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

Am J Psychoanal. 2023 Jul 13. doi: 10.1057/s11231-023-09409-7. Online ahead of print.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 largely relationally 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.PMID:37443375 | DOI:10.1057/s11231-023-09409-7

Source: American Journal of Psychoanalysis - July 14, 2023 Category: Psychiatry & Psychology Authors: Julia Sheehy Source Type: research