PMID: 8987010Jan 1, 1996Paper

The therapeutic action of psychoanalysis: abstinence and informative experiences

Journal of the American Psychoanalytic Association
J F Chused

Abstract

In recent years a number of analytic concepts have been subject to scrutiny, with the value of interpretations, the usefulness of abstinence, the possibility of neutrality, all questioned. One reason for the skepticism about interpretations, in particular, is that before a patient can use an interpretation for psychic change, his perceptual frame must change, a process that is rarely initiated by the verbal content of an interpretation alone. Instead, alterations in perception usually require experiences which are discordant with expectations. In this paper the author demonstrates how the nonverbal elements of an intervention, the action communications, provide informative experiences, creating the dissonance between expectation and eventuality which makes psychic change possible. Case vignettes are presented to illustrate this point as well as to support the idea that when nonverbal experiences contribute to lasting change within a patient, the therapeutic benefit does not accrue primarily from the gratification provided by the experience, but from how the experience informs the patient about his mode of thinking, perceiving, and reacting.

References

Jan 1, 1992·Journal of the American Psychoanalytic Association
Jan 1, 1991·Journal of the American Psychoanalytic Association·J F Chused
Jan 1, 1989·Journal of the American Psychoanalytic Association·S L Olinick
Jan 1, 1987·The Psychoanalytic Study of the Child·T W Downey
Jan 1, 1987·Journal of the American Psychoanalytic Association·J F Chused
Apr 1, 1972·Journal of the American Psychoanalytic Association·B Bird
Oct 1, 1968·Journal of the American Academy of Child Psychiatry·S WeissR Kohrman
Jan 1, 1993·Journal of the American Psychoanalytic Association·R E Roughton

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Citations

Feb 6, 2007·The Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry·W W Meissner
Dec 12, 2013·Psychoanalytic Review·Jonathan Dunn
Aug 19, 1999·The Psychoanalytic Quarterly·Z Grusky
Aug 23, 2006·The International Journal of Psycho-analysis·Björn Salomonsson
Apr 5, 2012·The International Journal of Psycho-analysis·Deanna Holtzman, Nancy Kulish
Dec 17, 2009·The International Journal of Psycho-analysis·Alan Sugarman
Feb 6, 1999·Journal of the American Psychoanalytic Association·G A Katz
Feb 6, 1999·Journal of the American Psychoanalytic Association·W W Meissner
May 16, 2000·Journal of the American Psychoanalytic Association·R Baker
Oct 27, 2001·Journal of the American Psychoanalytic Association·W W Meissner
Jul 28, 1999·Journal of the American Psychoanalytic Association·R Almond
May 7, 2003·Journal of the American Psychoanalytic Association·Mitchell Wilson
Oct 6, 2007·Journal of the American Psychoanalytic Association·Judith Fingert Chused
Apr 13, 2013·The Psychoanalytic Quarterly·Mitchell Wilson
Oct 9, 2012·The Psychoanalytic Quarterly·Alan Sugarman
Jan 1, 2009·The Psychoanalytic Study of the Child·Alan Sugarman
Aug 24, 2021·Journal of the American Psychoanalytic Association·Lee Jaffe

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