Zahajování psychoanalýzy v předběžné konzultaci: Od diagnostikujícího posuzování k iniciování jedinečné rozmluvy
Initiating psychoanalysis in the preliminary consultation: from diagnostic assessment to opening a unique conversation

Summary/Abstract: Beginning psychoanalysis is preceded by initial encounters with the potential analysand. Psychoanalysis has undergone a historical development in the question of „preliminary consultations“, from a diagnostic assessment of the patient’s psychopathology and personality, and from the search for objective criteria that would allow a reliable evaluation of the patient’s „suitability“ or „analysability“, to an emphasis, from the first consultation, on encouraging the patient’s interest in his psychic functioning and on awakening his potential for becoming a participant in the psychoanalytic process. The author expands on the thesis that it is impossible to establish definite criteria that allow one to identify in advance a „suitable“ patient for psychoanalysis, nor can it predict whether the patient will be „analysable “ and the analysis successful. That is because, in addition to variables on the patient’s side, personality variables on the psychoanalyst’s side also come into play, as does the specific nature of their interaction and the inter-psychic „match“ or „weaving“ of their two unconscious minds, which is dynamic and evolving. The author illustrates his thesis by a case vignette of an analysand who initially did not seem suitable for analysis but ended up benefiting from it at a given time and with a chosen analyst.

• Details
• Contents