Sigmund Freud: 'The doctor should be opaque to his patients and, like a mirror, should show them nothing but what is shown to him.'

The doctor should be opaque to his patients and, like a mirror, should show them nothing but what is shown to him.

"The doctor should be opaque to his patients and, like a mirror, should show them nothing but what is shown to him." These words by Sigmund Freud encapsulate the essence of a doctor-patient relationship, emphasizing the importance of neutrality and impartiality. In a straightforward interpretation, this quote suggests that doctors should remain emotionally detached, reflecting back to their patients only what is revealed to them. Such an approach allows patients to freely express their concerns, thoughts, and emotions without fear of judgment or bias.However, delving deeper into this quote, we can introduce an unexpected philosophical concept, highlighting the intriguing balance between transparency and opacity in human connections. In our increasingly interconnected world, where authenticity and vulnerability are praised, it may seem counterintuitive to view doctors as "opaque" entities. Yet, when analyzing the dynamics of a therapeutic relationship, Freud's words offer a fresh perspective that challenges prevailing notions of transparency.In today's society, there is a growing emphasis on fostering personal connections based on shared experiences and open communication. We seek validation and understanding through relating to others' stories. In this context, it is easy to overlook the significance of the doctor's role as a neutral observer – a mirror that reflects back only what is presented to them. By practicing opaqueness, doctors create a space that allows patients to truly explore their own narratives without external influences.The importance of this neutrality can be understood through the concept of projection. Projection, as Freud described it, refers to the unconscious act of attributing our own thoughts, feelings, and desires onto others. Within the doctor-patient relationship, this psychological phenomenon comes into play. When a patient perceives their doctor as an opaque mirror, they are less likely to project their own biases, fears, or insecurities onto the doctor. Instead, they can focus on revealing their true selves, facilitating a more accurate diagnosis and effective treatment.However, it is essential to acknowledge the potential pitfalls of opaqueness in a doctor-patient relationship. In some cases, patients may yearn for a doctor who offers guidance, empathy, and a personal touch. They may require more than a mere reflection of their narrative. Hence, a balance must be struck between the doctor's neutrality and their ability to empathize and provide appropriate support.To achieve this balance, doctors can strive to be transparent about their intentions, values, and limitations without compromising their role as an opaque mirror. By openly discussing their approach and therapeutic methods, trust and mutual understanding can be established. This delicate interplay of opacity and transparency allows patients to feel heard and validated while also maintaining the necessary distance for impartial observation.Ultimately, Freud's quote encourages us to question the prevailing assumptions about the doctor-patient relationship. It invites us to explore the complex nature of human connections and the role of transparency and opaqueness within them. By adopting a mirror-like approach and embracing the concept of opaqueness, doctors can create a safe and unbiased environment, empowering patients to embark on a transformative journey of self-discovery and healing.