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When We Feel Provoked by the Politics of Our Patients with Heribert Blass, Dr. Med. (MD) (Dusseldorf, Germany)

Release Date: 09/21/2025

On Transience and the Cycle of Time: Freud and Ecclesiastes with Paul Marcus, PhD (Great Neck, New York)

Psychoanalysis On and Off the Couch

“The similarity between Freud and Kohelet [Ecclesiastes] is that both of them believe that there's no overarching totalistic system that integrates all the disparate experiences that one has. You have that, Freud says, in psychotics, and you have that in philosophers, and you have that in devout people - they look for systematicity. They try to cram everything into a framework of meaning. Both Freud and Kohelet reject that. They don't have a worldview in that way. However, in order to flourish, you do need a meaning-giving, affect-integrating and action-guiding set of...

A Memoir of Transformation: a patient examines two analyses at two stages of life with Joan Peters, PhD (Ojai, California)

Psychoanalysis On and Off the Couch

“With Kristi [second analyst], it was much, much deeper. This whole dependent and infantile part of me was coming out. This is psychoanalytic language - I was moving into a regression that was terrifying, because I had been trained by my mother, and it was my nature, and it was what had worked for me to really approach things as an ‘independent person’ ie I don't need anybody; I don't need anything; I can function whatever happens. While I explored a little bit of that with Lane [first analyst], it was only very slight, and we never talked about it. With Kristi, she would actually make...

Psychotherapeutic Aphorisms: Reflections from a Lifetime of Listening with David Joseph, MD (Washington DC)

Psychoanalysis On and Off the Couch

“Some time ago, I realized that there was such a thing for me as experiencing my patients as being friends, but they were psychoanalytic friends. It was a psychoanalytic friendship that was quite unique and unlike any other friendship. I think that's what people are talking about when they write about psychoanalytic love. It's not love like any other kind of relationship, because the psychoanalytic relationship is so unique. And I feel the same way about psychoanalytic parenting. It's like it's close to mentoring, but it's different because the structure of the relationship is different than...

An Analyst's Reflections on Her Treatments and Her Life with Beverly Kolsky, MSW (Tupper Lake, New York)

Psychoanalysis On and Off the Couch

“This really is the full motivation for my having written the memoir. I want people to know what the process is like; not only what the process is like but what the feelings are that don't really make you think of psychoanalysis as a way of changing your life. We're just living and hoping that things will change without really taking account of the fact that we could be living better lives and in a better way. I began to think of the ways of the world and the wickedness in it. There's so many things that we do to keep us going - me and my aphrodisiacs, and I think other people doing other...

When We Feel Provoked by the Politics of Our Patients with Heribert Blass, Dr. Med. (MD) (Dusseldorf, Germany)

Psychoanalysis On and Off the Couch

Analysts' Reflections on Their Parenting with Andy Cohen (Johannesburg)

Psychoanalysis On and Off the Couch

"I was quite protective of the parent reader while I was editing this. I feel that so many of the books out there on the shelf have a real kind of finger wagging quality to parents. They kind of tell parents what to do, what not to do, mostly what they're doing wrong. I felt like I wanted to create a resource that empathized with the parents' position, and that protected them, because this is literally the hardest thing in the world. So the protectiveness felt important to me, and it was one of the things that was really quite important that we always held the parent in mind, which is...

From Reacting to Reflecting: "How Psychoanalysis Made Us Better Surgeons" with Mauro Vasella, MD and Flavio Vasella, MD, PhD (Zurich)

Psychoanalysis On and Off the Couch

"I have had quite some reactions to the article [on their psychoanalyses]. I was also telling Mauro and my colleagues that out of quite a number of articles I've published on maybe more pressing issues in the field of cancer research, for example, brain tumor research that I've spent quite some time with, I think it's actually the article [on psychoanalysis] that probably prompted the most reactions, at least in my personal surroundings, and the reactions have been overwhelmingly positive. So colleagues are very interested. They often ask questions about psychoanalysis, quite specifically, how...

'Why is This Happening in My Body'?: the meeting of/between patients' imaginings and analysts' theories with Sharone Bergner, PhD (New York)

Psychoanalysis On and Off the Couch

“I really think that the purpose is to make space for the unknown, uncertainty, and for our kind of humility in the face of the complexity of our belonging to the physical world. So it's our animality, our physicality, all of that is so complicated and difficult to grapple with. The unknown is uncontrollable and is a huge abyss, as we know, for everybody. I do think that I'm trying to pivot here a little bit towards meeting the patient's attempts to grapple with that unknown.” Episode description: We begin by examining the assumptions of causality that we humans commonly invoke when...

Affairs: Exploring the Dynamic Mind with non-Clinical Readers with Juliet Rosenfeld(London)

Psychoanalysis On and Off the Couch

“The subject of affairs, I think it's of interest to everybody. We have all had an Oedipal experience - we've all been babies who have at some point realized that we are not the only person. We're not perfectly fused with our mother, and she has other things to do, and there may be a father. We've all known what rejection feels like, and probably betrayal, and I think that affairs are in our unconscious. I think that's sort of evident in the way that most great novels, most great films, or at least many, have an affair at their heart. From Anna Karenina to Madame Bovary to Fatal Attraction,...

Affects, Curiosity, and Corporal Punishment with Paul Holinger, MD, MPH (Chicago)

Psychoanalysis On and Off the Couch

“Now's the time to tell that wonderful story of the little boy. He was about two or three years old, and he went in the icebox to get some milk, and he managed to get this big carton and spill it all over the floor. Now, needless to say, there'd be a lot of parents that would react very negatively and frustrated - this mother happened to be a scientist. So she came in, she saw the bottle of milk, and what had happened. She went and got some paper towels, put them on the milk, and said, ‘Look at this. Look how the milk starts creeping up these fibers of the towel. Isn't that cool?’ And...

More Episodes

“I think that the comparison [between political and erotic passions] is related to the danger of transgressing boundaries from the side of the analyst. It's not totally the same, but it's because of the emotions and the danger of being too much involved as an analyst, if you don't pay attention to what is happening in ourselves with our own emotions, then it can be similar. I think both are important for the psychoanalytic process, to see it as a real relationship - there is this setting where two people in the room meet. They are real persons, but at the same time, a kind of dramatic play fantasy creation coming up from fantasies of the patient, and our own reactions as analysts come into play and gradually just build up the story that is mainly related to the patient's biography, the patient's relationships, and what's going on in her or his life at the moment, but now in relation with us.”

Episode Description: We recognize the passionate political world we are living in and the challenges it introduces into the psychoanalytic relationship. Such moments of intense personal conviction challenge the clinician's capacity to hold those convictions, allow the same for the analysand and still locate an analytic surface with which to find additional meanings. Heribert feels that this creates opportunities for intensity akin to "erotic-sexual impulses." He discusses clinical encounters that include his "revealing my assessment of reality" as an aspect of his authentic self living in relation to the patient. He presents the case of a young man whose effort to locate his analyst's "soft spot" entailed provoking him with his idealization of Hitler. Unlike the patient's father who turned away from him at such times, his analyst tolerated "my required countertransference" which enabled the patient to recognize and tolerate his tender longings that had lived disguised in his sado-masochistic preoccupations.

We close with Heribert, the new IPA president, sharing his vision of psychoanalysis having a presence beyond the couch in universities and the community at large.

Our Guest: Heribert Blass, Dr. Med. (MD), Psychoanalyst and training analyst for adults, children and adolescents, member of the German Psychoanalytic Association and IPA (DPV/IPA), also specialist of psychosomatic medicine and psychotherapy, psychiatry, working in private practice in Düsseldorf, Germany. Since August 2025 President of the International Psychoanalytical Association (IPA). From 2020 to 20204 President of the European Psychoanalytical Federation (EPF). He has published on the image of the father, male identity and sexuality, gender dysphoria and transidentities, aspects of thought function in the psychoanalytic process and in the institution, psychoanalytic supervision, psychoanalysis in society and as editor of a book on Time and the Experience of Time (first in German, the English publication will follow soon) about the exchange of psychoanalysis with other sciences.

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