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Donnel B. Stern - Relational Freedom: Emergent Properties of the Interpersonal Field

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Donnel B. Stern Relational Freedom: Emergent Properties of the Interpersonal Field
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Relational Freedom: Emergent Properties of the Interpersonal Field addresses the interpersonal field in clinical psychoanalysis and psychotherapy, especially the emergent qualities of the field. The book builds on the foundation of unformulated experience, dissociation, and enactment defined and explored in Sterns previous, widely read books.

Stern never considers the analyst or the patient alone; all clinical events take place between them and involve them both. Their conscious and unconscious conduct and experience are the fields substance. We can say that the changing nature of the field determines the experience that patient and analyst can create in one anothers presence; but we can also say that the therapeutic dyad, simply by doing their work together, ceaselessly configures and reconfigures the field. Relational freedom is Sterns own interpersonal and relational conception of the field, which he compares, along with other varieties of interpersonal/relational field theory, to the work of Bionian field theorists such as Madeleine and Willy Baranger, and Antonino Ferro. Other chapters concern the role of the field in accessing the frozen experience of trauma, in creating theories of therapeutic technique, evaluating quantitative psychotherapy research, evaluating the utility of the concept of unconscious phantasy, treating the hard-to-engage patient, and in devising the ideal psychoanalytic institute.

Relational Freedom is a clear, authoritative, and impassioned statement of the current state of interpersonal and relational psychoanalytic theory and clinical thinking. It will interest anyone who wants to stay up to date with current developments in American psychoanalysis, and for those newer to the field it will serve as an introduction to many of the important questions in contemporary psychoanalysis. Psychoanalysts and psychotherapists of all kinds will profit from the books thoughtful discussions of clinical problems and quandaries.

Donnel B. Stern, Ph.D.., a psychoanalyst and psychotherapist in private practice in New York City, serves as Training and Supervising Analyst at the William Alanson White Institute, and Adjunct Clinical Professor and Consultant at the NYU Postodoctoral Program in Psychotherapy and Psychoanalysis. He is the founder and editor of Psychoanalysis in a New Key, a book series published by Routledge.

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First published 2015 by Routledge 27 Church Road Hove East Sussex BN3 2FA - photo 1

First published 2015

by Routledge

27 Church Road, Hove, East Sussex, BN3 2FA

and by Routledge

711 Third Avenue, New York, NY 10017

Routledge is an imprint of the Taylor & Francis Group, an informa business

2015 Donnel B. Stern

The right of Donnel B. Stern to be identified as author of this work has been asserted by him in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.

Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe.

British Library Cataloguing in Publication Data

A catalogue record for this book is available from the British Library

Library of Congress Cataloging in Publication Data

Stern, Donnel B.

Relational freedom: emergent properties of the interpersonal field /

Donnel B. Stern.

pages cm

Field theory (Social psychology) 2. Interpersonal psychotherapy. I. Title.

HM1033.S747 2015

150.1984dc23

2014044705

ISBN: 978-1-138-78840-4 (hbk)

ISBN: 978-1-138-78841-1 (pbk)

ISBN: 978-1-315-76557-0 (ebk)

Typeset in Times New Roman

by Swales & Willis Ltd, Exeter, Devon, UK

Contents
Chapter 1
Introduction

I remember feeling, even as a graduate student seeing my first patients in the early 1970s, that the clinical process took place between the patient and me, and that my experience and the patients were not only our own, but also parts of a larger whole. In my first book (Stern, 1997), Unformulated Experience: From Dissociation to Imagination in Psychoanalysis , I recently reread a description of the interpersonal field. It brought back to me those first experiences of that sense of the clinical situation and reminded me of how long the interpersonal field has been central in my mindlonger, even, than I have known it by its name. Here is the passage.

A fully interpersonal conception of treatment is a field theory. The psychoanalytic relationship, like any relationship, takes place in a field that is defined and ceaselessly redefined by its participants. It is not only the intrapsychic dynamics patient and analyst bring to their relationship that determine their experience with one another. The field is a unique creation, not a simple additive combination of individual dynamics; it is ultimately the field that determines which experiences the people who are in the process of co-creating that field can have in one anothers presence. It is the field that determines what will be dissociated and what will be articulated, when imagination will be possible and when the participants will be locked into stereotypic descriptions of their mutual experience. Each time one participant changes the nature of his or her involvement in the field, the possibilities for the other persons experience change as well....The field is the only relevant context.

(p. 110)

Now jump ahead with me nearly two decades, from 1997 to this year. As I reviewed the articles I have written over the last few years, which make up the bulk of this book, I saw that my interests in the recent past, like the more distant past, have revolved around the interpersonal field, and I began to see that the chapters of this book organized themselves around this theme.

Emergence in the third person

One characteristic of the field has always held a particular fascination for me: its emergent properties. The field comes into being between two or more people in a way that cannot be predicted or controlled. It can only be accepted or rejected. To the extent that we can accept it, we sense and understand (and these are not necessarily the same thing at all) something of how this emergent quality informs and shapes the clinical process.

There is a link in psychoanalysis between the unconscious and the quality of emergence. This is not a very well-theorized link, and in fact, it is not at all clear exactly what we are referring to when we invoke it, as indubitable as I think its existence is to most psychoanalysts. Actually, the quality of emergence is itself no better defined than the link that connects it to the unconscious. And so, before going on to discuss the link to the unconscious, which I do later in this chapter, I begin by trying to say what I mean by emergence.

In psychoanalysis, we often experience the phenomena that we understand to emerge to be separate from us. That is, we think of emergence in the third personsome it emerges, so that the quality of emergence exists apart from subjectivity. Consider, for instance, the frequent appearance of the concept of emergence and the descriptor emergent in recent applications of nonlinear dynamic systems theory to the clinical situation (e.g., Seligman, 2005; Boston Change Process Study Group, 2010; Coburn, 2013). The emphasis in this work is not phenomenologicalthe primary emphasis is not the experience of the analyst or the patient, but on their interaction as a self-organizing system. Emergence in this frame of reference is not really part of our felt sense of things, but a characteristic of clinical process itselfclinical process as an object of observation. When the word emergence is used in this way, it describes attributes that are experienced as if they exist apart from the one who perceives them (even if, as in this case, we must also grant that the observer is part of the phenomenon in question).

Most of the time, psychoanalysts use the word in this third-person sense. We use it to describe aspects of treatment and characteristics of mind. Most of us, including me, continue to write and speak this way more or less routinely; and I will continue to use these meanings here and there throughout this book.

Emergence in the first person: the felt sense of emergence

But the way I intend to use the word emergence in this introductory chapter, and the way I generally find emergence to be most compelling in my daily clinical work, is not as a reference to attributes of things that feel as if they exist apart from me, but as a way of representing certain parts of my first-person experience, and the patients, in the consulting room. This is emergence in the phenomenological sense. I have learned from my patients that they and I often have a simultaneous sense of the emergent quality of our experience, although sometimes I have that sense myself without knowing if the patient shares it. In either case, I have learned to value such moments highly, because they herald the appearance of something unexpected.

I have observed for many years that all experience is unbidden. It comes to us, we never plan it, and in that sense it is always a surprise (see Chapter 5 and Stern, 1990). Most of the time we are unaware of this unbiddenness. It simply escapes notice.

But the moments in which I have a felt sense of emergence are different in this respect. At those times I feel the unbiddenness of experience. I have a felt sense of the arrival of experience in my mind, of how little my conscious intentions seem to have to do with the whole process. I feel myself as a conduit for experience that comes into being through me. Paradoxically, this kind of experience, more than any other part of my experienceand precisely, I think, because it seems to come to me from elsewherefeels most thoroughly of my own making. I feel it firmly as mine. My patients sense of this kind of experience is similar, to the extent to which they have been able to articulate it to me.

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