Are All Psychodynamic Therapists Impersonal and Emotionally Distant?

When it comes to the field of psychology, particularly psychodynamic therapy, there is a common misconception that therapists might be clinically detached and emotionally distant. However, this perception often stems from a misunderstanding of the foundational principles and practices within this form of therapy. Let's delve deeper into what it means to be a psychodynamic therapist, addressing the misconception and shedding light on their true nature.

Understanding Free Floating Attention

The concept of 'free floating attention' is a key principle in psychodynamic therapy. Developed initially by Sigmund Freud and later elaborated upon by psychoanalysts such as Wilfrid Bion, this practice involves therapists suspending their natural desires and impulses regarding both the patient and themselves. In simpler terms, it means that therapists withhold their own personal desires, including the wish for the patient to speak, talk about their concerns, or their own need to be known and loved. This practice stems from a deep understanding that personal desires, despite their benign appearance, are rooted in unconscious infantile wishes that have little to do with the patient's therapeutic needs.

By practicing free floating attention, therapists aim to avoid clouding the patient's true nature and interests with their own personal fantasies and images of wish fulfillment. Instead, they focus on observing and understanding the patient's unconscious patterns, allowing for a more authentic and meaningful therapeutic relationship to develop.

The Role of Personal Desires in Therapy

Personal desires, even when they appear harmless, often stem from unconscious infantile wishes. These desires are closely tied to a therapist's own psychological makeup, which may not be aligned with the patient's therapeutic needs. Indulging in these personal desires can lead to a misalignment in the therapeutic process, as the therapist may inadvertently project their own wishes and desires onto the patient, leading to misguided interpretations and ineffective therapy.

James, a practitioner with extensive experience in psychodynamic therapy, emphasizes, 'The reason for developing this capacity for abnegation is that personal desire, however benign its actual manifestation, is rooted in our unconscious infantile wishes which ultimately have nothing to do with this patient or his therapeutic needs.' This highlights the importance of therapists remaining objective and focused on the patient's true interests.

Real Examples of Psychodynamic Therapists

Contrary to popular belief, not all psychodynamic therapists are cold and impersonal. James shares his experience, stating, 'My pschyodynamic therapist will tell me "have a good weekend" at the end of the session, and if I have to cancel due to being sick, she’ll tell me "hope you feel better." So no, not all psychodynamic therapists are cold and impersonal.' This provides a concrete example of a warm and supportive relationship built on the principles of free floating attention.

Nurturing the Right Attitude in Therapists

Being a psychodynamic therapist requires a deep passion for helping others. However, it also demands extensive training in self-care and emotional regulation. Therapists are trained to handle their emotions carefully, ensuring they do not trigger the patient or violate their boundaries. They are also taught to show genuine concern while maintaining a safe and respectful distance. This balance is crucial for effective therapy.

James further emphasizes, 'A passion for helping people is essential, but they are also well trained to look after themselves, how to react when showing emotion, but being careful not to trigger the patient, how to show genuine concern without crossing boundaries. Therapists are human beings too, just like you and I; they are trained how to show they care and are allowed to care, but they are trained to stay back from the edge, especially when the patient looks like coming apart.' This highlights the need for therapists to have a strong emotional foundation and a clear understanding of their role in the therapeutic process.

The Patient's Journey and the Therapist-Client Relationship

Therapy is a journey, and the initial weeks and months are critical in establishing a solid relationship with the therapist. During these early stages, patients must learn to trust their therapist and share their deepest thoughts and feelings. This process often involves dealing with issues, both personal and therapeutic, as the patient and therapist build a bond of mutual respect and understanding.

James explains, 'The first few weeks and/or months are spent dealing with issues but also in building a solid relationship with your therapist/counsellor learning how to reach out, how to trust someone you don’t know with some of your inner-most secrets.' This journey of trust and intimacy is a hallmark of successful psychodynamic therapy, and it underscores the importance of the therapist's ability to create a safe and non-judgmental space for the patient.

Conclusion

In conclusion, it is crucial to recognize that psychodynamic therapists are not cold and impersonal. They are trained professionals who practice free floating attention to ensure that they remain objective and focused on the patient's true needs. Effective therapy requires a balance of personal care and objective observation, and it is this balance that distinguishes skilled psychodynamic therapists from their misconceived counterparts.

By understanding the principles of free floating attention and the intricacies of psychodynamic therapy, we can appreciate the depth of care and dedication that goes into this form of therapy. If you or someone you know is considering psychodynamic therapy, it is important to choose a therapist who not only has the right training but also the appropriate emotional and ethical framework to support you through your therapy journey.