CREATING A PSYCHOANALYTIC MIND Bringing a fresh contemporary Freudian view to a number of current issues in psychoanalysis, this book is about a psychoanalytic method that has been evolved by Fred Busch over the past 40 years called Creating a Psychoanalytic Mind. It is based on the essential curative process basic to most psychoanalytic theories – the need for a shift in the patient’s relationship with their own mind. Busch shows that with the development of a psychoanalytic mind the patient can acquire the capacity to shift the inevitability of action to the possibility of refl ection. Creating a Psychoanalytic Mind is derived from an increasing clarifi cation of how the mind works that has led to certain paradigm changes in the psychoanalytic method. While the methods of understanding the human condition have evolved since Freud, the means of bringing this understanding to patients in a way that is meaningful have not always followed. Throughout, Fred Busch illustrates that while the analyst’s expertise is crucial to the process, the analyst’s stance, rather than mainly being an expert in the content of the patient’s mind, is primarily one of helping the patient to fi nd his own mind. Creating a Psychoanalytic Mind will appeal to psychoanalysts and psycho- therapists interested in learning a theory and technique where psychoanalytic meaning and meaningfulness are integrated. It will enable professionals to work differently and more successfully with their patients. Fred Busch is a Training and Supervising Analyst at the PINE Psycho- analytic Center, a Geographical Supervising Analyst of the Minnesota Psychoanalytic Institute, a member of the Faculty of the Boston Psycho- analytical Institute and the Massachusetts Institute of Psychoanalysis, and a member of IPTAR. He has published over sixty psychoanalytic articles, two books, and his work has been translated into several languages. This page intentionally left blank CREATING A PSYCHOANALYTIC MIND A psychoanalytic method and theory Fred Busch Routledge Taylor & Francis Group LONDON AND NEW YORK First published 2014 by Routledge 27 Church Road, Hove, East Sussex BN3 2FA and by Routledge 711 Third Avenue, New York, NY 10017 Routledge is an imprint of the Taylor & Francis Group, an informa business © 2014 Fred Busch The right of Fred Busch to be identifi ed as author of this work has been asserted by him in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this book may be reprinted or reproduced or utilized in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identifi cation and explanation without intent to infringe. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging in Publication Data Busch, Fred, 1939– Creating a psychoanalytic mind : a psychoanalytic method and theory / Fred Busch. pages cm Includes bibliographical references. ISBN 978-0-415-62904-1 (hbk.) — ISBN 978-0-415-62905-8 (pbk.) — ISBN 978-1-315-88852-1 (ebk.) 1. Psychoanalysis. I. Title. RC504.B87 2014 616.89′17—dc23 2013010752 ISBN: 978-0-415-62904-1 (hbk) ISBN: 978-0-415-62905-8 (pbk) ISBN: 978-1-315-88852-1 (ebk) Typeset in Times New Roman by Refi neCatch Limited, Bungay, Suffolk For my fi rst reader – CSH It is told that Isaac Asimov once said, “The most exciting phrase to hear in science, the one that heralds new discoveries, is not ‘Eureka!’ (I found it), but ‘Hmm, that’s funny . . .’ ” CONTENTS Foreword by Cecilio Paniagua ix Introduction xv 1 A personal journey 1 PART I Paradigm shifts 7 2 Psychoanalytic knowledge as a process and a state 9 3 Speaking to the preconscious: its importance in the analysand’s understanding 20 4 The transformative function of the analyst’s words 34 5 How the unconscious speaks to us 46 6 The workable here and now and the why of there and then 57 PART II Clinical methods 65 7 Free association 67 8 Why do we ask questions? 78 9 Working through and resistance analysis 88 10 Working within the transference 99 11 Working within the countertransference 115 12 Introduction to a conversation: helping patients begin psychoanalysis 131 vii CONTENTS 13 The middle phase 138 14 Termination 147 15 Refl ections and resolution 159 References 169 Index 176 viii FOREWORD In a 1963 interview with B. Swerdloff, Heinz Hartmann mused on his Vienna analytic days. He commented how he and Ernst Kris “were greatly impressed with Freud, but never thought that it was the end of psychology. We always felt that one had the right to go ahead and develop his legacy.” Fred Busch’s lifelong work on psychoanalytic technique is an excellent example of development of Freud’s legacy. Busch is an original master in contemporary ego psychology. He is certainly the most prolifi c modern author of resistance analysis. Since the 1980s, he has published extensively on theory of technique in the best psychoanalytic journals. The present book is Busch’s third and, avowedly, the one he took most pains to write. I would add that it is the most revealing of his evolution as thinker and clinician. The book has two main sections: Paradigm shifts and Clinical methods, illustrated with ample and detailed clinical vignettes. I hope that adherents to a technique grounded on Freudian structural theory, will fi nd the conclusions of Busch’s intellectual and empirical journey as stimulating and persuasive as I have. Busch shows a familiarity with European authors that can be considered quite unusual for an American analyst, fi nding common ground between his method of resistance analysis and the techniques of Betty Joseph’s London Kleinians, and some French authors, particularly André Green. He is also well acquainted with authors like Bion, Hinshelwood, Fonagy, Ferro, Bolognini, and the Barangers in their attempts at fi nding reliable accessibility to the analysand’s unconscious mind. From old, the experience accumulated by many analysts taught us the practical lesson that the lifting of neurosogenic repressions was insuffi cient for the resolution of confl icts, as these continued exerting their primary infl uence on the formation of character. In Analysis Terminable and Interminable, Freud had metaphorically remarked that the simple removal by a fi re brigade of the oil lamp responsible for a blaze was not enough to carry out a good enough job. Busch comments that the technical shift from the “there and then” method to the “here and now” approach, necessary for effective character analysis, gained momentum thanks to the support received from analysts of divergent schools of thought. ix
Description: