• Users Online: 116
  • Print this page
  • Email this page
Year : 2017  |  Volume : 1  |  Issue : 1  |  Page : 40-44

An account of psychiatric casework in three clinical encounters using a psychoanalytic lens

Department of Psychotherapy, Leeds and York Partnerships NHS Foundation Trust, Leeds, LS2 9PJ, UK

Correspondence Address:
Anuradha Menon
Department of Psychotherapy, Leeds and York Partnerships NHS Foundation Trust, 40 Clarendon Road, Leeds, LS2 9PJ
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aip.aip_3_17

Rights and Permissions

Transference and countertransference are key diagnostic concepts in psychoanalysis which are unacknowledged in categorical diagnostic systems in psychiatry. This may also highlight the fundamental differences in understanding clinical presentation in the context of the individual. In psychoanalysis, the clinician's response to each patient is carefully thought about. Three vignettes are used to illustrate how clinicians use their countertransference to ask key questions which address the sense of the uncanny that the patients' stories evoke. This is then linked, using the theoretical notion of projective identification, to unconscious communication between doctor and patient. I conclude by describing an ICD-10 category of patients who present a disturbance in articulating emotions, tending to evoke and manifest powerful bodily experiences. The examination of countertransference is suggested as adding depth to a diagnostic process that risks losing the value of data from individual patients.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded211    
    Comments [Add]    

Recommend this journal