Concerning the psychotherapist's role my earliest concept, developed prior to my coming to Washington, and based largely upon medical training coupled with my predominantly obsessive-compulsive psychodynamics, required of me that I maintain myself and my feelings in a kind of stance which had essentially nothing to do with the individual patient. My egoideal, as regards my functioning as therapist, required that I endeavor always to be helpful to the patient, that I be unflaggingly interested in him, and that I experience no negative emotions whatsoever toward him—let alone express such feelings to him openly. I regarded my personal identity as changeless, and my therapist-role as similarly fixed and absolute. I have described elsewhere that, in the course of subsequent years of personal analysis and clinical experience, … my sense of identity has become … my most reliable source of data as to what is transpiring between the patient and myself, and within the patient. I have described … the 'use' of such fluctuations in one's sense of identity as being a prime source of discovering, in work with a patient, not only counter-transference processes but also transference processes … (Searles, 1966-67) The main point of the present remarks is analogous to the one just quoted: as with the analyst's over-all sense of personal identity, so the customary style of participant observation which he has developed over the years, his observation of the ways wherein he finds himself departing from this normative style, in his work with any one patient, provides him with particularly valuable clues to the nature and intensity of this patient's transference-responses and -attitudes toward him. Beyond the analyst's privately observing such variations in his customary mode of participant observation, he can find it constructive, with increasing frequency as the analysis progresses, to share these data with the patient. If one has some superego-based, professionally-ingrained standard for oneself (as did I initially to an almost paralyzing degree), such as evenly-hovering attentiveness or unflagging interest and helpfulness, one will fail to note the patient's-transference-derived vicissitudes in one's interest, participativeness, and so on, which are occurring. In one's attempt to achieve and maintain some personally idealized, superego-imposed participant observer position, one is apt never to notice that the patient may be perceiving or experiencing, on the basis of his transference-distortions, the analyst's position and functioning to be quite different from those the analyst is experiencing these as being. The patient may be reacting to one's subjectively helpful participativeness in terms of
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