A patient consistently arrives late to therapy, then explains at length that the traffic is unusually bad on that route. Order the psychoanalytic reading of what is happening, from the impulse to the account the patient gives.
- Admitting the wish would threaten how he needs to see himself.
- The wish is kept out of awareness, so he genuinely does not experience himself as reluctant.
- It surfaces instead as behaviour - a consistent, unexplained lateness.
- The ego supplies a reason he can accept, and he believes the traffic explanation sincerely.
- An impulse the patient cannot acknowledge: he does not want to be in the room.
Hints
- Start with the wish itself, before anything has been done about it.
- The excuse comes last, and its whole point is that the patient is not lying.
Show the answer
- An impulse the patient cannot acknowledge: he does not want to be in the room.
- Admitting the wish would threaten how he needs to see himself.
- The wish is kept out of awareness, so he genuinely does not experience himself as reluctant.
- It surfaces instead as behaviour - a consistent, unexplained lateness.
- The ego supplies a reason he can accept, and he believes the traffic explanation sincerely.
The order matters because the last step is what makes the theory distinctive. Rationalisation is not a lie the patient tells the therapist - it is an explanation he supplies to himself and accepts. He is not aware of the reluctance, so the traffic is, as far as he can tell, the reason.
That structure is the engine of the whole model. A motive that cannot be admitted does not vanish; it is pushed out of awareness and shows up somewhere else, in behaviour the person cannot quite account for, and the mind then generates a plausible account after the fact.
It is also where the framework becomes hard to test, in the way the lesson's earlier question set out. A patient who agrees he is reluctant confirms the reading; a patient who denies it can be said to be defending. Notice that this ordering describes a mechanism rather than proving one - it is what Freud claimed happens, and holding it as a claim rather than a finding is the right way to carry it.
Practise Psychoanalysis
The app has 6 more questions on this lesson, and keeps your place in the course. Psychology I is free to start.
More questions on Psychoanalysis
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