戏剧与叙事:精神分析戏剧的架构

IF 0.4 4区 心理学 Q3 PSYCHOLOGY, PSYCHOANALYSIS Psychoanalytic Inquiry Pub Date : 2023-10-03 DOI:10.1080/07351690.2023.2257582
Philip Ringstrom
{"title":"戏剧与叙事:精神分析戏剧的架构","authors":"Philip Ringstrom","doi":"10.1080/07351690.2023.2257582","DOIUrl":null,"url":null,"abstract":"ABSTRACTBeginning with a fantasy interview with Donald Winnicott and William Shakespeare – one in which Winnicott espouses the essential nature of play in psychoanalysis – he then joins Shakespeare in finding a promising set of ideas for psychoanalytic play. These ideas arise out of Shakespeare’s theatrical, play-full world of drama and narrative. Both these sets of ideas then build upon an epistemology based on an information theory of change in psychoanalytic therapy – one which asserts that change is a constant in every living system, and therefore the field of every session of therapy. Thus, in every developing psychotherapy, there becomes an emerging, often unknown “architecture” involving what is ceaselessly changing. This quality of change preserves some basis of order in any treatment (e.g. 1st Order Change). In effect, it is responsible for “keeping the system the ‘same.’” 1st Order Change involves the often unwitting “premises” upon which aspects of both the treatment narrative and drama are organized. It contrasts to a different kind of change (2nd Order Change) which radically changes some of the organizing assumptions (“premises”) of the therapy. 2nd Order Change typically emerges in an unwitting, unpredictable manner, catching both analytic participants by surprise. In other articles over the past two decades, the author has described this in terms of theory about improvisation. Optimizing the creative genius of such moments of play, requires that therapists immerse themselves in the field, in a non-presumptive “bottom-up” phenomenological experiential manner in contrast to the historical “top-down” “prejudices” that the history of theory and practice – within psychoanalysis and from without – often dictate, in terms of what becomes searched for and interpreted. Two case illustrations examine what can emerge when unwitting, unpredictable, preconscious moments of improvising emerge, with unpredictable aspects in entities such as character, narrative, script and so forth. This broad coalescence of ideas leads to the creation of moments of the “heretofore unimaginable” rather than what seems more like the expectable and predictable 1st Order Change world orders most treatments.KEYWORDS: Psychoanalytic playdramanarrationimprovisation1st and 2nd order theory of change Disclosure statementNo potential conflict of interest was reported by the author.Notes1 Both have been tremendous inspirations to the book I am writing, Psychoanalytic Play: Drama, Narration and Improvisation in Field Theory and Metapsychology. The goal of my book is to legitimize play as an actual mode of therapeutic action, available to all psychoanalysts. Doing so entails filling in what I believe has been sorely missing on the topic of psychoanalytic play. Indeed, I am arguing that there are three subjects critical to locating play at the center of psychoanalytic theory and practice, which is in the spirit of what I believe Winnicott and others have sought.2 Key to this metapsychology on psychoanalytic play, are the roles that various information/systems theories assume in its explication. For example, “dramatic repetitions” closely follow principles of general systems theory and cybernetics - especially in their “goal-directiveness” (often unwitting) and the “redundancy” captured in processes of “looping” in the intra- and interpersonal characteristics of the analytic players and their relationship. “looping” involves processes of co-created feedback loops – symptomatic of “going over and over again” some “dramatic repetition.”3 Improvising, i.e. playing in-and-amongst the “looping” of “dramatic repetitions” can operate as “circuit breakers” disrupting particular patterns of looping. Information/systems theories that speak more closely to these spontaneous processes arise more from complexity and chaos theories in so far as both delve into the unintentional, unpredictable embeddedness in the field.4 From Robert Pirzig’s Zen and the Art of Motorcycle Maintenance (Pirzig, Citation1974).5 The term “offer” comes from improvisational theater, in which scenes become co-created by the players without virtually any preparation. Thus, as the scene begins, each is “offering” tidbits of their character’s epistemological view of the fictive “reality” they are creating which quickly indicates who they are becoming as characters, what their relationship is, what they are doing, and where this is all taking place. The “where” is revealed by what they are enacting non-verbally as well as what they are saying in their emerging narrative.Imagine, for example, two players called up on stage and challenged to create a scene based on the theme of “conflict.” Imagine then, how playing off-of-and-with what they are saying and indicating, the scene emerges as located in an auto repair shop. In it, one of mechanics discovers “by accident” the other has a racy photograph of his girlfriend. From their confrontation their conflict becomes fully animated, explicating aspects of their characters, along with an emerging “plot” and resolution of the scene – heretofore completely unknown to one another nor the audience, as it didn’t exist before the scene commenced.Its creation relied solely on their unconscious minds playing off-of-and-with each other’s “offerings” in developing the scene. Nevertheless, whatever the actors create in the scene, also replicates somethings emerging from their respective unconscious’ insofar as none of this is prepared or predictable. This is paradigmatic of psychoanalytic therapy when it is permitted to be playful, echoing Bion’s admonition to begin every therapeutic session as if neither analyst nor patient had ever met before (Bion, Citation1967).6 Their arising immediately bumps us up to a level of abstraction which yanks us out of the more phenomenologically direct experience of the treatment field by heightening our looking at it from our “top-down” prejudices. This happens routinely even among the most ardent clinicians who profess practicing “top-down.”7 Of course, experience tells us that there can be many unpredicted consequences in venturing into imagining uncharted of “forbidden” territory of the mind. However, this shouldn’t stop us. On the contrary, it becomes a very rich means in enumerable ways for stimulating fresh, albeit frightening dialogue which might not otherwise appear.8 These improvisational moments can later be reintroduced as “model scenes” (Lichtenberg et al., Citation1992) representative of something believed to be so constrained that it could not be possible until it actually happened. That it happened can then become a reference point in the future to not simply lapse back into some “constrained” emotional conviction. It galvanizes the possibility of pointing out how what was “heretofore impossible” became a “possibility” – it actually did occur. It begs the question, why could it not happen again?9 In retrospective, the source of my “three-year old character” demanding “you promised,” was likely unconsciously playing off-of earlier sessions in which Jay told me that smoking pot served as a “promised ‘reward’” for his pathological accommodations to the world, both at work, and in his marriage, and family life.10 This is a question I explore in the field theory section of my book including how the right and left hemispheres of the brain interdependently process the information of our experience of the field.11 What is especially meaningful about this, is that not only has Jay been able to control his addiction and remain sober, in a comparable time frame, I have had two other male patients – also in their 40’s – quit drinking and smoking marijuana. In all three cases, these were addictions they had had since adolescence. In none of them, was any form of 12 Step program or rehab required. Perhaps the most important thing is that something was occurring in the therapy that got access to a state of a true-to-self-character of readiness. An emergent state of being in the therapy, such that when they finally could begin to feel ready to stop, they finally were fully committed and able to do it in a manner that was meaningful to all three of them.12 It is the initial play of the caregiver and the baby that builds up on the nascent intersubjective nature that is part of “normal” development. It ultimately builds on a kind of subject-to-subject relating in the development of a predominantly intersubjective relationship13 So far as I recall I never told Sami anything about how he should feel. This raises an interesting question, one Steve Mitchell often introduced, which is what might I have been unwittingly revealing non-verbally about a range of feelings I was wondering that Sami might have, or could have, or might have difficulty experiencing, and how might that be insinuated in my facial expression as an implied directive?14 “Dr. Phil” is a television celebrity psychotherapist who, after minimal exploration of his guest-patient’s issue de jour, instantaneously dispenses the pabulum of daily advice sandwiched between commercial breaks and the show’s end credits.Additional informationNotes on contributorsPhilip RingstromPhilip Ringstrom, Ph.D., Psy.D., is a Senior Training and Supervising Analyst and Faculty Member at the Institute of Contemporary Psychoanalysis, in Los Angeles, California. He is a founding member of the Board of Directors of IARPP, and a member of the International Council of Self-Psychologists. He is on the editorial boards of Psychoanalytic Dialogues, Psychoanalytic Perspectives, and Psychoanalysis: Self and Context. He has published over 60 articles, chapters, and reviews and has presented at conferences all over the world. His book A Relational Psychoanalytic Approach to Conjoint Therapy (Routledge, 2014) won the Goethe Award in psychoanalysis for 2014. He is currently writing a new book titled: Psychoanalytic Play: Dramatization, Narration, and Improvisation in Field Theory and Metapsychology.","PeriodicalId":46458,"journal":{"name":"Psychoanalytic Inquiry","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Drama and Narration: The Architecture of Psychoanalytic Play\",\"authors\":\"Philip Ringstrom\",\"doi\":\"10.1080/07351690.2023.2257582\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"ABSTRACTBeginning with a fantasy interview with Donald Winnicott and William Shakespeare – one in which Winnicott espouses the essential nature of play in psychoanalysis – he then joins Shakespeare in finding a promising set of ideas for psychoanalytic play. These ideas arise out of Shakespeare’s theatrical, play-full world of drama and narrative. Both these sets of ideas then build upon an epistemology based on an information theory of change in psychoanalytic therapy – one which asserts that change is a constant in every living system, and therefore the field of every session of therapy. Thus, in every developing psychotherapy, there becomes an emerging, often unknown “architecture” involving what is ceaselessly changing. This quality of change preserves some basis of order in any treatment (e.g. 1st Order Change). In effect, it is responsible for “keeping the system the ‘same.’” 1st Order Change involves the often unwitting “premises” upon which aspects of both the treatment narrative and drama are organized. It contrasts to a different kind of change (2nd Order Change) which radically changes some of the organizing assumptions (“premises”) of the therapy. 2nd Order Change typically emerges in an unwitting, unpredictable manner, catching both analytic participants by surprise. In other articles over the past two decades, the author has described this in terms of theory about improvisation. Optimizing the creative genius of such moments of play, requires that therapists immerse themselves in the field, in a non-presumptive “bottom-up” phenomenological experiential manner in contrast to the historical “top-down” “prejudices” that the history of theory and practice – within psychoanalysis and from without – often dictate, in terms of what becomes searched for and interpreted. Two case illustrations examine what can emerge when unwitting, unpredictable, preconscious moments of improvising emerge, with unpredictable aspects in entities such as character, narrative, script and so forth. This broad coalescence of ideas leads to the creation of moments of the “heretofore unimaginable” rather than what seems more like the expectable and predictable 1st Order Change world orders most treatments.KEYWORDS: Psychoanalytic playdramanarrationimprovisation1st and 2nd order theory of change Disclosure statementNo potential conflict of interest was reported by the author.Notes1 Both have been tremendous inspirations to the book I am writing, Psychoanalytic Play: Drama, Narration and Improvisation in Field Theory and Metapsychology. The goal of my book is to legitimize play as an actual mode of therapeutic action, available to all psychoanalysts. Doing so entails filling in what I believe has been sorely missing on the topic of psychoanalytic play. Indeed, I am arguing that there are three subjects critical to locating play at the center of psychoanalytic theory and practice, which is in the spirit of what I believe Winnicott and others have sought.2 Key to this metapsychology on psychoanalytic play, are the roles that various information/systems theories assume in its explication. For example, “dramatic repetitions” closely follow principles of general systems theory and cybernetics - especially in their “goal-directiveness” (often unwitting) and the “redundancy” captured in processes of “looping” in the intra- and interpersonal characteristics of the analytic players and their relationship. “looping” involves processes of co-created feedback loops – symptomatic of “going over and over again” some “dramatic repetition.”3 Improvising, i.e. playing in-and-amongst the “looping” of “dramatic repetitions” can operate as “circuit breakers” disrupting particular patterns of looping. Information/systems theories that speak more closely to these spontaneous processes arise more from complexity and chaos theories in so far as both delve into the unintentional, unpredictable embeddedness in the field.4 From Robert Pirzig’s Zen and the Art of Motorcycle Maintenance (Pirzig, Citation1974).5 The term “offer” comes from improvisational theater, in which scenes become co-created by the players without virtually any preparation. Thus, as the scene begins, each is “offering” tidbits of their character’s epistemological view of the fictive “reality” they are creating which quickly indicates who they are becoming as characters, what their relationship is, what they are doing, and where this is all taking place. The “where” is revealed by what they are enacting non-verbally as well as what they are saying in their emerging narrative.Imagine, for example, two players called up on stage and challenged to create a scene based on the theme of “conflict.” Imagine then, how playing off-of-and-with what they are saying and indicating, the scene emerges as located in an auto repair shop. In it, one of mechanics discovers “by accident” the other has a racy photograph of his girlfriend. From their confrontation their conflict becomes fully animated, explicating aspects of their characters, along with an emerging “plot” and resolution of the scene – heretofore completely unknown to one another nor the audience, as it didn’t exist before the scene commenced.Its creation relied solely on their unconscious minds playing off-of-and-with each other’s “offerings” in developing the scene. Nevertheless, whatever the actors create in the scene, also replicates somethings emerging from their respective unconscious’ insofar as none of this is prepared or predictable. This is paradigmatic of psychoanalytic therapy when it is permitted to be playful, echoing Bion’s admonition to begin every therapeutic session as if neither analyst nor patient had ever met before (Bion, Citation1967).6 Their arising immediately bumps us up to a level of abstraction which yanks us out of the more phenomenologically direct experience of the treatment field by heightening our looking at it from our “top-down” prejudices. This happens routinely even among the most ardent clinicians who profess practicing “top-down.”7 Of course, experience tells us that there can be many unpredicted consequences in venturing into imagining uncharted of “forbidden” territory of the mind. However, this shouldn’t stop us. On the contrary, it becomes a very rich means in enumerable ways for stimulating fresh, albeit frightening dialogue which might not otherwise appear.8 These improvisational moments can later be reintroduced as “model scenes” (Lichtenberg et al., Citation1992) representative of something believed to be so constrained that it could not be possible until it actually happened. That it happened can then become a reference point in the future to not simply lapse back into some “constrained” emotional conviction. It galvanizes the possibility of pointing out how what was “heretofore impossible” became a “possibility” – it actually did occur. It begs the question, why could it not happen again?9 In retrospective, the source of my “three-year old character” demanding “you promised,” was likely unconsciously playing off-of earlier sessions in which Jay told me that smoking pot served as a “promised ‘reward’” for his pathological accommodations to the world, both at work, and in his marriage, and family life.10 This is a question I explore in the field theory section of my book including how the right and left hemispheres of the brain interdependently process the information of our experience of the field.11 What is especially meaningful about this, is that not only has Jay been able to control his addiction and remain sober, in a comparable time frame, I have had two other male patients – also in their 40’s – quit drinking and smoking marijuana. In all three cases, these were addictions they had had since adolescence. In none of them, was any form of 12 Step program or rehab required. Perhaps the most important thing is that something was occurring in the therapy that got access to a state of a true-to-self-character of readiness. An emergent state of being in the therapy, such that when they finally could begin to feel ready to stop, they finally were fully committed and able to do it in a manner that was meaningful to all three of them.12 It is the initial play of the caregiver and the baby that builds up on the nascent intersubjective nature that is part of “normal” development. It ultimately builds on a kind of subject-to-subject relating in the development of a predominantly intersubjective relationship13 So far as I recall I never told Sami anything about how he should feel. This raises an interesting question, one Steve Mitchell often introduced, which is what might I have been unwittingly revealing non-verbally about a range of feelings I was wondering that Sami might have, or could have, or might have difficulty experiencing, and how might that be insinuated in my facial expression as an implied directive?14 “Dr. Phil” is a television celebrity psychotherapist who, after minimal exploration of his guest-patient’s issue de jour, instantaneously dispenses the pabulum of daily advice sandwiched between commercial breaks and the show’s end credits.Additional informationNotes on contributorsPhilip RingstromPhilip Ringstrom, Ph.D., Psy.D., is a Senior Training and Supervising Analyst and Faculty Member at the Institute of Contemporary Psychoanalysis, in Los Angeles, California. He is a founding member of the Board of Directors of IARPP, and a member of the International Council of Self-Psychologists. He is on the editorial boards of Psychoanalytic Dialogues, Psychoanalytic Perspectives, and Psychoanalysis: Self and Context. He has published over 60 articles, chapters, and reviews and has presented at conferences all over the world. His book A Relational Psychoanalytic Approach to Conjoint Therapy (Routledge, 2014) won the Goethe Award in psychoanalysis for 2014. 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引用次数: 0

摘要

从他们的对峙中,他们的冲突变得完全生动,解释了他们的角色,以及一个新兴的“情节”和场景的解决方案——到目前为止,他们彼此和观众都完全不知道,因为它在场景开始之前并不存在。它的创造完全依赖于他们的无意识思维在开发场景时相互“提供”。然而,无论演员在场景中创造了什么,也复制了一些从他们各自的无意识中出现的东西,因为这些都不是准备好的或可预测的。这是精神分析治疗的典范,当它被允许是好玩的,呼应Bion的告诫,开始每一个治疗过程,就好像分析师和病人从来没有见过面一样(Bion, Citation1967)它们的出现立即将我们提升到一个抽象的水平,通过提高我们从“自上而下”的偏见中看待它,将我们从更现象学上直接的治疗领域经验中拉出来。这种情况经常发生,即使是在自称“自上而下”的最热心的临床医生中。当然,经验告诉我们,当我们冒险进入未知的、被禁止的思想领域时,可能会有许多无法预料的后果。然而,这不应该阻止我们。相反,它成为一种非常丰富的手段,以无数的方式激发新鲜的,尽管可怕的对话,否则可能不会出现这些即兴的时刻可以作为“模型场景”(Lichtenberg et al., Citation1992)重新引入,代表了一些被认为是如此受限的事情,直到它真正发生才可能发生。它的发生可以成为未来的参考点,而不是简单地回到一些“受约束的”情感信念中。它激发了指出“迄今为止不可能”如何成为“可能”的可能性——它实际上确实发生了。这就引出了一个问题,为什么这样的事情不会再次发生呢?回想起来,我的“三岁的角色”要求“你答应过”的根源,很可能是无意识地在玩早期的会话,杰伊告诉我,吸大麻是“承诺的‘奖励’”,因为他在工作、婚姻和家庭生活中都病态地适应这个世界这是我在书中的场理论部分探讨的一个问题,包括大脑的左右半球如何相互依赖地处理我们对场的经验的信息尤其有意义的是,杰伊不仅能够控制自己的毒瘾并保持清醒,而且在相当长的时间内,我还有另外两个40多岁的男性病人戒掉了饮酒和吸食大麻。在这三个案例中,这些都是他们从青春期开始就有的瘾。他们都不需要任何形式的12步计划或康复治疗。也许最重要的是,在治疗中发生了一些事情,使我们进入了一种真实的自我性格的准备状态。在治疗中出现的一种紧急状态,当他们终于开始觉得准备好停止治疗时,他们终于完全投入并能够以一种对他们三个都有意义的方式进行治疗这是照顾者和婴儿最初的游戏,建立在新生的主体间性的基础上,这是“正常”发展的一部分。它最终建立在一种主体间关系的主体间关系的发展上。就我所记得的,我从来没有告诉过萨米他应该有什么感觉。这就引出了一个有趣的问题,史蒂夫·米切尔经常提出的一个问题,那就是我可能无意中以非语言的方式透露了我想知道萨米可能有,或可能有,或可能难以经历的一系列感受,以及我的面部表情如何暗示了这一点,作为一种隐含的指示?“菲尔医生”是一位电视名人心理治疗师,在对他的客座病人的日常问题进行了最小的探索之后,他立即在广告时间和节目的片尾字幕之间提供大量的日常建议。作者简介:philip Ringstrom, Ph.D. p . d .。他是加州洛杉矶当代精神分析研究所的高级培训和监督分析师和教员。他是IARPP董事会的创始成员,也是国际自我心理学家理事会的成员。他是《精神分析对话》、《精神分析视角》和《精神分析:自我与环境》的编委会成员。他发表了60多篇文章、章节和评论,并在世界各地的会议上发表过演讲。他的著作《联合治疗的关系精神分析方法》(Routledge出版社,2014)获得2014年精神分析学歌德奖。 他目前正在撰写一本名为《精神分析戏剧:场理论和元心理学中的戏剧化、叙事和即兴创作》的新书。
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Drama and Narration: The Architecture of Psychoanalytic Play
ABSTRACTBeginning with a fantasy interview with Donald Winnicott and William Shakespeare – one in which Winnicott espouses the essential nature of play in psychoanalysis – he then joins Shakespeare in finding a promising set of ideas for psychoanalytic play. These ideas arise out of Shakespeare’s theatrical, play-full world of drama and narrative. Both these sets of ideas then build upon an epistemology based on an information theory of change in psychoanalytic therapy – one which asserts that change is a constant in every living system, and therefore the field of every session of therapy. Thus, in every developing psychotherapy, there becomes an emerging, often unknown “architecture” involving what is ceaselessly changing. This quality of change preserves some basis of order in any treatment (e.g. 1st Order Change). In effect, it is responsible for “keeping the system the ‘same.’” 1st Order Change involves the often unwitting “premises” upon which aspects of both the treatment narrative and drama are organized. It contrasts to a different kind of change (2nd Order Change) which radically changes some of the organizing assumptions (“premises”) of the therapy. 2nd Order Change typically emerges in an unwitting, unpredictable manner, catching both analytic participants by surprise. In other articles over the past two decades, the author has described this in terms of theory about improvisation. Optimizing the creative genius of such moments of play, requires that therapists immerse themselves in the field, in a non-presumptive “bottom-up” phenomenological experiential manner in contrast to the historical “top-down” “prejudices” that the history of theory and practice – within psychoanalysis and from without – often dictate, in terms of what becomes searched for and interpreted. Two case illustrations examine what can emerge when unwitting, unpredictable, preconscious moments of improvising emerge, with unpredictable aspects in entities such as character, narrative, script and so forth. This broad coalescence of ideas leads to the creation of moments of the “heretofore unimaginable” rather than what seems more like the expectable and predictable 1st Order Change world orders most treatments.KEYWORDS: Psychoanalytic playdramanarrationimprovisation1st and 2nd order theory of change Disclosure statementNo potential conflict of interest was reported by the author.Notes1 Both have been tremendous inspirations to the book I am writing, Psychoanalytic Play: Drama, Narration and Improvisation in Field Theory and Metapsychology. The goal of my book is to legitimize play as an actual mode of therapeutic action, available to all psychoanalysts. Doing so entails filling in what I believe has been sorely missing on the topic of psychoanalytic play. Indeed, I am arguing that there are three subjects critical to locating play at the center of psychoanalytic theory and practice, which is in the spirit of what I believe Winnicott and others have sought.2 Key to this metapsychology on psychoanalytic play, are the roles that various information/systems theories assume in its explication. For example, “dramatic repetitions” closely follow principles of general systems theory and cybernetics - especially in their “goal-directiveness” (often unwitting) and the “redundancy” captured in processes of “looping” in the intra- and interpersonal characteristics of the analytic players and their relationship. “looping” involves processes of co-created feedback loops – symptomatic of “going over and over again” some “dramatic repetition.”3 Improvising, i.e. playing in-and-amongst the “looping” of “dramatic repetitions” can operate as “circuit breakers” disrupting particular patterns of looping. Information/systems theories that speak more closely to these spontaneous processes arise more from complexity and chaos theories in so far as both delve into the unintentional, unpredictable embeddedness in the field.4 From Robert Pirzig’s Zen and the Art of Motorcycle Maintenance (Pirzig, Citation1974).5 The term “offer” comes from improvisational theater, in which scenes become co-created by the players without virtually any preparation. Thus, as the scene begins, each is “offering” tidbits of their character’s epistemological view of the fictive “reality” they are creating which quickly indicates who they are becoming as characters, what their relationship is, what they are doing, and where this is all taking place. The “where” is revealed by what they are enacting non-verbally as well as what they are saying in their emerging narrative.Imagine, for example, two players called up on stage and challenged to create a scene based on the theme of “conflict.” Imagine then, how playing off-of-and-with what they are saying and indicating, the scene emerges as located in an auto repair shop. In it, one of mechanics discovers “by accident” the other has a racy photograph of his girlfriend. From their confrontation their conflict becomes fully animated, explicating aspects of their characters, along with an emerging “plot” and resolution of the scene – heretofore completely unknown to one another nor the audience, as it didn’t exist before the scene commenced.Its creation relied solely on their unconscious minds playing off-of-and-with each other’s “offerings” in developing the scene. Nevertheless, whatever the actors create in the scene, also replicates somethings emerging from their respective unconscious’ insofar as none of this is prepared or predictable. This is paradigmatic of psychoanalytic therapy when it is permitted to be playful, echoing Bion’s admonition to begin every therapeutic session as if neither analyst nor patient had ever met before (Bion, Citation1967).6 Their arising immediately bumps us up to a level of abstraction which yanks us out of the more phenomenologically direct experience of the treatment field by heightening our looking at it from our “top-down” prejudices. This happens routinely even among the most ardent clinicians who profess practicing “top-down.”7 Of course, experience tells us that there can be many unpredicted consequences in venturing into imagining uncharted of “forbidden” territory of the mind. However, this shouldn’t stop us. On the contrary, it becomes a very rich means in enumerable ways for stimulating fresh, albeit frightening dialogue which might not otherwise appear.8 These improvisational moments can later be reintroduced as “model scenes” (Lichtenberg et al., Citation1992) representative of something believed to be so constrained that it could not be possible until it actually happened. That it happened can then become a reference point in the future to not simply lapse back into some “constrained” emotional conviction. It galvanizes the possibility of pointing out how what was “heretofore impossible” became a “possibility” – it actually did occur. It begs the question, why could it not happen again?9 In retrospective, the source of my “three-year old character” demanding “you promised,” was likely unconsciously playing off-of earlier sessions in which Jay told me that smoking pot served as a “promised ‘reward’” for his pathological accommodations to the world, both at work, and in his marriage, and family life.10 This is a question I explore in the field theory section of my book including how the right and left hemispheres of the brain interdependently process the information of our experience of the field.11 What is especially meaningful about this, is that not only has Jay been able to control his addiction and remain sober, in a comparable time frame, I have had two other male patients – also in their 40’s – quit drinking and smoking marijuana. In all three cases, these were addictions they had had since adolescence. In none of them, was any form of 12 Step program or rehab required. Perhaps the most important thing is that something was occurring in the therapy that got access to a state of a true-to-self-character of readiness. An emergent state of being in the therapy, such that when they finally could begin to feel ready to stop, they finally were fully committed and able to do it in a manner that was meaningful to all three of them.12 It is the initial play of the caregiver and the baby that builds up on the nascent intersubjective nature that is part of “normal” development. It ultimately builds on a kind of subject-to-subject relating in the development of a predominantly intersubjective relationship13 So far as I recall I never told Sami anything about how he should feel. This raises an interesting question, one Steve Mitchell often introduced, which is what might I have been unwittingly revealing non-verbally about a range of feelings I was wondering that Sami might have, or could have, or might have difficulty experiencing, and how might that be insinuated in my facial expression as an implied directive?14 “Dr. Phil” is a television celebrity psychotherapist who, after minimal exploration of his guest-patient’s issue de jour, instantaneously dispenses the pabulum of daily advice sandwiched between commercial breaks and the show’s end credits.Additional informationNotes on contributorsPhilip RingstromPhilip Ringstrom, Ph.D., Psy.D., is a Senior Training and Supervising Analyst and Faculty Member at the Institute of Contemporary Psychoanalysis, in Los Angeles, California. He is a founding member of the Board of Directors of IARPP, and a member of the International Council of Self-Psychologists. He is on the editorial boards of Psychoanalytic Dialogues, Psychoanalytic Perspectives, and Psychoanalysis: Self and Context. He has published over 60 articles, chapters, and reviews and has presented at conferences all over the world. His book A Relational Psychoanalytic Approach to Conjoint Therapy (Routledge, 2014) won the Goethe Award in psychoanalysis for 2014. He is currently writing a new book titled: Psychoanalytic Play: Dramatization, Narration, and Improvisation in Field Theory and Metapsychology.
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来源期刊
Psychoanalytic Inquiry
Psychoanalytic Inquiry PSYCHOLOGY, PSYCHOANALYSIS-
CiteScore
1.00
自引率
33.30%
发文量
65
期刊介绍: Now published five times a year, Psychoanalytic Inquiry (PI) retains distinction in the world of clinical publishing as a genuinely monographic journal. By dedicating each issue to a single topic, PI achieves a depth of coverage unique to the journal format; by virtue of the topical focus of each issue, it functions as a monograph series covering the most timely issues - theoretical, clinical, developmental , and institutional - before the field. Recent issues, focusing on Unconscious Communication, OCD, Movement and and Body Experience in Exploratory Therapy, Objct Relations, and Motivation, have found an appreciative readership among analysts, psychiatrists, clinical psychologists and a broad range of scholars in the humanities.
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