The analysand’s potential contribution as a supplementary therapist in the analytic process

The paper attempts to explore the patient–analyst contribution to the analytic process – focusing mainly on the contribution of the analysand – and how their mutual influence might affect the outcome, sometimes beyond the analyst’s capabilities. This is approached through exploration of the co-creation of an intersubjective analytic field by the analytic dyad, in which the analytic phenomena occur, somehow in both participants, but in an asymmetrical way. Their co-creation of the analytic third in this space includes conflictual as well as healthy elements of themselves. The analyst’s professional self and the analysand’s healthy ego parts form an unconscious alliance directed towards a common cause, the progress of analysis, which unavoidably affects both. Clinical material and vignettes from three cases are presented. In these, becomes apparent that the patient can temporarily take over the analytic situation, permitting continuation of the analytic progress. It is argued that, through the above process, a patient can often help and support the analytic process, surpassing the weaknesses and defects that their analyst might have.