ABSTRACT

Within the body of psychoanalytic literature, it is common for clinical reports to include a description of the patient's response to one or another aspect of the psychoanalytic situation, such as the disembodied voice of the analyst. It is relatively rare for clinical reports to focus on the organizing meaning to the patient of the overall conditions in which the analysis is conducted. Usually, practices that are accepted and familiar are overlooked. The following account of a psychotherapy case is presented in order to describe the relationship between certain accepted conditions and a particular set of responses by the patient, which had previously gone unnoticed.