Dreams and change processes in an ex-prostitute under relational psychoanalytic psychotherapy: Ferenczian and relational views

Abstract

This paper explores the change processes that took place in a woman, an ex-prostitute, in the context of psychotherapeutic treatment over a period of over three years. The treatment took place within a relational psychotherapeutic setting influenced by the ideas formulated by Sándor Ferenczi regarding trauma, as well as by his intense involvement with and commitment to his patients, as expressed in his Clinical Diary of 1932 (Ferenczi, 1988). Zoe, the current patient, was a woman born in Latin America who emigrated to Spain at the age of 28 and became trapped, for nearly a decade, in a mesh of prostitution networks. She eventually entered regular psychotherapeutic treatment at the age of 39. Her change process is an example of the mutual influence between the factors of resilience that characterized her and the opportunity for co-creation that the treatment signifies. The marks of the intense traumatic burden of Zoe's history and the rays of sunlight and hope that she is currently experiencing become intermingled in the dreams evoked and brought to the treatment setting. Zoe's capacity for resilience and the potential for founding self-object relations, ethically implied, that therapists can offer construct a scenario that brings back to life the essence of Ferenczi from 1932.