Psychoanalytical Uncertainty Understanding in Contemporary Psychological Counseling

  • Nataliia Kantarova Department of Psychiatry, Addiction Medicine, Clinical Psychology, and Psychotherapy Odessa National Medical University, Odessa, Ukraine https://orcid.org/0009-0002-4817-2277
Keywords: psychoanalytic approach, situation of uncertainty, psychological counselling, anxiety, symbolization, transference, subject certainty

Abstract

The article provides a theoretical understanding of the uncertainty phenomenon in modern psychological counseling through the psychoanalytic approach prism. The relevance of the study is due to the growing demand for psychological assistance in conditions of social instability, war trauma, forced migration, and life roles transformation, which form a mass experience of  predictability and internal support loss. It is shown that uncertainty in counseling practice manifests itself not only as an external problem, but also as a deep psychological state associated with anxiety, symbolization disorders, identity instability, and the actualization of early object relations. Classic and contemporary psychoanalytic concepts are analyzed, within which uncertainty is considered a structural characteristic of mental life that activates defense mechanisms and unconscious repetition scenarios. It is argued that in situations of life certainty loss, a request for consultation often masks a deep conflict between the need for autonomy and the desire for external support. Particular attention is paid to the role of transference and countertransference, the containing environment, and the development of the ability to symbolize and mentalize as key mechanisms for transforming the uncertainty experience in the psychological assistance process. The specifics of psychoanalytically oriented counseling are identified, in which the work is aimed not at quickly eliminating uncertainty, but at forming the client's ability to withstand the openness of the future, integrate the ambivalence of experience, and restore the subject position in making life decisions. The methodological limitations of the classical psychoanalytic model in mass social instability conditions are outlined, and the need to integrate the psychodynamic perspective with modern evidence-based approaches to psychological assistance is justified. Prospects for further research are identified, related to the empirical verification of psychoanalytic models of working with uncertainty and the development of adapted formats for short-term counseling in a prolonged crisis context.

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Published
2026-05-28
Cited
How to Cite
Kantarova, N. (2026). Psychoanalytical Uncertainty Understanding in Contemporary Psychological Counseling. Visnyk of V.N. Karazin Kharkiv National University. Series Psychology, (80). Retrieved from https://periodicals.karazin.ua/psychology/article/view/29490
Section
PSYCHOLOGY OF HEALTH AND CLINICAL PSYCHOLOGY