Creating the Freedom to Move: Reply to Goldberg and Grusky

In current times, more and more of us are seeing patients who are afraid and unable to make genuine contact with another human being. Their self is more undeveloped than false—more unrealized than broken—and the psychoanalytic, alchemical process of turning reality, truth, and lived experience into meaning often fails, as they wither in psychic encapsulation or retreat. Peter Goldberg and I address the project of how to develop the capacity to play—to help patients come into being and develop a self. Goldberg (this issue) highlights that the analyst’s animating presence and psycho-sensory engagement has alway been present in psychoanalytic processes but usually resides in the background of a treatment, but this crucial inductive dimension of the analytic method comes more to the foreground with the treatment of unintegrated patients. Zoe Grusky (this issue) discusses the medium of play therapy as a means to create transitional space. In my reply, I underscore that a critical component of the project of reclamation, or “inductive dimension” of the treatment with some melancholic patients, is for the analyst to help the patient separate from self-states of non-being that are also anti-life, by meeting the patient where she lives and survive being destroyed; this sort of object-usage is critical to building subjectivity and restoring faith in Life.