"Acting in" is a psychological term which has been given various meanings over the years, but which is most generally used in opposition to acting out to cover conflicts which are brought to life inside therapy, as opposed to outside.
One commentator, noting the variety of usages, points out that it is often "unclear whether 'in' refers to the internalization into the personality, to the growth in insight, or to the acting within the session".
With respect to patients, the term 'acting in' has been used to refer to the process of a client/patient bringing an issue from outside the therapy into the analytic situation, and acting upon it there.
The therapist is advised to respond to the issue immediately to prevent further and more disruptive acting in.
Hanna Segal distinguished positive acting in from destructive acting in - both being aimed however at affecting the analyst's state of mind, whether to communicate or to confuse.
The term was used in 1957 by Meyer A. Zeligs to refer specifically to the postures taken by analysts in a psychoanalytic session.
Psychoanalysis also describes as 'acting in' the process whereby the analyst brings his or her personal countertransference into the analytic situation - as opposed to the converse, the acting out of the patient's transference.
The result is generally agreed to produce a chaotic analytic situation which hampers therapeutic progress.
The term was used rather differently however by Carl Whitaker in the 60's, so as to refer to the technique whereby therapists increase their involvement in a session in such a way as to ramp up the patient's anxiety for therapeutic ends.
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Neutrality is an essential part of the analyst's attitude during treatment, developed as part of the non-directive, evenly suspended listening which Freud used to complement the patient's free association in the talking cure. In the Little Hans case study of 1909, Freud criticised the boy's father (the prime 'analyst'): "He asks too much and investigates in accord with his own presuppositions instead of letting the little boy express himself".
Body-centred countertransference involves a psychotherapist's experiencing the physical state of the patient in a clinical context. Also known as somatic countertransference, it can incorporate the therapist's gut feelings, as well as changes to breathing, to heart rate and to tension in muscles. Dance therapy has understandably given much weight to the concept of somatic countertransference. Jungian James Hillman also emphasised the importance of the therapist using the body as a sounding-board in the clinical context.
Une relation thérapeutique est un ensemble d'échanges intervenant entre deux personnes dans le cadre d'un soin apportée à l'une d'elles, soit en complément à d'autres actions (prescription), soit comme modalité principale et privilégiée. La notion de relation thérapeutique fait allusion à la dimension relationnelle dans les soins, mais elle peut être développée dans deux sens qui ne sont pas équivalents : le premier est celui de l’accompagnement relationnel de soins médicaux ou paramédicaux qui visent à établir avec le malade une coopération de sa part favorable à la réussite de soins biologiques, chirurgicaux ou rééducatifs.