Poetic closure, psychoanalytic termination, and death

Psychoanalysis as poetry

Like psychoanalysis, poetry is possible because of the nature of verbal language, particularly its potentials to evoke the sensations of lived experience. These potentials are vestiges of the personal relational context in which language is learned, without which there would be no poetry and no psychoanalysis. Such a view of language infuses psychoanalytic writings on poetry, yet has not been fully elaborated. To further that elaboration, a poem by Billy Collins is presented to illustrate the sensorial and imagistic potentials of words, after which the interpersonal processes of language development are explored in an attempt to elucidate the original nature of words as imbued with personal meaning, embodied resonance, and emotion. This view of language and the verbal form allows a fuller understanding of the therapeutic processes of speech and conversation at the heart of psychoanalysis, including the relational potentials of speech between present individuals, which are beyond the reach of poetry. In one sense, the work of the analyst is to create language that mobilizes the experiential, memorial, and relational potentials of words, and in so doing to make a poet out of the patient so that she too can create such language.

Whose termination is it anyway?

Termination of psychoanalytic treatment presents a complex challenge concerning the application of psychoanalytic theory and technique. The paucity of cases that might provide analysts an opportunity to explore a variety of management approaches demands that practitioners share their experiences in as much detail as possible, but this occurs infrequently outside of seminars and discussion groups. In an effort to "cast a lens" on the termination process, a detailed description and process notes are presented from the closing phase of a 4-year analysis of a man with obsessive compulsive personality and difficulties with urination outside his home. The analyst's countertransference is emphasized, especially during enactments characteristic of this period. Alterations and variations in analytic technique and the demands for practical courses of action within and outside of the treatment are also examined. The issue of "forced" versus "natural" terminations is addressed as a means toward understanding a model of termination as a necessarily co-constructed component of analysis generally.