Traumatic Ruptures: Abandonment and Betrayal in the Analytic Relationship PDF
Preview Traumatic Ruptures: Abandonment and Betrayal in the Analytic Relationship
TRAUMATIC RUPTURES For much of its history, psychoanalysis has been strangely silent about sudden ruptures in the analytic relationship and their immediate and far-reaching effects for those involved. Such issues of betrayal and abandonment—the death of an analyst, a patient’s suicide, an ethical violation—disrupt the stability and cohesion of the analytic framework and leave indelible marks on both individuals and institutions alike. In Traumatic Ruptures, an international range of contributors present fi rst- person, highly personal and sometimes painful accounts of their experiences and the occasionally diffi cult yet redeeming lessons they have taken from them. Presented in four parts, the book explores multiple meanings and consequences of the break in the analytic relationship. Part I, Ruptured Subjectivity: Lost and Found, presents accounts of clinical encounters with death. Part II, Rupture: The Clinical Process, addresses the sudden loss of an analyst, the trauma of patient suicide, and the issue of countertransfer- ence when working with patients who have suffered the unexpected loss of their fi rst analyst. Part III, The Long Shadow of Rupture, examines the effects of ethical viola- tions in the short and long term. Finally, Part IV, Ruptures’ Impact on Organizations, looks at the wider impact of ethical and sexual boundary violations in the context of an organization and the effect of trauma on a psychoanalytic institute. By giving voice to issues that are usually silenced, the authors here open the door to understanding the complex nature of traumatic rupture within the analytic fi eld. This intimate exploration of psychoanalytic treatments and communities is ideal for psychoanalysts, psychologists, clinical social workers, psychiatrists, and family therapists. It is an important text for clinicians working with individuals who have experienced traumatic ruptures and for members of organizations dealing with their effects. Robin A. Deutsch is Member and Faculty of the San Francisco Center for Psychoanalysis, where she currently serves as President of the Center. She maintains a private practice of psychoanalysis, psychotherapy, and consultation in Oakland, California, and is particularly interested in the development of analytic identity, therapist subjectivity, and the effects of the sudden loss of an analyst. Relational Perspectives Book Series Lewis Aron & Adrienne Harris Series Co-Editors Steven Kuchuck & Eyal Rozmarin Associate Editors UU p The Relational Perspectives Book Series (RPBS) publishes books that grow out of or contribute to the relational tradition in contemporary psycho- analysis. The term relational psychoanalysis was fi rst used by Greenberg and Mitchell (1983) to bridge the traditions of interpersonal relations, as developed within interpersonal psychoanalysis and object relations, as developed within contemporary British theory. But, under the seminal work of the late Stephen Mitchell, the term relational psychoanalysis grew and began to accrue to itself many other infl uences and developments. Various tributaries—interpersonal psychoanalysis, object relations theory, self-psychology, empirical infancy research, and elements of contemporary Freudian and Kleinian thought—fl ow into this tradition, which understands relational confi gurations between self and others, both real and fantasied, as the primary subject of psychoanalytic investigation. We refer to the relational tradition, rather than to a relational school, to high- light that we are identifying a trend, a tendency within contemporary psycho- analysis, not a more formally organized or coherent school or system of beliefs. Our use of the term relational signifi es a dimension of theory and practice that has become salient across the wide spectrum of contemporary psychoanalysis. Now under the editorial supervision of Lewis Aron and Adrienne Harris, with the assistance of Associate Editors Steven Kuchuck and Eyal Rozmarin, the Relational Perspectives Book Series originated in 1990 under the editorial eye of the late Stephen A. Mitchell. Mitchell was the most prolifi c and infl uential of the originators of the relational tradition. He was committed to dialogue among psychoanalysts and he abhorred the authoritarianism that dictated adherence to a rigid set of beliefs or technical restrictions. He championed open discussion, comparative and integrative approaches, and he promoted new voices across the generations. Included in the Relational Perspectives Book Series are authors and works that come from within the relational tradition, extend and develop the tradition, as well as works that critique relational approaches or compare and contrast it with alternative points of view. The series includes our most distinguished senior psychoanalysts, along with younger contributors who bring fresh vision. Vol. 1 Vol. 12 CONVERSING WITH UNCERTAINTY RELATIONAL PERSPECTIVES Practicing Psychotherapy in a Hospital Setting ON THE BODY Rita Wiley McCleary Lewis Aron & Frances Sommer Anderson (eds.) Vol. 2 Vol. 13 AFFECT IN PSYCHOANALYSIS SEDUCTION, SURRENDER, A Clinical Synthesis AND TRANSFORMATION Charles Spezzano Emotional Engagement in the Analytic Process Karen Maroda Vol. 3 THE ANALYST IN THE INNER CITY Vol. 14 Race, Class, and Culture RELATIONAL PSYCHOANALYSIS through a Psychoanalytic Lens The Emergence of a Tradition Neil Altman Stephen A. Mitchell & Lewis Aron (eds.) Vol. 4 Vol. 15 A MEETING OF MINDS THE COLLAPSE OF THE SELF AND Mutuality in Psychoanalysis ITS THERAPEUTIC RESTORATION Lewis Aron Rochelle G. K. Kainer Vol. 5 Vol. 16 HOLDING AND PSYCHOANALYSIS PSYCHOANALYTIC PARTICIPATION A Relational Perspective Action, Interaction, and Integration Joyce A. Slochower Kenneth A. Frank Vol. 6 Vol. 17 THE THERAPIST AS A PERSON THE REPRODUCTION OF EVIL Life Crises, Life Choices, Life Experiences, A Clinical and Cultural Perspective and Their Effects on Treatment Sue Grand Barbara Gerson (ed.) Vol. 18 Vol. 7 OBJECTS OF HOPE SOUL ON THE COUCH Exploring Possibility and Limit in Spirituality, Religion, and Morality Psychoanalysis in Contemporary Psychoanalysis Steven H. Cooper Charles Spezzano & Gerald J. Gargiulo (eds.) Vol. 19 Vol. 8 WHO IS THE DREAMER, WHO UNFORMULATED EXPERIENCE DREAMS THE DREAM? From Dissociation to Imagination A Study of Psychic Presences in Psychoanalysis James S. Grotstein Donnel B. Stern Vol. 20 Vol. 9 RELATIONALITY INFLUENCE AND AUTONOMY IN From Attachment to Intersubjectivity PSYCHOANALYSIS Stephen A. Mitchell Stephen A. Mitchell Vol. 21 Vol. 10 LOOKING FOR GROUND FAIRBAIRN, THEN AND NOW Countertransference and the Neil J. Skolnick & David E. Scharff (eds.) Problem of Value in Psychoanalysis Peter G. M. Carnochan Vol. 11 BUILDING BRIDGES Vol. 22 Negotiation of Paradox in Psychoanalysis SEXUALITY, INTIMACY, POWER Stuart A. Pizer Muriel Dimen Vol. 23 Vol. 35 SEPTEMBER 11 COMPARATIVE-INTEGRATIVE Trauma and Human Bonds PSYCHOANALYSIS Susan W. Coates, Jane L. Rosenthal, A Relational Perspective for the & Daniel S. Schechter (eds.) Discipline’s Second Century Brent Willock Vol. 24 MINDING SPIRITUALITY Vol. 36 Randall Lehman Sorenson BODIES IN TREATMENT Vol. 25 The Unspoken Dimension GENDER AS SOFT ASSEMBLY Frances Sommer Anderson (ed.) Adrienne Harris Vol. 37 Vol. 26 ADOLESCENT IDENTITIES IMPOSSIBLE TRAINING A Collection of Readings A Relational View of Psychoanalytic Education Deborah Browning (ed.) Emanuel Berman Vol. 38 Vol. 27 REPAIR OF THE SOUL THE DESIGNED SELF Metaphors of Transformation Psychoanalysis and Contemporary Identities in Jewish Mysticism and Psychoanalysis Carlo Strenger Karen E. Starr Vol. 28 Vol. 39 RELATIONAL PSYCHOANALYSIS, VOL. II DARE TO BE HUMAN Innovation and Expansion A Contemporary Psychoanalytic Journey Lewis Aron & Adrienne Harris (eds.) Michael Shoshani Rosenbaum Vol. 29 Vol. 40 CHILD THERAPY IN THE GREAT OUTDOORS THE ANALYST IN THE INNER A Relational View CITY, SECOND EDITION Sebastiano Santostefano Race, Class, and Culture Vol. 30 through a Psychoanalytic Lens THE HEALER’S BENT Neil Altman Solitude and Dialogue in the ClinicalEncounter James T. McLaughlin Vol. 41 THE HERO IN THE MIRROR Vol. 31 From Fear to Fortitude UNCONSCIOUS FANTASIES AND Sue Grand THE RELATIONAL WORLD Danielle Knafo & Kenneth Feiner Vol. 42 SABERT BASESCU Vol. 32 Selected Papers on Human GETTING FROM HERE TO THERE Nature and Psychoanalysis Analytic Love, Analytic Process George Goldstein & Helen Golden (eds.) Sheldon Bach Vol. 33 Vol. 43 CREATING BODIES INVASIVE OBJECTS Eating Disorders as Self-Destructive Survival Minds under Siege Katie Gentile Paul Williams Vol. 34 Vol. 44 RELATIONAL PSYCHOANALYSIS, VOL. III GOOD ENOUGH ENDINGS New Voices Breaks, Interruptions, and Terminations from Melanie Suchet, Adrienne Harris, Contemporary Relational Perspectives & Lewis Aron (eds.) Jill Salberg (ed.) Vol. 45 Vol. 55 FIRST DO NO HARM A PSYCHOTHERAPY FOR THE PEOPLE The Paradoxical Encounters Toward a Progressive Psychoanalysis of Psychoanalysis, Warmaking, and Resistance Lewis Aron & Karen Starr Adrienne Harris & Steven Botticelli (eds.) Vol. 56 Vol. 46 HOLDING AND PSYCHOANALYSIS A DISTURBANCE IN THE FIELD A Relational Perspective Essays in Transference-Countertransference Joyce Slochower Engagement Steven H. Cooper Vol. 57 THE PLAY WITHIN THE PLAY Vol. 47 The Enacted Dimension of UPROOTED MINDS Psychoanalytic Process Surviving the Politics of Terror in the Americas Gil Katz Nancy Caro Hollander Vol. 58 Vol. 48 TRAUMATIC NARCISSISM TOWARD MUTUAL RECOGNITION Relational Systems of Subjugation Relational Psychoanalysis and the Christian Daniel Shaw Narrative Marie T. Hoffman Vol. 59 CLINICAL IMPLICATIONS OF THE Vol. 49 PSYCHOANALYST’S LIFE EXPERIENCE UNDERSTANDING AND TREATING When the Personal Becomes Professional DISSOCIATIVE IDENTITY DISORDER Steven Kuchuck (ed.) A Relational Approach Elizabeth F. Howell Vol. 60 THE ORIGINS OF ATTACHMENT Vol. 50 Infant Research and Adult Treatment WITH CULTURE IN MIND Beatrice Beebe & Frank M. Lachmann Psychoanalytic Stories Muriel Dimen (ed.) Vol. 61 THE EMBODIED ANALYST Vol. 51 From Freud and Reich to Relationality RELATIONAL PSYCHOANALYSIS, VOL. IV Jon Sletvold Expansion of Theory Lewis Aron & Adrienne Harris (eds.) Vol. 62 Vol. 52 A RELATIONAL PSYCHOANALYTIC RELATIONAL PSYCHOANALYSIS, VOL. V APPROACH TO COUPLES Evolution of Process PSYCHOTHERAPY Lewis Aron & Adrienne Harris (eds.) Philip A. Ringstrom Vol. 53 Vol. 63 INDIVIDUALIZING GENDER CYCLICAL PSYCHODYNAMICS AND AND SEXUALITY THE CONTEXTUAL SELF Theory and Practice The Inner World, the Intimate World, and the Nancy Chodorow World of Culture and Society Paul L. Wachtel Vol. 54 THE SILENT PAST AND THE Vol. 64 INVISIBLE PRESENT TRAUMATIC RUPTURES Memory, Trauma, and Abandonment and Betrayal Representation in Psychotherapy in the Analytic Relationship Paul Renn Robin A. Deutsch (ed.) This page intentionally left blank TRAUMATIC RUPTURES Abandonment and Betrayal in the Analytic Relationship Edited by Robin A. Deutsch Routledge RTayolour &t Flreandcisg Geroup NEW YORK AND LONDON First published 2014 711 Third Avenue, New York, NY 10017 and by Routledge 27 Church Road, Hove, East Sussex BN3 2FA Routledge is an imprint of the Taylor & Francis Group, an informa business © 2014 Robin A. Deutsch The right of the editor to be identifi ed as the author of the editorial material, and of the authors for their individual chapters, has been asserted 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 utilised 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 Traumatic ruptures: abandonment and betrayal in the analytic relationship/ edited by Robin A. Deutsch. pages cm.—(Relational perspectives book series) 1. Psychotherapist and patient. 2. Diseases—Relapse. 3. Transference (Psychology) 4. Psychoanalysis. I. Deutsch, Robin A., editor of compilation. RC480.8.T75 2014 616.89’17—dc23 2013044455 ISBN: 978-0-415-53929-6 (hbk) ISBN: 978-0-415-53931-9 (pbk) ISBN: 978-1-315-77975-1 (ebk) Typeset in Times New Roman by Refi neCatch Ltd, Bungay, Suffolk CONTENTS List of Contributors xii Foreword: Traumatic Ruptures: Abandonment and Betrayal in the Analytic Relationship xv MURIEL DIMEN Acknowledgments xvii 1 Introduction 1 ROBIN A. DEUTSCH PART I Ruptured Subjectivity: Lost and Found 11 2 Psychoanalytic Process in the Shadow of Rupture: Clinical Encounters with Death, Dead Mothers, and Deadly Mothers 13 ADRIENNE HARRIS 3 A Voice Lost, a Voice Found: After the Death of the Analyst 32 ROBIN A. DEUTSCH PART II Rupture: The Clinical Process 47 4 Abandoned Without Warning: Resonance of the Shame of Early Loss When an Analyst Dies 49 JENNY RANDLES AND FRANCES THOMSON-SALO ix
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