Experience of Surviving Hatred with a Patient

In this master's thesis, "Experiencing Survival in Hatred with a Patient," the author explores the phenomenon of hatred in the analytical situation between patient and therapist. The aim of the work is to deepen the understanding of the mechanisms of hatred, narcissistic issues, and their influence on the psychoanalytic process, as well as to investigate methods of working with patients that allow therapists to cope with negative transference and countertransference. The author sets several key objectives in this work: 1.A theoretical analysis of the concepts of hatred and its origins, as well as the role of negative therapeutic reaction in the analytical process. 2.An investigation of various approaches to the analysis of transference and countertransference within different psychoanalytic schools. 3.A practical examination of a clinical case involving a patient with pronounced narcissistic issues and their interaction with the therapist under conditions of negative transference and countertransference. The first section of the work is devoted to a theoretical study of hatred as a destructive affect, its origins, and its impact on the dynamics of transference and countertransference. The perspectives of Sigmund Freud, Melanie Klein, Donald Winnicott, Wilfred Bion, and other prominent psychoanalysts are considered, along with their approaches to understanding and working with these phenomena. The second section presents an empirical study of a clinical case, which includes a detailed analysis of the dynamics of the therapeutic relationship, transference, countertransference, and the patient's dreams. Special attention is given to the therapist's emotional responses to the patient's aggression and ways of constructively addressing these feelings. The work emphasizes the importance of the therapist's professionalism and the necessity of distinguishing and recognizing their own feelings and projections from those of the patient, which are transferred through projective identification, as well as the ability to endure the patient's destructive emotions. This study may be beneficial for the further development of psychoanalytic practice by deeply understanding and integrating complex emotional experiences in the therapeutic process, especially for specialists working with patients who have pronounced narcissistic and destructive tendencies.