The Crisis of Experience in Contemporary Psychoanalysis: Returning to Lived Experience

The Crisis of Experience in Contemporary Psychoanalysis: Returning to Lived Experience

A Reflection on Michael Guy Thompson’s Essays in Existential Psychoanalysis

Thompson’s Chapter 6 names a problem that tends to hide in plain sight: many contemporary forms of psychoanalysis risk losing the very phenomenon they claim to treat, the patient’s capacity to have experience, to undergo it, to recognize it, and to speak it as one’s own. This is what he calls the crisis of experience in contemporary psychoanalysis: not a shortage of theories about psychic life, but a growing difficulty, culturally and clinically, in remaining answerable to lived experience in therapy itself.

People often come to psychoanalysis because something in their life is no longer coherent, not only because they suffer, but because their suffering has become strangely impersonal. They can describe what is happening with impressive clarity, sometimes even with moving candor, and yet they leave the hour with the faint suspicion that nothing has truly happened. Insight has been produced, but experience has not been reclaimed. Thompson’s wager is that this is not accidental. It is a consequence of how psychoanalytic technique and interpretation can drift, almost imperceptibly, toward commentary about experience, until the patient is asked to live in explanations rather than to re-enter what is being lived.

A therapist and patient sit in a dim, abstract room where experience seems to dissolve into swirling uncertainty.

Experience is not a concept, it is something you undergo

Thompson begins with a philosophical warning that becomes clinical the moment you take it seriously. Adorno suggests that experience is not simply a private event inside the head, but “the union of tradition with an open yearning for what is foreign,” and then adds the more disturbing thought: “the very possibility of experience is in jeopardy” (Adorno, 1992; discussed by Thompson, 2024).

What makes this relevant to the consulting room is that Adorno’s point is not merely that people are distracted, or that culture is superficial, but that experience itself can be thinned out until it becomes difficult to locate where, and in whom, it is happening. Thompson, drawing on Jay, underscores the conceptual difficulty that follows when “experience” becomes an empty password that everyone uses and no one can define without reducing it to something else, as though definition were always already a kind of betrayal (Jay, 1998; Adorno, 1992). In that light, the therapeutic risk comes into view. If experience cannot be defined without shrinking it, then a clinical method that treats experience as raw data to be processed will tend, despite itself, to process the life out of it.

Thompson’s etymological gesture makes the same point from another angle. “Experience” is linked to peril and to trial, to something tested and undergone rather than possessed, which means that experience is never guaranteed by the mere fact that something happened. It can be embraced or resisted, submitted to or evaded, and therefore it always implies risk, a willingness to be changed by what is encountered (Thompson, 2024). If you hold that thought and then listen to patients, you begin to hear why so many symptoms are not only expressions of pain but strategies for avoiding the peril of feeling what one’s life is doing.

Erfahrung and Erlebnis: being experienced and having an experience

Thompson’s Chapter 6 names a problem that tends to hide in plain sight: many contemporary forms of psychoanalysis risk losing the very phenomenon they claim to treat, the patient’s capacity to have experience, to undergo it, to recognize it, and to speak it as one’s own. This is what he calls the crisis of experience in contemporary psychoanalysis: not a shortage of theories about psychic life, but a growing difficulty, culturally and clinically, in remaining answerable to lived experience in therapy itself.

People often come to psychoanalysis because something in their life is no longer coherent, not only because they suffer, but because their suffering has become strangely impersonal. They can describe what is happening with impressive clarity, sometimes even with moving candor, and yet they leave the hour with the faint suspicion that nothing has truly happened. Insight has been produced, but experience has not been reclaimed. Thompson’s wager is that this is not accidental. It is a consequence of how psychoanalytic technique and interpretation can drift, almost imperceptibly, toward commentary about experience, until the patient is asked to live in explanations rather than to re-enter what is being lived.

Why phenomenology matters for psychoanalysis

Thompson’s argument is ultimately a defense of phenomenological psychoanalysis, not as an academic specialization, but as a necessary correction to a drift in psychoanalytic practice. He is explicit that what he has been describing “sounds a lot more like phenomenology than psychoanalysis,” and his response is telling: psychoanalysis is phenomenological, at least in the way Freud conceived it, insofar as it attends to experience as it is lived and spoken, rather than treating the patient as a specimen whose inner life must be inferred from a theoretical grid (Thompson, 2024).

The tension, of course, is that Freud’s unconscious can be read in a way that becomes nonphenomenological, as though something were happening “in” the mind that the person can never experience, as though the unconscious were a parallel theatre whose drama the patient does not witness. Yet Thompson insists that awareness and experience are interdependent phenomena, and that even when a person is “unaware,” what is at stake is often not the existence of a second life but a failure of listening, a failure of being present to one’s own thinking as it occurs (Thompson, 2024).

Here Thompson introduces an important reframing of “unconscious experience.” From a phenomenological angle, the unconscious can be understood less as a hidden content that the analyst discovers and more as a mode of consciousness the patient is not experiencing as consciousness, because the patient did not “hear” themselves thinking it when it occurred. The analytic task becomes reacquainting the patient with that dimension of Being that is typically concealed, so that experience becomes claimable precisely through speech, through free association, through hearing oneself for the first time (Thompson, 2024).
This is where the crisis begins to sharpen. If psychoanalysis forgets that its object is experience as lived and suffered, then it will inevitably become tempted by a different object: correctness, explanation, interpretive authority, and technical mastery.

Interpretation that deepens experience, not explanation that replaces it

In Thompson’s framing, the point is not to abolish interpretation, but to return interpretation to its phenomenological vocation. If speech can deepen experience, then interpretation should participate in that deepening, not by supplying the patient with a superior explanation of what is “really” going on, but by drawing the patient back toward what is being lived and avoided in the act of speaking. When interpretation becomes primarily explanatory, it can function as a defense, not only the patient’s defense but the analyst’s defense against the anxiety of not knowing, against the discomfort of remaining with what is ambiguous, conflicted, or still in the process of taking shape.

This is also where Thompson’s language about degrees of experience matters. Experience is not all-or-nothing; there are levels, and those levels depend on whether we are prepared to undergo the suffering involved in determining what our experience is (Thompson, 2024). In the clinic, this means that the most decisive moments are often not those in which an interpretation is accepted, but those in which a patient, sometimes with surprise, realizes that they have begun to feel what they have been saying, and that feeling is now theirs, not simply a theory about themselves.

The crisis of experience in contemporary psychoanalysis: when technique outruns lived reality

Thompson’s critique is sharp because it is internal. He argues that not everyone approaches Freud’s conception of the unconscious phenomenologically, and that, as a result, psychoanalysis has “unwittingly contributed” to the broader cultural crisis of experience that has been unfolding since the close of the last century (Thompson, 2024). What is striking is his insistence that even earnest efforts to incorporate phenomenology into psychoanalytic theory have largely “fallen short” of reframing practice along phenomenological lines, which would require a more sustained emphasis on what experience itself entails as a psychodynamic event (Thompson, 2024).

His conclusion is uncompromising: the mainstream of psychoanalysis has, in effect, factored the phenomenological notion of experience out of existence, and even the turn to intersubjectivity in psychoanalysis often retains an empiricist account of experience rather than a phenomenological one (Thompson, 2024).

For patients, this is not an abstract dispute. It names a recognizable disappointment: the feeling of being spoken about, explained, even brilliantly interpreted, while one’s own experience remains strangely out of reach, as though the self were something the therapist can see more clearly than the person living it. For clinicians, it names a temptation that arrives precisely when a treatment becomes difficult, when the analyst begins to prefer the security of the conceptual apparatus over the vulnerability of staying with what is happening.

A solitary figure sits in a quiet room facing a hazy horizon, evoking reflection and ambiguity.

“Unconscious experience” and the problem of parallel lives

To make the crisis concrete, Thompson turns to Kleinian theory and to Susan Isaacs’ explication of “unconscious experience,” which he treats as a revealing contradiction: if something is unconscious in the strict sense, then in what sense can it be called experience at all (Thompson, 2024)? He follows Laing’s critique in Self and Others, where Isaacs is presented as implying that each person lives two parallel lives, one conscious and one unconscious, and that the unconscious life is never available to awareness (Thompson, 2024; Laing, 1969/1961).

If that is your theory of the psyche, then the technical consequences are almost unavoidable. You must infer what is going on “in” the unconscious, because the patient cannot experience it, cannot confirm it, cannot claim it. Isaacs, as Thompson presents her, insists that the unconscious has aims and motives that cannot become conscious and therefore cannot be experienced in the sense under discussion, which means that unconscious fantasy is treated as determining what can be consciously experienced (Thompson, 2024).

Laing’s protest, which is as ethical as it is conceptual, is that things become impossible when someone tells you that you are experiencing something you are not experiencing. As he puts it, “Things are going to be difficult if you tell me that I am experiencing something I am not experiencing” (Laing, 1969/1961; quoted by Thompson, 2024). The point is not that unconscious life is unreal, but that “unconscious experience” becomes a formulation that licenses a particular kind of interpretive sovereignty, in which the patient’s lived experience is treated as a disguise and the analyst’s inference is treated as reality.

Countertransference and projective identification: when the analyst becomes the arbiter

This is where Thompson’s critique of technique becomes especially pointed, because it touches the contemporary fascination with countertransference and projective identification. He argues that the Kleinian conception of projective identification has displaced repression as the prototypical defense, and in doing so has “virtually inverted” conventional notions of transference and countertransference, altering them so radically that they become “virtually unrecognizable” (Thompson, 2024).

The decisive shift is epistemic. Following this line, Bion concludes that the only means available to determine the patient’s unconscious experience is through the analyst’s experience of countertransference, a position that effectively relocates the evidence for the patient’s experience into the analyst’s experience (Bion, 1959; discussed by Thompson, 2024). Thompson quotes Bion describing how the analyst feels manipulated, as though made to play a part in someone else’s fantasy, and he presents this as a crystallization of the problem: psychoanalytic knowledge becomes increasingly grounded in what the analyst feels, rather than in what the patient can come to experience and claim.

None of this requires dismissing countertransference, nor denying that projective processes occur. The question is what kind of authority is created when the analyst’s felt experience becomes the privileged route to the patient’s truth, and what happens to the patient’s subjectivity when their own account is treated as secondary, suspect, or structurally incapable of reaching what is most real. The crisis of experience shows itself precisely here, where intersubjectivity in psychoanalysis can turn into a quiet conquest: the analyst becomes the one who experiences the patient’s life more fully than the patient does. Thompson’s insistence on phenomenology is, in this sense, a defense of the patient’s right to be the subject of their own experience, even when that experience is conflicted, defended against, or only barely speakable.

Two figures sit closely as their shared thoughts rise into a glowing form, symbolizing the intimacy and complexity of lived experience.

Returning therapy to experience: what changes in the consulting room

Thompson’s most concise description of psychoanalysis’ purpose deserves to be read slowly. The aim is “to return the analytic patient to the ground of an experience,” so that the patient can finally claim the experience as their own in the act of recounting it (Thompson, 2024). Once you take this seriously, the consulting room changes, not because technique disappears, but because technique is subordinated to the patient’s capacity to undergo, recognize, and speak what is happening, rather than to merely receive interpretations about what is supposedly happening.

In practice, this return to lived experience in therapy often looks deceptively simple, because it is less about dramatic interventions and more about a discipline of attention. The analyst stays close to the texture of what the patient is actually living in language, noticing where speech becomes a way of not feeling, where explanation substitutes for contact, and where a word is spoken with the body absent from it. Interpretation, when it arrives, is offered less as a verdict and more as a way of pressing experience downward, toward what Thompson calls the gravity of circumstances, toward the place where a patient cannot merely agree but must either encounter or resist what is being said.

For patients, the difference is often felt as a change in atmosphere: one is not treated as an object to be decoded, but as a subject being asked to re-enter one’s own life. For therapists, the difference is felt as a constraint on one’s own ambition to know too quickly, to be right, to do something impressive, because the analyst’s task becomes protecting the possibility that the patient might finally hear themselves, and be changed by what they hear.

If you are looking for this orientation in clinical work, Free Association Clinic offers psychoanalytic therapy and existential therapy grounded in these phenomenological questions, where interpretation is kept in the service of experience rather than allowed to eclipse it.

What this chapter asks of clinicians in training

Thompson’s chapter does not flatter the clinician, and that is part of its value. The crisis of experience is not only a theoretical failure, it is also a temptation that lives inside training and practice, because uncertainty is hard to tolerate and theory offers a ready-made refuge. When the analyst begins to rely on speculative certainty, especially certainty grounded in their own countertransference as proof of what the patient “really” experiences, the analytic relationship risks becoming a place where experience is taken away from the patient under the guise of explaining it.

For clinicians in formation, this is not a call to abandon psychoanalytic knowledge, but to remember what psychoanalytic knowledge is for. It is for returning the patient to experience, and therefore it demands a kind of humility that cannot be simulated: a willingness to remain with not-knowing; to let the patient’s speech unfold without rushing to translate it; to hold one’s own experience as meaningful but not sovereign; and to keep asking, in every interpretive movement, whether the patient is being returned to the ground of their experience or being displaced from it by a more elegant account.

FAC’s training program in existential psychoanalysis is oriented around exactly these questions, because the point is not to produce technicians of interpretation, but clinicians capable of phenomenological listening, clinicians who can bear the anxiety of experience without replacing it with theory.


Conclusion

The crisis of experience in contemporary psychoanalysis is not primarily a complaint that psychoanalysis has become too intellectual, nor a nostalgic wish for a more “human” therapy. It is a more exacting claim: that psychoanalysis risks reproducing, in the consulting room, the same impoverishment of experience that contemporary culture already encourages, replacing the dangerous vitality of lived experience with commentary, explanation, and interpretive mastery. Thompson’s insistence on phenomenology is therefore not a philosophical ornament, it is a clinical ethic. It asks whether psychoanalysis will remain faithful to the patient’s experience, including what is painful, resistant, and difficult to undergo, or whether it will trade that fidelity for a more comforting kind of knowledge.

If you want to explore therapy where lived experience in therapy is treated as primary, not as an afterthought, you can contact Free Association Clinic.


James Norwood, PsyD
Associate Director, New School for Existential Psychoanalysis (https://www.freeassociation.us)
Clinical Director, The Free Association Clinic for Existential Psychotherapy and Psychoanalysis (https://www.freeassociationclinic.com)
Founder/CEO, inpersontherapy.com (https://inpersontherapy.com)

References

Thompson, M. G. (2024). Essays in Existential Psychoanalysis: On the Primacy of Authenticity. Routledge.
Adorno, T. W. (1992). Notes to Literature, Volume 1 (S. Weber Nicholsen, Trans.). Columbia University Press.
Jay, M. (1998, November 14). The Crisis of Experience in a Post-Subjective Age (public lecture). University of California, Berkeley.
Laing, R. D. (1969/1961). Self and Others. Pantheon.
Bion, W. R. (1959). “Attacks on Linking.” International Journal of Psycho-Analysis.

Freedom and Responsibility in Existential Psychoanalysis: Sartre’s Influence on Clinical Practice

Freedom and Responsibility in Existential Psychoanalysis:
Sartre’s Influence on Clinical Practice

A Reflection on Michael Guy Thompson’s
Essays in Existential Psychoanalysis

The relationship between psychoanalysis and existentialism has long been marked by tension. Psychoanalysis, particularly in its Freudian form, delves into the unconscious, focusing on hidden drives and repressed desires that shape behavior. In contrast, existentialism centers on consciousness, freedom, and personal responsibility. As Michael Guy Thompson (2016) highlights in Essays in Existential Psychoanalysis, existential psychoanalysis diverges from traditional psychoanalysis by emphasizing the individual’s conscious engagement with life and their ability to choose. This philosophical divide has created an ongoing dialogue between the two disciplines, but it has also led to misunderstandings.

Sartre, perhaps more than any other existential philosopher, has had a complex relationship with psychoanalysis. While his ideas have not deeply influenced clinicians in general, existential psychoanalysts have found his work crucial for rethinking the foundations of therapeutic practice. Sartre’s existential critiques, especially his thoughts on freedom and responsibility, have provided a unique perspective that informs how existential psychoanalysts understand their patients and guide therapy (Thompson, 2016).

Sartre’s Influence on Existential Psychoanalysis

Jean-Paul Sartre’s influence on existential psychoanalysis is both deep and personal. In Being and Nothingness, Sartre lays out a framework for understanding human freedom that has profoundly impacted existential psychoanalysts. Sartre believed that human beings are fundamentally free, and much of our psychological suffering stems from our refusal to confront this freedom. Unlike Freud, who emphasized unconscious drives that control behavior, Sartre focused on the choices we make and the responsibility for those choices (Thompson, 2016).

Thompson (2016) explores how Sartre distinguishes between reflective and pre-reflective consciousness, a central component of Sartre’s critique of the unconscious. Pre-reflective consciousness refers to the immediate, lived experience of our actions and feelings, where we are aware of our choices but have not yet reflected on them. Reflective consciousness, on the other hand, involves stepping back to evaluate or acknowledge these choices. For Sartre, much of human behavior operates at the pre-reflective level, meaning that individuals are aware of their actions, but may not explicitly acknowledge or examine them.

This distinction helps Sartre challenge Freud’s notion of the unconscious. Freud posited that repressed, unconscious forces drive much of our behavior without our awareness. In contrast, Sartre argued that people are always aware—at least pre-reflectively—of their choices and actions. According to Sartre, what Freud called the unconscious is not truly unconscious; rather, it consists of choices or actions that we avoid acknowledging in order to evade responsibility. Sartre’s concept of bad faith describes this avoidance, where individuals deceive themselves to escape the weight of their freedom and responsibility (Thompson, 2016).

Freedom and Responsibility in Therapy

Sartre’s concept of freedom is central to existential psychoanalysis. According to Sartre, we are “condemned to be free,” meaning that we are constantly making choices, whether we like it or not. This freedom, however, comes with responsibility—a responsibility that many people try to evade. In Essays in Existential Psychoanalysis, Thompson (2016) explores how Sartre’s understanding of freedom challenges traditional psychoanalytic approaches, which often see patients as victims of unconscious forces. Instead, existential psychoanalysts, drawing on Sartre, focus on helping patients recognize their freedom, even when that freedom comes with existential anxiety.

While Sartre believed that individuals must confront their tendency to avoid responsibility through bad faith, he did not specifically advocate for therapy as the primary means to achieve this. Instead, Sartre saw the recognition of one’s freedom as a philosophical and existential challenge. Therapy, from an existential perspective, can help patients engage with this task, but its role is to support patients in understanding their choices rather than offering solutions (Thompson, 2016).

The Influence of R.D. Laing on Existential Psychoanalysis

One of the most significant figures to integrate Sartre’s ideas into clinical practice was R.D. Laing, a Scottish psychiatrist whose work on schizophrenia revolutionized the field in the 1960s and 1970s. Laing viewed mental illness not simply as a biological disorder, but as a reflection of an individual’s struggle with their own freedom. According to Thompson (2016), Laing’s The Divided Self can be seen as an integration of Sartre’s existential psychoanalysis with object relations theory.

Laing’s approach marked a departure from traditional psychoanalysis, as he emphasized understanding the subjective experience of those with mental illness. Like Sartre, Laing believed that even individuals experiencing extreme psychological distress must be understood in the context of their relationships and choices. His work serves as an example of how Sartre’s existential philosophy can be applied in a therapeutic setting, encouraging clinicians to focus on the patient’s experience of freedom and responsibility (Thompson, 2016).

Sartre’s Critique of Freud’s Unconscious

A key aspect of Sartre’s critique of Freud’s theory of the unconscious lies in his rejection of the idea that there are multiple agencies, such as the id, ego, and superego, controlling human behavior. Sartre challenged the notion that anything other than the individual is responsible for their actions. He argued that positing separate psychic agencies implies that behavior is caused by something other than the person themselves. Sartre believed that people are fully responsible for their choices, even when they avoid acknowledging them.

Thompson (2016) explains that Sartre’s distinction between reflective and pre-reflective consciousness is crucial to understanding this critique. Pre-reflective consciousness refers to our immediate awareness of choices and actions, even if we don’t explicitly reflect on them. Sartre argued that what Freud referred to as the unconscious is not a separate, hidden force, but rather choices and actions that we fail to acknowledge because doing so would confront us with our freedom and responsibility. Sartre’s concept of bad faith—the idea that individuals deceive themselves to avoid facing the truth of their freedom—underscores his rejection of the idea that any unconscious agency drives human behavior (Thompson, 2016).

This critique ultimately reframes what Freud called the unconscious. Rather than assuming that human beings are driven by repressed, unknown desires, Sartre argues that we are aware of our motivations on some level but choose to ignore or suppress them through bad faith. For Sartre, psychoanalysis must engage with these pre-reflective choices, helping individuals recognize and take responsibility for their actions (Thompson, 2016).

Freedom and Change in the Therapeutic Process

Sartre’s existential psychoanalysis provides a powerful framework for understanding change in therapy. As Thompson (2016) notes, Sartre’s focus on freedom encourages patients to confront how they avoid responsibility in their lives. However, Sartre did not suggest that therapy alone can help individuals live more authentically. The role of therapy in existential psychoanalysis is to guide patients toward recognizing their freedom and taking responsibility for their actions, rather than trying to unearth hidden drives or uncover a “true self,” a concept that Sartre rejected. For Sartre, we constantly create and recreate ourselves through our actions; there is no fixed essence or predetermined “self” to be discovered (Thompson, 2016).


Conclusion

The relationship between existentialism and psychoanalysis has not always been smooth, but thinkers like Jean-Paul Sartre and R.D. Laing have shown how these two fields can come together to offer a deeper understanding of the human condition. Sartre’s emphasis on freedom and responsibility provides existential psychoanalysts with a framework for helping patients confront the choices they make and the responsibility they carry for their lives. At the Free Association Clinic for Existential Psychoanalysis, we draw from these rich philosophical traditions to guide our therapeutic practice, helping patients explore their freedom and engage more authentically with their lives.


James Norwood, PsyD

Associate Director, New School for Existential Psychoanalysis
Clinical Director, The Free Association Clinic for Existential Psychotherapy and Psychoanalysis
Founder/CEO, inpersontherapy.com

Heidegger, M. (1962). Being and Time (J. Macquarrie & E. Robinson, Trans.). Harper & Row.
Husserl, E. (1982). Ideas Pertaining to a Pure Phenomenology and to a Phenomenological Philosophy (F. Kersten, Trans.). Martinus Nijhoff.
Kierkegaard, S. (1980). The Sickness Unto Death (H. V. Hong & E. H. Hong, Trans.). Princeton University Press. (Original work published 1849)
Laing, R. D. (1965). The Divided Self: An Existential Study in Sanity and Madness. Penguin Books.
Nietzsche, F. (1966). Beyond Good and Evil (W. Kaufmann, Trans.). Vintage Books.
Sartre, J.-P. (1956). Being and Nothingness (H. Barnes, Trans.). Washington Square Press.
Thompson, M. G. (2016). Essays in Existential Psychoanalysis. Routledge.