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Let the Yoga Do You: Clinical Decision-Making, Ambiguity, and Certainty

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In this article, I share a vignette from a long-term analysis, illustrating my experience during the scene and the clinical decisions that I make both in and out of my awareness. The vignette is notable for strong affect, as well as intense and surprising imagery and words. What is also notable is that this scene rings true. This article is equal parts a demonstration of pretheoretical moments of clinical decision-making and a discussion of clinical epistemology. I examine what it means when something rings true, explain the value of holding certainty and ambiguity in a dialectic tension, and describe conditions under which we may trust the ring of truth in clinical situations. Finally, I show how I find my way to psychoanalytic faith in this clinical example, as I experience an informed surrender to the psychoanalytic process.
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Document Type: Research Article

Publication date: October 2, 2016

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