
How Does Psychotherapy Change Us? A Psychoanalytic Journey (2026)
What actually happens when psychotherapy begins to work? This episode returns to Mark Kinet’s Patient Testimonies of Psychodynamic Psychotherapy: Reported and Recorded (Routledge, 2025), but approaches the book from a differentangle. Rather than focusing on the 38 patient testimonies themselves, two 'hosts' explore the book’s opening and concluding chapters: an accessible survey of what psychoanalytic psychotherapy is, how it works, and what kinds of change it hopes to make possible. Psychotherapy is not a wellness spa, nor is it a psychological car wash. People usually enter treatment because they suffer and want to feel better, preferably quickly.Psychoanalytic psychotherapy takes an inevitable detour. It asks what lies beneath recurring symptoms, relationships, conflicts and ways of living, and how the past continues to make itself present. The discussion moves from Freud’s unconscious, free association, resistance and transference to thelater contributions of Melanie Klein, Wilfred Bion, Donald Winnicott and relational psychoanalysis. The therapeutic relationship emerges not simply as a vehicle for treatment but as a place where old patterns can return, become visible and sometimes acquire a different outcome. What begins as being listened to may gradually become something more difficult. The initial “honeymoon” of psychotherapy gives way to resistance, ambivalence, dependency and confrontation with things we would rather not know. The patient and therapist find themselves engaged in a peculiar joint undertaking: part investigation, part relationship, part repetition, and part new experience. The episode also explores what psychoanalytic psychotherapy ultimately aims for. Not immunity from suffering, and not simply symptom reduction, but greater freedom: increased capacity to understand feelings, recognise repetition, tolerate ambivalence, mentalise experience, play, relate to others as genuinely other,and become less governed by unconscious patterns. Perhaps the outcome of psychotherapy is therefore neither happiness nor perfect psychological health. Freud’s patient may become “sadder and wiser.” Yet the testimonies gathered byKinet suggested something unexpectedly more hopeful: many patients felt better and wiser. Based on the opening and concluding chapters of Patient Testimonies of Psychodynamic Psychotherapy: Reported and Recorded (Routledge, 2025). For the book: Patient Testimonies of Psychodynamic Psychotherapy. Reported and Recorded (2025) For more information, visit Mark Kinet. Current Psychoanalysis brings together more than 35 books and other writings by psychiatrist and psychoanalyst Mark Kinet. Each episode explores how unconscious meaning, personal history, and the therapeutic relationship illuminate psychiatry, psychotherapy, and culture. Two virtual hosts discuss carefully selected texts, translating complex psychoanalytic ideas into clear, engaging conversations while remaining remarkably faithful to the original work. For clinicians, students, and anyone curious about the human mind.