Patients cast their therapists into diverse and contradictory roles—parent, guide, mediator, healer, friend, confessor, provocateur, spy, voyeur, teacher, guru, advocate, conscience, moralist. Whatever role psychotherapists are assigned, or assume for themselves, their influence is felt between sessions and long after termination, patients create and hang on to multipurpose images of the therapeutic relationship. Sometimes seen as approving, sometimes seen as forbidding, the felt presence of the therapist, in reality and fantasy, shapes patients’ perceptions and may give them a tool to use in their relations with others. “The Fairy Godfathers” portrays just how pervasive therapists’ influence can become. (15 pp.)
Download Author: Updike, John
My Love Has Dirty Fingernails
The roles of therapist and patient are not tightly scripted. In many respects, psychotherapy changes with each new relationship. Like jazz musicians, psychotherapists must be capable of improvising, gracefully. Much of the work of psychotherapy consists of exploring the unique ways in which patients respond to the complexities and ambiguities woven into the therapeutic interaction.
In “My Love Has Dirty Fingernails” the therapist pulls together the unconscious themes of the session with a transference interpreta­,tion. But the interpretation is overly theoretical and too lengthy—an attempt to “convince” the patient. The story masterfully recreates the uncertainties and power struggles, and the emotional atmosphere, of a psychotherapy in which a central question is: Who is seducing whom? (17 pp.)
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