By Steven J. Ellman, Michael Moskowitz
For lots of therapists it has changed past motion phrases corresponding to performing in and performing out. whatever new has been captured via this idea: a attractiveness of a procedure that can contain phrases yet is going past phrases. For a few, enactment addresses a continual undercurrent within the interplay among sufferer and therapist within the realm of intersubjectivity. Others ask no matter if this idea provides both readability or a brand new viewpoint to the scientific state of affairs. This quantity addresses the questions: Does the present concentrate on enactments entail a shift in our version of healing swap? Are enactments crucial? Can they be harmful, and if that is so, lower than what conditions? Enactment is key interpreting for all psychotherapists.
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Extra info for Enactment: Toward a New Approach to the Therapeutic Relationship
Acting out, in other words, is a special form of remembering, in which the old memory is reenacted in a more or less organized and often only slightly disguised form. It is not a clearly conscious visual or verbal recollection, nor is there any awareness that the special activity is motivated by memory. His behavior seems to the subject to be plausible and appropriate, although to the analyst and to the patient's friends it appears singularly disproportionate and inappropriate. It would seem that in acting out there may be special problems in accepting and understanding current reality either because of (1) specific problems in the immediate real situation, (2) special persistence of memories of earlier disturbing experiences, or (3) an inadequate sense of reality.
It may be translated into new terms or forms, but the experience in memory retains its original organization to an appreciable degree. Fenichel notes the quality of motility or action 1 that pervades all acting out, as the very term states. He speaks of" ... an allopsychic readiness-perhaps constitutional-to act ... " as being one of the contributing factors, discusses the fact that being in analysis favors and utilizes acting out in the transference, and that the analytic process itself may somewhat stimulate acting out in predisposed individuals, in that it educates the patient to produce less and less distorted derivatives of repressed impulses, while it mobilizes and provokes all repressed impulses.
Many such patients bring graphic and interesting dreams and seem to have a flair for understanding symbolism. Some interpretations may have to be given which may seem to be accepted but are utilized only for narcissistic gratification. It is the narcissism rather that needs most to be analyzed. Patients may seduce unwary analysts into working too quickly with this deeper material at a time when it cannot be assimilated by the patient, only increases anxiety, and may even be used as a justification for acting out in deeds or talk outside of the analytic situation.