The analyst's pregnancy: the patient, the analyst, and the space of the unknown
Mariotti, P.
International Journal of Psycho-Analysis 74: 151-164
1993
ISSN/ISBN: 0020-7578 PMID: 8454398 Document Number: 417339
In this paper I have discussed some thoughts about the effect of the analyst's pregnancy on her patients, using material from my own experience. In the first part of the paper I have examined some of the issues evoked in the countertransference especially in the first trimester of pregnancy, when, because of my concern about the health of the foetus I was reluctant to inform patients of my state. In the latter part of the paper I have focused on some of my patients' responses as expressed in the transference: in particular on the question of how patients dealt with learning of and thinking about my pregnancy, which involved a threat to the sense of unity, fusion and non-separateness from me that in some cases were of paramount importance. To do this I have discussed at some length clinical material relating to two patients, the first a woman whose own pregnancy followed mine, in an imitative fashion that both denied any difference between us and also allowed her to develop her capacity to be a mother; the second a man who initially understood my pregnancy as rejecting of him, persecuting and guilt-provoking, and saw it as an event either unthinkable and/or to be dealt with omnipotently.