Psychoanalytic QuarterlyPub Date : 2025-01-01Epub Date: 2025-08-06DOI: 10.1080/00332828.2025.2518931
Judy Kantrowitz
{"title":"A Personal View of Terminations and Endings.","authors":"Judy Kantrowitz","doi":"10.1080/00332828.2025.2518931","DOIUrl":"10.1080/00332828.2025.2518931","url":null,"abstract":"<p><p>There are many myths about how a psychoanalysis ends. In reality, there is no one way. In this paper, I describe what I learned from interviews with eighty-two analysands who volunteered to tell me about how they ended their analyses. Their experiences illustrate many different ways in which analyses end-some very satisfactory and others in disappointment. I also describe many different ways I have concluded psychoanalyses with my patients. I try to end each treatment to fit the needs of each patient and the nature of our work together. There are no formulas to how we end. I consider and explore the issues of being an older analyst: the risks and responsibilities of continuing to treat analytic-or any-patients. I discuss what we psychoanalysts gain from our work with patients-how it is sustaining and how we learn about ourselves as well as our patients. In doing psychoanalytic work with our patients, we stretch our own capacities and change. We, like our patients, though not to the same degree or intensity, mourn our endings.</p>","PeriodicalId":46869,"journal":{"name":"Psychoanalytic Quarterly","volume":"94 3","pages":"361-379"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychoanalytic QuarterlyPub Date : 2025-01-01Epub Date: 2025-08-06DOI: 10.1080/00332828.2025.2518932
Nancy Kulish
{"title":"Dancing Skeletons: An Analyst's Resistance To Termination.","authors":"Nancy Kulish","doi":"10.1080/00332828.2025.2518932","DOIUrl":"10.1080/00332828.2025.2518932","url":null,"abstract":"<p><p>The author describes her emotional reactions and counter-transferences in ending analyses in lieu of her personal situation, in which she was anticipating retirement. Through a clinical case of a patient who had difficulties in ending treatment, and her own dream which occurred during this time, the author shows how both she and the patient shared unconscious fantasies about aging and stopping the passage of time. The analyst's resistances about retiring from clinical practice in concert with the patient's resistances about ending analysis created a barrier against analytic progress. The author suggests that the analyst's feelings and needs to keep going may be a part of their holding on to patients and extending their treatments interminably.</p>","PeriodicalId":46869,"journal":{"name":"Psychoanalytic Quarterly","volume":"94 3","pages":"435-456"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychoanalytic QuarterlyPub Date : 2025-01-01Epub Date: 2025-11-03DOI: 10.1080/00332828.2025.2565998
John Dall'Aglio
{"title":"What Sort Of Language Is The Unconscious Structured Like? A Lacanian Neuropsychoanalytic Perspective.","authors":"John Dall'Aglio","doi":"10.1080/00332828.2025.2565998","DOIUrl":"10.1080/00332828.2025.2565998","url":null,"abstract":"<p><p>Lacan's return to Freud gravitates around his aphorism that <i>the unconscious is structured like a language</i>. This is often cause for criticism from non-Lacanian analysts. However, this aphorism has multiple meanings beyond the unconscious consisting of word-forms. This paper sketches relational, affective, neuropsychological, and Freudian criticisms of this linguistic unconscious. I will then highlight that the key signifier is \"like\": to be structured \"like\" a language is to be structured according to differential representatives. I conclude with a Lacanian neuropsychoanalytic functional model of differential representatives that need not be words.</p>","PeriodicalId":46869,"journal":{"name":"Psychoanalytic Quarterly","volume":" ","pages":"669-699"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychoanalytic QuarterlyPub Date : 2025-01-01Epub Date: 2025-11-05DOI: 10.1080/00332828.2025.2571168
Larry S Sandberg
{"title":"Somatic Narration, Psychosis, and Gaze Aversion.","authors":"Larry S Sandberg","doi":"10.1080/00332828.2025.2571168","DOIUrl":"10.1080/00332828.2025.2571168","url":null,"abstract":"<p><p>The utility of Sebastian Leikert's technical approach of somatic narration is illustrated in a detailed clinical presentation working with a psychotic patient with gaze aversion. In conjunction with Riccardo Lombardi's emphasis on focusing on the patient's transference to her own body rather than the conventional transference to the analyst, the author shows the value of moving away from gaze aversion and focusing, instead, on the patient's experience of her neck as an <i>encapsulated body engram</i>. The role of bodily movement in the consulting room as a critical ingredient in supporting the narrative process will be illustrated.</p>","PeriodicalId":46869,"journal":{"name":"Psychoanalytic Quarterly","volume":" ","pages":"617-638"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychoanalytic QuarterlyPub Date : 2025-01-01Epub Date: 2025-01-22DOI: 10.1080/00332828.2024.2443090
Igor Kolmakov
{"title":"The Strange Case of Dr. Freud, Mr. Holmes, and Dr. Watson.","authors":"Igor Kolmakov","doi":"10.1080/00332828.2024.2443090","DOIUrl":"10.1080/00332828.2024.2443090","url":null,"abstract":"<p><p>Although the comparison between two great Victorian masterminds, Sigmund Freud and Sherlock Holmes, and their respective methods, is in itself not new (see for example Ginzburg 1979, 1980; Brooks 1984; Marcus 1984; Shephard 1985; Spence 1987), it merits further investigation, as it raises important questions regarding the nature and structure of clinical evidence, clinical epistemology, and clinical narration. In this article, the author: refers both to the common cultural background of these two projects (including the <i>disenchantment</i> of the modern world and the complicated dialog between rationality and imagination) and their common epistemological situation; analyses their <i>search for a plot</i> and <i>search for clues</i>, and characterizes both Holmes and Freud as <i>applied historians</i> and <i>applied semioticians</i>. Their <i>modi</i> operandi are described as hermeneutical procedures, methodologically similar to Charles Sanders Peirce's <i>abduction</i>. Moreover, the author argues that both can be viewed as manifestations of Aristotle's <i>phronesis</i>. Finally, the author points out one important difference between Freud and Holmes, namely that in fact <i>the Viennese Holmes</i> is at the same time <i>the Viennese Watson</i>.</p>","PeriodicalId":46869,"journal":{"name":"Psychoanalytic Quarterly","volume":" ","pages":"29-61"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychoanalytic QuarterlyPub Date : 2025-01-01Epub Date: 2025-04-15DOI: 10.1080/00332828.2025.2478936
J David Miller
{"title":"Learning from Vermeer: What \"The Allegory of Painting\" Means for Clinical Theory.","authors":"J David Miller","doi":"10.1080/00332828.2025.2478936","DOIUrl":"https://doi.org/10.1080/00332828.2025.2478936","url":null,"abstract":"<p><p>Vermeer's masterpiece, \"The Allegory of Painting,\" which is the one work that he refused to sell, brings to mind the successful outcome of psychoanalytic treatment. In its incongruities, this painting presumably contains and reflects the conflicted inner world of the artist, but it also evokes a remarkable sense of coherence and harmony. To develop a credible explanation for Vermeer's achievement in analytic terms, I found it helpful to employ several major theoretical models; this finding suggests that for clinical analysis as well, a multi-theory approach would be optimal.</p>","PeriodicalId":46869,"journal":{"name":"Psychoanalytic Quarterly","volume":"94 2","pages":"185-215"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychoanalytic QuarterlyPub Date : 2025-01-01Epub Date: 2025-08-06DOI: 10.1080/00332828.2025.2522115
Joyce Slochower
{"title":"Ending, Not Quite Ending, and Not Ending At All.","authors":"Joyce Slochower","doi":"10.1080/00332828.2025.2522115","DOIUrl":"https://doi.org/10.1080/00332828.2025.2522115","url":null,"abstract":"<p><p>I consider the place of termination in contemporary psychoanalytic practice. A more flexible approach to therapeutic endings represents one dimension of a broader paradigm shift away from rule-boundedness and toward clinical flexibility. In any event, final, less-than-final, and absent goodbyes have always been part of psychoanalytic reality despite the power of our termination ideal. I first describe the broader move toward flexibility within the field and then address its complex implications for psychoanalytic endings. In that context, I explore the varied ways in which we don't always end treatment relationships. The implications of not entirely ending a treatment are also addressed.</p>","PeriodicalId":46869,"journal":{"name":"Psychoanalytic Quarterly","volume":"94 3","pages":"411-434"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychoanalytic QuarterlyPub Date : 2025-01-01Epub Date: 2025-08-06DOI: 10.1080/00332828.2025.2518927
Ricardo Bernardi, Mónica Eidlin
{"title":"Clinical Evidence, Triangulation of Perspectives, and Contextualization. Part 2: Ending an Endless Process.","authors":"Ricardo Bernardi, Mónica Eidlin","doi":"10.1080/00332828.2025.2518927","DOIUrl":"10.1080/00332828.2025.2518927","url":null,"abstract":"<p><p>We explored the dynamics of treatment termination in a patient with borderline personality organization who underwent eight years of transference-focused psychotherapy (TFP). A previous paper examined the beginnings of this treatment (Bernardi and Eidlin 2024). In both papers, we aim to strengthen the clinical evidence through further contextualization and triangulation of perspectives. We analyze the relationship between the end of treatment, therapeutic gains in relation to self and other, and the likelihood that these gains will be maintained and extended once the patient is on his or her own. The contributions of complex systems models to the study of dynamic, open, and non-linear clinical interactions are explored.</p>","PeriodicalId":46869,"journal":{"name":"Psychoanalytic Quarterly","volume":"94 3","pages":"457-495"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychoanalytic QuarterlyPub Date : 2025-01-01Epub Date: 2025-10-30DOI: 10.1080/00332828.2025.2566001
Richard Tuch
{"title":"Defining analytic process: An overdue update of an essential analytic concept.","authors":"Richard Tuch","doi":"10.1080/00332828.2025.2566001","DOIUrl":"10.1080/00332828.2025.2566001","url":null,"abstract":"<p><p>Analytic process is a poorly understood concept often thought to have an agreed upon meaning despite evidence to the contrary. So long as it remains ill-defined, its value as a metric of both candidate progression and whether a presented case demonstrates said process is dubious. To rectify the matter, the author proposes an expansion of what is thought to constitute analytic process in order to bring that concept in line with evolving trends in our collective thinking about clinical practice.</p>","PeriodicalId":46869,"journal":{"name":"Psychoanalytic Quarterly","volume":" ","pages":"589-615"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}