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Psychoanalysis On and Off the Couch

Psychoanalysis On and Off the Couch

By: Harvey Schwartz MD
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Psychoanalysis applied outside the office. Alternative & Complementary Medicine Hygiene & Healthy Living Psychology Psychology & Mental Health
Episodes
  • The Power and Meaning in Free Association with Barnaby Barratt, PhD, DHS (Johannesburg)
    Oct 18 2026

    "You have to understand the revolution of psychoanalysis as the idea that everything we represent both conceals something about our being-and-becoming as much as it reveals it. Once you are open to that, you, in a way, have entered the world in which free association is necessary, because free association, in my frame of reference, is not just uncensored talking. It's not just that. It's something that very specifically unsettles the rationality and the realism of discourse, such that it allows dimensions that were occluded or more accurately repressed than suppressed to come to the surface to a greater degree. In other words, we practice free association because it's freeing, and it's freeing of something that is essential to our being."

    Episode Description: Barnaby begins by describing how free association is a process that is not limited to speaking with increasingly less censorship. It is a process that is foundationally disruptive to the "repetitiously-compulsive way in which 'knowledge' has impeded the movement of being-becoming." He sees psychoanalysis less as a process of learning about oneself, an epistemological enterprise, and more as an opportunity of expanding one's sense of self, an ontological experience. As such, Barnaby sees free association as "inherently anti-technical, anti-theoretical and anti-authoritarian." We consider the use of the word resistance as opposed to hesitancy. He, like Pythagoras, emphasizes the role of the analyst as "a friend who accompanies you on a journey, facilitating your perseverance on the road to a happier life." Barnaby elaborates the experience of 'listening to listen', the importance of introductory psychotherapy and where 'reverie' fits into his thinking. He closes with "The psychoanalyst's enjoyment of their patients...is a spiritual praxis of 'finding the joy in' - that is, being steadfastly aware of an exultancy in the liveliness of life that girds even the most tragic of circumstances."

    Our Guest: Barnaby B Barratt, PhD, DHS is a psychoanalyst, somatic practitioner, sexuality consultant, and student of tantric meditation. He is the author of the "Rediscovering Psychoanalysis" trilogy: What is Psychoanalysis? (2013), Radical Psychoanalysis: An Essay on Free-associative Praxis (2016), and Beyond Psychotherapy: On Becoming a (Radical) Psychoanalyst (2019).

    Recommended Readings:

    Free-associating with the Bodymind. International Forum of Psychoanalysis, 22: 161-175, 2013.

    Opening to the Otherwise: The Discipline of Listening and the Necessity of Free-Association for Psychoanalytic Praxis. International Journal of Psychoanalysis, 98(1): 39‑45, 2017.

    Oedipality and Oedipal Complexes Reconsidered: On the Incest Taboo as a Key to the Universality of the Human Condition. International Journal of Psychoanalysis, 100(1): 7‑31, 2019.

    Reconsidering Regression in Psychoanalysis: Notes on a Central yet Controversial Concept and its Relation to Free‑association. Psychoanalytic Review, 107(2): 489‑512, 2020.

    What is expressed in 'Free‑Association'? Theoretical notes on the Erotic Poetics of 'Freier Einfalle.' Psychoanalytic Review, 109(4): 381-410, 2022.

    From "polymorphous perversity" to polysexuality: A note on psychoanalytic ideologies and the critique of hegemonic normativity. Studies in Gender and Sexuality, 23: 225‑232, 2022.

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    1 hr and 7 mins
  • An Analyst's Reflections on Mourning and What Makes Suffering Tolerable with Sandra Buechler, PhD (New York)
    Oct 4 2026

    "I believe that to be inspiring, we have to have conviction. Conviction is the central thing to me. Conviction about treatment itself, and conviction about the way that we do treatment. I saw two analysts at two different times of my life, and they were very different. They had very different theoretical backgrounds, but one thing they had in common was their conviction - the conviction in the idea that this treatment was going to help me have a richer life, and I found that inspiring. I found them inspiring. I think that sometimes, in the effort not to be indoctrinating, not to engage in logical positivism, not to be seen as authoritative, I think we can err in the direction of a relativism that doesn't allow us to have the full-bodied conviction that I think we need in order to inspire people to stay the course of treatment and candidates to stay the course of training."

    Episode Description: We begin by considering how clinicians can be inspiring to their patients - in actuality, not just as transference figures. She emphasizes that at times one must be 'palpably steadfast' when taking a stance against patient's abusive inner objects. Sandra makes the point that the themes the analyst attends to are also born from their own psychologies, not just from the patients. She considers the position of 'passionate neutrality' and how that is always unreachable. She quotes at length from Rilke in his sense of being 'enriched by loss'. We discuss mourning and the importance of the emotions that surround it. Balancing suffering entails an abundance of curiosity, hope, purpose, and especially joy. Sandra finds that "joy can counter feelings of life being limited by our sorrows."

    Our Guest: Sandra Buechler, Ph.D. is a Training and Supervising Analyst at the William Alanson White Institute. She is the author of Clinical Values: Emotions that Guide Psychoanalytic Treatment, Making a Difference in Patients' Lives which won the Gradiva award, Still Practicing: The Heartaches and Joys of a Clinical Career, Understanding and Treating Patients in Clinical Psychoanalysis: Lessons from Literature, Psychoanalytic Reflections: Training and Practice, Psychoanalytic Approaches to Problems in Living, Poetic Dialogues, Erich Fromm: A Contemporary Introduction and Languages of the Heart: Personal Essays on Poetry and Clinical Practice (Routledge, in preparation).

    Recommended Readings:

    Buechler, S. (1999). Searching for a passionate neutrality. Contemporary Psychoanalysis, 35, 213-227

    Buechler, S. (2010). No pain, no gain? Suffering and the analysis of defense. Contemporary Psychoanalysis, 46, 334-354.

    Buechler, S. (2021). Empathy with strangers: Personal reflections. Contemporary Psychoanalysis, 57:3-4, 446-472.

    Buechler, S. Shattered Illusions of a retired psychoanalyst. Paper presented at the IARPP conference in Valencia, Spain, June 16, 2023.

    Baer, U. (2005). The Poet's Guide to Life: The Wisdom of Rilke. Modern Library.

    Rilke, R.M (1934). Letters to a Young Poet. Norton.

    Seiden, H. (2016). The Motive for Metaphor: Brief Essays on Poetry and Psychoanalysis. Karnac.

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    59 mins
  • A Cure by Love and Science with Mark Solms, PhD (Cape Town)
    Sep 20 2026
    Although I believe that transference interpretation is the core mechanism of change in psychoanalysis, I don't believe it's the only mechanism. I think there are other things that go on too. I also think that alongside the transference relationship, there's a real relationship. The final chapter of the book is titled "A Cure by Love", and I do think that in the real relationship between patient and analyst, something happens. People speak of corrective emotional experiences. I believe that they occur, but I also believe that for them to really bring about change, you need to analyze them. You need to understand what has happened between you. This comes back to the question of countertransference enactment. Countertransference enactments are inevitable. They're not a bad thing, they're an inevitability. What would be a bad thing would be if they went unnoticed and unanalysed. So, there are opportunities. This is the sort of thing that my analysis was about. A core part of it was about my desire to connect with my father in a way that I never was able to achieve. This countertransference enactment, it's accurately described as that, but it's also diminished if it's only described as that. That was one of many opportunities for me to understand my own transference, but also it was a real thing that happened between me and him, which made me feel that he cared for me. Then again, this is real, and it's grist for the mill of understanding why it means so much." Episode Description: Mark shares with us aspects of his personal story, his analysis, his neuropsychology research and two clinical examples. He describes how neuroscience has discovered the mind "much like the one Freud sketched out in the first decades of the 20th century...merely by listening closely to what his patients told him." He reports on the impact of his brother's brain injury on his later interest in neuropsychology as well as his childhood conflicts over surpassing him. Regarding the issue of cure, we note both the importance of his identification with his analyst, which reflected his trying to reach his distant father, as well as the value of being able to recover traumatic memories. We consider the centrality of consciousness in the study of the brain, "Unless we adjust our research methods to accommodate subjective experience, we shall never understand how the brain works." Mark shares with us his current efforts to create an AI agent that has access to some version of 'feelings'. We discuss a patient who, through transference reliving of childhood trauma, was able to live a freer life and how dynamic treatment uniquely provides a sleeper effect whereby self-awareness and improvement continues after the treatment is completed. He closes "Looking back over my decades of involvement with psychoanalysis, I believe I can honestly recommend it as a way of thinking and working and being. There's something very powerful about the notion that, simply by attending closely to the feelings and memories of another person - the seemingly inconsequential details of a life - we can gain insights not only into their inner worlds, but into the deep structure of all souls." Linked Episodes: https://ipaoffthecouch.org/2024/10/20/episode-168-psychoanalysis-and-the-working-through-of-a-vineyards-slave-history-with-mark-solms-phd-cape-town/ Our Guest: Mark Solms, PhD is a member of the British Psychoanalytical Society and the American and South African Psychoanalytic Associations. He is Director of Neuropsychology at the Neuroscience Institute of the University of Cape Town and honorary lecturer in Neurosurgery at St Bartholomew's and Royal London Hospital Medical School. He is an Honorary Fellow of the American College of Psychiatrists, the director of the Science Department of APsA and director of Training for SAPA. He has received numerous honors and awards, including the Sigourney Prize. He has published 400 scientific papers, and nine books, the latest being The Only Cure (2026). He is the authorized editor and translator of the Revised Standard Edition of the Complete Psychological Works of Sigmund Freud (24 volumes) and the forthcoming Complete Neuroscientific Works of Sigmund Freud (4 volumes). Recommended Readings: Solms, M. (2026) Did Strachey falsely scientize Freud? Psychoanalytic Psychology, 43: 249-257 Solms, M. (2024) The mechanism of change in the 'talking cure': A neuropsychoanalytic perspective. In S. Gullestad, E. Stänicke, M. Leuzinger-Bohleber (eds.), Psychoanalytic Studies of Change: An Integrative Perspective, London: Routledge, pp. 114-127. Lee, T. & Solms, M. (2023) Managing the clinical encounter with patients diagnosed with personality disorder in a general psychiatry setting: key contributions from neuropsychoanalysis. British Journal of Psychiatry Advances, doi: 10.1192/bja.2023.43 Solms, M. (2023) Freud's error. In F. Busch & N. Delgado (eds.) The Ego and the Id: 100 Years Later. London: Routledge,...
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    1 hr and 19 mins
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It tended to assume that parents are close to being able to become self aware and therefore become a “better” parent- I it would have added more if it also acknowledged the degree of trauma in some parents who haven’t got the internal resources to actually tolerate their own childhood pain.

Really relatable & succinct

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