Following Freud, the spoken word has a privileged place in the ‘talking
cure’ but, increasingly the importance of emotional and unspoken
aspects of communication have been theorised. In this paper, I explore
the role of the spoken and unspoken elements in making an
interpretation. I use clinical material from a woman who self-harmed to
illustrate that the analyst’s relationship to her own emotional
resonances played a significant role in determining the therapeutic
action and the outcome of interpretive interventions. I suggest that a
pre-condition of a
sufficiently effective interpretation is the integration of the
iconic/indexical and symbolic identificatory elements of the dyadic
interaction in the mind of the analyst.
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