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The sanctuary of empathy and the invitation of engagement: psychic retreat, Kafka's "A Hunger Artist," and the psychoanalytic process.

As part of a broader scholarly and political effort to unify clinical psychoanalysis, the author argues that psychoanalysts' presence, engagement, and framing constitute the three overarching features of their work. Additionally, patients' propensity to turn inward, alternatively known as psychic retreat or narcissistic withdrawal, provides a similarly unifying way to view psychoanalytic patients. Narrowing the investigation to a phenomenological one, the author tapers the exploration further by studying the psychoanalytic process as it unfolds in real time. After addressing the problems of diffusion in professional identity and psychoanalytic theory that have plagued psychoanalysis from the start, the author presents three case examples into which he integrates Kafka's short story "A Hunger Artist." These vehicles are utilized to demonstrate how such nomenclature provides the basis for a more cohesive understanding of how psychoanalysts work.