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Published: March 19, 2023, 10 a.m.

\u201cA child [patient] makes a mistake, upsets things - one doesn't console or complain, but just reflects whatever the patient's affect was at that moment, such as, \u2018that seems to bother you\u2019 or \u2018it's hard to put those two pieces together\u2019- to just observe it, to not have an affective response of disgust or irritation. The same thing is true if a patient comes in bragging or talking about something that made them very proud - to acknowledge their being proud but to not get all excited. The kind of things that often these children who have a lot of difficulty due to parents\u2019 narcissistic investment in them, and we're all narcissistically invested in our kids - they have a lot of trouble knowing what they really feel and what they really want. I think my non-judgmental, either positively judgmental or negatively judgmental attitude, allows them to begin to experience that what they're doing is what they are doing for themselves for some reason, not what they're doing for me or for the witness, that's an enormously important part.\u201d\xa0\xa0

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Episode Description: We begin with Judy sharing her professional journey that led her to child analysis. She is active as a psychoanalytic clinician, supervisor, teacher, consultant, writer, and editor. We discuss four key papers of hers that study neutrality, enactments, informative experiences, and the role of attachment. Central to her writing and thinking is her curiosity about the inner lives of her patients, especially as action and interaction provide clues to that latent life. We discuss the analyst\u2019s experience of \u2018wearing the attributes\u2019 that patients need to project onto us and tolerating the often deep discomfort in doing so. We consider how her model of therapeutic action, entailing surprise and changes in perceptual frame, does and doesn\u2019t have some similarities to psychedelic-assisted therapy. We close with her sharing her analytic experiences with gender-conflicted boys and her hope for the future of our field.\xa0

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Our Guest: Judith Fingert Chused, MD, is an Emeritus Training and Supervising Psychoanalyst at the Washington Baltimore Center for Psychoanalysis and Supervising Psychoanalyst at the Denver, Cleveland, and Seattle Institutes.\xa0 She is also a Clinical Professor of Behavioral Sciences and of Pediatrics at the George Washington School of Medicine. She is married for 57 years to a former nursery school and medical school classmate and has seven delightful, mischievous grandchildren.\xa0\xa0

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Recommended Readings:\xa0

Chused, J. F. (2016) An Analyst's Uncertainty and Fear. Psychoanalytic Quarterly 85:835-850\xa0

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Chused, J. F. (2000) Discussion: A Clinician's View of Attachment Theory. Journal of the American Psychoanalytic Association 48:1175-1187\xa0

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Chused, J. F. (1999) Male Gender Identity and Sexual Behaviour. International Journal of Psychoanalysis 80:1105-1117\xa0

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Chused, J. F. (1996) The Patient's Perception of the Analyst's Countertransference. Canadian Journal of Psychoanalysis 4:231-253\xa0

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Chused, J. F. (1996) The Therapeutic Action of Psychoanalysis: Abstinence and Informative Experiences. Journal of the American Psychoanalytic Association 44:1047-1071\xa0

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Chused, J. F. (1991) The Evocative Power of Enactments. Journal of the American Psychoanalytic Association 39:615-639\xa0

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Chused, J. F. (1992) The Patient's Perception of the Analyst: The Hidden Transference. Psychoanalytic Quarterly 61:161-184\xa0

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Chused, J. F. (1990) Neutrality in the Analysis of Action-Prone Adolescents. Journal of the American Psychoanalytic Association 38:679-704\xa0

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Chused, J. F. (1987) Idealization of the Analyst by the Young Adult. Journal of the American Psychoanalytic Association 35:839-859\xa0

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Chused, J. F. (1982) The Role of Analytic Neutrality in the Use of the Child Analyst as a New Object. Journal of the American Psychoanalytic Association 30:3-28\xa0