Abstract
Gianni Nebbiosi’s paper speaks to therapeutic action in a new key in the challenges of finding communion with a hard-to-reach patient. He achieves this through the creative interweaving of the nonsymbolic, his mime and music, and the symbolic, which attains greater purchase through painful personal reckoning in concert with his increasing awareness of previously unformulated states within and between each member of this particular analytic dyad. Central to this paper is the move from an empathic stance to greater complexity for each of the dyad. Distinguishing between empathy and recognition is germane. Particularly as we witness the transformation through therapeutic action of empathic presence to recognizing presence that permits the emergence of a more complex empathy—an achieved empathy that incorporates feeling and knowing the multiple, more deeply held, and often paradoxical aspects of our patients and indeed of ourselves as these play out in intersubjective space.
Notes
1 These are views articulated and elaborated on by many relational analysts such as Aron, Citation1996; Bass, Citation2003; Benjamin, Citation1999, Citation2012; Black, Citation2003; Bromberg, Citation1998, Citation2006; Ehrenberg, 1972; Davies, Citation2004, Citation2015; Hoffman, Citation1998; M. Slavin, Citation2012; Stern, Citation2003, Citation2009.
Aron, L. (1996). A meeting of minds: Mutuality in psychoanalysis. Hillsdale, NJ: The Analytic Press. Bass, A. (2003). “E” enactments in Psychoanalysis: Another medium, another message. Psychoanalytic Dialogues, 13, 657–676. Benjamin, J. (1999). Recognition and destruction: An outline of intersubjectivity. In S. A. Mitchell & L. Aron (Eds.), Relational psychoanalysis: The emergence of a tradition (pp. 183–200). Hillsdale, NJ: The Analytic Press. (Original work published 1990) Benjamin, J. (2012). Beyond doer and done to: An intersubjective view of thirdness. In L. Aron & A. Harris (Eds.), Relational psychoanalysis. An expansion of theory (Vol. 4, pp. 91–130). New York, NY: Routledge. Black, M. (2003). Enactment: Analytic musings on energy, language, and personal growth. Psychoanalytic Dialogues, 13, 633–655. doi:10.1080/10481881309348761 Bromberg, P. (1998). Standing in the spaces. Hillsdale, NJ: The Analytic Press. Bromberg, P. (2006). Awakening the dreamer; clinical journeys. Hillsdale, NJ: The Analytic Press. Davies, J. M. (2004). Whose bad objects are we anyway? Repetition and our elusive love affair with evil. Psychoanalytic Dialogues, 14, 711–732. doi:10.1080/10481881409348802 Davies, J. M. (2015, January). Killing the patient with kindness: Explorations of the dark side in psychoanalysis. Paper presented at Toronto Institute for Contemporary Psychoanalysis. Hoffman, I. Z. (1998). Ritual and spontaneity in the psychoanalytic process; A dialectical-constructivist view. Hillsdale, NJ: The Analytic Press. Slavin, M. O. (2012). Lullaby on the dark side: Existential anxiety, making meaning, and the dialectics of the self and other. In L. Aron & A. Harris (Eds.), Relational psychoanalysis. An expansion of theory (Vol. 4, pp. 91–130). New York, NY: Routledge. Stern, D. B. (2003). Unformulated experience: From dissociation to imagination in psycho analysis. Hillsdale, NJ: The Analytic Press. Stern, D. B. (2009). Partners in thought: Working with unformulated experience, dissociation, and enactment. New York, NY: Routledge. Additional information
Notes on contributors
Hazel Ipp
Hazel Ipp, Ph.D., is Joint Editor-in-Chief for Psychoanalytic Dialogues. She serves on the Editorial Boards of Contemporary Psychoanalysis and the International Journal of Self Psychology. She is a Founding and current Board Director and Past-President of IARPP. She is a Founding Board Director and Vice President of the Toronto Institute for Contemporary Psychoanalysis. She is a senior psychoanalyst in private practice and is a supervisor and faculty of several national and international psychoanalytic institutes.