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 정서 적 의사 소통 
 작성자 simonshin 작성 일 2017 . 08 . 12 08 : 29 조 회수 152 추 천 0 
 Dr . Paul Geltner 의 정서 적 소통 에 대한 소개 논문 2 부 
 과목 : 정서 적 소통 / 현대 정신 분석 의 개입 기법 
 주제 : 정서 적 소통 에 대한 소개 논문 2 부 
 강사 : 신현근 / 박혜원 / 김양자 교수 
 내용 : “ 정서 적 소통 ” 의 저자 Paul Geltner 박사 가 쓴 스스로 의 이론 에 대한 소개 논문 
 Introduction to the use of emotional communication in 
 countertransference analysis and technique . 
 The feelings the analyst expresses are carefully attuned to the state of the transference in terms of both the relational mode and the specific feeling that the analyst thinks that the patient needs to experience . Sometimes this feeling is the same as , or very close to the feeling that the analyst experiences in the countertransference . But often it differs in the intensity , the specific feeling , or the relational mode . 
 All verbal psychoanalytic interventions are conceptualized as communications : like all communications , they comprise an emotional communication and a cognitive communication . Different types of interventions are viewed as different combinations of emotional and the cognitive communications -- and different ways engaging with and relating to the patient . 
 Two different dimensions of the patients mind that can be addressed by the two components of the intervention . One is the reasonable ego , which is conceptualized in the classical way : it is the more adult , present - focused part of the mind that is reality oriented , rational , less under influence of the repetitions , and can step back and engage in self - observation . The other part of the mind is the afflicted ego , the part of the mind that is driven by and experiences the world through the lens and the logic of the repetitions . 
 Each component of an intervention ( indeed , any communication ) can address the same part of the patients mind , or each can address a different part . 
 Within this framework , Classical interpretations , in which the analyst forms an alliance with the adult parts of the patients mind , are interventions in which both the emotional and the cognitive communications both address the reasonable ego : the analysts understanding of the patient , conveyed in the interpretation , is addressed to the most mature , reality - oriented dimensions of the patients mind , as is the emotional communication . The feelings and the perceptions that make up the repetition are talked about , observed but not engaged directly . 
 Affective interpretations , on the other hand , address the emotional communication to the afflicted ego -- the part of the mind that experiences the repetition in the analytic relationship -- and address the cognitive communication ( again an interpretation ) to the reasonable ego . The emotional communication is stronger in the affective interpretation , and conveys a wider range of feeling than in the classical interpretation . This is the type of interpretation that is often used in Intersubjectivity and Relationality . 
 Finally , there are interventions in which both the emotional and the cognitive communications address the afflicted ego . These tend to be non - interpretative , and sometimes appear to be non - rational as well . The emotional communications actively engage the afflicted ego with a wider , more intense range of feeling that either type of interpretation , while the cognitive communication conveys the logic of the afflicted ego , not the adult , reasonable mind . 
 Although this technique makes use of all three types of intervention , the most distinctive techniques are the non - interpretative interventions in which both components address the afflicted ego . While some of these interventions may seem shocking -- except , perhaps , to analysts heavily influenced by Secheyhaye and Searles , close readers of Winnicott , and some Interpersonalists and Relationalists , I suspect that most have been used at times by individual analysts from other schools . But this model provides a fully developed theory of technique that conceptualizes and guides the use of an extremely wide range of relatedness and therapeutic relatedness . 
 In principle , there is almost no limit to what the analyst might say . She might tell a shy patient that she is paralyzed with anxiety at parties or describe her favorite sadistic fantasies to a patient who afraid of his aggressive feelings . He might order an emotionally withholding patient to go home and make love to his partner after the session -- or told that he should never give his partner a drop more affection than absolutely necessary . The analyst might read a poem to the patient , recommend a hotel , or explain how to cook asparagus . She might tell a patient about her own clumsiness to help the patient feel better about his own ineptitude -- or to provide a target for him to attack . A patient might be told that the analyst loves her or that he hates her , that he admires her or that he wishes he could adopt her . All interventions are expressed with appropriate feeling as whatever degree of intensity is necessary , attuned to the characteristics of the transference -- the specific feeling and relational mode -- and conceptualized in terms of the afflicted and observing egos . 
 To explain the use , context , and rationale of all of these interventions , or to give a full exposition of the theory of technique , is well beyond the range of this paper . Instead , I will discuss one particular intervention in specific context . 
 The patient feels frustrated with just about everything that happens when she goes out in the world : people are nasty , men catcall her , women she is attracted to arent interested , and everyone is rude and inelegant . From now on , shell stay inside , go out as little as possible . Shell cultivate her own garden , with the only person that she can completely trust -- herself ! Seeing that naked drunk sleeping in the subway was the last straw . Who needs to go out , anyway ? She can work from home , she can order food in . She will read French literature and listen to the jazz she loves . Shell probably get skin cancer if she goes out in the sun too much . From now on , shes an urban hermit . When she announced her plan to her friends and parents , they were all sympathetic to her frustration , even empathic , but they sound alarmed and said her plan is self - defeating , that shes giving up . What do they know , she asks ? Maybe she will keep coming to her sessions , maybe shell call in . Not that it really matters : analysis cant change the world , can it ? Does understanding that you are in pig sty make it smell any better ? 
 The analysts first feeling is the same as everyone elses : she shouldnt become a hermit . Sure , things have been awful for her , and the flashing was absolutely assaultive and traumatic . But thats no reason to become a hermit . Besides , the stuff about the sunshine sounds paranoid , crazier than she had previously thought about the patient . 
 As the analyst reflects , the less distance she feels from the patients feelings , the more she feels aligned with her . What is so good about going out , anyway ? Why should she ? Why shouldnt she stay in the house , read Colette ( the analyst loves Colette ) , and seal herself off from the world ? The analyst associates to all the times that she herself wanted to withdraw from the world , to cocoon . She liked The Man Who Fell to Earth , too . At this moment , she doesnt simply understand the patient , she thinks and feels the same way the patient does -- at least in part . 
 To communicate understanding without full blooded agreement with the feelings and perspective wouldnt be strong enough -- wouldnt provide the maturational experience of relating to a twin that the patient craves . She decides to tell the patient : " That sounds like an excellent plan ! Fuck the world before it fucks you again ! You can get by without it . Your friends may be well meaning , but they just dont get it ! Nobody who hasnt lived your life can really get it . But you are right -- why risk one more frustration , one more assault , one more disappointment . Stay home . Come to sessions if you can , but if its better , you can always call me . Theres no need to put yourself at risk to come here . It would be completely counterproductive . " The tone attempts to convey that she thinks and feels just like the patient does . 
 The purpose of this intervention is to directly meet the patients need for a specific type of narcissistic relatedness , in the context of the analytic relationship . The emotional communication addresses the afflicted ego and the cognitive communication takes place within the logic of the afflicted ego as well . While it is obviously based on an interpretation in the epistemological sense , it is not designed to convey intellectual understanding or insight of any sort . It is formulated on the basis of the repetition , but makes no overt reference to the repetition . It can only work in the context of their relationship , but makes no overt reference to that either . Sometimes the patient later understands what transpired and why , but often she doesnt . 
 When this type of intervention is successful , the patient usually experiences a tremendous relief that they have found someone who really understands her . This often leads to greater emotional flexibility and a restarting of the stalled maturational process . In this case , it likely to lead the patient to reconsider her decision to become a hermit . But it might not . The intervention is designed to meet a maturational need , not influence her behavior in any particular direction . In either case , the patient will do so on the basis of feeling less alone in the world , and her sense of self will be more stable and solidified . Its rare for a single interchange will meet a maturational need , but these first moments are often turning points in the patients development .