I have been analyzing this patient for three years. He is a psychiatric resident in a university hospital, and I occasionally go to that hospital to preside over some theoretical and practical discussions on psychoanalysis and treatment.
He was twenty-five minutes late. He walked into the office, the door was open, threw his leather jacket on the chair, and collapsed on the couch without saying hello. He couldn't wait to say-what he said made me feel a little arrogant and provocative-that he was stopped for speeding on the highway again. Originally, the police officer thought he was a doctor and just wanted to warn him, but the patient's unreasonable attitude surprised him and gave him a heavy ticket. The patient told me these things in an unrepentant and angry tone, and before and after the analysis, he remembered similar incidents that happened in the past few years, including minor accidents caused by him driving like a bat flying out of hell-so far nothing particularly serious. [exaggerated self-state, similar to mania, has a heartfelt sense of self-confidence. Reality tests the dangers of checkpoints: speeding, propaganda and racing again. This part is very similar to the skier who dreamed of flying in Jung's Interpretation of Dreams. The two skiers were later killed in a dangerous skiing accident. ]
I listened to him talk quietly. After five minutes, he stopped. I told him sternly that I would make the most profound analysis of him so far in his analysis. I can feel his surprise, which is completely different from everything I told him before. After a few seconds of silence, I said firmly and seriously, "You are a complete idiot." After a few seconds of silence, the patient burst out laughing. The laughter was warm and friendly, and the whole person relaxed and leaned back on the sofa. Then I spent a few minutes expressing my concern about his behavior. In particular, his reckless driving may cause injuries and self-injuries, as well as his angry behaviors, including attacking unresponsive shop assistants and other similar behaviors. Finally, I said: of course, we need to know about his past, especially the factors that made him particularly sensitive to these behaviors in certain situations when he was a child, but the first problem is that if he was injured or died in an accident, we can't analyze his motives.
Kohut. The psychoanalytic therapy C5