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“We know that words do not restrain or
substitute for action; they are actions”
(Greenberg,
1996, p.201)
From
Action .....
The
concept of action has long been of interest to psychoanalysis and has
always been a typical concern of psychoanalytic method and theory (Bohleber
et al., 2013, pp.505-506). Essentially, psychoanalysis itself stems
from the psychological aspect of the symptom and of resistance rather
than their enacted dimension. The enacted dimension is considered to
be an avoidance of the affective configurations on which
psychoanalysis bases the genesis of psychopathology and of mental
organization. Following this line of thought —
and in continuity with the position on hypnosis —
abreaction could be seen as the counter-enacted solution of the
symptom of hysteria. The tendency of early psychoanalysis was to
interpret the compromise of the symptom as an interlacing of drives
and repression: for example in the "slips of the tongue"
present in dreams, in neurotic symptoms and in everyday life.
So far, however, action
is in the nature of a symptom and can therefore be interpreted while,
in the Postscript to Dora’s
case (Freud, 1905), action is no longer a symptom, but is connected to
transference and therefore to resistance. It can no longer be
interpreted by itself, but becomes a signal of "impediment"
to the analytic process (Freud, 1914). Therefore it should not be
interpreted (as in the case of a symptom), but overcome. With Dora, we
come to the concept of "acting-out" seen as being
symmetrical to Freud's theses on "thought"1.
Therefore Dora «(...)
acted
out an essential
part of her recollections and phantasies instead of reproducing it in
the treatment»
(Freud,
1905, p.119, italics in original). Thus,
acting-out is a resistance that blocks the sufficient frustration due
to the integration of new experiences, and is based on the compulsion
to repeat what we call the symptom. In these cases Freud uses the word
‘Agieren’, wanting to
underline the theatricality of the act and the transitive dimension,
though in German ‘Agieren’ is not in common use. In general, when referring to
action or acting, the words ‘die
Tat’, ‘tun’,
‘die Wirkung’ are
used. In Freud ‘Agieren’
is usually associated with ‘erinnern’,
‘to remember’ (Laplanche, Pontalis, 1967). In the same period,
Freud (1901) spoke of ‘handeln’
(to act) to describe mistakes or slips that could be understood by
attributing an unconscious meaning to them.
From this moment on,
there arises the problem of the distinction between ‘acting-out’
and ‘acting-in’, which, in psychodynamic and also psychoanalytic
terms, seeks to distinguish between acts performed inside or outside
the analysis room. In reality there are numerous reasons to consider
this difference inaccurate or in any case pointless (Laplanche,
Pontalis, 1967). What
would be the sense of carrying out an action, inside or outside the
analysis room, if the relationship between analyst and patient as well
as the concept of analytical field cannot be confined to the concrete
situation of the analysis room? In actual fact, the concept of ‘acting-in’
was proposed in 1957 by Zeligs to describe the unconscious conflicts
expressed through the body posture of a patient on the couch (Laplanche
and Pontalis, 1967; Skelton, 2006).
Moreover, it is
indicative that the
concept of enactment is generally
related
«to
all manner of interaction between patient and analyst, and specifically
to the nonverbal gestural and postural components of the patient's
communications»
(McLaughlin
1991, p.596, italics added). An intermediate position, I think, is the
one suggested by Sandler, Holder and Dare (1973) who speak of "acting-in"
as enactment in the transference and no longer within the setting.
However, as far as I am concerned, the important distinction is
not whether an action happens inside or outside the analysis room, but
that something is presented in action —
as acted-out or even acted-in —
rather than remembered or verbalized. I would also like to point out
that in
Freud’s opinion, at the beginning, an action was not only to be
understood as resistance but, repeated in the transference, regarded
as a particular type of unconscious communication (for example Dora’s
"symptomatic actions" in repeatedly touching her handbag
during sessions ...). What
is more, the symptomatic action
has meaning only in the hic et
nunc of the session: «Though
on the other hand the existence of such an origin and the meaning
attributed to the act cannot be conclusively established. We must
content ourselves with recording the fact that such a meaning fits in
quite extraordinarily well with the situation as a whole and with the
order of the day as laid down by the unconscious»
(Freud,
1905, p.77, see also Freud, 1925, p.47). Dora’s case, I think, is a
watershed in Freud’s consideration of the communicative function of
action. In fact, in some ways Freud perceives the unconscious
communicative function of the action (for example symptomatic action,
as also occurs in the same period in The
Psychopathology of Everyday Life, 1901), while he fails to
interpret in time other actions such as the "revenge"
enacted by Dora by identifying him, in the transference, with Herr K: «(…)
the transference took me
unawares, and (…) she took her revenge on me as she wanted to take
her revenge on him, and deserted me as she believed herself to have
been deceived and deserted by him»
(Freud, 1905, p.119). At
a certain point Freud stops interpreting the action when
it becomes clear that the transference reference is the analyst
himself. He stops interpreting the communication enacted through the
act, but he perceives it as resistance (obstacle)
to
be overcome. For Freud (1914) the transference itself was an
acting-out: the patient repeats rather than remembering. In view of
the importance that we attribute today to countertransference and
enactment, it is rather like recuperating the relational meaning that,
at a certain point, Freud himself suspected in the acting-out. Freud
came to consider acting-out only as resistance and transference of the
patient towards the analyst: «(…)
it need make no difference to
him whether he has to overcome any particular impulse of the patient's
in connection with himself or with some one else»
(Freud, 1905, p.117). However, he recognizes and describes the
analyst's symmetrical, subjective enacted participation, but fails to
bring it back into the analytic communication. Some examples from the Postscript
indicate that Freud showed surprise, disappointment, pride, resentment,
curiosity: «the
transference took me unawares»
(Freud, 1905, p.119); «not
until fifteen months after … I had news of my patient's condition»
(Freud,
1905, p.120); «One
glance at her face, however, was enough to tell me that she was not in
earnest over her request»
(Freud,
1905, p.121);
«(…)
I promised to forgive her for
having deprived me of the satisfaction of affording her a far more
radical cure for her troubles»
(Freud,
1905, p.122).
I
view all these considerations by Freud as counteractions that fail
to be used as "action-dialogue" (Beebe and Lachmann, 2013),
remaining in the dimension of simple acting on the part of the analyst.
|
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|
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Van der Kolk, B. A. (2014), The body
keeps the score: Brain, mind, and body in the healing of trauma,
Viking, New York.
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