I
I am what is called in the business (the business being “psychoanalysis”) an analysand. This is to say that I routinely arrive at the office of a man or woman with a privileged understanding of the myriad underlying sources of human anxiety and I allow him or her to practice the craft of identifying these sources. All this is done in order to help me to arrive at an eventual goal which will grant me some release from the roots of these common human anxieties. Lacan observes that the analysand has the achievable aim before him or her of becoming an analyst him/herself through the “talking cure,” thus appropriating the insights and methods of the therapist and becoming capable of mapping the coordinates and origins of his or her psychic idiosyncrasies and quirks, including those pernicious, ineffectual, and benign. Now, I am a long-time analysand (five years on the couch), and though the the goal in question still eludes me I am confident enough in the value of the search for it that I regularly grant the analysts I visit the right to probe, question, and grill me, and in turn, I commit to removing the veil of customary politeness or reserve and promise to hand the analyst the truth. Without this, the undertaking of psychotherapy is likely to be ultimately fruitless: a sterile battle of wills.
The Lacanian cultural theorist, Slavoj Zizek, correctly identifies the analysand-analyst dynamic as being permeated by paradox (I’m being quite liberal with my interpretation as I don’t have the text in front of me). You dis-close to the analyst all matter of intimate biographical details, deeply buried instances of your personal history which inexplicably retain a privileged position in your memory-banks. As Zizek insightfully points out it takes years of intimate friendship to acquire the ability to divulge such carefully-guarded personal information to a confidant, and even then, most of the time, one stops short of allowing a friend the access to one’s deeply private universe, access one theoretically allows the analyst (who has ostensibly no personal commitment in your well-being) without so much as a struggle.
Whether the relationship between the analyst and analysand, which is defined by the practice of one-sided full disclosure and temporary and willful submission of agency, results from the patient’s self-interested desire for greater freedom from agents of discomfiture and unease or from the internal logic of the therapeutic collaboration is an open question I can only guess the answer to.
II
The “couch-session,” though it has become such an easy target for jokes present in everything from television-sitcoms to highly-esteemed works of literary fiction has a quality bordering on the transcendent to the practicing analysand.
“Confession,” one of the sacraments of the Catholic faith, is essentially bound by its religious context and otherworldly project, to assuage one’s more temporal difficulties only epiphenomenally. The priest is concerned primarily with absolution, and only ever secondarily with helping one healthfully come to grips with the traumas which attend moments of moral iniquity. The spiritually fretful Catholic or High-Church Episcopalian who goes to his parish priest to describe his misdeeds in full expectancy of absolution, may experience something like the sensation of purgation that follows complete self-depiction in the company of the analyst. Of course, the penitent kneeling beside the grill and the father on the other end of the booth have a narrower agenda than the full-fledged self-disclosure of the analyst-analysand, but I think there is a definite similarity between these two exercises in catharsis. It would be interesting to find out if the practice of regular confession deters some potential analysands from attempting psychotherapy or if frequent visits to the booth provide an obstacle or a means of easing patients into a situation which is altogether quite distinct from others you come across in daily life.