Living in the Soap Bubble: The Infertile Couple and the Standstill of the Transcendent Function in the Treatment of an Adolescent Girl1

This paper considers disturbances of identity and developmental breakdown in the phase of ‘emergent adulthood’ with young adults together with a disturbance of the capacity of the Self for coniunctio. It is proposed that the capacity for effective intrapsychic linking as conceptualized in analytic psychology with the concepts of the coniunctio and the transcendent function, is disturbed because of an unconscious identification with an infertile ‘couple’. This unconscious couple fantasy can lead to a standstill of the transcendent function and prevents the growth of meaning via the linking between parts of the psyche. This can lead to considerable clinical disturbances. A clinical vignette from the treatment of an adolescent girl should illustrate these hypotheses. The patient had developed a not good enough internal space and she suffered from fragmentation anxieties. She tried to control these anxieties by obsessive behaviour and by forms of adhesive identification. The standstill of the transcendent function was manifested when the patient developed a negative therapeutic reaction.