Autonomy and Analytic Attitude

The analysis of a woman with difficulties in creating and sustaining mental images of persons, especially of those affectively close to her, is described. Neuropsychological and psychoanalytical aspects of this problem in revisualization are considered, and an attempt is made of understanding her problem in light of her history of early deprivation and disturbed attachment relations. Having this kind of problem, the analysand saw it as a personal project to explicitly recall places and situations from her childhood. Important phases in the analytic process are seen as different from both transference and reality, and they are discussed using the concepts of new beginning, developmental object and developmental illusion. The occurrence of what Riitta Tähkä has termed developmental illusion which is juxtaposed to neurobiological facts of development and change, and constraints to change, remains the hypothetical main curative factor in this analysis.