By Steven J. Ellman, Michael Moskowitz
For lots of therapists it has changed past motion phrases equivalent to appearing in and appearing out. whatever new has been captured through this idea: a reputation of a technique which may contain phrases yet is going past phrases. For a few, enactment addresses a continual undercurrent within the interplay among sufferer and therapist within the realm of intersubjectivity. Others ask even if this idea provides both readability or a brand new standpoint to the medical scenario. This quantity addresses the questions: Does the present specialize in enactments entail a shift in our version of healing switch? Are enactments crucial? Can they be harmful, and if that is so, less than what situations? Enactment is vital interpreting for all psychotherapists.
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Extra info for Enactment: Toward a New Approach to the Therapeutic Relationship
Example text
Dr. Anna Katan, in an unpublished communication, has verified the importance of repeated primal scene experiences in influencing act- 24 ENACTMENT ing out. In her experience, the child who is repeatedly subjected to primal scenes may undergo heightened visual erotization through participation by looking. But not infrequently, by its crying, the child excites the anger of one or the other parent and so is drawn into active participation. This may, if repeated, definitely increase both the scopophilic-exhibitionistic elements of the character and the preverbal acting into the situation, which later contributes to acting out.
One further consideration has suggested itself from the angle of the analyst's reaction to the patient who acts out. Fenichel (1945) mentions that some analysts provoke, enjoy, or encourage dramatic acting out in their patients and overstress its possible benefit as abreaction, rather than really analyze it. This seems occasionally the problem of young and inexperienced ana- 28 ENACTMENT lysts but may also occur among analysts who themselves tend to act out, either directly or in an inhibited form, and to enjoy this vicariously in their patients.
150) and of working-through (p. 155). Although Freud (1905) used the term "acting out" earlier to explain why Dora quit her analysis, it was not until this 1914 paper that he gave a systematic definition and discussion of acting out: Acting Out: A Reconsideration of the Concept 39 For instance, the patient does not say that he remembers that he used to be defiant and critical towards his parents' authority; instead, he behaves in that way to the doctor. He does not remember how he came to a helpless and hopeless deadlock in his infantile sexual researches: but he produces a mass of confused dreams and associations, complains that he cannot succeed in anything and asserts that he is fated never to carry through what he undertakes.