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THE AMERICAN JOURNAL OF PSYCHOANALYSIS 38:155-161 (1978) CULTURAL COUNTERRESISTANCE IN THE ANALYTIC TREATMENT OF THE OBESE WOMAN Douglas H. Ingrain Contemporary cultural attitudes may be observed as providing a strict definition of the limits of body fatness for young women. Because the analyst is likely to share these cultural attitudes to a greater or lesser extent, his treatment of the young woman who presents with the chief complaint of overweight offers a clinical instance from which we may learn how culture may affect the perspectives and attitudes that the analyst brings to his work. Reviewing the literature about cultural influences on the analytic relation- ship and treatment, Speigel stresses that difficulties arise mainly when patient and therapist are from different ethnic groups. 1 He regards psychoanalysis as an essentially middle-class treatment modality because of implicit values prized by psychoanalysts--values such as personal autonomy and responsi- bility for future commitments. This view holds that psychoanalysis, its theory and practice, is a manifestation of broad historical currents, cultural flux, and social class: it demands of the psychoanalyst qualities of skepticism and wonder that extend to the analyst's and the culture's most cherished values. Skepticism and wonder function in the psychoanalyst to
The American Journal of Psychoanalysis – Springer Journals
Published: Jun 1, 1978
Keywords: Clinical Psychology; Psychotherapy; Psychoanalysis
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