An erotic
transference can stir up anxiety in the analyst. I recently had opportunity to
view a teaching film in which a male analyst is asked by a female client
whether or not he is attracted to her.
She begins the session modeling her new
dress. The analyst says she must be going somewhere [after]. She sits and looks
glum. The analyst asks her ‘what’s the matter?’ She says she had felt so
foolish because she had gotten “no response” from him upon revealing in their
previous session that she had a “crush” on the analyst. He disagrees that she
should feel foolish [attacking her point of view/ the validity of her
experience] and she reiterates that she indeed felt foolish. Again he disagrees
and tells her that her revelation took courage. The client again complains that
the analyst had said nothing about how he felt about her. The analyst gives an
explanation about the asymmetry of the therapeutic relationship.The client persists
in saying she felt stupid because the analyst did not speak to his feelings
about her. He empathizes with her difficulty [saying nothing about his own]. He
does state a dilemma: if he tells her he is not attracted to her she will be
devastated and feel more like the fool; If he says he is attracted to her, the
atmosphere will shift and she will feel less safe to say what she feels [He apparently does not consider the possibility that his honesty might model and engender further honesty from her]. The
client stated again [third or fourth time, by now] that she still wanted to
know if he finds her attractive.The analyst
complains that what he is saying is being ignored.
The client persists, “Am I attractive?” and the analyst complains he is being steamrolled in the
way that her previous boyfriends have complained she tried to control them and
dismissed their POV. The client persists,
wanting an answer to the question asked at the beginning of the session. The
analyst [in an attempt to force mentalization, I think] accuses the client of
not caring what he
feels. The client says the
analyst is being “stubborn” by not answering “a simple question.” The analyst
says the client does not want him to be her therapist. She denies this and
becomes tearful as she complains that he will not do what she wants. The
analyst seizes this opportunity to tell her she wants to control men. The
client acquiesces [or has insight?] and says she does not know why [controlling
men] is so important to her. The analyst
tells her that she fantasizes if she can control men then they won’t leave her.
Hanging her head, moving her tongue side to side pressing the insides of her
cheeks, she says she can see that. The analyst adds that her father, asserting
his independence, left her and her mom, so the client repeats the same thing
over and over not getting the outcome she wants [you know, the definition of
stupidity]. The client says she sees, but does not like it.
If an
analyst’s anxiety can be measured by how much he/she talks and/or
intellectualizes, the audience was certainly privy to the anxiety of this
analyst in the video who talked significantly more than his patient did and who
intellectualized with her instead of speaking to the affective relationship in
the room. The audience was divided in their response, some seeing the analyst
as deflecting, using ‘neutrality’ and abstinence and accusation [interpretation]
as a shield; some seeing the analyst as handling the transference perfectly
appropriately and using interpretation to impart insight. In this situation, I,
too, have been made anxious. It is difficult for the analyst to stay empathically
immersed (as Geist was able to in his 2009 paper on mutually constructed boundaries) when
faced with confusion about the best way to proceed. How do we validate the
client’s POV and still have a differing one conveyed? How do we speak to the
emotions in the room present in both therapist and client and still keep open
the potential space [instead of foreclosing space by reifying through action]? Certainly I have failed multiple times in
this regard. What is missing in the therapeutic relationship in the consulting room that the client, or
analyst, is willing to throw it over in favor of something else? How do client
and therapist alike speak to and mourn what cannot be, and still remain in
relationship? Analysis, in addition to everything else it is, after all, is also
simply 'two people in a relationship.'