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Re-enactments in their developmental context

The power of the repetition compulsion is felt in an especially keen way during re-enactments within psychodynamic psychotherapy. In this paper, the authors recommend greater attention to the developmental aspects of re-enactments as providing valuable information about the affective character of the crisis being brought to life in the treatment. Specifically, the authors suggest that the current developmental stage of the patient influences the experience and expression of the core developmental conflict that lies at the heart of the re-enactment in the treatment dyad. Re-enactments in childhood, adolescence and young adulthood, as well as at midlife and in the later years, each have different signatures. Thus, increased knowledge and awareness of both developmental stage and developmental core conflict is important for the following reasons: It provides a firmer theoretical foundation for understanding what is, by definition, a formidable moment in treatment; it adds another dimension and thus enhanced flexibility to the clinician’s clinical stance during a time of greater countertransference potential; and it adds to the theoretical perspective that the compulsion to repeat functions, at least in part, as an attempt to master an intrapsychic, affectively charged, previous experience of defeat. Clarifying the developmental nature of re-enactments for both patient and therapist can serve an orienting function during what is often a confusing and destabilizing time in the treatment relationship, and it can help differentiate developmentally appropriate behaviour from re-enacted conflict.