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Worlds of Devastation: A Phenomenologist's Comments on “Therapeutic Action in Psychoanalysis”

By way of introduction, let me thank Kenneth Frank for inviting me to participate in this discussion both of Paul Wachtel’s superb clinical demonstration and of the conversation—with eminent colleagues—that followed. Though I was not present at the conference, I have seen Wachtel’s video and read the transcripts. Frank also explicitly invited me to wear my philosopher’s hat for this discussion, and though I can never really take it off, I especially thank him for that. Speaking first as a clinician, I hear in Louise the traumatized “wise baby” of Sándor Ferenczi (Ferenczi, 1949). She has needed always to care for others as well as for her own survival, and in addition, her family history and northern European culture have not permitted her to express need for anything from anyone from the day she was born. Like Jody Davies and Paul Wachtel, I would have supported her efforts to stay intact in front of such an uncountable audience and in a consultation, but like Davies and like most of