Understanding Perversion in Clinical Practice by Ross Fiona;

Author:Ross, Fiona;
Language: eng
Format: epub
Publisher: Routledge
Published: 2018-10-15T00:00:00+00:00

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Perversion could be seen as attachment that has not developed, but has twisted and set. The bond of attachment no longer supports progress and development so the person lives in a world that has lost Winnicott’s potential space; the place between fantasy and reality, between psyche and external reality, the place for creativity and the basis for all symbolic activity. The rich creative fantasy world of the unconscious can no longer support the ego in the real world and the ego is left to act blindly, unable to feed its unconscious substrate.

In the relationship between the psychotherapist and the patient it would probably be wrong to suppose that the truth of a person’s biography gradually unfolds, if by truth we mean that which an observer might record as objective fact. What actually comes to the fore is a piecemeal of seemingly significant images and narratives, which are aroused within the relationship and have their own attachments and rational and irrational colourings from every level of consciousness. It is not the job of the psychotherapist to don the hat of a forensic scientist and look for evidence to verify the patient’s creative productions. What is needed is the identification and shared recognition of patterns and themes within the patient’s life story as it opens up in the transference relationship so that these can be knitted into an understanding of the patient’s inner world.

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