Intricacies of Relational Intimacy: Approaching the Invasive Edge with a Schizoid Patient

AbstractIn hopes of contributing to the developing self-critique of relational analysis, I offer a case that illustrates a modified approach, one informed by current dialogue. The patient described had considerable unmet selfobject needs and a schizoid sensitivity to intrusion, engendering the question explored: How do two minds meet if one is largelyrelationally dissociated and acutely vulnerable when integrated? A premature emphasis on intersubjectivity would have obscured the patient ’s narcissistic needs and reinforced her tendency to retreat. Suspending the goal of intersubjectivity allowed for a regressive process to occur, and for contact to become safe before analyst and patient paved the way for future mutual relatedness.

Source: The American Journal of Psychoanalysis - July 13, 2023 Category: Psychiatry & Psychology Source Type: research