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Robert F. Tyminski, Saz Fnncisco, CA A l ' t , a . r : ( _ h r n 8 r \i n r h e r h c r u p r u t n , i r o n m m ro n e t i c i rI n r e n , c n o u n p . e d r r h t r r r r e \ p , n r \ r r o m p r r ' r n r s . h o r h e nr e i . r r o r h e n e w e t e m c n rw t r h r h e i ro $ n u n , o u e w s rhouahr,.fantrie,,emorionundhrha\iou6.uh.nrhe.hrngen\er],p(,,,.,andwhen n entaihimplications rheaeatnent hself,these fd patienfuesponrs coalesce can around n o r e p r o f o u n d x p e n e n . " l r h e m n , r . r r n c ea , B c t t r \ o f i t e r o u n r r r i n . r e r r n r e l.h e e r' r u t h o r .a , J . r n d i d J r eo ' r n r \ n - i n t r r n i n s .p u r L h r \ . Ja n a n r t y r h. u u . h i o - h N u , f i c e , n d o b . e n e dr h eu n t o l d , n u f w \ a r r l - Nn e q . o u . h m e r n rt o r r x i , h n 8r " e r r m e n r U j n g B .. clinicalexamples, desc.ibes threemost.ommon patientrcponsesthat occurredi he the r e i e . n n sr,m b ' v a l e n r .n d e m b r u . , r Bt. h r n . h t y r r r i a ; r r d e , ,r n i f r n r a ,e , k r J r r d r o r ihe analvticcouch rre desdibed,and ihe couch's hisrory wnhin Freudianand Junsian contextsn .eviewd. Pe6onalderermindnts thar coutd teadro rhe decisnh of wheihe. r o u . e J , , ' u . h J \ p J u f r n r h , \ J , r . o r . , d r r e d f r o m r h e j r n d D o i n , o r r t - er n r l v \ r \ p r c f e r e n . e n d o w n e r p e r i r n c w r h r h r c o u . h . t h e c o u c h r d n , u , , e da , r . r g n i f i eo r r' e r r r h eJ n r l r r i .r r c s \ w r h . ! h ! r r l m e r n i n sa l t u d r n n o ro n h r o | l h i t r r r . r a e ^ r i r r , . b u r ' s r l . o t o p \ v . h o l . a i c ah e r l ' n sd n d . e t f d e v e t o D m e n , . l Ke! tuotds: ^nalytic rraining, couch, counterrransfe.nce, symbotizarion, rechnique,

Introduction How does a psychotherapist analystdecideto begin using a couch in his or or her practice? What combinationof training, personalanalysis, typoJogical factors,and .elationalpreferences enterinro this choicel I had rhousht of the r'ouch erpandrng clni.rl oprron.. addirron r \rnd trry. o; for rhild a, my an tike pannB,new items lor the toy cabinet.Howeye! refleding on my readingoi both Freudand Juns and many of then foltowersand my clinical experience, I camto realizerhar rhis decision was for me morecomDlexand livelierrhan bringing rht sandtral or.rn1orherprece therapeuri. rn or rurnirure. Vhile visiting Viennain rhe summerof aooz, I wenr ro the FreudMuseum (at Berssasse re). For rne Vienna reprsenrs world splendour, old but also a decaying rimethat is now djpping beyond our understanding. Whenever return I to Anhu. Schnitzfer (Ire Road to the Open; Foli Maiol plays)to oriem ne to'Vienna', as I have done often over the years,I inruitively rinderstand why

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FrcurJ\ psvchology arosc such.rcuhurrlconrext. in Freuil\.personrt equrrion. 1o.rhefull pedisree ofthisontr.rpp.trcnrtf tcnn scc Shamchs.rni. r lunsl.rn :ocl $ , . . r i r , J l , \ r n . l r . r r . r , n . , , tr l . r H r f , l - . u rr c r c n . r r r"tr . r r c . h \ q l rh, ,r,.,/. r h l t , , . . . ( .,1 . r u r t , 1 . . , J e r tsr r. r r . rp r r r r . r r t r r , n r 1 . \ . r . . , on rhe certicis,n of.rlturingcorL,pnon. is surel). corncidence rhe It no rhrr ps\chologr rharemcrged from frcLrd V;enna rhc end oi rhe re., centrrr in .rr $ oold deiinirively ibour rorl,iddri ptcasure irsanrbivatcnt bc ard dcn,,rt. h,: I .rr s sensuri rolt1inricisnr neo sh.rdedmarkedl\' r disccxrtcnted socie$ rs freud ntlic.*d n Cnrilizttn)n ttsDts..,tczts,1e1a).socicq.much dnJ r tiierhe.rrtrsr (;usr.t!Kllnts wonrcn: droopveicd.nd steepr. [\ oc.riye rcclininsposes chrr.r.r.r,zerhc imascrl oI fr & sr:rh \ icnn.rand L t , - n r J r r h e n , ^ r n l r e * i , , n ' rr n J \ \ . , , h , , t r , r J , r $ , t r K \ ( i " . e , , . r t U f t . r , . d l r l . r , \ h . , . l r r n $ r L L , l , ot.rr. u J , t n r , , , - ( ( r , , r p . , r r , r , r , tr,h , . ;",r,i.. t , rn r n , , r d e ,r, , T . I . r i , r r h c . r ' , r . ^ ' r . r . , r . L . . . , , - r . r l ' r . \ , r t " , , n , t e - . r , . . i ; , t r nor.discovcr risit rcchnical rhr posrurc a Viennaall too *.,1). r" .".r;,,; br rt rhe tinal phrscof lts .utminating epoch. 1.he couch\ irrvirrion m retlne is .rf'our resr, opennc$ a differcDr r() perrpedir andtrensition rnorhcrsrrte e. rnto qrur,.tr..,tJ^ rh. 1,, r p . p r . l . r r , , r, r r r r , r r h ,. r r r e r, r, r r , , r . r ! r . $ r ,: r. l, i. ] F,,r,tJ t , , r t , i - r r , r , rh r , , r c h rt.h r , . r J r r f e r - , n . . . r , t\ ^ , \ |1,.r.,,r..,1 bir\rs; t.,s drc renrnertof tte hrpnoticnethod out of which t\r.hor,r.rl\sr! s'rs crolled. tsurit.lcsencsro be mrrnranred nr.nl reasons_ iirsr tor Th. is. pcrsonalnrotivc. butore rvhrch othcrs mavsh.rrc rvirhmc_ I..rnnorput up \irh hcingsrared by otherpcopte cight|ours a,la (- -o." t, ( I.r..,l ', at trr , ; r. pI, rjt-rlt). Mrny of us eanemprdizervrrhhis pery,nrlmorilrr(,r. e\rD 't \e do not shrreit, .rndrvccan norethc rrct and crrc nn rhedignir\ oarhc . I r h , h , { r o r n , , i h r , " r , r n n e e J , ,T r , , r , ,nr , , . n u , r , , , i , , , - , . r r r ' , L l1 , . , ( . . \ V h . I i , l e * F J , \ - o , r - d p , . ' J I d . h , , s r h r , . ( . o r n m , t t . r ' | , , , r o r h t p hum:rn need tore certairr distance wirhir so inrirnatcisertingas psychoan.l\s;s b..rme a rDle,so sftong in f.rcrth.rt larerin thc samcarricle,F-reud rerers not ft) ndhalrgn)irasa-'devhno.'{f_rr_+).Reg.rrdrngpatienrswhoobi.cir()l\iDg 'Pcrnrissrrn doMr. he Dores, is rcgLrlrrlr returcd. r lc). Observing iletrr (p. this progression prcferencc dogm.r. of to rne,*-ders,lhere the.rnalrric couch $ " u l d l r r f l r u J h J . tr - . r e r J . , n , r F . " Ju J e { r n r r r . r F , 1 . . " - r . , , r t ,.,,t6: rhin less, and rnarshallcd hisconsirterrblt .rtl powers or.rrgumenr esrahtish to r h e\ r l ' , e , i t " . r , k , , p , - r . , ( e,. \l . h . r n q , y e rn , r . , l J h e? , t , , n , i h r t r ,I\n , , , u , . n . r l ? r d . r i \ r , n , o n r h , . ^ , r L \ t r o u t J h e r * r q - e , i , , , I r ( . . t \ o s n f r e e,t,L g r t e-. n.. .r( he .rl(o cr{Jirsrhcles.r|.,,1hr nnn,rs Rtcendqpsvchoanalytic aurhors h.!e rc visircd couch\ significrDce the f(tr enalrtic prrctice.Jacobsonr99j ), urrn rssue ( ofpsychoa"a,ttr t,,quin,,ter..tta .nnrel\rorcontemponrvevalulionoirhecoLrch,arguesthateffccri,eanatrsis m , \ r , , ' h e d r | ' -d , r , r t o nr h , I r rn r ' .r , ^ r o n . ( r eI t v , , I r h . .r , , u (I | , \ . . urJ \ r ' $ p i , r nd e l \ , J l r ,' m F e h h e t r h . r r p , r . h , . . r r r t l s i , r , J e r r n c J h ) r h ( n . , r . . , . r i n o F u J l \o l r h Lp r , r . . . . n i , rl , \ J r n n , ' r , - . r , , n r J n h * n e r \ r r n J f , , , r r , , ,

rhe an.rlr sr s behavn,r or of t ! l s o c i r e sc n r c r D e n t s h a tc a n r nent(ns cspr.iatly the pore deien.es .rroLrndih.tDreand t rvord srrong rffecrs in thetrar prrsolel erpcrienccs wrrh tht wrong to hin t teeting like a r h a t o f . o L , r s e . c o D t dh r v e I and disadranrages of the coL c o n t l r c t sa n d h e w o n d e r s f t h t . i sonres her une\plored or defe l n . o r r r r r n . \ \ b l f ( r e e 5 ) ,i n posrtrn uduccs eflccts of d bcliev.s ther rhe creatior of br relr.rsed ir trnr other way, purs ir. \\'hile rr c.rrnor be rul kindsoi pr\ chorherapr ndrh a th. .ou.h. rheft .rr bc tutle d ihc resressirc .rnd curarive dir rhe.rpculc.iiect (t. J:o). NlorLrnrs I 995), returning I need ior pn\.r.\'. {.hich he say H e c o n r n r c n t ! .l n m l o p i n i o n , , rd borh pirrtlciprnrs involved r r t u r . r l r n . . r r ) dr h e c r p a c r r y o f c r t e sr h e c o u e hs e n d u r a n c e v 1 e . 9 . . r r ) n r t h c i n r . a p s y c h in c p . . 1 0 6 1 h r ! h . \ e o . c u r r c ds i n c r rhcs. ,rx)dern .urhors havea b v c i r i n g r h c r e c h D r c r lp e r y ) n , t n e r s . r r r . r c a r c d b r , ; r su s e rhc cou.rr h.rs br(,mc.lrcobsor T h e c o u c h .! s . j m o s r j r r e r a l l y r rreqLrend\ .irff.r.rs. quire narur couch .s supf.,nile. as seduc denc.r ins. ind !, lorrh' (pp clc,selr wirh rhc clinic.rl mareria clenrinstrrre hos thc couch can tantasies rh.rt rre nor ret realize L,(rrste'n iregr) hrghlighrs t pronx)re! r'ghrtrenrjspherc acti 'nduce re\crie rDd 1cs5 enso c b c l i e r r s r h r r r h r c o u c hj n a n a l y en.rblcs .rrienr nd lnilyst !o j( p a

Tbc l.etk tha couch arruted

d , s p e r s o n ae q u r n o n ' l s e e S h a n d a s l n: . o I r io t shapedb) th. l;, Jr a P a r t r c u l ac m p h r e s r ) coincideflcerhir rhe nd of the rlh ttnrurr mbivrlent enirl.This d e n t e d v r c i e rlri s l r e u d e t ym u c hl i k e l h e i r t i s t t de s;jcle Vrenn.r,rnd ude incentril l_rrrope. nts l,vingon rhe coLrch Yct I wrnder ii h dd ll too rcady to rcclirc inritarion to reehnc rs t i o n i n t o a n o t h e rn a r e he priinr b lie on .r ementhas 3 historl.lt w b i c h p l i c h o r l r . r l \s i s reaso s. Th 1i6t is a : . I c a n n op u t u p $ r h t r m o r e ) 1 f r u di e J j . rnal moti!rrion. e\en for the clignnr oi rhe 'ct hrs own auftfo'ni t i n g a st s y c h o r n r l ! s i s :le, Freud rcfcrs t<,not ts who obiccr ro lr irg t ) . O b s e r v i n gh i s c l t a r re the:n.rlvtic cou.h )re e_\'e cont.ct rrther a r g u m e nt o e r t a b l i s h r responsibilit) for ()!r own personalleelings ;uch's srgnificanceior dlfti. Inqun .lc\ arcd r r h a t e f f e c t i va n r l i s i s r r'on ihis issur I fr\ or ! rdefined y thc nrmrc b server's siandfornt oi

r h e a n . r l )s r s b c h a v r r r o r o i t h e p . r t i r n ts p o s r u r r ' 1 p . I r z ) . c o l d b e r g c r ( r 9 e 5 ) .rlso cites enicrnrcDrsrhar c.n i erfere lvith rhc benefrrsoi using the couch. Shc n r e n t r r n se s p c e r r l l v h e p o t e n t i a ll o r t h e f r h c r r r o u s e r h e c o u c h t o n o b i l z c r d e f e n c e sr c u n d s h . D r cr n d t h e r n . l l v s t i p r c i c r e n c cf < r $ e c o u c h . r sa r v a y t < r i t r v o i d s t r o g a f t i . r s i D r h e t r a n s f e r e n c e p . l . , r ) . i . h r c D b e r g r e e j ) d i s c u \ s c sh i s L t { personal e:periences rvrrh rhe couch.rnd c:rnrlidlr rcknos,ledses wherc it lelt srong ro hiln licelnrs Lkc a creb l\'irg on irs ba.k. p. z8:), ir rrrriburion, t h a t o i c o L r r s ec o u l d h a v c b c c r r f r o i e c r i o n . H e e r a m i n c s t h c r d v a n r a g e s , a n d d i s r d r l r n t r e e so i t h e c o u c b i D t h c c o n r e \ r o i s p e c i f i cf a r i c n t n c c d s : r n d c ( , n f l , c r s . . r r d e \ o d e r si f t h c c { r . h c , , u l dl e i ! e e r p e r i e n c e s . e n t r i D o n s h a n r e h g v ) n e s h r r u n e \ p l o r e do r d e f c n l c d a s r i n s r . I n c o r r r r s r . U b l i 1 r9 r .t)l , n r t h e s r m c l o u m i l . e m p h i s i z r sr h a r ' t h c r c c u n r b e n r p o s n r r n ' r n d u c e se i f e c t so f d e p c n d e n o , s l e e pl r k e s t r t e s . l n d r c g f c s s i o . . I I e b e l i c r t s t h a t t h e c r e . r t i c no f r c g r e s s r u i r p . r r r c u l J r . r ' h i c h c a n n o t s o e e s r l v b e r c l c r s t d u e n r o t h e r u a 1 - ,a r g u c ss t r o n g l r i o r r h e u s e o f t h e c o u c h . A s h c p r r s i t . W h i l e r r . a D r o r l t r u l c d o u t t h r r s u n i l e r p r o . c s s . sn r l r o c c u r u ) o t h c r k i r d s o i p s rc h o r h e r a p rr n d r h r t r e g r e s s r o nm a r a 1 ! ) o . . u r \ , i r h o u r r h e u s eo t s r h e c o r c h , t h e r c c . n b e l i r r l c d o u b r r h r t r h e u s e o t t h e c o u c h g r e a r l vf . r c i l i t . r t e s r h e r e g r e s j t r r i D d e u n r l e d i s r u p r | o nr . ' \ k ) r i r x , r s c q u e n c e h a t i s c m c i r l t t r r r h e r r p c u t i ce t i c . i 1 t . r : o ) \ i o r . r r t i s r r 9 9 j ) . r c r u r n i n gr . r L r e u d , i o . u s . \ h r s r n c n n o n o n r h e r r ) l l s t \ n e e d l o r p r i r . r e r .s h i c h h c s . r y si s n n n e $ h a r s a i i g u r r d c d | r ' u s e o l t h e c o u c h . H e c o D n r e n t ! . l n n r o p i n i o n .n r a i f r i l n i f g r h e . r n . r ls r s p r i u t e s p r c ei s e s s e n t i a l r t i r b o r h f r r i l c i p . r n t s n r o l v c d . . . I t e n r b l e sr h e . r n r l \ s ri o n e r n r a i ns r n i r ' . i r . r n o n : r l i t r . . r n d h e c . r p . r c i t vi r a u t o n o n m r r sh i n l i , r c { p . l r o ) . M o r l i r l s r l s o r l i . i r c s r h r . ( . h \ e i d u r r r c c o e n i n r h c 1 , r . . o a r h e n u n e r o u s r h c o r c t r c as h i t r s l ( c . s . , l f o m i h e r n r . r p s r c h l c t o r h c r n t c r p e r s r n . r. r n d t o r h e n r c r s u b l c c t i r e . l r I r . . l o ' , r h . r h . , \ ' , " . r r r r . ..lr r r . , r , r r J. r r r r t h c s cI n o d e n ,. r u r h o r s . \ c r f t c D r p i c df t ) c l , r n ' \ r h e . . r r i o n ! l cf ( , r c o u c h$ o r l h b r e i t r n gt h t t c h r r c r l , p c r y n a l l l u x r v r r t r l . . r n d p r o c c s s c i i n i n g a s f c . r s r h . r r d t h s s . r \ i r . ! f . r r . d h r i t s u s r :i n a n a l r s i s . I h t r . r l r o r o r e h o w s r u r H r l l a d c n r h e c o u . h h r \ b . . o m e . . l r c ob s o r r r o t e s o w t h c r o u c h r . r n s r i n r u l . r r p r o i e e n o n : h e 'The c o u c | . l . r l n o s t l r r c r r l l v t h e t l e . r r e r i t h c r D r l r s . n d d u r i n i i r l r e. r n r l i s r s . o h c q u e f r l \ . r f i . r . r s . q u i t c n r n r r a l l y , i n r p o r t . u r tr r r n s i c r c n c ee l . r b o r . r t r i n s t h c c o L r . h r s s u r r o r n ! c . r s s c d u c r i ! e ,r s i n r r t r n g o i s u r r c r t l t r . r s c ( ! r i i n i n s . i s dtmc.rninlt..rndso forrh 14r. lro rr). lhesc srmholic rrrributiols aceord c l o s e l r * i r h r h t t l i n r c a l r r r t e r i . r l r h r r tI r v i l l p r c s c n rl r r e r r n r h i s p r p t r , a r r d r h c r d c n r o n s r r . r rh ( ) \ r h c e o u c hc r n g e n e r . r r e. . r n s i c r c n . c n i l . o u n r e n r . r r s i e r e o ( . e r a t x n t r s i . s r h . r i . r r ef o r \ c r r e r L z c do r v e r b r r l i z e d . (,rorsrcrn rreir hrghllFhts hc bcn.trr qrrned $hel rhr usc of rhc cor.h t p ( , r ' r o t ! n g h r h . r r s p h e r e . r c r i y i r l i n r h c h r r i n . , r n d f c r h i r r k sr h r r t h i s c r n i r c l u c t r t r c r r c . r n , 1l e s s c e r r v r s h i p h ( r n r h . l e i r l r e r s p h e r c .O d g c n ( r e 9 6 l I t l i e v c s t h . r t t h c c o L r c hr 1. r r . r l l s i s . a n n r ) r . r . r 5 r l \c r e . r t t: u r a n r l v n c r h i f d r h . r r i en.rbles rnrnt rnd rnrlrst to join in fclcnc !rerirr)nrgr(rn nuruel Lnrcrplrrr p i

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o f t h c i r u n c o n s c r r u s o n r e n r s . n d t h . r r r h e c o | c h p r o r i d e s s u i i i c r e n rp r i r e e y c r for both participants n) th.rt this crn occur. I Ie further stntcs rhar hc prcfcrs o r r l l r n r l v t i c i v r r k h c c o n r l u c r c d r i r h t h e p a t i e n to n t h e c o u c h r e g i r d l e s s f r h c n u m l t r o f t i m c s p e r w e e l r h i r r h r p r r i e n t i s b e i n gs e e n l p . 8 8 - 1 . ( ) g d e n b ! s c s ro h i s p r e f e r c n c c n h i s e x p e r i e n c eh r t i h e c o u c h f n c i l i t r t c s . r c c c s s p l a r s p a c c, o t r c \ e r i r . r n d \ h e u n c o i s c i o u sr n r l r i i c r h i r d . 1. A s L i p t o n ( r 9 , r ) n o r e s ,I r c u d s u s eo f t h c c o u c h f o r p s ) c h o . r n . r t i r p r r p c , s e s b e g r n i n r h e m i d r l l g o s .l n r r c r r c o m p e l l i n g a r t i c l e . r b o u t F r e u d s t e c h . i q u e i . t h e I o r e n z c a s el t h e l i a r i \ h n . ! . n r ! l l ) D a m r d E r n s t t . . r z e r ) . L i p t o , r i s s e r t s t h . r tt h e i d e r o f r e c h n i q u ch a s h c c ng r e a t l ve x p a n d e db l n x r d e r np s ' c h o r r r l v s l s t k r . o \ e r m u c h n r c r e r h a n F r c u do c r n r c n d e d . l h e r e i s n o w r h e r e r l i z : r t i o n h a t t h e w o r k l n v o l v e st h e r n , r l r s r ' sr o u l p e r s o n a l i o ,b u t a l s o i n p l r r n g t h . r t t h e r n r l v s f s p e r s o n r l i r vc : r Dh c r c c h n r c a l l \I'n a n i g e d . H e c l i s r g r e e s i t h t l i s l r t t e r srepandproviclcscr:rmplcsoihowlireudt.rctiofs.rndpersonr11rr.anrerhrough much nnrc,rrtlcssl' in *,rrs rhich *ould not hare been rcccprcd hr thc r c v i s i r n i s ra p p l i c a r i o no f r e c h n i q u e h . r t d e m a n d e do f t h e r n r h s t n r c h n n r c t . . , , r r - r , , r r . . . , r r r , , , s h . r r i , 1 r - , n r . d r " r l ' ep . r , r e r ' l "tlcdgc ' As for thc couch. Lipron r rites: The ide.r that the p.rnenr nr!krs .r s r o l i c o n t h c c o u c h i s a l a t e r i i d ; r u r t o t e c h r r i q u eF r e r r d i n s r r u c r t n s t o l - o r e n z . ( I r c u L l r o e , f . r t e ) d o f l o t c \ e n r e | t i o nr h e c o u c h , r n d n o d r i n g l k n o w o i t h a t r f r e u d c v c r s r o t e c o n v e r st h e i d e . rr h r i h e g r r c d r c u s e o f t h c c o u c h t h e g r e a t ( $ e i g h t w h l c h o l h e r sh a ! e g 1 ie n i r s D b s e q l r c r t j v p . z t S ) . V h . t t i s i n r r i g r i r g h e r e i s L i p t o f \ d e n r o n s t r r r i ( nt h r t f r e u d w r s n o t a s n r l e b o u n d r s h i s a o l l o w e r s . F . r n dt h r l r t e r r e r i s i o n sr o p s r c h o r r r l l s i s n r e y h a v cc l i s t o . r e d r e u ds i r t e f t i o n s r s . r b o u tt h e u s eo f t h e c o r c h r n d o t h e r t c c h n i c a li s s u c s i u c hr j e \ p r e s s i o r r o f t h e rnrlvst'spersor.rliry nd rhc.erl rchrx,rship {irh the prrient. lOr this point, a t 991.1 n'e .rlsl, l\lichillel Gu) Tlnnrll'on. Th ltutb About l rtul s Tt.liihtrr. l - r n g s ( r 9 i l ) , r h o s e s r r k i n o t h c r w r _ v so f t c n i n s i s t so n r h e n t c c s s i t r o t t . s r i c t l v r d h e r i n gr o h r s i ce l e r n e n to f c h s s i c a lp s y c b o a n i l v t i c e c h n i q u ee s c h e \ i s s r h e c o r c h b r s . . l o n d r c r a p c r n c e o n c c r n sr e l i t i r g t o b o t h p . r t i e n i . r D dr n . l v s r r , r n dt h c l a c k o i c m p i r i c a l c \ i . t e n c e o s u p p o r ti t s u s c . I I e \ r f l r . s i l h . s l i . c l t i c , \ co i i h c r . t r . h n ) . r s . J i \ o i n i , ) . i n d i s . u s s i n.gr t . i . m r r . n . r lr r o n l \ , . r n r h s i s o i r h cr r r r e t s o i t h r J i r t r r r l i r r $ d b y p r s e sr l N . p f o t r u n r f ( J \ i r c n s r h f n 1 i h t . r p r . i r v o i r h ef r t , e n i ' e s or o r o l e r . t .. n x i c r y. , r d n J r c { n r c t r \ v r u , . e s . tm r } fRm,)te in inten'ii,rrt,o. oi r.$!r.nc.s .nd dct.nscsrvhlehlcrJ r, : t[,sing off of nrtenrl rt all le'rls. Ii,.rhrl' ,i 'uy .ct.cs.nr . ,lctcnsron the prn oi the the pir n \ h o i s h n , s c l!i n c o n r n r t r h l .u r d r ! i r . e n ) t u c e x ) l e .s e d u . t i ' t N d h , r r i l . 'N J f \ e s . . r n L ln o t l s o m r k t n r cp . t e n t u n , l u l rr l t s e n , g t r , m r 1 . ! , { n \ u e ht rr l r e ' . r t i eT h c s e rre.liifrcuht,,dekrtrnddsrnrguishironrnr1)o$ihldh.'iptntiLrd\rnrigethrtthe o . o u . h n [ ] h . \ . . L J n f p n N . n o i h c ^ v i s er.h r n i r y d r n s e Ar d d d i t t l , r n l . r g e s i t h . r . ( ) u c h r p p . . rr o o u r q r i l r h n \ r ) \ s i b l ev i l u e i K u s en ' r y h r \ e . . {r' I'?) p I t i s i n p o r t . r . t r o n o r e r h a r I . r n g s i s d i s c u s s i n g s ) c h o x n x l v t i .p s r c h o r h e r r p ! , t r n d t h . r t h e e l s e w h e r e i s n n g u i s h c sh a t t h c c o u c h i s u s e d h p s r c h o r n r l v s i s d

proper \ore the 1css couch rs rn rn.rlrtic in .lLrns.eTecially afre rp\ ind rn \srs s er thc rn.rhne couchtth rn indi\idu.1 lherapi i\1t), t o n c:. D rca"1s,Re An.rlisrrnd p3ricnsir t ro s.r\. hDt so has rhe pa rre no aiph.rbetical refe ir the rolunre devotedt, ' n r t a t e r r r o m 1 9 7 4( i r ! i . u l a r e d d u r i n go n ec thc c.rseoi. ieelingtyp g i \ e s r h c b c s rs t t r r e n e orrlcr to hc eble to sbo s r s r c D . l h . \ ' e r o s i to p p rnd c.rD sr. rh:u I am lir o n r h c o r h e rh a n d ,F

.ouch.I hishook fu,s

rersons for its use.whic i n c l u d c :r h e p . r i c n r : c ( ( . r s r e r . r c . . s s o r h eu n c r oi sonrari! oc.urrences r h e c l i n i c r l p ( , c e s s( p p c r e r n n g r ' c l o s c d 's y s r d n d p r r i c D r l .w h c . e a s L J s l s t e n ri n * h i c h r h ea n a The \lrnbolic couch

I rhink rhai thc heigh dcpendcnr Lrponthe pati in the room as a sym psvchothefipli lofdhan becorne rerr important r c(,mpc,nenrsoi rhe bein worrh\ oi .onrment wer inrm .rnd rhe objectsin the anltllsr ncedsro be a o t p a r r s o l h i m s e l fr h a t , suppo(! nrl idca rhar in rhe srDboli. clemenrs in as a rcsult new behaviou

Robe F. TJminski

'fhe

ueeh tbe couch atriuetl

ovides sufficient privacy Lcr statesthar he prefers of c couch'resardlss the ,n' (p. 887).Osdenbases tes access 'play space" to purposes : psychoanalytic rechnique in boutFreud's Lanzef Lipron asse.rs ), y modrn psychoanal)'sis rhat s now threalization |t also implying thar the with disagrees this latter rhrough F.sonalirycame ve ben accepted b,v the ,f the analystmuch more patient nakesa 'pledge" ro Ldtinstructions Lorenz ndnothingI know of that Lse the couchthe great of i).Vhat is intriguinghere ibound as his follosers, intenrions stonedFreud's of ;uchasexpressions rhe e patient.(On this point, ue, iead's Techniq \ 994.J lsistson rhe necessinof eschevs ull'tic rchnique, both patientand analvsr He writes:
sing ceriair marcriallloids to E oPPonun'lv st.ngthen It o reslve its sources. m!)' hich leadto a closinsoff of on the pan of rhe ther.pisr dudive andhostilemorivcs, These ist in sucha therapisreraleuric dYantasethat ibe of ,rr anddisadvanrases rbc {p. '77) psychothe.ap-Y, Loanab'tic Lsused in psychoanalysis

proper.None rhe less,his warningssoundcloseto Jung'sobjectionsabout the couchas an anal''ticinstrument. that psychotherafter his breakwirh Freudin r9rz, blicved Jung,especially ap-vand analysiswere less dpendentupon rechnicalcondnions (including the analvric couch) than upon th uniqu diakrgue that developsbetween an individual rherapistand an individual parient.l-or example!he writes in Menoti.s, Drcans, Retle.tors: 'Analysis a dialogue is demandinstwopartners. Analystand patientsit facingone another, to eveithe docror hassomething eye (Jung wo/&s, tosay,butsohasthepatienf r961,p. rtr). Inthe Col/erted there areno alphabetical references the couchin eitherthe Genevl lndex (.'1791ol to (Ju in the volumedevoted Freadawl Psychoanalys,i ns r 9o5 r e j 5). Fordham to paper from 1974 comments Jungk disinclinationroward the couchas in a on (r9t 5) \\'hilehe was discussins articulated during one of the TavistockLectures rhe caseof a feelingope analysand:'lris in relation ro rhis casethat he ljungl givesthe best statement know about whv he doesnot usethe couch:'So, in I order to be able to show my patienrsthat rheir rcactuns have arived in mr can in system,lhaveto sit opposite them 5()tharthej-- readthe reactions my face (F-ordham Shamdasani r996,p. r1r). (ed.) listening' in andcansee rharI am for On the orher hand,Fordhamexpresses srrongprcfcrence the useof the a Psychotberapl, p:ublished r e78, he enumerates in six couch.In his book /!r,siar jrs use,which he believes adlantages'(p.68). These reasons for brings'specific stats; include:rhe parientl comfort and relaxation;facilitation of regressive ro the unconsciousl intensificarion the transference; of awareness easieraccess oI v)matic occurrcncrs; and an incrase the analysCs in capacityio attend to (pp. 68 59). Fordhamwrites that Freud saw rhe couch as the clinical process creatinga 'closed's,lstem anabsisldefined by separation for betweenanalyst and patient),whereas own .pproach to analvsjs was b.rsed an 'open' on Jung's participated. system which the anai,vst in The svmboliccouch I think that the heighteningof ihe transferences my caseswas not tust in dependent upon the patients actuall-v usingthe couch,but ratherto its presence in the room as a symbolic object. Earlier in rhe same book on Jungian psychotherapr', Fordham commentsrhat the contentsof the .nalyst\ office becomever,vimportant to patientsas the],represent actualand fantasized the components the being of the therapistor analvsr: This m:y scarcel,v of seem worthy of commentwere it no! th.rt sooneror later patierts will includethe room and the objecrsin it as part oi their rransfe.ence projcctionsiso just as the analystncedsto be awareof his inne. world, so doeshe needto be aware of parts of himselfthat ar outsidehim in the room' (p. 65). This observition supponsrny idea that introducingthe couchinto an existingpracticechanges in relationship and, the symbolicelements th transference-counten.ansference that .eflecrthesechanges. as a resulrnew behaviours emergc

Robct F. T)r"nski

-rbe

veeh the .ou.h |tri

panerrs Vith thcse consicltraoons in Dind. I will prcsenrclinicrl liglrerres ol couch t() mv that I wrs working rvith rr thc period just alter dcliler! ol a officc- Everv pitienr n m! Prrcti.e at that time hid a nor:rblc and unrrppressed Derswell ln reactur, a;d I toundrh:rthecouch in thc room hadrnirnpacton !nd nrv rluxt all inst.rnccs,there \!rs Dore anxietv in mv pariei's trilnstcrence mc to bring i e c o u t e r t r a n s f e r e n ca b o n l t h e c h a D g e sn m v s e l it h ' r t h l d r l l o N c d rhis neq decidedlv non ,reutral picce of furniturc into rht room. paocnts The rnost inportant t.ansferential responscsto thc couch tn\ollcd $ 1 r r ' r r ! :J r l f e r e r r ' l \ ' "',"."''*,f"' rherh rJ.ln*r,J rh'i'lh io Jn r4'trc'r'n t . ' \ m r \ ' l r l , r " r h o r h m r p r r r c r r rr' n J r r " r l t r r l J e ' r r ' t o ii.-..',.1."". ro th ts to nov e fron .rn r li ticr lh orienred psYchorhcrapist t n a li sr-Th' responses to enrbracng' p..."i".a i.'lre ranged from rejecriDgto amtrivalcnt ".cl,.,4y nrv trlv coNrterrm siercnce ieelings in each crsc helpcd me ro uDdersrrnd piflcnts'lnXietiesthar\\ereassociJtedwiththls.hJnge j n r e n t n r r , . . d a k r i e d m e t o a c c e p t n o r c c o n s c t r u s l vt h e i d c a t h r r I $ ' s in rrirn'ng becornrng an .rnalrst. \('rth rhis elolv;rg sclf image 'ts an rnahst n\seli c i r m c a s r c a t e r r v i l | n g n e s sr o e x p e r i n e n t w i t h r i s k i n g rhe couch rhc i i n l i c h r ; f , t s s u m n r gh i ' r o l c \ o t c o r n c i d e n r a l l vI. b o u g h t I lnurg pft)graJnnrc u'eck tbat I passedinto the conrrol stage of mv Insfitute\ Drv Insti " n . l r ' . r s t h u s e b o u t t o b e g i n m l a n a l v r i cc o n t r o l w o r k ' $ h r ' h n r rs r Ps\'horher'p'st mrc rvould bc the ii.sr sulerlisn,r of mv ftrnctrcning ' lt inviles l i h e s u c h t h r r I p u r c h . r s e dv a s a c h a i s el o n s u e l v h i c h n l c r n s t h a t o gilrnc up ft( sense r po o n e ( ) r e s t i n ! s e m t _ r e c l ' n u r g s i r i o nw i t h o u r e n o r c l t l e r d l n g r o r n a n g l e da r n l s r r i i n el l 1. r c h a i r .I r h d d I d e e p l r c u s h o n c d h a l f ' b r c k ,'',,,,'"..ia. t'*n,f,. -tt..c"mptet"ty op"' tt*"sthusnotrhcilut'uDequivocil n)r s'rlc to moderD iralvtic couch oi rhe t-rle ihlt is sometimcs rd\enrsed f(r eidrer vrrins or lrurg n s v c h o a n l,tr s i s . s i n c e I i n t c n d e d i r r o b c r v a i l a b l e kleseet th'tt l , ' * " . r " * " r . , a . . " p . , r i n l o f f i c e ,i r r c p h c c d a n o l c l c rc o r d u r o r ftx for h rns do\B' on\' accomnrod.rr<l nvr people .rnd wrs clcerlv '' lif.r. Both ',-" -".r. ".rs "ppn,','rrrrcll one-third longer rhin the old onc r h o u g h r r e p l e c i n gr h t c o u c h * , c r c o f r s l r r d c o f d r r k s r e e n A l i h ( , u r , hI h r d . r * i s e l < n g u et o u i d a l l o w p r c r i o u s o c c u p a r t so f t h e o l d -*r. ,f';r ""'Ug'-" Ir'l' 1 , , \ . . . . .l r m p l \ r , , ' r r " r r r . , ' h , . r . ' u r " n r r L t h ' r n ' r r ' r r r ' " r l"r i ' r n h c r l \ r r 's l i r - \ \ " r J r 1 e i r r e r r r r h | ! 1 r ' . N r n " r I J r l r . ' r r r r l l r' r p p - e . r ' r r ' " w t h ' pcrceived es .rsscnnrgth.1t I e\Pecrcd a sirtcr to rccli e I'n il rs $cll My patients'responscs ro the introduction of the cou'h I t I h a l e s . l e c t e d r c s p o n s c s o r h i s c h . t n g e( ' l e r f r o l n r h r t e o t ' r \ P ' I r e n t s their necess!rilrdisguiscd' will not providt rrnrc rhrn cursorl'.rnil evcn the luckerNnd inf(rnr.rrtn on rnv oi rhem. sincenrv trrre'csrlrerc i! to e\anrinc

a parienis emotional re the therapistt physical: even ii the palient onh reactions ro such detail life and world rhan rhe transfcrence. I believetl guesr, the couch, and th characterizedthestran inirial emotional respo couch: rejccring; ambiv and evolred, especiall something about a pat couch had cntered the rhe nerv rlement in the expressing the embrac response, startle and sL rhese affects gave a dil could not have a single I h e 0 r r n f l r \ Ln r v e( could easilr be perceiv terrirorv rhat wrs rev Dleanirg attribud)n, ar

My responsesto the co

I had tncountered the analrsis rvhen I was : occurrcd lvirhout useo seemcd to bring togeth .rlso bec.Dresomethng , literrl sieppnrg-ston found rhc couch espe self cenrrship, and iss n more re.enl .nal,vsLs! prrticuiarly beniicr!1, fd.e to f.. inalysis re rhe couch berrg presen

;;;J;";:;.;"
thc

how varicd s i r e . r ! t r r g st g t n e r e t e d .A 1 l p r a c t i s i n gp s v c h o r h e r a p i s tk n o w

particurarri orthe the'nrro.lr'.rrcn couch. ;";.nsu",r upon

Snnrlar t(t m,r patten c o u c h .T h c f i r s td a y , I t .rnd I sondcred how l o rn lnrbilalent phase to cent doubts serned e\ample rts tvocanon

Tbe teek tlte couch arrttl

clinicrl i.ignerr.sof patienrs deliver,vof .r couch to m-r' a notableand unsuppressed l a n i m p a c to n n e . t s\ L e 1 lI.n atientt trrn+erence rtd nrv at hadallosrd me to bring the couch involred peoents :rest in $.orking driierrntl\. ts and nyself m! deerr to to The Lnalyst. responses th t s o a m b i v r l e n tt o e m b n c i n g . ped ne ro undersrand nrr s c h a n g ei n n r r . o n s c r o u s iouslythe idcr that I srs te as |n anal'st i. rriining isking mvscli y, I boushr rhe.ouch the titute's trainrng pr()grtrmnrc I work, whi.h trr n,\ lnsri o n i n g a s r p s 'c h o t h e r . p r s t w h i c hm e r n ! t h . r t i r r n r i t t s tirely giviflg up rh. \en!r oi ck lcading to .rn rngled .trnr I husnonhe il.rr. unequi. c,c.r i m e qa d l e r t i s e dn ) r \ r l e t o e f o r e i t b rs r f t i n go r l \ i ' r g o l d e rc o r d u r o r l o r t ' t r t t h r t rt for lYing do\ur. n g e rt h r n r h c o l d o , r . . l : l ( , r h h o u g h tr c t l i ( r r s r h c . o u . h eviouso..up.rnts ol rhc old lvitat()n l() lic iu(hcr br.k. )w form $rNld tre !o rcr.lilr l l n eo n i t r s r t l l .

i s a p . r i e l a s e n r o t i o D a r e r c o o r s . a n b c f t r e h a n g c s n t h e t h e r a p i s t ' .o f f i c e . r n l o o t h e t h e r r p i s ts p h l s i c r 1a p p e a r a n c e , r l r m o o d s o r l i f e e u e n t s f t h e t h e r r p i s r . e v e n i f t b e p r t i e n t o n l v k n o w s r b o u t t h e s et h r o u g h i n t u i t i o n . T h e p r l i e n C s r e . c t i o n s i o s u c h d e t . r i l s\ ' h i c h m o r e p r o p e r l r b e l o n gr n o r e t o r h e t h e r u p i s r \ . lite.rnd sond rhan rhc plricntl, olten bring.t strorg emotionrl r<ne r) rhc rransiererce. I belicvc that tLcrc werc distin.t enrotioirl responsesn) this Dc$ g u e s t .r h c c o u c h ,r r d t h a t t h e r c o r r e l . r dc l o s e l \ ' t o t h e e n r ) t i o n . 1s t r t c s $ h r . h cheracrcrrzcdrhesctranslirence counterrinsierencc drnemics. I dctectcclthrec u r n r t i e l c m o r ( ) n . r 1 e s p c , n s e(s n d o u b r e d l v! h c r c $ e r e D r ( ' r e )t o u a r l t h e n e * r o c o u e b :r e r e e r i n ga n l b i r . r l e r t i . r n de m b r r c i n g .T h c s c s r a n c e s f c o u r s ec h r n g e d ; i e n d e v o l r e d . e s p e c i a l l !l o l l o a i r s d i s c l | s s i o n sn w h i c h I u s u a l l , i n r r p r e t e d s o n i e t h r n sa b o u t . r p d t i e r t \ . r n x i e r , ! \ e r h o \ ' 1 D r i g h r . h a n g c n o $ , t h . r t t h e o couch had enterrd the office. The clues Io rhcsc dccp cmotrrnal rcsponsesto u t h c n e \ \ e l e r n e n t n t h e h o l d i n g e n v r < , n m e n t c r c d r i i e r e n td i s c c r r i b l e . r f f e c t s : i e x p r e s s i n gh e e n b r r c r n g ,r e f l n s c , c x c r t c m e n ta n d c u r i o s i t ) ; t h e . n r b i v . t l e n t t r e s p o r s e .s t r n i c r n d s u r y r i s c ;t h c r c j c c t i n gr e s p o n s e . . r n g etrr n d i e x r h c h o i rhele raifcrs garc r Jiffcrcnt melntrrg to the couch. *tich .rs r rnre slnrbol could not harc a sirglc,fixrd signilic.tti(n. I h e e r . r m p l c s h a r c o i i c r c J h e r er e v o l v r r r o u n d . r n e \ r p i e c eo f t u r n i n r f cr h r r I c o L r L < . r s r l rh c p c r c c i v c da s i n t e n d e dk , r r e . l n r i n s . r r d r s s u c h .t h c s l m b r n , c el r e r r i r o r r r h e r r r r s r c v e r l c c lm a k e s i o r . r n i n r r e s r i r g s r u d y o t i n r a g i n r n o n . nrcaniigrftriburion, and rflcct rrousal. M-v rcsponsesto rhe couch t I h r d r n c o u n t c r c d r l r c c o u c h a s r t h ( r . r p e u r . i n s r r L r m e nd u r i n g r p c r s o n r l mrllsis shcr 1 las soncwhat tioungel rir\ m()re re.enr.lungirn inrh!\ o c c u r r c J\ \ r r l l N r u s c o i a c o u c h .t o r n t c , t l t e c o L r . h$ . r s . r n e \ c r r i n g o p n o n r l u r s t n r c d t o b r u r g t o g c t h c rd i r c r g i n l ; e s p c c a o l n r \ , ^ r r u r r l t r i c c x p c r i . n . c s . I r e l s o b c c e m cs o m c r h i n g h a t i f l r r c n t i . r e d r r c i r o n r n r r c u r r t n r r n r l \ ' s r . p c | h e p s t r l i r c r r l s t p p u r g s t o n ei n t o r l i t d i v i d u . t r i o n . t s . r n r n r l t s t i n t r r i n n r i t . I h r d l o u n d t h c . o u c h e s p e c i r l l vh e l p i r r li n r d d r c s s r n gs s u c s r e h r c d n , i t r h i l ) i r i o f i ! . s s e l f c e n s o r s h l pr.n d i s s u i r r h l r u c f c R ) r . r ! p r . . r l o t n r c l r r o u r s c r n l . r r . I i n \ n r o r t r t c c n r . r n r l ' s i s , n o t u s i n g t h c c o n r h r n d b c r n gt r . e t o l i ( e $ , c r c h o $ $ r r b c n c i i c i . r l p . r n i c u l r r l y r r r , t r r d r o p i c sr h . r r J c r l r s r r h n u r n c . r r r c x p e r i t n c c , r i . f r r c t o i . r . : e r r l . l 1 ,i s r e i l e c t e d y m . r n r r r r t l l , n t h r r I c i r c J c r r l i c r I l s o * i t h o u t . s h t h c c o u . h I ' c i r g p r t s e n t . I f o r r r d . r * r vt o r c r l n c i n t h i s r n r h s i s i r t r t o r t r v . t r ' S i m i l . r rn , m r f i n c n t s . I a l s o h r d r r r n g c o i e n r o l ; o i r l r e r c n o n s r ) n r ) n . $ . o u . h . l h . h r l l . 1 a \ ' . 1\ r s s t . r r t l e d v i t . i t l o o n r e dl , r r i r , .irh i n l i i . i n n r r f s \ . h c . \ b Ird I \onJcrrd ho$ I nrightgcr rid oi it. \\irhrr r \!..k, I hrd shihtd rntir rn rmhi\ r1.nr ph.rse i doubt .rrcl(ipiimisn ]boui its lhcc in nry rrrrk. lhc o d o u h s s r c m t d r o e c n r r co r h o r v I t h o u g h r r h e . o u . h t r i g h i b c i n r c r p f t r . d , h , c r r m p l c r t ' c r r r r r i r r r < , f h z i n e s s .s t x u . r l r r ' . . r n d . r n , , l d i . r n r o n c d ! r . f c ( , r ! p r

)m th.ce oi nrf prlicnrs. I t h e i r n e c e s s r r i l rJ r s s u r s c d . s n t e r e s t h e ri e ( , e \ r n r n c t h e l o n o f t h e c o u c h .p , i n i c u l a r r k herapi,ts nos hos rintd

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p c r b o u t p s v c h o r n . r l v r i c r a c l c e . A l l a l o n g h o w c v c r ,I r c c o g n i z e d l c r r m o m c n t s o f e n t h u s i a s ma n d I e n ; o r e dt b e c o u c hr s r r o b j c c to f f a n t e s r .r m a g i n . r r r n ,e n d . e r p l o r a t i o n .I n v a s r i t e r a l l s o m e t h i n g o b e c u r r ) u s r b o u r . : r n d I i D l i i e d o t h e r s t . t . h . r - e r t < r . ' s r r r h o r r 3 h ' r n t J e er n g s . r h ' , u tr . i r l r m v r n r l v r i c r r i i n r n g . r h e c o u c hh a d b e c nd i s c u s s c o n l r n r c l r ' . s o l d i c lh a v c d snc anrrcq ebout hou l Nould hcgxl to usc it. Nlorc to the point, sould I p h a v ct o r c g u l a t e h e e o u c hi n s o m cn a n r r e r . l i k er t r . r l nc o n d u c r o r t e l l i n g r r i e r t s t ir) mrrr: t'ou get on. but not roui we rre he.rdingor'ard th;s deni.a(ion, not t t h . r t o u c ? T h e i d e . 1 h . r t I m i g h t e d u p t i c k e t i n gt h e c o u c h l e d t o r r e r l i z . r r i o n t that, nhhoughI could idenrifl certair prtternswirh diilerert pitierts. IcoLrld n o t d r . i d e w h o w r i n , , r . r b l e o u s et h e c o u c h . r r c l* h o $ . r s n \ . r n . r n o r et h . r n I r c o u l d p r e d i c th o w t h e c u r c h w o u l d b e s y - n b o l i z e cIl .* o u l d h . r r et o r c c e p t ,a s I h . i ! e i n n . n y o t h r r . r s p e c r s f . n . l r t i c p . r c t i c e ,r h a t I r v a sl e s sa c o n d L r c r otrh r r o r . r p r s s e n g e t a k i r g s e v e r r lr . r i n s a d r y w i t h u n k n o $ r d e s r i n a l i o n ! . T h e c o n d u c r o r i n r . r g e n d i t s . r t t e r d a n r r n x i c r \ ' $ c r c r c i l c e t c r li n a d r c e n I a h r d d u r i n g r h e r v e e kr h a r r h e c o u c h a r n v c d : Inrnl ,r'seli n, ronJu.rii\ urii(,m,nr J {r.if goifg il(in \unn.r rr.'.llifB s $ r i i d r o $ r . d 5 o r t h ( n ( n i n i i ! o r m . r ' b c S $ i r ^ y l d i d .\ i ( o p t . t i r s . l z b ! 4 1 . f d r b r n c h. f p r $ . d g . 6 c o i o r a r o n c . .i n J I N . s r y n g h . h c . k . r n t lr r n c h i l , . l l n r i c k c r sn r l n 'n r i d { o t h c r o n i u s o n .1r v o n l e rd u t I r v o u l d o t b e : h l c r , g e tr l l t h e s c tickctr vrl rte.l rn,l *rll be \urc rh.{ $er\orf $.rs gorng''lrctr thr, .eed.l k' so. r h c u p h o l s t c r c d c r r sr n t h e r m r n c r r h a d t h c s r m c p r r r c r n r s t h c f a h r i e I h . r d s s c l c c t c d , r n r v c o u r h . I h c d r c a n rh e g a ni n A u s t r i . t ,F r e u d - s o u n t r r . a r d r x , r c d n c t o s e r d . J n n g s r . r n r o r ! : r h r s r o u t e r a i s c dt L c l e r r r b a r I m i g h t n o t b c . r b l c t o n c g o t i i t c t h c r f a n s i n o nr o r o u c h r v o r k i n r p r r p t r h i n i o r n r e d. r r d i n d i ! i d u L r l l ) n r r n c c d s a v - S i n . c I e D r r f i c l i n g - n r u i t i v c t ; p e . t h e c o n f u s i o no f t h e r l r e a r t s c c n r c c lo p o i n t t o t h c a r e a so i t h i n k i n g x n d s e n s r t n r n t h r t i s . o r g r n i z r t s . r n d t . \ c r i i r i n g r h c t h . r r p c u r i . c h o i c c si n a r a t i < n a le n p i r i c : r l s e r . \ l ) i n r c r p r c r i n gr h c r l r c r m a l o n g t h r s e l i n e s m r d e m e . r \ . r . e t h u r p e r s o n . r l r v p o l o g v i s p . r r t l r r e s p o n s i b l ei x t h e r e l c t i o n s o i r t h e r a p i s to r . r r . r l v s tu , h o t d e c i . l e st o u s e t h e c o u c f . A \ r r e s u l i o f t h i s u n d e n r r n d i n g o f r r r d r c e n . 1 r e . r l i z e ch . r t m ' d e c i s i o n o u s et h e c o u c h ,r v i t h i r s c a p e c r n t o b c r m u l t i r e l c n t tl t s r r n t ' o ] .w . r s p r r l ' m o r l v r t e d h r r n v d e s i r et o l s e m o r e o i m r i r e l i n g f u n c t i o n v . r d i n t L r i t i o nT h i s c h o l c eN r s n o i p r i n r t r r i l , n b t i r e t e d b r r d c s i r ct o c n h r n c c . n r ) t e c h r i q ! e ; r r t h e r . i t s e e m s o h r v e b e e nt h r t t h e c o r r c hc r c r t c d n r m c v r m c t f r e e d o mt o e r p r e s sn p o l o g r t h r t I h a d k e p t h i d d c n f r o m m r s c l f . V h e r t h e c o r r c hr r r i r e d . h o r v e r c r . l t h o u g h I s c r r e h c d t h c l i t c r r r u r c I f r r n d e n o g u i d c h n c se s t o r h r r a r t c l l n r p a t i c n r s .t o r c r e m p l c . r l n r n c o n e w i t h r p s r c h o r i cc o n c l i n o nw c r c u r t e r c s t e Jn l l i n g d o w n . r v o u l d I . r g r c e ? \ \ ' h : r t i f i vnconc rvrntcd ro usc n intenrittently, rvith on d.rvs .rnd off drvs? These s e c m c ctlo h c t e c h n i c r lq u e s t r r n s f r h e s . r m e h v o u r . r st h e c h o i c eo i w h e t h e r . r o f drcrm gcrs discu*ccl or not. I inrigined thrt if I coulcl gerr .rccess ho'r, other to r h c r a p i s t s c s o l r c c t h e s cp r r b l e m s , I r v o u l d f i n d d i f f e r e n c e s. e n e e n I ' r e L , d i r n s r l i a n d l u n g i a n s ,a n d n u r h c a m o n s t r e u d i a n s. r d J u n g i . r n s .

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wever.I recognrzc,lcle.rr momcnts object of fanrr!r. in.tginitior. rn.l r curious bour. rnd i ur\itedorhcfs r d i s c u s e do n l i f u r e l . s o I d i d h a v c u s ei t . N l o . e I o r h r p o r n i , w o u l d I t k e a t r a i nc o m l u c r o r e l h n gp a t i e r t t s this dfsnnati(n, Dot a d i n gk ^ ! a 3 ! i n gt h e . o u . h l c d r o . r e r l i z , r r i o n rns with diiierenr t.rflcnts. I coultl h andwho srsni. enr nore rhan I ' o l i z e d . Ir v o u l dh . r r ct o r c c e p t ,r s I r c e ,t h a r I w . r sl e s s . ( ) n d u d ( n l h r r d unknorvn esnnrtLons. nxietr !!er r.al..rcJ in r drerm I r t r i i n g o m Bf r , t I \ u { r i . r r . . r r t l L . A \ E SB,tzerh.d\. r,)frd.rr \il7h,,rs d I wis q ngn).herl .rfd r,,n.h rhl t h a rI $ ! o L dn o t b er h l er i ! . r r l l d t \ l g \ : w a s o i n g v h e . .( l r ( \ n c . d . . 1 r )g o . hcsanpirrem rs rhe irbric I hrd m s t r i r ,f r e u d s i o u r t r r . . t r . l n r o v c d re lerr rhai I mighr ror l.c rblc tir r p r o p e r l v n n x n , e d, r r d i nd i i i L l u l l i r ' t , v p e ,i h e . o n i u i r o n o i t h c c l t t ' . t t r r I s e r s i t i o n ,t h . r t s . o f s r n i / r r r c . r r d llempiric!l $r\. m Lnes edcm. r$.ri( tnrl fcr!)r.l ionsof r thenpist or rnrhsr *ho o his underst.rrding i nr\ drernr. I v i t h i t s c . p r c L r \n ) h . . r n r u l r i ! . l r n r t o u s en r o r eo i m . i t ( l i n g a u n c r i ( r r y moti\rred hr r Jcrirt ro.nhrnec e r h a rt h e c o L r c h r c r r c d i o r n r r s o m c : h i d d e nf r o m m r s e l i . l t({,nd gh I seirche'rhc l,Ie r! l r u s .f o r r x r m p l c . i r n n . o n c $ ' i r h i n g d o r v n ,M r u l d I . r s f f . : v r h . r l i l witL on d:r\s .rnd ,)ii Jr\!: Thc\. e f h ' o u r r s t h l c h o r c t, ' i . ' h e t h c r r o r i ( I c o u l t l g a i n , r c c c srs h i n r o t h t r f i n d d i f f e r e i . e sb c n \ c c n f f u o d i r n s

H o s $ t r . * i t h n o r r f o r n r i t i o n i \ t r i l . r t r l rI. h a d t o i a l l b r c k o n r h r t t n n e d u r m \ o $ n | r L r c t i c e\.V h r r I d r c o r e r c ( l s r s r h r r I r a r c l y h a d r o i n t e r r e n er n f u r n s o i c o D d r . t i n s ' u n e o n c t i x v e r c lt h c . r p p r o p r n t c u s co i t h c e o u c h . I h c p r t i c r t s * h o c l r c t e dt o u s c i t , a t t e r o u r r t i s c u s s i n t h e i r a t t i t u d c s : r b o u t v u r gd < r i n a n d g I n c r c o r r . r s i n gt h c r r t o s N w h . r r e r r r . r r r t t o t h c i r t r r i n d s , y . n t h o u g h r h i \ e q n r i g h t t u n r o l t t o b e h a r c l c rt o c l o t h r n i r s r t n r t d , a p p e e r e d u i r c r t a d r m r r r i o o u i t h e n e N m o d . r l i r y , n d e e di n t u i t i \ e l \ r r i t e d i o r i t r n d c . r p . r b l r t s c e l r g i r s m b e n e i i t s . r l m o si r m e d i r t e l r .T h e p . r r e n r s h o c h o s et o f . r r e l l t t l e t o d o s j t h r h e nc$ oftornrnirr likc$iscrppc.rtd to knos uhat thc_v crr iloirg. Thir l,rttcr u g f o u p o f t . r i i c f t s o f t e n c o m n r r r r r e d r t h e r e g r e s s i vr s p e c t so i l r r n g d o s n r l r l c o c r p r c s s c d . rf e r r t h . r t t h e y $ 1 , u l de \ p e r i c n c c . rl . r c ko f g r o u n r l i n gt h . r t .I t h r i L r g h r . rould perh.rps e reilective i derr nrre irril ego strLrcftres. b o \ \ h . r . i s i r m r ] - .l x s o m e $ i n g o i . r n r n i L r r i l e l e r p t r i s t r r e t h r r ' r h e p . r r e n t k n ( ^ \ \ h l s t . o r . s B r e b eI r e e - ) r e n r r r k si h r r r h e r er s r ' s e l ft h : r t k r o s r s h . r ts g o o d n r r r s c l f. r n r h i s . i r c u m s t r n c c h e n t h c c o u . h w r s i n t f o d u c c di n n ) c \ i \ r i n g u r r r . r r n ) t n r sf,. r t j e r r s d i d s e c n r o k n o q s h e t h e r l r i n s d ( , ! v n c ( , u k l h c l p o r h n J e r t . r l r r l r c l r r i c . r lp n r c e s sT h c i r i r s t t r r . r i \ c \ u r e r r c ! s , t h i s r e g r r e li s r n e r r n p l c . I n l , t l i d r . o i h o q t h c S c l fm r n n o n r h r r r h c p s r c h cr r t c c l sn r n r n r l v s i s o r r n r l r n c i p s rt h o t h c ra p r . \ \ r h a t t h c r n r l l r i c p s re h o t h c r p i s t n c e J si n t h r t r o r k r l v r r c c m s r o b e n u r i t o r c d b r t h c S e l i . R c i l c . n n s o n m r r c s p o l s c st o r h r r o u c h r h c n r t .rrri\ed.u)dnr\le.trrtingcurrcirrrclrinsonupsrchothcrapcurirallrhrsltrlme 11, rlir\e ih.,r dt Sclli,rilurn.edn\ rqo lons.x)u$css l() i.quire r .ou.h tor b i r \ i , i t i * T h e l c . r n i i r t i t h . r t i r \ c r n r . d I n c t ' l c d r o r c c l u i r cn . r s t h r r r h . . ( N . h s v n h o l , r e t lt l c r e h r i r g , r e l e r s i n g . n d l t r t i n * g o , n c g o d r i v r i m , ) ' r ( ) r l r ) s . r ' r d r i ilourctl. nther..r. iniriri!. orilr th.rr thc rnr,rgernd rffects cri'.rredr mr s i rLn[r] qork worlJ bc ierdorrtrs n{JcJ tor irsdclclof,nenr. B c c b ct r g r r r c o n r n r c n r s : l is { \ i l ! n g r . n ) . , i , J l \ sn \ l c r r o n t h t l . . , J L , id { r , , i t l , i \ . o , t L , , v r s \ . h ( t h r r . , f Ln u . d . ^ i i n d r n g h . { . f t ' . ( . r n i i n , . ! r i . 1 . ,l . n { , g l , rt , ) g f r h di f r h . r , { i n r u . r L , n( i l r i n r . i r rr \ . \ \ h . r . r t l c . r i n ( l i m i . r . . r r e n r r , a l . . l l . r r l h f r \ f . L s c l . i \ . ( 1 . . r . . ( , ) r( i ( . ! \ ! r i h I N { e , i ( r r l r f r r i . r r i t . s , n t h e L . t . ! n n \ r f o \ c r o l d r c l \ v L h r d r . r rJ u n ..:r L l . d . . i r ( i r l f ( l r . n it h r l , r o d r ) . t h f \ f l r . f t J , t r . r , , ( r ) , , r ( r t r l r f r l r r ,. n i r i i . . r r , n n $ ' , ^ i . . i|1.rrl rir I t $ , r i r r r h i i \ e i r r h l l I i . r e r f . ri / e d r h . r J n . r s r , ,ri( . l i r i , r ! :r c P i i \ f n r . l l \ r h c . { i u . h r ! r . o m f . l l r n g s } n r b oo i t r u . t r r r h r n r n c n r t t o f t h t p s r c h o t h o r p t u r i c L p r o t c s s . I h c . ( , u . h i c l r r l i f . r o n r t r s s o n r t t h r n gt h r t h r t l . r s s r t i . r r i r r r s r t h s f , r f \ f ' . r i . n ( c ( , 1 i r . n t r c r r s o t r n r L r ' r . . p c r s o n a lJ c v c I D n r c n t r r . l r n r l r r c l r r n i r i r . I ' t r h t r p st h i s 1 sr l s o * l . r t S i t g c l r r r . rIr r , ) . ) o )J . s ( r i b c ' . r \ ( o n s r r u n r g . r s r n r b o l i cr r r i r u c l cr h r t i s l o t . r r l , i r r u r r . r n r lr c r r r r i r r s p e r rr o r r u l t i p l r r c t e r c n r s ' o

Rab(rt L l\nlinski

Th. u'eek the cou.h dl

My patients'ongoing

responses to the couch

\Ydr,1i1lg "p ro thc Llitrh

The rzrrdcrz.q rcrcrrn ro the couch engrged curiosit!, phr iul ianrares, rnd e r p l o r e t i o n o f i r s p o s s r b i | n e s .\ I s . O . t r r i i r s r h . r d r n . r r f i r u l o r t rcryrnsc t o s ' : r r dt h e c o u c h , r h o u s h s h c q u r c k l y s h i f r c di n r o e m b r r c i n g i r s p o t e r i a l . S b c { r s i n i i i l l h s t . r r t l e db r i t s p r e s e n c es a v r n gt h a t s h e i e h d i s o r i e n t e db r t h a t , . o u c h . ' l ' r c v i o u s l ,c o n s i s t e n itn $ h e r e s b e s a t , s h c w a v c r c d b c n v e e r s i t t i n g o n v rhc couch,rs she hrd on the old sofa, and sitting in rhc chi'r. She found ir r Ji l i c uI t t o c o mp r e h e n dh e r r e r c t i o r s b e c a u s e e r a n x i e o . e p f c a r e dr o h e r r s o u r i h of prrportion to the change. \\'hen I urrndcrcd al(rd (, hcr la she \,lls possiblv a f r a r d$ a t I m i g h r a l s o c h a n g ei n w a r s t h a t f c l t s r r a n g ce r d u n r n l c i p r t e d . s h e c a l D r c d o u r c o . s i d e r i b l r . r n d s o o n e x p r c s s e dn t e r c s ri n h r n s d o N n . d i D e c i d i r g t o t r r i r . s h c s u b s e q u e n t ry m r r k e dt h a t . r h h o u g hs h e d i dn r s s s c c i r g le m y h c e , s h e f e l t n r r c m e d i t a r i v e . r n d r e a m l i k e w h i l e l y t r r st h e r c .S h r b e c . n r c d e n r h u s i . t s t i c a b o u t l v r n g o n l h c c o u c h d c o n r m e n t etd . r ti t n o s s r e r r r c d t r a n g c aD h s t h . r t s h e h a d c v e r m i s s c dr h c o l d s , f i . S h e s r i d , l c o u l d o r l r s c t r h r r o l d s o f a I o r h o w w c w c r e t o g e t h e ar n d I r h o u g h t I w a s b s i n g r h . r r .B u r r h c c o u c h r s .r new opportunrrvi nurhc a war ro gnnv into sonething I hrdni imaginccl, s o n r e t h i r g . r b o u h o $ l r c l a r er o D r ! u n c u r s c l o r s ' .S h es e e m e d i l l i n s t o a c c c p t t s t h e d i f f e r e r c eb e c . r u s r t g a r c h c r h o p c t h e t s h r c o u l d l e r m . r i d d i s c o l e r n r $ i pr rts of hcrself as a resulr oi r .rginarion anl fantasr,.And indeed. thrs occurred as Ms. O. lrcanre .*rrre of .r nruch y-oungerpan oi hcfselt rhar shc refetred ro a s t h c s i l c r t y o u r g o n e . S h et h o u g h r t h a t t h i s p a n o i h c r w a s r o u n g e r r h r n f n c , e n d t h a r i r r e p r e s e n t e d p . r i n f u lr i n r c m h c r l i f e r v h c n s h c h r d f e l r t h a t r r h c o n l v r v . r vt o d e i e n dr g . l u s t h e r r l r l l r h r r ' s v e r w h e l n i n gi n r . u s i r c n e s s l s r o o w c $ ' i t h d m r vi n t o s r l e n c eI.e \ p e n e r . c d . r( o u n t e r t r r n s l c r c n e r c a c r r n c o n s i s r i n g f o r h c s i t r o n t o s p e r k r s I t h o u s h t r h . r tI w o u l c li n r c r r u p th e f t l o $ o i . s s o c i r r i o n s i f I i v c r c n o t c . r r e i L r I . * o n d e r e di i . r r r s p c r t o f h e r i n t r u s i r r m o r h c r h r d b e e r l p n r j c c t e ciln t o m . . \ l s - O - N o r n e d , h o u e v e r , t h a t h e r s c n s t o f n r h c i n g l c s s i n t r . r c t i v c h c n s h e h r o D r h e c o u . h w r s I r e m i n d e ro i i e e l i n s . r b . r n d o n eb r w d h e r f r t h e l r h o h r d s c . n c d i ( , e m b o d v m a r c r n r l c . r r i n g .) e t h e v u l d l e a v c l o r k , n g h o u r r r t r < , r [ . r r e a n r n gr h r t s h c l , , r s $ e n l e i t . r l o n eu i t h h e r n r i , t h e r Iring on the coueh t'crrnre r rehiclc nrr Nls. O. to iird I roice. quiet rrcl n , o u r r ) t u l ,l o r h e r u r l i l i i e c r p c r i c n c c su r t h r n u n c . r r l n i t n r . r l e r o l e n r n o r h c r . t r n d r rl o r i I s f r t h c r r h o s ci b s c n . c sh a . ld c l i v c f c dh e re r e n m o r e i r r o h e r r r r o t b c r ' s

were mcctingnultiple to ln.orPorare cou rhe sessbnlving down,th onenrarion. anbiv his sexualimpl'carions t of dcsoibed hi! resisr:n

-U. B. subsequcnr ol rhc arivrl of theco

I n or thet,p floorofa c$5. soneoncisrhen sensors saferq fi.r ror I t h e r ' t lb c o i u r . I r e e I ll So \yrlk s'irh him ir

As hc associated the r to closelr ar rhe couch: 'l astonished ro find him! couch: 'h\ like a New replr rhrr I uonderedi rvith mc: he could bc pJ enough to turn rhat thr b a s i st h a t I h a d i n t r o d u thc.c Nrs i third possi r n c a n r l f r r c P r o c e s s !s a room in the drcam. As se drscusredhis thc couch: that rs he as ' t a l k i n gg i b b c r i s h iiketh the gooh gu!, and he th e r e n f o r p a r t so f h i m t h thoughr rhar rhe good v a nes pcrspectiveon o horv he vished to let hi was irnpoxible wuh hir men. In nr_\' counrertran how riskv rhis situatio i n t i m a c r a n d r h e f e a ro I

Up nnJ lou'/' t'ith odc.i:n,1 l \ l r . 8 . , t r g . r r -n u n , b o u r r e r L o n t o t h c c o u . h r n L l c \ . h i n r c d . ^ - i c e c o u c h l l S o , ! o l | ' r { g o i f g t l i e ( r r d i t i l D . r l s h r i r r kr o u t c , c h ? . l ) c s P r c h i r o l e n l r u p l t r r r c m r r L s , M r . B . n r . r l n r . r i o e . n u r r d c r l r i n ga z n u l z r r r r h o u r t h c ' n e v c o u c h . d l l c r u n r i n . t e do r r r t h r . h o i c c o i * h e $ c r t o l i c d o i v n o r r o r c m . r r r f r r i r g . V t r

O t h e r p a r i e n r sh a d a r expressed as anger, par room's contents (includ

Robed F. Tyninski

The ueck tbe couch arrhed

6st

rio6ity, playtul fantasies, and ^n ambhnlent rcswnse d sbracing its porential. She At 'felt disorienred by that |.nvcled betweensining on g h the chair. She found it aiety apFared to her as out ud to her if shewas possibly qe and unanticipared, she r.3t in lying down. rdtbough shedid niss seeing rbilelying there. Shebecame d that it now seemed strange couldonly seethat old sofa xing that. But rhe couch is oething I hadnt imagined, ibc sremed willing ro accept uld leam and discover new ry.And indeed,rhis rxcurred f hcrselfthat sherefered to c of her was 'youngerthan life when she had feh that clrning intrusiveness was ro elence reaction consisring of lpt her flow of associarions motherhad been ! intrusive of her snse my being less tcr of feeling abandoned by caring. Yet he would leave left alone with her mottrer. to find a voice,quiet and rcaring, malevolenr mother even moreinto hermother's

were meetingmultipl timesweekly,and he opted ro rry varyingcompromiss to incorporate couchinto our work: halfa session the lying, half upright; or a session lying down, the next sitting. Consistent with his extroverted sensation orientation,his ambivalence was enactedpradically and physically,and the sexual implications ofthe new posrure wereeasy him to access. accurately for He described resistance lying down as basedon the feelingthat it made us his to Mr B. subsequently reponeda dreamthat he relatedto the effects hinself on of the arival ofthe couch: I'm on thetopfloorofa three srorey boilding. There a.windows arou wilh sood all views. Som@neisrhefenypartnerThere's as adaybed. Someone's insralli.s morion \eni.h for efen. I frndrcmerh-ee dimenlon,lrr(h"rc'\ 'cale,for mear;inp.and
they'll be of us. I seea soofy guy across strei ralki to hinself. I rhink maybe rhe ins I'll so walk wirh him in rhe park.

As heassociated the dream,he identified asrhepartner, to me andrhenhe lookd closelyat the couch: 'I can't believeit - the day bed. it's this couch!,He was astonished find himselfenacting 'clich6'of dreamingabout his analyst's to the couch:'It's like a Nera YorAer canoon about a oatientand his shrink'. I said in replytharI wondered hemighrheconflicted it abouiihe po<{brlre. of inrimacy wirh me he could be pleasantly surprised the idea,but then atsothreatened by enoughto turn that thought into something canoonishand laughable, the on basis that I had introduced analyticstereotype the office.I indicared an into rhat therewas a third possibilitysuggesred his dream:a more enablingspace by for the analyticprocess, synbolizedby the higherlevelofthe open,comfonable as roorn in the dream. As we discussed dream,Mr. B. discovered his anotherworry he had about the couch:that as he associated more freelywhile lying down, he might end up talkingsibberishlike the goofyguy'.I asked about Mr. B.'sgoingfor a walk wirh the goofy guy,and he thoughrtharthiswas an expression ofsympathn possibly evenfor partsofhim rhatcould seem coherent,lss put togethe.. B. less well Mr. thoughtthat the good viewsofhis dreammeantthatthe couchcoDldoffer him a new perspectiv our work together, on and he beganto speakopenly about how he wishedto lt himselffeelcloserto me, something that he had rhought was impossible with his remotefather and only very difficult now with other men.In my countertransference aftectionfor Mr 8., yet I alsocould sense I felt how risky this situationmight feel to him. I was aware of both his wish for intimacyand the fear of it, and the couchhad become ptacewherc we were rhe working rhis out. Notuy Other patienrs had a more orcrtly rciecring .esqse to the couch that was expressed angeq particularly over their loss of conrrol of the consulting as rooml conrenis lincludingme),asthoughthe new couchimpingedupon a need

'Ni couch! d exclaimed, Despite openly upbeat his t as abourthe nw couch. vn or to rmainsittinS.we

654

RobertF. TYmitlski

The uee

sprceq hereinrrrps)cht irabilirvin the theripeurr': unchanging ro exoenence

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Discussion

phltical

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:;:::ii*:';",":["'""T::: ::'ji?E*:1"i" Hl;l?$i'.TJ :T:;-fi. ''Sv-Uot""nd th inrerpretarionof &eams' .."."
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Robert F. Tltn;nski

The week tbe coucb arriued

65i

whereintrapsychic Lrtic space ears earlieralier a long series Bordeqobicted immediately 'the couchfor rhe fir$ rime. ytt anotherburdenhad ben on the chrir, which she had t usually deliberates carefully rernarked that sheappeared rt warningher of its arrival. : suspect rbar I had beenboth umpinginto rhe chaiq I also I againto aniculatethe way tn to how you navecome to it in to the room is upsetting Cecision'. listened, She eased l, yes,that really threw me!' lid not fit her picture of her rutacked the change,as if I by w our relationship shouldbe ctedunilaterally and seemed in Bstthe new ingredienr thc iiveher psychean honourcd I sething resignation seemed fher experiences the child as omto view them as useless, Ier seeming defeatover the of thisxpectation with me. nxietyabout the heat of her he gaveup on telling me her pistfor a bit, and I sr.uggled d also felt neglltful for not s I reflected our exchang on mpletely-surmised that Ms. the timesshhad beenlying a sries medicaltraumara of

Svmbok,likedreams naiu.al prodocrs, th.y do nor oaur only in dreans.Thev are bur .rnJppcarinrn,numberofp,y.hrmrnrfe,rarron,,rhererrelmbotr.rhouqhr,a refr,nts\.\Im&rt'cJLrrraJ\irur',,n..Jndr'oftentc,t,r\rtn,.ront)rt-eun.;n\ro o u (F v e n n a n , n J r e b t e r \ s e - e . o n .u r i n S i n r h er r n g c m e r r , f , 1 n b , , t i .p a n e r n , , o \ ,

0ung r96r, par..480) It seemsclear rhar the arrival of a new couch inio my office .concurred, with thr rran'ferrnce rounrenran,feren.e panern.. whichI hJ\e dewrbed. The pre\ence I heLouch ol \eem,'o hr!e fr. rlirlrd or erenar.elerared emeraenct rhe lCambray zoo: r of more\ i!bte rrrn+eren( rea.tion. e whi, h orheru iighr i,e haveremained obscured, dormant,or anticipatory. other words, Ior each"oi In th patienrsI havedescribed, and for me as well, the couchwas a catatvstfor our erpresson ranou\ rruruder of Jhourrhr rherapeurr. rejaronsho. The couchi\ of couheI hoJr) \,tsnirier rnatt\s rt,etf.Hore"er. ,,r .f henI inrrnduced(ou.h inrom) .lice. I f.und rhl rhe.ouch a be.rmed rrue,vmbolan emergenr symbolrharc;raly,ed ne" {gnificrnce\. lung clearly thoughr that the deconsrucrion of rhe eeo as well as an rccompnnying regre.,ionwere analyricstaplerregrrdles of rhe paI'ent\ pny\lcrrto\rnrr. l h'\ commentary the Ro:airn pirrurerrplate-r. on Jung l h i \ p N r u rre r . , { r e , p o r J , t . h o t u g n / r u a d a r t , r a r e . J , o a e n . J r i otn .r p o } h

d e ! o m p o s , r r 'o t r h . e ' c r e n r . i n d i L J , ed i \ ! o . , r r , o n n d , h c . o t J r , eo r r h r e \ A n n s n , J . . T h . c " l l a p , er n d d n o r r e n r ; r i oo r , , r . . r o r r r c , . m r r t a s te n c o n { d c r r b l e n r ! n d i r i ' o r r e f r h e r o s d r f f r u h r r a n , i f i o nr h r a n d t y { h r . r o d e r l n o r , with, demandins sreatest the parience, courase, and fai,t ." rt" p"n 6r U.it a.a.. {Junts q4b. pJrr. 476) I T h e c o f f i n - l ' k eb h , n r h i , p t a r eh a r a . h a p en o r u n t i t e r h a t o f a n ; n , :t y rr . . o u t h . I n e r ) I n g d o w n I n _ r h ^p L r u r e . ) m h o t i z e .r h e h e a l i n gp o s v h i l r r r e , f r e g r e r r r o n o I n r h e l o r m o l r J < l , n r n g o r r e . t i n , n go f e c r r . r r n s u a r r i r u J e r .t , , i , ; r , , o r e sunender of a kind of verricatity abour oneself in rhe world, and it seenrsrhat this idea encompasses core [uth aboutanalysis eitber in a chair or on a couch. a I h e d r n a m r \ m o t a n y \ J m b . t d e p e n d \u p o n , , \ c a p a r r r yt o r e f l < c tb o r h r n n e r a n d o u f e r r e r f r e \ r r r h e s a m er i m e .J u n g w r i r e s .. A s y n h o l d o * a o t d t , g u t s ? . i t t c . u . a l 5 t l m e r i r r l . o r i g r n a t .l u n g r c 6 r , p r r a . n aSrr. {long rhe,etrnes,.rn d n a t ) r k c o n c h . r , p o r e n r i a t l )i u \ r a r r e v e a l i n g r o b o r h p a t i e n r . r n d a n r t y s t . o f , Ine nrrure ot the anrtlrrc pro(($ r\ rhr dnaly\r\ \ummer \aLrrion r.eeIn thir conrextRossnert book entitled A,al/rr)! rhe frameoftbefi{ty minure,hour,. rhe reponingofdre:ms. the u,e,or drrrion nor to us.) p\).horropi. medr.arruns, and the attirudes toward the fees that we charee. O n e m r g h r a r g u e r h a t r h e a * o . r . r r r o n o f r h i . o u . h w r r h p s l . h o a n a t y s r rh a . been so successfullyapprehended by modern culture that ;ts semiotic referent, the couch, is now readily availa ble as a symbot deployed as part ofthe discourse

thatthecouchis a symbol een r95r, shonly beforehe died,

E Rabert lrminskl

The u,eek the couch t

discoursc S I ' t t w e c n p a t i c n t : r d e n r l t r i c t h e r a p i s t . u c hr v r i l a b i l i t v t o r s r m i r c l i c limiiation $c ure oi the couch brings i s q u i t c e p . r r rf r o m a n \ I i r e r a lb e n c f i to r coucn' ftr dre trcrtnrent proccss. ls a result. in nn)st caser' m) Fnerts 5r\r rnc r a b o u t I h i r I i n t e D d e J h e i rt h c r n P ) t correcth deduced har it mcantvrncthing rbout our o nriehr te, a",l then rtspondcd wrlh I faDtrs,v f shet it rignified if'"". a*-lr'-r thrcc such respoDsesthet rverc repearcd hv rrrn-v of rnv

into whl rbe couch I the pcr$nal srories( of berng on the couc inal,rsis borh on and .rnd ianra,ics rre stim ro frame this aspecto help to deepenan ap rhdr unfold if andwh

serc' I thulk' rl Those pxtielrtsrvho mrnifesrtd an cmbracng 'esporsr Grcerirg the couch sienallngto me thcir readinessfor mergcr 'rn d ro'ir'"'o holding il " ' l ' r l e ; i ' " " r o r " . . r c i . i n g t h e i r o p i r ) n f o r i n c r e a s c cn t u r a c l a n c l within orr rcl.rt()nshiP. t' rnd resentntnt :) The anbiv.rlenr rtsponse representedI mi\ture oi gnon dvnamrc torv.rrd the .rnelrtic procex nself' rvhich is root'd in r 'hallengnlg potrnrirl " of reercssion .a f'".'t''g. lhe couch rvasriewtd rs 'onrbnrirg c r v r t h e r c a t e i v u l n e r r b i l i t v l h e ' r m b i r ' r l e n tr e s p o n s c o n v e v e d rtcrelooment b 1 u s i n gt h c s u , , u . i f ' . t t f , . p " r i . * i . t w a r e n e s o f t h e b c n e f i t st o b c g a i n e d o s h a < tt o b e m e a s u r e d . r g a i n s to r n ec a l c L r l a t i r n t r h e e m o t i o n a lc o s t s couch 1'1 ' r c i e c t i n gr c s p o r o rr p p c a r e dt o e r p r c s sa p r i m ' r l f c i r o i t h e p t r r i c n tt h i t re!'tion sas t l ' e . " , c h * s . r " * p o r r h x t I N a s u s i n gt o ' r t t a c l h i m / h e r 'l h e rhat had disrnptcd i n r n s r r c o u n t e rr t t . r c k i n t e n d c dt o q u t l l m y r u r o n ) n r ! p t t h e i l l u s i o no f t h c p . r t r e n s c o n r r o l o f t h e a n a l - v t i c r o c e s r ' mantlest rh o h e : r c h f t h e t h r c e r e s p < ) n s e s .c i n t r o d u c t ( ) no f r h c c o u c h i n c r c a s c d b which $erc generated v a t i ( n r so f t h e t r . n + ; r e n c e a n d c o u n t c n r r n s f c r e n c c ' of the couch for c"h p'trenr\ s p e c i f i ci t r r i b u t i o n s m r d c r b o u t t h c r o l e r theraneutictlrlionshiP. or not The pe*on.rl dctclnrnants rhat sem signific'nt in the decision io usc on and off rhe couchi trPologicll to use a .ouch includc, personrl experienccs slrrki and ' f:rctors: helief in the holding c.rpacitv of the couch for regressive for psvchologicrl growth lhe crDch ..nviciu,n th.t it creetes opporrunities -^re rRfr \t , , r e n e dr L e r h i r . r r e r r r r . . , \ f r o ' m e l ' \ c i \ i n c m e l r r m r $ r i r r o rp' l . i p , . * . o * , ' f r r ' . r n r u r l i , n ! r n L r e e l r - g 'i n r 1 ' r' r n r l r t r c n ' u u " r r r ' I e r h frce me to be nrre full-r'rnvsell is -'l l.*l,lnu rt .t th. *. of the couch would and it wiry I boughr rt. I realize rhar this slatemcnt would nor b truc for orhcrs' reason to buv or use thc couch in iD.rlvtic ccrtllnlv is rot bv ;tsclf a cornpelling is verv persor:l' *o.t . i",. n an.. lap ,o underscorethet thc use of the couch interesting storu to tell ahout rvhv he or '.ould hare .rn a-t*i "',a ,f'"..'"." she <tccidedto have. or not to ha!e' ' couch in rhc ofii'e exlract It rrrisht be a lvorrh(hrle project to gather more ofthese slorresio try r() r h e n r n r t m i ! h r h ( l p e \ F l i t r r$ h r a t u l ! ' r ' I r I . , , n r - o r r n r r . o nr l r . i \ r ' r \ r r ^ m "i anil)'r\ tr.m t o r , ' r i c r l n ' r r h e . , " n h . t h e . , ' m o r n ' o no f r h ' 5 h " n r l n ' r r i e ' a l s o h c l p t o p r o ! i d e r n o r ed e t a i l e di s i g h t a;rr-oii "."t."ri. .'n,'"unities could :lhe

t)$ ch.ushenisdans , m p r i \ i s i b l c s h e zl e st c imonons fi !ftirudes.( rmplicaron\ tour lc tr co'nbine.are.dcsv d ..heri un diur pou c t r . c o n r ec e q n ' i l a ( rr.tirc'nenrs dat, en ou p l u 5 h . r b i r L , . l lq u i a p e! monr.r\ lcs ririldons receoron dr l'hisroire c dar..nntrnts tler!)nne uril;.tion ou pas.onn, p.6farcnccs l .nalyst de ir,nr un lgoifi.ri culr rtereotvpcs connus, ma darehrpcmcnr du soi.

Vcr:indernngen derih in Reaktiorcn der Paiien ftir ihrcn cigcncn einzig rers,e.en. \vcnn es sic Iftpl,kInnrcn fiirdieBe der Parentenund Parie ve ih dr (;qrrn!bural k . u i t e e ' n ea n r h t i s c h(e dicscrneuen cou(h in de cher Bcisprcle be$hreib 2urn.klreisend, ambiva und Fanhsienin bezuga BedeuNnsJer Couchi c.cirte.t. Persanliche De Couch rls ein B*tandt Praifcrcnzen Analril des

RoberrF.Tymqtki

The ucek tbe corcb arrh'ed

6sz

railability symbolicdiscourse for rtionthe useof rhe couch brings my saw rhe couch! ases, parienrs ,urwharI inrended their therapy ' of what it signifiedabout our were repeated many of my by racingresponse were, I think, Greeting couch rhe d.orirr.tto. ' increased intimacyand holding tureof gratitude and resentment rootedin a challenging dvnarnic viewedas combiningpoteDtial conveycd e anbivalenrresponsc :nefits be gainedby usingthe to lculationof thc cmotionalcosts a primalfearof the patientthat hitl/her Thc rracti{)nwas attack that had disrupted oyautonom,! manifcst' ofthe couchincrcased which werc gcneratcdbl rence, f the couch for cach paticncs :aniin the dcision useor not ro n andoff the couch;typobgical work; and a ouchfor regressive growth. The couch ;ychological g m prmission more treely to the analyticncounter. Perhaps :eerneto be morefullv myselfis ,uldnot betruefor others,and it buyor usethe couchin analytic rse the couchis very personal, of ng storyto tell about lvhy he or the offic. reof these stories try to extract to are t helpexplainwhv analysts personal stories ofanalysts from moredetailedins;ght to provid

inro why the couch has enduled.It migh( be p.rricularly interestingro know the personalstoriesof parintswhose rrearmenrs seerncd lounder because to of beins on the couch. Likewisc,personalstoriesof thosewho have beenin analysis borh on and off rhe couchmishr assisr undcrstanding in which .rffects and lantasics sdmulated inhibitcd by horva therapistor analystchooses rre or to lrame this aspect the analyticrclarionship. o{ the ibove inquirjesmar of All help to deepen appreci:tionof the changes borh patientsand rherapisrs an fo. tbat unfoldif andvhen thecouch actually arrrvrs.
TR ANSIATIoNS AasrRAcr oF Dcs ch.nsedenis dans lc licu de la thlrapre peurenrsusciter des raacrions inrcnses et impralisibleschcz les paricnrs,ch.cun d'eux arcc lcure propres pensaes, frnrasmes, morionset atrnudes.Quand lc chinsementest tris sp6cifique, lo6qu'il porte dcs et implicarnlnspour Ie tarinent lui mCmc,les rC.ciions de ces parienis peuvenrr conbinerave( desvicusplus profonds ransfc.r ainsiquedu ..ntretransfcrr.l. duteu. du a acher6trr di!.n pour son cabinerlo.squ'il a comnrenc6 fornation analyrique, sa et..conte ce qurl a observi des effets lusre de la prisence de ce div,n d.ns les Ir!,tcmeorsdejii en .ours. A pdrr; d exenplescliniqucsil dicrit les iiois riacrionsles plur h.bnuellesqni apparaissenr chezles p ,enrs:rejcr,.mbivdlen.,!.loprn,n. Sonr montics lcs ld.ianons iris richcsdars les idles er f.nrasnrcsrel.rifs au di'an. U.c re.enson dc lhistojre du divan d.ns les coniexid freudiens juryiens est faire. I_cs cr d6ierminan6pcBon.els qui pnventanrcner la d6c,sxrn considirerle diyan er son i de utilis.ibn ou p.s commeparrieintasranre l'analvse de sontresrrdsd! polnt de vue.les p.6f6.eocesde I'an.lysteet dc sr propreexprience divan. Le divan estdicrir comnB du itant !n si8nifi.nr cukurel du p.oce$us analrtiquse rappo.r.ri lon seulemen! aux ee.eolvpcscotrnus, nai aussi,i la d6rcnre li ci.arris.tion fsychologlque,insiqu'au et .lavek'rpemcnr soi. du

Ver:!nderunsen dc.rherapeutis.hen in timscbungkain0en inrensive unvorhe.sehbare und Redktionender Plrienrcn und Paiientinnenhcr-o.ru{en. die auf das ncue [lement m'r ihrcn eigenen einzis.rtiscnCeddnken, F.nbsin, Emorione.und Verhahen$veseo reasieren.v/cn. es si.h um eine schr spezifis.heVerandcrunshrndelt, die auch Inplikrtioncn frjr d ie Behandluns sichbeioh.her,dann an rerbindcnsichdie Rerkthnen der Pitienrenund Parienrinneh mirtiefgehenden t.tahrunsen in dcr Uberfagunsebenso wie in der Ccgcnnberrngung. Au(r -.k Krndidat oderAnallriker n Ausb,ldunq Der ( q l . , d r r c , n " r n r ! u . . h e ( o , . h t , , r, . a e P r J y r . n d b p ^ h J . l - . d e , i c ! . h J r B F J r u r u a r diese. neuen c{ruch in den l.ufendenBehandlunscn aus$irkie und zeisrc. Anhandklinis .hcr B.ispiele besch.eibr die dreiam h:infilrrn vo.kommenden cr latintcnrcakrionen: ^rdck$ ciscnd,.hbivalent und bceerstert annehmend- schrunterschiedlichen Dic Ideen ond Fania\ie. in bezus die dn,lytische aof Couchwerdenberchriebcn die historischc und BcdeutunB dcr Couch in lieudianis.hen und tung,anischen Zusrnrmcdhnngen wnd erct(crt. Pe6onlicheDcrcrmin.nten,die zu. Fnrscheidung fnh.cn kdnnren, ob eine Couch .ls ein Besrandrcil der Analysc benurzrNi.d, Ne.den vonr Smndptroktder l r J f c n , . / p nd r A a J \ r \ c r . r . 1 dJ e , . , c . r . n I r f r h r u n S , r J , I r . , r , , t - ! r - r h r e r .D x m

6jE

Kobeft t. tJmtnsRl

The ueeh the coud, afti&l

diskuden, in dem kulturelle Prozesses Couch wird als sisnifikanr des analvtischen b.ziehen,$nde.n auch aul Bd.'rrunten sich nicht nur auf v.n.aure stereorvPen Heiluns aod SelbsNeMirklichuns. Dsvchi$he eli.itarersposteinrcnse imp'evcdibili Possono Cambirmentinell'ambient.terapuri.o (he @si*ono rllora ir nuuvr elemrnl ton ' p'oPri prN'nrli dr Dane dei prlrntr, e 'o-p,,nr-.nn ".,.."r *".'*,'- r,.,'". Quandorlc:mbrrmenroe moho specifn" di le c"nporta implicazioniPer il totiamento s(esso, risposre questiPaz'enn e ouando pin p*s,rnn unl.ti inrotn" " esPericnz. P.ofondedel $ansfert o del cont'ot'ansfe'r' per un i.'a,'t,".. qu,"d" "ra c"ndidato e enalistain trainins, acquisrd lerrinoanal'tico di ci6 che questonuovo lcnino sisrifica!' Pr ' il suo stuiio e osso,; lo sYiluppo .rinamfnd in cors. UsandoesmPi clinici, esli de$rNe le t'e '6poste Pii comuo' de' V.nsono de$rine le ida e lefant'sie rilthc pazienti: rifiuro, ambivJeua e acccnazione. vienerivista la storia del le ino neiconresti li varia,ioni .elativeal leirino analii.o e ponarealla decisione* usare prsodali Potrebbe che (.eudianieiunghiani. Determinanti dal considerate punto divkra delh prefer'nre p*t" adt "nalisi ven6ono ".i.tti"....i esFricu dellcttino.ll lertinovi'ne di$uso in quanto e dell analista dellasuapcrsonalc ' cukuraled.l Proc6so.nalnico! che incorporaresre$ion', 'ilassamenro il sienifican.e fiss,ti esoiciPre.cdetrremente r;linare de8lianaccam.tr.i imP'eds'bles etr Los cambiosed el entorno rerap6urico Puede' dcs'ubrn resPucstas elcnentos con Pns'mcoros' iaDta'as' a ellos reaccionan lo nuevos lc Daci.ntes. emciong y conducrrs,.s.os $n Propiose idividuales Cuando cl canbio es muv en y Pa.ael ffaramiento ti mismo'lasresPuestas especifico,cuandoconnor. inplicaciones aun de etos pacienrc puedo estuaurarse ahededorde experiencias mas P'ofundrs El conttauansferencia autor' como andidaro o y de la rranderencia asi como en la quc analnr. en enrremnrnro, comPr6un divttr analiricopara su oficinavobso6 lo esiedivin sisnific6parakBtrarmienros.xistntes Medi'nreel u$ d' eiemPlosclini'os' Rshazo' ambivalencia' que desnbe las t.es rsPuestas curcn con mavor frecuencia: vrnedrd de rdcds, rrntatJt en rela\i'n (un (l la v .omororns.'. se deserrbe riqursrma lv r " r ' i ' - * d e l r l * r n e n e l c o n r e r r o f r c u J r r n ou n B u ' ' n os e c o n s i d r r a n il,',",'v * *'para usarel div:n como pa'te del analisis pesonalesen la dccisi6tr los deterrninantes d.l ,iesde plunto de 'istr dc las pref.rencias an.lisra v la expe'ien'ia per$nal con el cl divin. Sedi$ute eldivin como sisnific.ntecrlru.al del prGeso af,'liticoque incorPort del resresiva la delinaci6n de las ataduras ego fiiadasp'eviamente a la respuesra )

Fo.dham. M. lreTE). l.ryi'/t Chichesrff & Ns York: Jobr Freud,S. (rerl). 'On bginnin lreto). Ciuilitltiol and i4 Goldb3rrer, . (r99t)..Thc M Psy.hoahaIyI i. Qundlh 4 Crot5rin.J. S. (r9er). 'A dr.. Inqunr, t j, 196-1ot. 'Th. .!d Jacobson, c. t r eer ). J. In4uiry. I j,, to4-r1. Jing, C. G. I teo6 19$1. Fh.d ( r ra6). 'Psycholog,,of rh. l -(re6rl. Symbolr andrh. ir \ t96 t). Mdon6 Dt ,,ttt )

lr979l.,Geldal t'td.t to a Langit, R- | | 97 jl. The T..ht\i4|. C-n.a. t, TheoI eti.al kataat Thmpist t I edEn i6.lW. ticht flb..8, J. D. lreerl.'Foq end wirhout rhe couch'. Prrd Lipron, S. D. (re77). 'Thc rdvs the R.er M.an'. lstdtutional h Moranis, c. ( r ee r ). 'Th. colrf, |

Ogdm, T. H. (1996). 'Rccoo I"tdatr',ul Jourial of Ptrd, Rossner, (re8l).,4!s6t. Ncw J. Schnirzler,A. lteg9l. Fo// la Fftt rror). T.ans. C.R. M|l.lL Schnittcr, A. (re22, ori8. rgot)

Shamdasani, (Ed.)(rr95). Ar. S. o lb! Mi.hael Fonfhanl.It lz@jl. luae aid the Mtl CambridSe Camb.idsc Univ.r SieSelmad,E. Y (r eeo). lr.r.pr(

Thonpsotr, M. c. (r994). Tr, ti R"dl. New Yo.k: N* York Ul Iqolf, f,. s. ( r 9r r ). 'Brief not6 orl Acknowlcdgcrncnts

Rferences D.pll Ncw Yo.k: Fromm Intem'nonal PublishinS Berbc,l. tr99rl.lttag,ry,' ---'ii."'i rr" --* ,ir loania clersrrl approrch tn rhe cadbldqc cmpanba r" /;';, ed'. P louns-Fl'endrath & T D;son cambridge crmhndse Unrvrritv rnd umbrav. I. rroo:,. Svnchronicirv emr'8mcr'. Ade|@n ImaP, \e' 4oe t4' e' i. . r ' jrz+r' j *g\ . on. iption ol rr nslcrene ln Atulv't Pdtent I ntdr'tion: 'l-Jf'.'i, l nin,q"., id. S Shamda'ani. .ndon & New Yorl ' Rouded8e' c-it",ia ra*i."

Th. author exrends speial thrd earli.r drafts of this papei !@ti6r.16 lMrft$ r&!iv.d .lune

Robert E Tynhski

The taeek tbe corcb arriued

659

161.s f.'?cn i ,

dislutien, ii dm kufturelle betehen, sondrn auch auf

t:

inrens e impievedibili li.it{.risp6r e|emenncon I ProPfl personan lqvt ib il canbianento i moho specifico l;t se, le risposte questipazienii di b &l uansfen o del conrotransferr. tiru, rcquistd M lettino analitico pe. plto nuovo lettino srSnificava per i pin fFcriv.le tre risposre conuni dei $lo dscrinel ide e le fantasiericche [viata la storia del leaino nei conresti pgcbbe ponare alla deisione seusale Ft &l pmro di visra delle prefe!nze liro. I lettino vien di$u$o in quanto iupora rsre$ione, rila$amento e il

tordhrm. M. ttc..at. hns'ah P,r.hothnat y: A St*ly ia \aatrtLat ps\,holosy. chrh6rer & New york: iohn'wJe, Freud,S. (rrrl). 'On besin;ins rhe datnenc. SE 12. lrgJol. Ciuilizatioa ahd is .lis.ontents. SE z t. Goldbersa, M. (r99j). 'The couch as defen* and as porential for edacrmeni. i ^ Psy.hoaMlyt Qaaterly, 6a, 2 J-42. G r o t \ r e , n|, \ . r r q e t l . ' A r e J s e s n e n ro f r h e c o u ( hI n p { c h o r n J t ) i r . p , r . n o d r u r y r . I n q a t r y ,t t , ] 9 6 4 o t . ps J r c o b s n . l . C . I ' c c r ' .1 h e r n J l r r n c o u . h : f a d t , u r o r o r ! n . q u a n o n ty t h , , a h a b h , t tqttry, rr,7o4-\1. Juns.C. G. I reo6 | cr I r. f ftud an.t p.!.hMtuty,,s. Cw a. } ( r c { 6 ) . ' P 5 y c h . l o co t r h er r r n \ r c r e n c e . W r 6 . C (196r).'Symbolsand rhe interpreration ofdreams. CW r8. -lre63l. Me.dories Dleans Refle.tio^'.U A. Jafta London.Co insand Rourledge (r97el.'Genetul Ifldex to Collecte.t wo/ks'. Cw zo. Lrnt\. R. I I e- ! '. rhe Tc.haiq@ol psvhohahh psyth,tlctun, Volrh" t: Thc Intul Lonu.r, th?orctt.at t tductu,,rk, Utdd,tardinB thc pat?at\ r ^nnunnahons,Thc \.Jew Thdapar't latptuefltrcas. rort: h$n Aronun. L ' . h r m b e ' 8J . D . ' r m , r , . I ' o r q - r r w . ' L r s o r p s y c h o J n r b r L \ p r r i e n r e o n . b e h i n d , . e r hd wrrhourrhe.d.h h d w r r h o u r r h e ! o u ( h , . f s r ,h o a a d l i i l a q u n , I s . 2rs(Xl. fsv hoatattti, Inquim, . .t n e adrn rrJJgsee ror frre;d\ s. R ( a ) . LrP|on..D . { ''o--r. I her d \\rr n S ro P | o n .s. D. o - - r . h e d anrrsei tt | rre ;D d \ iechn,,r,r. h o w n i n h h a n a t y n . f e d \ t e h h nqq u rr, h o w n r( c n, i ur r, ; o
t h e R a t M r n . I n t e i n d t r c 4 aJ 4 w u l o l p r d o A @ t \ s 6 . \ 8 . : \ ( t ,{_ Uoranis.c.Ireerr. The,ou.h r.J p.orR-rr .h retd.Ayhnaaal\h. L l .

tscubrir respuestasimpredecibles en mfios con pnsamienros,fantasias, iridude. Cuando el cambio es muy r,:taminroa si mismo, las respuesras r d. dpcriflcias aun mas profundas Itrcria. El autor, como candidato o itico para su oficinay ob*n6 lo que . M.didte el Bo deejemplos clinicos, r fieumia: Reh,zo, ambivalenci., lc id6 y fdrasias ed relaci6n con el I Feudi{o y imsuido. sconside.an !5ar l divio como pane del adlisis rlista y la experienciapersonal con el d dcl pro.eso analitico que incorpoia ifts del eso fiiadas previamente.

O E d n ,T . H . , r , q e 6 r . R i . o n , r d o i n B r h , e e r s p d r , o f p ) . \ o J n r t ) , , . r ( h n , q u e . . --. - rnrfiuao@t lou,nat ot t.sv ha-akatrsis, x8J_99KG\ner, . ('s8rr. 4,8,)r. New ) ork:wrrnerEoot!. J S . h n l t t e f . A r ' e c a ' . t . w U a l o t p t a y , l a R o , . l p , a a t o t ,t t c I r r t a r o z r . I r r n ' . ( . R . \ 4 L c l l e iI y m e .N H : s m i r h& K r r u \ . s c h n r . l r . . A ( l c r : , o g . t c o a ) . T h p R n a .tl o t h " O p " r . t t a n . r o n , Shmdruni.S.lFd,'lae..Aiatv,t-patthtlnteturtiun:roth,tedfapeaonle.ha,a,e tt! Mrhaet to'dhaa\. | lldon & \ew York: Rourhdse. (,,@r\. Ju8 and.tt. \4akus ol Mo.rh psyrhnl,lgr: rha r'rcad,,l a S,i.n.c. ^ LrmDfl dSe:eambndeeUnr\e6irv press. 5E8efmrn.F. Y. rlecor. Uetapho.;ad M"onn8,h psy.torr,r,p:y. New york. Gurtro,d Prers Thompson.M L(,-'I eqar'f b t tut h Ahuut h cud, Terhnqu?: I hp I n._unter tu h the t(."/. New York: New York Unive6nr pres Volf, E. 5. (r99r). 'Brief 'otes on usingihe couch'.psychoandtyti.rnquiry, 1r,3r4- 23. Acknowledgements

lonn Intemtional Publ;hing. !,fl|.'.hThe Canbt lse Cotupdnion t C.fbridSe Camb.idse University r\ baa;ar tnaso, sg, to,) t+. ti l.ac.'. ln Atubst- Pa ekt Inte/acti ok : ai. London & New York: Rordedse,

The aurhor exrendsspecialrhanksro Sam Naifeh and who assisred w,rh John Beebe ea.lierdrafrsof this paper zoo5i IMsfi^t ie.rived finalversion Aprit166l June