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LX:87 | The Analyst as Artist

A fine painter can be thought of as looking at “the same thing” other people look at, seeing something different, and making it visible to us: The painter reveals - renders perceptible - something we had not seen before. In the case of van Gogh, it might be the humanity in an old pair of shoes, in the case of Monet, it might be the shimmering colors in a garden under the influence of the hot summer sun. A photographer does something similar with light and textures: She uses films, filters, shutter speeds, and aperture settings to bring out something that is there - already there, waiting to be seen, as it were - but that is not seen without her help. A novice musician strives to play the notes written on the sheet music at more or less the correct speed, but the accomplished musician subtly brings out, by varying speed and stress, the multiple melodies or voices implicitly there in the very same notes.

That might be one fruitful way of thinking about what we as therapists do as well: We bring out something that is there - already there, waiting to be heard - but that is not heard without our help. As one of my analysands once put it, his desire was like a murmur, a heart murmur so faint no one had ever heard it before, not even him, until he began his analysis. (46)


Source

Fink, Bruce. Fundamentals of Psychoanalytic Technique: A Lacanian Approach for Practitioners.  W.W. Norton & Company 2007. 


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 The Shamans and Sorcerers. The Psychoanalysts. The Artists.

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LX:86 | Encouraging an Investment in the Desire to Know

It would seem that the analyst by repeatedly asking “why?” becomes associated, in certain cases, with a desire to know why. Lacan1 suggested that our general attitude in life is a will not to know: not to know what ails us, not to know why we do what we do, not to know what we secretly seem to enjoy, not to know why we enjoy what we enjoy, and so on. A strong motive, a considerable investment, is required for us to overcome that will not to know, and one of the trickiest tasks for the analyst is to find a way to inspire in his analysands such an investment. Perhaps it is at least in part the analyst’s will to know, as demonstrated in his continual questions, that inspires a desire to know in his analysands; it is his persistent asking of questions that allows him to become the cause of the analysand’s wondering, the cause of the analysand’s desire to know why.2 (35)


[1] Lacan, Jacques. The Seminar of Jacques Lacan Book XX: On Feminine Sexuality: The Limits of Love and Knowledge (Encore 1972-1973). Trans. Bruce Fink. Ed. Jacques-Alain Miller. W.W. Norton & Company, Inc. 1998. Pp. 1.

[2] As I have indicated elsewhere, it is the point at which the analysand formulates broad questions of her own about the why and wherefore of her direction in life that marks the end of the preliminary face-to-face meetings; in other words, this is the point at which the analyst should consider moving the analysand to the couch.
The analyst must, of course, be careful not to ask so many questions as to begin to direct what can and cannot be talked about in sessions. The general topics addressed and direction of sessions should be left up to the analysand, except when she is obviously avoiding important work.


Source

Fink, Bruce. Fundamentals of Psychoanalytic Technique: A Lacanian Approach for Practitioners.  W.W. Norton & Company 2007. 


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Efficacious Transference

Works and Days

 

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LX:74 | The Trap of Life and Experience

The Psychoanalyst’s first task is to listen and to listen carefully. Although this has been emphasized by many authors, there are surprisingly few good listeners in the psychotherapeutic world. Why is that? There are several reasons, some of which are primarily personal and others of which are more structural, but one of the most important reasons is that we tend to hear everything in relation to ourselves. When someone tells us a story, we think of similar stories (or more extreme stories) we ourselves could tell in turn. We start thinking about things that have happened to us that allow us to “relate to” the other person’s experience, to “know” what it must have been like, or at least to imagine how we ourselves would have felt had we been in the other person’s shoes.

In other words, our usual way of listening is centered to a great degree on ourselves - our own similar life experiences, our own similar feelings, our own perspectives. When we can locate experiences, feelings, and perspectives of our own that resemble the other person’s, we believe that we “relate to” that person: We say things like “I know what you mean,” “Yeah,” “I hear you,” “I feel for you,” or “I feel your pain” (perhaps less often “I feel your joy”). At such moments, we feel sympathy, empathy, or pity for this other who seems like us; “That must have been painful (or wonderful) for you,” we say, imagining the pain (or joy) we ourselves would have experienced in such a situation.

When we are unable to locate experiences, feelings, or perspectives that resemble the other person’s, we have the sense that we do not understand that person - indeed, we may find the person strange, if not obtuse or irrational. When someone does not operate in the same way that we do or does not react to situations as we do, we are often baffled, incredulous, or even dumbfounded. We are inclined, in the latter situation, to try to correct the other’s perspectives, to persuade him to see things the way we see them and to feel what we ourselves would feel were we in such a predicament. In more extreme cases, we simply become judgmental: How could anyone, we ask ourselves, believe such a thing or act or feel that way?

Most simply stated, our usual way of listening overlooks or rejects the otherness of the other. We rarely listen to what makes a story as told by another person unique, specific to that person alone; we quickly assimilate it to other stories that we have heard others tell about themselves or that we could tell about ourselves, overlooking the differences between the story being told and the ones with which we are already familiar. We rush to gloss over the differences and make the stories similar if not identical. In our haste to identify with the other, to have something in common with him, we forcibly equate stories that are often incommensurate, reducing what we are hearing to what we already know.1 What we find most difficult to hear is what is utterly new and different: thoughts, experiences, and emotions that are quite foreign to our own and even to any we have thus far learned about.

It is often believed that we human beings share many of the same feelings and reactions to the world, which is what allows us to more or less understand each other and constitutes the foundation of our shared humanity. In an attempt to combat a certain stereotype of the psychoanalyst as a detached, unfeeling scientist rather than as a living, breathing human being, certain practitioners have suggest that the analyst should regularly empathize with the analysand, highlighting what they have in common, in order to establish a solid therapeutic alliance. Although these practitioners have a number of good intentions (for example, to debunk the belief in the analyst’s objectivity), expressions of empathy can emphasize the analyst’s and analysand’s shared humanity in a way that whitewashes or rides roughshod over aspects of their humanity that are unshared.

I would propose that the more closely we consider any two people’s thoughts and feelings in a particular situation, the more we are forced to realize that there are greater differences than similarities between them - we are far more different than we tend to think! In any case, the alliance-building supposedly accomplished by an empathetic response on the analyst’s part (like “that must have been painful for you,” in response to what the analyst believes must have been a trying life event, say the break-up of a long-term relationship) can be accomplished just as easily by asking the analysand to describe his experience (“what was that like for you?”), which has the advantage of not putting words in the analysand’s mouth. In the work I do supervising psychotherapists of many ilks, I find that the comments that are most often intended by the therapist to be empathic and to foster in the patient a sense of being “understood” generally miss the mark, the patient responding, “No, it wasn’t painful. Actually, it was a lot easier than I thought - I never felt better!” The analyst who succumbs to the temptation to respond empathetically often find that she is actually not on the same page as the analysand at that precise moment.

In effect, we can understand precious little of someone’s experience by relating it or assimilating it to our own experience. We may be inclined to think that we can overcome this problem by acquiring much more extensive experience of life. After all, our analysands often believe that we cannot understand them unless we look old and wise, unless we seem right from the outset to have had a good long experience of life. We ourselves may fall into the trap of thinking that we simply need to broaden our horizons, travel far and wide, and learn about other peoples, languages, religions, classes, and cultures in order to better understand a wider variety of analysands. However, if acquiring a fuller knowledge of the world is in fact helpful, it is probably not so much because we have come to understand “how the other half lives” or how other people truly operate, but because we have stopped comparing everyone with ourselves to the same degree: Our frame of reference has shifted and we no longer immediately size everyone else up in terms of our own way of seeing and doing things. (1-4)


[1] This is true of most forms of identification: Certain facets of things or experiences must almost always be effaced or ignored in order for an identity to be established between any two of them. As Casement put it, “the unknown is treated as if it were already known.”

Casement, P.J. (1991). Learning from the patient.  New York & London: Guilford.


Source

Fink, Bruce. Fundamentals of Psychoanalytic Technique: A Lacanian Approach for Practitioners.  W.W. Norton & Company 2007. 


See Also

Lexicon Entries

Anxiety as a Signal
Silent Relationship with the Other
A Kind of Refusal of Understanding
Socratic Midwifery
Standing Toe to Toe
Context and Relevance
LX:98 | roll the dice

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  pdf Mariu Palacios (Len Luterbach), Lima Peru (43 KB)


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