GANHO SECUNDARIO EMPOBRECEDOR/REFLEXÕES A PARTIR DE FREUD

Freud always questioned the reasons why a person would interrupt an analysis or, conversely, seemed never to want to interrupt the process. At this point, Freud warned about a kind of secondary gain existing behind the patient's resistance to moving forward, changing, transforming. In fact, there is a calculation that indicates what is worthwhile and what is not, bringing into play certain neurotic mechanisms that hinder the efforts of the poor analyst... “It is time, now, to undertake an assessment of the interplay of forces set in motion by the treatment. The primary motivating force in therapy is the patient's suffering and the desire to be cured that originates from it. The intensity of this motivating force is diminished by various factors – which are not discovered until the analysis is underway – especially by what we call the ‘secondary gain of the illness,’ but it must be maintained until the end of the treatment. Each improvement effects a decrease in it. Alone, however, this motivating force is not sufficient to rid oneself of the illness. Two things are lacking for this: it does not know which paths to follow to reach this end and it does not possess the necessary quota of energy to oppose the resistances. Analytic treatment helps to remedy both deficiencies.” Sigmund Freud in: “Recommendations to Physicians Practicing Psychoanalysis” (1912) #psychoanalysis #psychoanalyst #psychology #therapy #psychotherapy #therapist #sigmundfreud #freud #unconscious #psychosomatic #psychiatry #mentalhealth #couch #depression #anxiety #anguish #listening #freeassociation #floatingattention