“Can you be a relational analyst who is unobtrusive at the same time? In this book, Robert Grossmark makes a claim that you can and you should! He identifies a vulnerability of the relational style—being that it can place too much emphasis on reflective interactions between patient and therapist, where each party is working to put experience into words. This can be a problem for classically trained analysts too, who put a heavy emphasis on interpretation and insight. Grossmark makes a case that the analyst can be fully engaged and even interactive with her patients, without necessarily operating on the register of language and linguistic symbolization.

In his new book The Unobtrusive Relational Analyst: Explorations in Psychoanalytic Companioning (Routledge, 2018), Grossmark draws from the Object Relations tradition, especially Balint, Bion, and Winnicott, and integrates it with theories from the Relational world of contemporary psychoanalysis. He values the regressive processes which psychoanalysis can induce in patients, returning them to “areas of the self that are unlikely to be reached by dialogic engagement.” And he also values contemporary ideas about how these areas of the self can sometimes only be known through the “flow of enactive engagement” rather than through verbally driven representational modes of communication. Multiple extended clinical vignettes help the reader “live through” the points that Grossmark is making by showing how they work in practice. This illustrates his idea that the most powerful way to reach patients can be by “companioning” them as they show us, rather than tell us, about their internal worlds.”

Psychoanalysts increasingly find themselves working with patients and states that are not amenable to verbal and dialogic engagement. Such patients are challenging for a psychoanalytic approach that assumes that the patient relates in the verbal realm and is capable of reflective functioning. Both the classical stance of neutrality and abstinence and a contemporary relational approach that works with mutuality and intersubjectivity, can often ask too much of patients.

Robert Grossmark’s The Unobtrusive Relational Analyst introduces a new psychoanalytic register for working with such patients and states, involving a present and engaged analyst who is unobtrusive to the unfolding of the patient’s inner world and the flow of mutual enactments. For the unobtrusive relational analyst, the world and idiom of the patient becomes the defining signature of the clinical interaction and process. Rather than seeking to bring patients into greater dialogic relatedness, the analyst companions the patient in the flow of enactive engagement and into the damaged and constrained landscapes of their inner worlds. Being known and companioned in these areas of deep pain, shame and fragmentation is the foundation on which psychoanalytic transformation and healing rests.