=!90(264*(#06$6!):!1B3<$6#0&!7260!6(B&$06!(#%)BD#!A272*Ä6!AE67#092?! "%2*6:0%0*70!$*!10%Y0%6$)*!
K$<<0960*_!i>_!;*6<0D0%6_!5>_!@0D2*7M_!5>_!S00%2%&4*_!L>_!O0690(_!@>_!V2*#0B<0_!Q>![+,-.^>!=!90(264*(#06$6!):! 1B3<$6#0&!7260!6(B&$06!(#%)BD#!A272*m6!AE67#092?!(%2*6:0%0*70!$*!10%Y0%6$)*>! .+,%#+@,)"+@B&N">#+@B&"!& '(A?-"@+@BA()(O&)+&:#%(( ! This study was produced by members of the Single Case Archive (www.singlecasearchive.com) and using data from this archive. The Single Case Archive compiles clinical and empirical single case studies on psychoanalytically oriented psychotherapies that were published in ISI-ranked journals. >10%5&! The sample consisted of 11 case studies on the psychoanalytic treatment of sexual perversion, all published in international scientific journals. Case studies on character perversion were not included. All case studies involved adult male subjects between 25 and 49 years old at the start of treatment (in two case studies age was not reported). ?(&1.0&#.! The treatment provided in the 11 case studies is individual treatment from various psychoanalytic orientations. For 9 out of 11 case studies treatment duration exceeded 18 months (up to a maximum of 15 years). For one case study treatment duration was 6 months and for another one treatment duration was not mentioned. =&.4$'! The manuscripts of the published case studies were screened for passages in which the author explicitly discusses an aspect of the transference. These passages were read and re-read and thematically coded. These codes were descriptive and stayed close to the manuscript. Then codes were assigned to the Imaginary or the Symbolic dimension of Lacan’s L-schema. In the next step, the codes from the Imaginary and Symbolic axis separately were rearranged into overarching themes. While the formulation of the initial codes was rather descriptive, the final themes were closely adapted to the theoretical terms of the L-schema. A credibility check was performed by the co-authors. ;&2-5.2! With regards to the Imaginary axis of transference (i.e., transference as resistance) the results reveal three different ways in which the perverse patient draws the therapist in an unconscious bond against the analytic process: (1) by identifying with the image of child in relation to analyst-mother or analyst- father, by identifying with the image of sexual partner, (2) through fusion with the analyst or by pulling the analyst into the perverse world, and (3) by rivalry as manifested in a power struggle or aggression. In this respect, the treatment of perverse patients is difficult for the analyst, and requires a great deal of tolerance and tenacity. With regard to the Symbolic axis of transference (i.e., transference as a necessary condition for analytical work), we found that the perverse subject is able to formulate a request for help, is able to suspend the satisfaction derived from the symptom in order to talk about it, question motives for thoughts, feelings and actions, his products of the unconscious and his identity. In terms of the L- schema, this indicates that the analyst can function as a representative of the otherness in the Other in the treatment of such patients.
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