In referring to the very same therapy transactions which others label as reenactment, McLaughlin (1987) in "The Play of Transference: Some reflections on enactment in the psychoanalytic situation" defines couch behaviors and postures as enactments.
To any such misattunement to Martin's subjective state and to the legitimacy of his underlying motivation, Martin reacted with rage or with an intensification of his staying-away behavior, sometimes accompanied by other enactments designed to restore a sense of distinctness.
A growing body of clinical work and neuroscientific research has demonstrated that what enactments communicate in such gripping and indirect ways are implicit, neurally encoded affective and relational patterns.
A relational psychoanalytic approach targets these dissociated memories and affects, by allowing enactments to occur, have meaning, and eventually be comprehended by the left brain.
Indeed, noting the inevitable relational impasses characterizing transference-counter-transference interactions, Bromberg sees enactments as nonconscious messages to the analyst to get engaged directly and emotionally with unsymbolized self-states that cannot be otherwise expressed [Bromberg, 2003].
Consultations with colleagues and case discussions help ensure that enactments are recognized and used productively and ethically in the course of therapy Such peer discussions should be used with education of therapists, clergy, and others working with patients in this context to help prevent boundary violations and to offer tips for recognizing warning signs.
In the context of psychoanalysis or therapy, enactment occurs when the therapist unwittingly colludes with the patient in the process of a mutual and complementary projective identification organized around significant past events from the lives of both participants, he explained.
The unfolding mutual projective identification of an enactment becomes a slippery slope on which the therapist is in danger of sliding away from the component of the therapeutic role that requires accepting the patient's transference," said Dr.
An early manifestation of enactment often is refusal or actualization of the patient's transference.
Enactment should be recognized as an opportunity to find meaning and a new way of looking at things.
During reading and repeated enactments of the story, the graduate clinicians targeted and modeled discrimination and production of rhyming word pairs.
During story enactments, the children were asked to listen carefully and were given numerous opportunities to identify and produce rhyming word pairs in the context of thematic-fantasy play.