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es lonely pain that we thought analysts were experiencing as they were exposed to their patient’s behaviour or stories in session.

Pain in the analytic session, it seems, known or hidden, is experienced in many and varied ways – sometimes apparently paralysing the analytic process and sometimes becoming transformed to be used as an opportunity for progress.

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In the sessions we discuss, taken from our workshops, the psychoanalysts presenting or group members responding to presenters, often seem to feel painfully under threat and obligation, as we have noted before.

It can then lead to heroic or special measures to accommodate patients – for example, through feeling forced, for the sake of the survival of the patient or the analysis, to adjust fees and technique (such as whether or not to interpret transference directly) or to adjust the setting by accepting telephone, Skype or face-to-face sessions.

A particular feature of these situations is that group members are absolutely convinced either that the adjustment is or is not absolutely necessary.

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