Prozedurale Faktoren in der psychoanalytischen Behandlung

The traditional concept of acting out was redefined in the context of intersubjective approaches as enactment. When a resistance was previously recognized in the analysis of classical neuroses that had to be resolved for a promising analysis, in enactment the creative preverbal expressions of covert procedural experiences can now be recognized, which become revealed in regressive states and in structural disorders. They create scenes of preverbal communication in which the analyst becomes involved in the inner world of experiences. This has a strong reparative potential. It can be utilized for new experiences and development if the analyst becomes entangled in such scenes as a co-actor, accepts the relationship offer of the patient and contributes to solutions for the entanglement; however, this requires something more comprehensive than the traditional defensive concept of transference. It emphasizes in particular the activity of the analyst and its impact on the formation of the analytical process and recognizes the involvement of the analyst as a constitutive factor in the process of his own transference. Thus, a new definition of abstinence in terms of a selective abstinence is achieved, which is nowadays characteristic of the developmental approach in psychoanalytic treatment.