The incontinent analyst

The author describes a group of phenomena that can affect the analyst and become the motivating force that pushes the analyst to break confidentiality. He describes the inevitable dialectic of symmetry and asymmetry in the psychoanalytic dyad during the analytic process, and asserts that, every time the analyst is in symmetry with the emerging material of the analysand, identification will occur. This identification with the material offered by the analysand activates the system of ideals and produces a value judgment. The author explores the anxiety, the loneliness, the narcissistic deficiencies and the symptom of the analyst as phenomena that can force the analyst to rupture the promise of confidentiality given in good faith to the analysand at the beginning of the treatment.