Il lavoro psicoanalitico orientato al processo nel primo colloquio e l’importanza della scena di apertura

Drawing on initial interviews with a psychosomatically and depressively ill student, a psy-choanalytic understanding of initial encounters is worked out. The opening scene of the first interview already condenses the central psychopathology – a clinging to the primary object because it was never securely experienced as present by the patient. The author outlines the development of some psychoanalytic theories concerning the initial interview and demonstrates their specific importance as background knowledge for the clinical situation in the following domains: the “diagnostic position”, the “therapeutic posi-tion”, the “opening scene”, the “countertransference” and the “analyst’s free-floating introspec-tiveness”. More recent investigations refer to “process qualities” of the analytic relationship, such as “synchronization” and “self-efficacy”. The latter seeks to describe after how much time between the interview sessions constructive or destructive inner processes gain ground in the patient and what significance this may have for the decision about the treatment that fol-lows. All these factors combined can lead to establishing a differential process-orientated indi-cation that also takes account of the fact that being confronted with the fear of unconscious processes of exchange is specific to the psychoanalytic profession.

Keywords: the opening scene in the psychoanalytic first interview, differential process-orientated indication, ex-centric position, position of free-floating introspectiveness.

Peter Wegner, Il lavoro psicoanalitico orientato al processo nel primo colloquio e l’importanza della scena di apertura in "PSICOANALISI" 2/2024, pp 61-85, DOI: 10.3280/PSI2024-002005