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An analyst doing something else: reflections on setting and outside-wall clinic

The present text proposes a reflection on the idea of setting in the conduction of psychoanalytical processes developed in non-conventional environments. It presents two clinical samples conducted by the authors in this kind of environment, a clinical-school of a university and an ambulatory of psychology in a general hospital, to sustain their hypotheses about setting taking this notion from a theoretical frame and not from a technical frame. Then, it makes use of Freud’s and Winnicott’s teaching as fundamental references for these matters. First of all, Freud supports a flexibility on the technical field in opposition to a rigor in the theoretical field. On his turn, Winnicott sustains that the analyst should make an active adaptation to his patients needs. Those teachings are taken as basis to question the expression outside-wall referring to the psychoanalytical clinic, such as: in reference to psychoanalysis, are there walls?

Psychoanalytical clinic; Setting (Psychoanalysis); Clinical management; Psychoanalysis


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