Discussion of “Hysteria and Humiliation”: Commentary on Paper by Sam Gerson

This commentary describes certain differences in how Relational and Contemporary Freudian analysts approach both the conceptual dynamics of hysterical functioning and its clinical management. The discussion shows how, despite considerable agreement between these two groups concerning the critical importance of a receptive other for the successful buildup of virtually every aspect of mental life (not to be confused with the concept of co-creation), they also have quite substantial differences; differences that are rooted in contrasting basic assumptions about the ways in which fantasies, unconscious transference displacements, and self-regulating repetitive processes are set up in the mind. The discussion also illustrates how the clinical management of hysteria differs considerably depending on whether what is taking place in the consulting room is conceived of as an autonomous, repetitive process that the patient brings to the treatment and repeats (one way or another) over and over again, or whether it is conceived of as co-created, belonging to the minds of both persons in the room, even if not in equal measure or equal ways.