Abstract

WEGNER, Peter. Process-orientated psychoanalytic work in the first interview and the importance of the opening scene. J. psicanal. [online]. 2012, vol.45, n.82, pp. 223-242. ISSN 0103-5835.

From the very first moment of the initial interview to the end of a long course of psychoanalysis, the unconscious exchange between analysand and analyst, and the analysis of the relationship between transference and countertransference, are at the heart of psychoanalytic work. Drawing on initial interviews with a psychosomatically and depressively ill student, psychoanalytic understanding of initial encounters is worked out in the following domains: the “diagnostic position”, the “therapeutic position”, the “opening scene”, the “countertransference” and the “analyst’s free-floating introspectiveness”. 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. More recent investigations refer to “process qualities” of the analytic relationship, such as “synchronisation” 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 follows. All these factors combined can lead to establishing a differential process-orientated indication 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 : Initial psychoanalytic interview; Differential process-orientated indication; Opening scene; Position of free-floating introspectiveness; Process qualities.

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