Dissociation and the analysis room: relational experience, affective presence of the therapist, and containment

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Dissociation represents a psychic mechanism that can manifest itself in both common, non-pathological forms, such as getting lost in one’s thoughts during a walk, and in more severe modes, such as amnesia or identity fragmentation. In this paper, we will deal with cases where, in a therapeutic setting, it may emerge as emotional detachment or isolation, often as a defensive strategy in the face of overwhelming emotions. The task of the analyst, who is personally involved, is to offer a space for affective regulation that allows the patient to reconnect with their emotional world and reintegrate dissociated experiences. We will present two clinical vignettes to illustrate different manifestations of dissociation in session, highlighting the challenges posed to the analyst in clinical practice.
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