Our Theories, Our Selves: Commentary on Paper by Ruth Gruenthal

Abstract

Ruth Gruenthal invites us to explore the dynamics embedded in disengagement. She suggests that this very concept is an oxymoron; by virtue of the fact that the patient is in treatment she is, in fact, engaged. Gruenthal focuses on disengagement's self-sustaining function, noting that it represents an attempt to regulate emotional distance while still retaining a connection to the other. Recognizing how difficult work with withdrawn patients can be, Gruenthal suggests that theory can actually shift the analyst's negative countertransference response. Implicitly she challenges the relational assumption that active engagement around the analyst's subjectivity always lies at the center of therapeutic process. I offer my own take on the dynamics at the heart of Gruenthal's treatment of Helen, proposing that neither disengagement nor containment can be accounted for by the patient or analyst alone. I explore how theory helps us manage our subjectivity while also embodying it.