabotaging the treatment process. It is established that the common source of resistances and defenses is shame. This and similar negative attitudes may be the result of social stigmatization of a particular condition, such as psychological resistance towards insulin treatment of diabetes.
The therapeutic relationship refers to the relationship between a healthcare professional and a client or patient. It is the means by which a therapist and a client hope to engage with each other and effect beneficial change in the client.
Psychoanalytic dream interpretation is a subdivision of dream interpretation as well as a subdivision of psychoanalysis pioneered by Sigmund Freud in the early 20th century. Psychoanalytic dream interpretation is the process of explaining the meaning of the way the unconscious thoughts and emotions are processed in the mind during sleep.
Modern psychoanalysis is the term used by Hyman Spotnitz to describe the techniques he developed for the treatment of narcissistic disorders.
According to some music therapists, the use of Music in the therapeutic environment has an affinity with psychoanalysis in that it addresses obstructions in the mind that might be causing stress, psychic tension, and even physical illness. Music has been used, in conjunction with a psychoanalytic approach, to address symptoms of a variety of mental disorders, as well as forms of emotional distress, such as grief, loss, mourning, and trauma.
An auxiliary ego, also known as simply an auxiliary, is the position taken by other participants in a role-playing exercise, or psychodrama, in order to simulate particular situations for the protagonists. Additionally in psychodrama, it can also be a role of representative figures in the protagonist’s life assumed by any person between the group members on the stage, excluding the therapist. Another conceptualization describes it in psychodrama as "the representation of absentees, individuals, delusions, symbols, ideals, animals, and objects" that make the protagonist's world real and tangible.
Joseph J. Sandler was a British psychoanalyst within the Anna Freud Grouping – now the Contemporary Freudians – of the British Psychoanalytical Society; and is perhaps best known for what has been called his 'silent revolution' in re-aligning the concepts of the object relations school within the framework of ego psychology.
Robert Joseph Langs was a psychiatrist, psychotherapist, and psychoanalyst. He was the author, co-author, or editor of more than forty books on psychotherapy and human psychology. Over the course of more than fifty years, Langs developed a revised version of psychoanalytic psychotherapy, currently known as the "adaptive paradigm". This is a distinctive model of the mind, and particularly of the mind's unconscious component, significantly different from other forms of psychoanalytic and psychodynamic psychotherapy.