Navigating Boundaries and Gifts in Psychoanalytic Practice

"During the whole course of your [psychoanalytic] training, you are laying on the couch and have your personal analysis and beforehand you don't know where it will lead you. You start to discover corners of your unconscious psyche which you don't want, which you are not so eager to explore. This accompanies you during the whole course of  training, always confronted with your own psyche and with not-yet-discovered areas of your internal world -  this is really an adventurous journey. And  you do the same with your patients. It is not that you treat diseases with certain symptoms, but you delve deeply into their souls and this is a shared enterprise. Doing psychoanalysis you are confronted with your own psyche, you are confronted with the psyche of the patient too. This confronts you with surprises, sometimes deep anxieties and terrors that you’ve never known beforehand. So I think the comparison of psychoanalytic training of starting a journey with a sailing ship into the vast areas of the ocean, it’s a good example, you will never know exactly what will be the next day or what you will be confronted with." 

Episode Description: We begin with recognizing two aspects of psychoanalytic training - the adventurous and the immersive. These aspects, in addition to the many challenges in the training, can offer the unique opportunity to come to know the depths of the human experience. We discuss the various theoretical models currently available and how they can both enrich and distract from the core competencies that allow for a depth treatment. We consider whether different types of patients need different types of interventions, the centrality of neutrality, and the value and impossibility of free association. Eike addresses the unfortunate conflation of abstinence and unfriendliness, and we consider the clinical moment of receiving a gift from a patient.  We close with his sharing his psychoanalytic journey that began in mathematics and then to medicine and then to psychoanalysis.

Our Guest:

Dr. Eike Hinze is a psychiatrist and psychoanalyst in Berlin. He did his psychoanalytic training at the Berlin Karl-Abraham-Institute and works in his private practice. At present he is chair of training in the institute. One of his main areas of interest is the psychoanalytic treatment of elderly patients. For decades he has been active in the training of future psychoanalysts. For more than 15 years, he has been working in the Board of the Psychoanalytic Institute for Eastern Europe the objective of which was the development and furthering of psychoanalysis in Eastern Europe. He is co-author of a recently published book studying commonalities and differences between different styles of performing psychoanalysis.

Recommended Readings:

Ch. Brenner (1982) The Mind in Conflict. International Universities Press. New York.

F. Bush (editor) (2021) Dear Candidate: Analysts from Around the World Offer Personal Reflections on Psychoanalytic Training, Education and the Profession. Routledge. London and New York.

Ferro (2002) In the Analyst’s Consulting Room. Taylor & Francis. New York.

E. Hinze (2015) What do we learn in psychoanalytic training? Int J Psychoanal 96:755-771.

J.-M. Quinodoz (1993) The Taming of Solitude. Routledge, London and New York.

J.-M. Quinodoz (2004) Reading Freud. A Chronological Exploration of Freud’s Writings. Routledge. London and New York.

D. Tuckett, E. Allison, O. Bonard, G. Bruns, A. Christopoulos, M. Diercks. E. Hinze, M. Linardos, M. Sebek (2024) Knowing What Psychoanalysts Do and Doing What Psychoanalysts Know. Rowman & Littlefield. Lanham. Boulder. New York. London.