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This is a Literature Review study.

Searching for dissociated self‐states: Relational psychoanalytic conceptualization of mind and therapeutic action

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This review discusses how self-states and dissociation impact therapeutic action in relational psychoanalysis, suggesting new clinical insights.

Dissociation in relational psychoanalysis affects therapeutic action by highlighting different self-states and engaging the therapist's experience.
The framework defines health as the ability to navigate various self-states, including those that are typically avoided or shamed.
Through the lens of relational theory, therapist self-states can influence countertransference and enactments during therapy.
Winnicott's work serves as a foundational reference, bridging classical and relational psychoanalytic ideas in clinical practice.

Édua Holmström (2025) studied this question.

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This review discusses how self-states and dissociation impact therapeutic action in relational psychoanalysis, suggesting new clinical insights.