Feedback in dynamic psychotherapy: Notes on selected clinical issues and practical applications

Conclusion In this presentation of selected clinical issues and applications of feedback in dynamic psychotherapy, I have ranged from metaphor to paradox and the sharing of the therapist’s wisdom; from feedback of silence, empathy, and memories to working through alienation from self; from feedback of the therapist’s psychophysiologic reactions during a session to feedback of the fear of separation and mortality. Believing that all too often the therapeutic process is based on linear feedback, I have focused on the circularity of interactive, interpersonal systems, suprasystems, and subsystems as well as their simultaneous, mutually influencing perception through many equally important channels of communication and levels of awareness. These serve as the ground, frame, and context for constructive feedback between therapist and patient that can promote personality reconstruction and development of human potentials. Revised from a paper presented at a scientific meeting of the Association for the Advancement of Psychoanalysis of the Karen Horney Psychoanalytic Institute and Center on April 22, 1993. Immediate Past-President of the Association for the Advancement of Psychoanalysis; author of many publications on verbal and nonverbal communications.