Clarity and ambiguity in psychoanalytic practice.

Bull Menninger Clin

New York, NY 10023, USA.

Published: March 2011

The author explores the presence and the essential tension between clarity and ambiguity as processes within our minds that become prominent in psychoanalysis. We learn from aesthetics and literary criticism that ambiguity can shade from taut disorganization to tolerating life's richness; clarity can range from a concrete fixity to a lucid grasp of one's state of mind. This article responds to Wallerstein's (1991) challenge to find common ground in psychoanalytic practice: We attempt this by avoiding metapsychological jargon and relying on more experience-near terms, such as clarity and ambiguity. The article also refers to Sandler's (1983) concept of implicit theory-that psychoanalysts use "preconscious, overlapping but not fully integrated models" (Sandler, 1988, p. 388)-in this case explicating how clarity and ambiguity are frequent but implicit phenomena in clinical work. Identifying these and the essential tension between them permits us to both improve training and identify our clinical efforts. The analyst's and analysand's tolerance of the tension between clarity and ambiguity facilitates increased structuralization and emotional robustness.

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http://dx.doi.org/10.1521/bumc.2011.75.1.1DOI Listing

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