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Moments of Uncertainty in Therapeutic Practice
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Moments of Uncertainty in Therapeutic Practice: Interpreting Within the Matrix of Projective Identification, Countertransference, and Enactment

Robert Waska


One of therapy's greatest challenges is the moment of transference, when a patient unconsciously transfers emotion or desire to a new and present object—in some cases the therapist. During the course of treatment, a patient's projections and the analyst's struggle to divert them can stress, distort, or contaminate the therapeutic relationship. It may lead to various forms of enactment, in which the therapist unconsciously colludes with the client in interpretation and treatment, or it can lead to projective identification, in which the client imposes negative feelings and behaviors onto the th ... More

Keywords: transference, therapist, projection, projective identification, therapeutic relationship, phantasies, patient, psychic retreat, countertransference, enactment

Bibliographic Information

Print publication date: 2011 Print ISBN-13: 9780231151535
Published to Columbia Scholarship Online: November 2015 DOI:10.7312/columbia/9780231151535.001.0001


Affiliations are at time of print publication.

Robert Waska, author