In
psychodynamic psychotherapy, working through is seen as the process of repeating, elaborating, and amplifying interpretations. It is believed that such working through is critical towards the success of therapy.
The concept was introduced by
Sigmund Freud in 1914, and assumed ever greater importance in psychoanalysis, in contrast to the immediacy of
abreaction.
Interpretation and resistance
Interpretations are made when the client comes up with some material, be it written, a piece of art, music, or verbal, and are intended to bring the material offered into connection with the unconscious mind. Because of the
resistance
Resistance may refer to:
Arts, entertainment, and media Comics
* Either of two similarly named but otherwise unrelated comic book series, both published by Wildstorm:
** ''Resistance'' (comics), based on the video game of the same title
** ''T ...
to accepting the unconscious, interpretations, whether correct or partially incorrect, consciously accepted or rejected, will inevitably require amplifying and extending to other aspects of the client's life.
In a process
Sandor Rado compared to the labour of
mourning, the unconscious content must be demonstrated repeatedly in all its various forms and linkages – the process of working through.
Because of the power of resistance, the client's rational thought and conscious awareness may not be sufficient on their own to overcome the maladjustment, entailing further interpretation and further working through.
Rat Man
Before formulating the concept of working through, in his case study of the
Rat Man, Freud wrote of his interpretations:
"It is never the aim of discussions like these to create convictions. They are only intended to bring the repressed complexes into consciousness...and to facilitate the emergence of fresh material from the unconscious. A sense of conviction is only attained after the patient has himself worked over the reclaimed material".
Transference
The necessity of working through the
transference is stressed in almost all forms of psychodynamic therapy, from
object relations theory
Object relations theory is a school of thought in psychoanalytic theory centered around theories of stages of ego development. Its concerns include the relation of the psyche to others in childhood and the exploration of relationships between ...
, through the openings offered for working through by transference disruption in
self psychology, to the repetitive exploration of the transference in
group therapy
Group psychotherapy or group therapy is a form of psychotherapy in which one or more therapists treat a small group of clients together as a group. The term can legitimately refer to any form of psychotherapy when delivered in a group format, i ...
.
Cultural analogues
Jacques Lacan
Jacques Marie Émile Lacan (, , ; 13 April 1901 – 9 September 1981) was a French psychoanalyst and psychiatrist. Described as "the most controversial psycho-analyst since Freud", Lacan gave yearly seminars in Paris from 1953 to 1981, and pu ...
compared the process of working-through to the stylistic recommendations of
Boileau: "Cent fois sur the métier, remettez...A hundred times consider what you've said"(
Pope).
[J Lacan, ''Écrits'' (London 1997) p. 41 and 107]
See also
*
Psychodynamic psychotherapy
*
Free association
References
{{Reflist, 2}
External links
Remembering, Repeating and Working Through
Psychodynamic psychotherapy