January 11, 2025

The Patient’s Experience of the Analyst’s Physicality: It’s What’s on the Outside that Counts – Sarah Schoen, Ph.D.

This presentation will explore how patients’ experiences of their analysts’ physicality–conveyed in the concrete aspects of the analyst’s body, clothing, and office—can be a constructive domain of intersubjective engagement. This is both generally true, and of specific salience with narcissistically vulnerable patients, for whom states of psychosomatic unity are compromised, and with whom finding ways to be “usable” as objects can be elusive. At the same time, both members of the dyad can avoid such inquiries and enactments despite their generative potential. Anxieties and vulnerabilities related to how we do and don’t want to be seen can be heightened in this arena, which reflects both material constraints and fluid, unstable meanings derived from shifting intersections between personal construction, relational context, and the broader cultural surround–particularly as it informs expressions of gender, race, class, and the like.