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The main external difference between a psychoanalytic session and other types of psychotherapy is the presence of a couch. Classic position: the patient lies on the couch, the psychoanalyst sits in a chair, out of sight of the patient. The realization that when you come to an appointment with a psychoanalyst, you will have to lie down, confuses some and often forces them to make a choice in favor of another type of psychotherapy. However, some clients, after a certain period of time visiting the psychoanalyst’s office, do so with pleasure and without an additional invitation. Let's talk again about the reasons why patients are asked to lie on the couch during a psychoanalysis session; perhaps this will help dispel the fears of potential clients. First of all, the horizontal position of the analysand greatly facilitates the analytical process for both the analysand and the analyst. This artificial limitation of motor functions helps stimulate the verbalization of the thought process. Further, in the process of continuing therapy, the analysand gets used to this position and he has a feeling of security due to the fixed position in space of both himself and the psychoanalyst, since the method does not imply other options other than those that have developed between a particular analysand and his analyst. On an unconscious level, the couch is a symbol of repressed desires and drives that brought the analysand to the analyst's office. Hence the feeling of anxiety that it causes. Not wanting to lie down on the couch is interpreted by the psychoanalyst as resistance to recognizing the presence of the repressed and should be analyzed. The analysand, due to the fact that his perception is limited by his location on the couch, hears only the voice of the psychoanalyst and this contributes to the development of transference, which is one of the tools in therapy. In addition, in addition to the reasons due to the method, there are reasons explained by comfort issues. Agree, not all psychotherapists, due to personal reasons, are comfortable working in an eye-to-eye position for several hours a day. Sometimes there is a need to straighten clothes or hair, which can sometimes be inconvenient to do while the analysand is looking closely at you. As a result, it interferes with focusing on the problem and harms therapy..

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