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The Inner Experiences of The Analyst: Their Contribution To The Analytic Process
The Inner Experiences of The Analyst: Their Contribution To The Analytic Process
The Inner Experiences of The Analyst: Their Contribution To The Analytic Process
In keeping with the theme of this year's Con- me than you care to know, but I hope to
gress, this presentation will focus on my ex- make up for this imposition by providing a
periences in the analytic situation with a single lens through which you can view the contri-
patient. My aim is to illustrate how one analyst bution of one analyst's mental processes to
uses himself in his work. More specifically, I analytic work in a specific session. I hope also
will try to illustrate how certain thoughts, to illustrate a way of thinking about the
feelings, fantasies and physical sensations that interactive aspect of the psychoanalytic situ-
I became aware of during this hour arose in ation that has come into focus in recent years
response to unconscious communications from and that has made an important contribution
my patient, illuminated certain resistances in to our field. Briefly summarised, this viewpoint
myself, and contributed to the form and sub- stresses the following ideas: that the analytic
stance of my interventions. The use of inner process inevitably involves the interplay of
experiences, I believe, was an essential element two psychologies, that the inner experiences
in my understanding the transactions that took of the analyst often provide a valuable path-
place in this hour and in my being able to way to understanding the inner experiences of
help my patient take a small step forward in the patient, and that not infrequently analytic
his treatment. I will report all that I have progress depends on the working through of
recorded and can remember of the phenomena resistances in the analyst as well as the patient.
that arose in my mind during this session and And in this process of overcoming his own
on how I utilised what surfaced. resistances the analyst's utilisation of his sub-
Listening to such self-oriented material you jective experiences as they arise in the imme-
will, no doubt, find yourself in the position diacy of the analytic hour plays a central role.
of the l G-year-old whose assignment it was to It is 7:55a.m. on a Monday. I am in the
read a book about arctic polar bears. When new office to which I have moved over the
the time came for the boy to give his report weekend, waiting for Mr V to arrive. He is
in class, he had little to say. 38, single, an attorney, slim, handsome and
'Did you read the book, John?' his teacher polished. He looks and acts like the quintes-
asked. sential yuppie. He has been in analysis for
'Yes, ma'am.' about 18 months because he dislikes his work,
'Well, did you like it?' has not achieved the professional and financial
'No, ma'am.' success that he craves, has no friends, avoids
'And why not?' his family, and cannot commit himself to
'It told me more about arctic polar bears marrying the woman with whom he has lived
than I care to know.' for two years. He often speaks of himself as
I'm afraid that in the course of this pres- a kind of impostor, someone who gives the
entation I will tell you a great deal more about impression of being far more knowledgeable
This paper was chosen from the North American submissions and is to be presented at the 38th Congress of the
International Psychoanalytical Asocciation in Amsterdam on Monday 26th July 1993.
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8 THEODORE 1. JACOBS
in his field than he actually is. He is terrified He prides himself on his punctuality. I some-
of being exposed for his inadequacies. I, too, times think of him as a spit and polish top
sometimes find myself thinking that I would sergeant; tough, demanding, perfectionistic.
not be disposed to buy a used car from him. Hearing him come in, I place a paper towel
On the other hand, I am aware that Mr V on the pillow and take a few seconds to
has a need to picture himself as a charlatan arrange it. As I do so the image of a writer
and I wonder if he has drawn me into a view I have studied with suddenly appears in my
of himself that he wishes me to share. mind. On one occasion this man confessed to
There is, however, somethingmenacingabout a daily ritual that he performs. Before he can
Mr V. Sometimes when he is on the couch, settle down to write, and as a way of avoiding
I picture a character from a Pinter play, the this task, he dutifully sharpens half a dozen
kind of individual who seems innocuous pencils and lines them up, one by one, on his
enough on the surface but whose bland ex- desk. I realise that this thought has come to
terior conceals a streak of violence. Mr V is mind because I am delaying going to the door.
the only patient I have worked with who, When I do so, I am about thirty seconds late.
waiting for his session to begin, stands inches Mr V nods a curt nod and moves quickly
outside my office door. Then when I open it into the room. He goes to the couch, unbut-
he charges into the room sweeping past me tons his jacket, and stretches out on it. His
like a bargain hunter at a red tag sale. shoes are smartly polished and as he enters
As a child, Mr V felt shut out by an the office I notice his suit. It is blue, elegant,
indifferent older brother and self-involvedpar- very English and obviously custom-tailored.
ents, and I've come to understand his behav- I glance at my own clothes. They are undis-
iour in my office as an effort to assert himself tinguished by comparison, a jacket and
and to claim his rightful place on my couch trousers without panache or flair. The name,
and in my life. I've interpreted this wish to Barney's, springs to mind. This is a man's
Mr V, and he has acknowledged that it is so. store in New York that is now quite fashion-
But this intervention has not altered his be- able and up-market but that began in business
haviour. He still stands a couple of inches some years ago as a discount outlet. In its
outside my door, making me uncomfortable early radio commercials it described itself as
and causing me to feel as though my space a no frills operation whose merchandise hung
is being invaded. from plain pipe racks. Accompanied by a
Today as I wait for Mr V I am more tense feeling of chagrin, the thought occurs to me
than usual. I anticipate his criticism of my that for all these years I myself have been a
new office and I am apprehensive about this. plain pipe rack man, a ready-to-wear fellow
Mr V attaches a great deal of importance to who has not outgrown the original Barney's
appearances and when displeased by surround- mentality and who has not made the leap into
ings that he regards as unattractive, he can the rarefied world of custom-tailoring. By con-
be caustic. My anxiety also reflects my own trast, both my father and my analyst were
dissatisfaction with the office I have rented. more like Mr V. Both aspired to a certain
Although located in a good building on the elegance. Both had their clothes made to order.
fashionable East Side of Manhattan, somehow In this area I have not competed.
my new office does not look very attractive I think of interpretations that my analyst
to me. In these larger and unfamiliar quarters made about my non-competitiveness. He
it appears rather shabby and threadbare. I pointed out that I avoided conflict with
realise, in fact, that I am rather self-conscious other men by opting out of any competition
about the appearance of my new place and I with them. Now I picture my analyst, a large
am angry with myself for not having antici- imposing man, and, momentarily, I re-
pated the problem and invested in some new experience the anxiety that, in analysis, I felt
furnishings. at the thought that if I challenged him too
Mr V rings the bell. He is always on time, directly he might turn his wrath on me.
almost to the second. It is a thing with him. This brings me back to Mr V. I look at
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10 THEODORE J. JACOBS
the envy concealed behind Mr V's remarks. Jewish kids they encountered, steal our pos-
Partly because I now understand that this is sessions, and often beat us up. I hated those
true and partly because intuitively and through bullies and I realise that I have associated Mr
bodily feelings I also sense some displacement V's brother with them. I warn myself to be
to Mr K from feelings about me and the move alert to the dangers involved in doing so and
I have made, I call my patient's attention to identifying with my patient as the victim of
that fact. I point out that Mr K is not the brutality.
only person who has moved to the East Side. My patient has returned to criticism of Mr
I remind Mr V that he himself had wanted K. What in particular he can't stand about
to make such a move and that his brother the fellow is his new-found religion. Suddenly
has recently purchased an expensive condo- he has become a pious Jew. In this decision
minium not far from my office. I suggest that he has no doubt been influenced by Mr V's
my move into this area must have stirred some brother who became similarly religious a few
strong feelings in him that, in part, surfaced years ago. As far as Mr V is concerned, both
in his attitude towards Mr K. are phonies. They are guys who, for two bucks,
Mr V responds with a bit of doggerel that would rob you blind. In Hebrew school they
suddenly appears in consciousness. did nothing but throw spitballs at each other.
Now they are pillars of the Synagogue, big
The nouveau riche, the nouveau riche, contributors who have their names on plaques
What are we to do with the nouveau riche? in the sanctuary.
Why hang them, Sir. They are all sons of beetches. On Friday night the Ks said prayers and
lit shabbos candles. It was a farce. You should
As I listen, my guts feel tight, my pulse have seen the candle holder this guy has. An
quickens and I realise that although con- antique from the Maccabees or something. It
sciously I am amused by this ditty, I am not must be worth fifty grand. In fact he's got
unaware of the aggression contained in it. I religious articles all over the apartment. He
point out this aspect of his poem to Mr V collects them: prayer shawls, Torah covers,
and I tell him that he must be envious of me Stars of David, those little signs you put on
as well as of Mr K and his brother for having doorposts, everything. The place looks like a
the wherewithal to move to the East Side goddamn branch of the Jewish Museum.
while he has been unable to do so. I add that As Mr V talks, a number of seemingly
it must be difficult for Mr V to experience unconnected memories arise in my mind. I
envy. I point out that this emotion does not recall an embarrassing incident that occurred
come up directly but that, instead, he finds in my practice some years before. Early one
himself feeling angry and critical of others. winter morning I arose early to see a patient.
Mr V replies with a memory from his In order not to waken my wife, I had dressed
adolescence. He recalls envying his brother's in semi-darkness. In doing so, however, I made
stylish clothing and wanting to borrow some a mistake. Reaching into my closet, I took
items to wear at parties. If he made such a from a clothes hanger not the jacket and
request, however, his brother would not only trousers belonging to a single grey suit but
refuse it but would humiliate him by mocking the jacket from one suit and the trousers from
his physical appearance. Mr V recalls swearing another which was quite similar in colour but
that he would never allow himself to be put differently patterned. In the ensuing analytic
in such a position again. hour my patient complained a good deal about
As Mr V recounts this story I have a mental me. I was off base, he said. I was missing the
picture of his brother; tough, mean-spirited, mark. Somehow I was not all there that day;
nasty, and I feel rage at this brutish fellow. I seemed at odds with myself. Only later at
Then suddenly I recall my own childhood breakfast, when my wife and children greeted
experiences of being bullied. Gangs of Irish me with uproarious laughter and I became
youths used to roam the streets of the neigh- aware of my error did I realise that his sub-
bourhood in which I grew up, corner any liminal perception that something was amiss
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12 THEODORE J. JACOBS
With a sense of chagrin I realise that behind lying on a table, his abdomen tightly bound
my failure to explore my patient's feelings by gauze bandages. Immediately I realise that
about his Jewishness lie conflicts of my own, I am remembering a piece of my patient's
long dormant but activated by working with history.
Mr V, about that very issue. In rapid succes- Mr V was born with a weakness in his
sion two images now appear: a scene from abdominal wall which led to the development
the recent Bat Mitzvah of one of my daughters of an umbilical hernia. The diagnosis was made
and the title of a book on tape that I have when he was about 21/ 2 or 3 and he was treated
listened to in the last month, The History of by the method of binding his abdomen tightly
the Jews by Howard Fast. The thought occurs with gauze bandages. Each night the bandages
to me that my contact with Mr V may have were removed and new ones applied. This
led not only to the reawakening of old con- procedure was extremely painful and the boy
flicts, but to their continued working through. dreaded this nightly ritual. This condition and
Perhaps this is why these memories from ado- its treatment enormously increased the child's
lescence have surfaced at this time and not castration anxiety and contributed both to
before. his view of his body as damaged and vul-
I am aware that, true or not, these are nerable and to an enduring fear of physical
wishful thoughts arising in consequence of the injury.
shame I feel over my adolescent fantasies and I understand that the image of Mr V as a
that they have taken me away from Mr V. I child that arose in my mind and the uncon-
think that countertransference issues must be scious movements I made in tandem with his
at work here in my drifting off in this way movements constitute my associations to the
and I make a mental note to think about this baby diapering scene. Mr V, too, made that
after the session. Now I redirect my attention connection. In touching his abdomen and
to Mr V and what he is saying. pulling at his belt buckle, he was, in essence,
He continues to talk about his visit to the remembering a bodily trauma.
Ks' house. This couple has an infant son who, At this point another memory arises. I see
during the evening, awoke from sleep and myself as an 8-year-old boy, my nose bleeding
needed diapering. Mr V was invited into the profusely. I have just been struck flush in the
nursery to see the child. While he looked on face with a baseball thrown at me while I was
K's wife changed the baby. Her manner of not looking. I give an involuntary shudder as
doing so, my patient thought, was insensitive. I recall this incident and I realise that Mr V's
She seemed irritable, handled the child childhood trauma is linked in my memory
roughly, and in the process of fastening a with a trauma of my own. Like the mirroring
clean diaper in place nearly stuck him with a movements that I unconsciously carried out,
pin. Watching this procedure, Mr V found this memory has surfaced, I realise, as an
himself feeling queasy. expression of the resonance that I feel with
As he describes the scene in the nursery, Mr V.
Mr V's right hand moves from his side to his It is apparent that my patient has no
abdomen and he begins to palpate that area. awareness of the source of the anxiety he
Then he grasps his belt buckle, entwines his experienced during the diapering scene so I
fingers around it, and makes a tugging motion point out both its connection with his painful
with it. Observing him, I feel myself making hernia experience and how, in a non-verbal
parallel movements. My right hand, too, is at way, he expressed this connection. He re-
my waist and, without my realising it, I have sponds immediately with a memory involving
hooked my thumb behind my belt. I notice another event at the Ks' home; their son's
this and wonder about it. As I do I think of bris. This was a very disturbing experience for
two swimmers engaged in the art of synchro- Mr V. With intensity he describes the disgust
nised swimming, moving in perfect harmony, and nausea that he felt at the idea of an infant
each mirroring the other. Then another image being brutalised by a barbaric and totally
presents itself. I see Mr V as a young child unnecessary procedure. It is an absurd practice
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14 THEODORE J. JACOBS
the Israelis. As far as I'm concerned they are we have learned something else: that among
a bunch of trigger-happy bullies. But one thing the tools of the analyst's trade none is more
I admire about them is their military savvy. valuable than the effective use of himself.
They know when to attack. There is probably
no air force in the world that can equal them
for carrying out pre-emptive strikes.' SUMMARY
At that point the session came to a close.
Mr V rises from the couch, straightens his As an illustration of the inner experiences
jacket and adjusts his tie. He starts for the of the analyst as they operate in the analytic
door, then stops and looks back at me. 'By situation, this paper presents a single analytic
the way, congratulations on your new office', hour in some detail. By means of this clinical
he says. 'And congratulate your decorator for material, the author seeks to demonstrate
me. She did a smashing job. The room cap- how the thoughts, fantasies, memories, bodily
tures your personality brilliantly.' movements and autonomic responses that he
Whether this was an example of a so-called experienced in this hour affected his interven-
good hour or the far more common not so tions, the kinds of transference-countertrans-
good hour, I leave to your judgement. To me ference intereactions that developed in the
it was an instructive one. At the time that it session, and the unfolding of the analytic
took place I was just becoming interested in process.
the subjective experiences of the analyst and
how they contribute to the analytic process.
To help me learn something about this ques- TRANS LAnONS OF SUMMARY
tion I began to observe and to record all that
I could of what I thought, felt and imagined Cet article presente une seule heure analytique assez
detaillee, et ce pour illustrer les experiences internes de l'ana-
during analytic hours. It was sessions like the lyste telles qu'elles operent dans la situation analytique. Au
one I've just described with Mr V that taught moyen de ce materiel clinique, je cherche a demontrer com-
me a simple lesson: that the experiences that ment les pensees, les fantasmes, les souvenirs, les mouve-
ments corporels et les reponses autonomes que j'ai vecus
the analyst has in sessions provide data that pendant cette heure analytique, ont affecte mes interven-
is not only rich and complex, but that often tions, les genres d'interactions transfert-contre-transfert qui
is complementary to that which comes from se sont developpees au cours de la seance, et Ie deploiement
du processus analytique.
the patient.
It is true, of course, that not all of our Dieser Beitrag stellt zur Veranschaulichung der inneren
reactions are equally useful. Some are quite Erlebnisse des Analytikers, wie sie in einer analytischen
Situation auftreten, eine einzelne analytische Stunde in
personal and idiosyncratic, and we all have einigem Detail vor. Mithilfe dieses klinischen Materials ver-
days when, troubled, fatigued or preoccupied, sucht der Autor aufzuzeigen, wie die Gedanken, Fantasien,
we find ourselves reacting in ways that have Erinnerungen, Korperbewegungen und automatischen
Reaktionen, die er in dieser Stunde erlebt, seine Interven-
primarily to do with our own concerns. But tionen, die Arten der Ubertragung -Gegenubertragung In-
it is also true that when our ears are properly teraktionen, die wahrend der Sitzung entstehen, und das
Entfalten des analytischen Prozesses beeinflussen.
attuned and we are listening well, the shards
of memory and imagination that arise from A fin de ilustrar las experiencias internas del analista tal
within constitute meaningful and often illumi- como operan en la situaci6n analitica, este articulo presenta
una hora analitica con cierto detalle. Valiendose de este
nating responses to our patients' communica- material clinico, el autor intenta demostrar como los pen-
tions. Such experiences have taught us that samientos, fantasias, recuerdos, movimientos corporales y
our ability to understand another person de- respuests automaticas que experimento en esta hora, afec-
taron sus intervenciones, el tipo de interacciones transferen-
pends on our capacity, not only to listen to ciales, contratransferenciales que se desarrollaron en la
that individual, but to ourselves as well. And sesion, y el desenvolvimiento del proceso analitico.
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