Refine
Language
Document Type
- Articles (299)
- Books (25)
- Reviews (17)
- Dissertations (14)
- Forewords (11)
- Interviews (7)
- Collections (1)
- Event Reports (1)
- Necrologues (1)
Year of publication
- 2005 (376) (remove)
Within post-Kantian, liberal accounts of law, freedom emerges as the law that is moral. Opposed to the relative and restricted necessity of positive law, freedom is understood as a law that is individual and autonomously given. The space of such self-determination is protected, usually negatively, by positive law. Freedom and necessity, morality and law, autonomy and heteronomy: these summarise the oppositions within which much modern thinking has moved and moves to this day.
In their commentaries, Sandage and Frommer each describe ways in which forgiveness may be intrinsic to the therapeutic process. But their papers also point to one of the great difficulties of promoting forgiveness as the goal in either theater or therapy, which is that the need to control the healing process can actually impede that process. This reply examines how that need may have undermined the writing of The Laramie Project, and it suggests that, in order to help audiences and clients find true forgiveness, playwrights and analysts may need to relinquish their own righteousness.
This author posits that, perhaps because of its religious implications, psychoanalysis has historically avoided speaking of forgiveness, although playwrights have often depicted forgiveness as a psychological mechanism that can help resolve cycles of anger and revenge. The Laramie Project (Kaufman et al., 2001), a play about how a U.S. town deals with a murder and its aftermath, provides an example of the way in which forgiveness offers an exit from vengeance. The play points to both the positive and the negative roles that religious ideas play in human actions. At the same time, however, the play itself avoids some of the painful processes that enable human beings to locate forgiveness. This paper draws on psychoanalytic literature, social commentary, and plays by Aeschylus and Shakespeare to demonstrate how the mechanisms of forgiveness operate. In conclusion, it suggests that although enabling the psychological processes of forgiveness can be extremely difficult, ignoring these processes may be life-threatening.
Psychoanalytic Bias Against the Elderly Patient: Hiding Our Fears Under Developmental Millstone's.
(2005)
It seems it would be helpful for all impasses to be >recollected in tranquility.< In the thick of impasses, however, when we are experiencing pressure, defensiveness, vulnerability, and the responsibility to come up with a quick solution, it can be nearly impossible to think clearly. Time may take us to a place of greater calm and fresh awareness. But it may also provide an illusory calm, leaving us stuck circling in old familiar grooves, grooves rimmed by our own unconscious vulnerabilities and limitations. At such times, we may operate in a perceived state of calm, but with a set of powerful, yet ineffective, unseen or outgrown, concretized beliefs and perceptions, creating a perception of calmness. Some of these may even silence or damage the cooperative or struggling patient, who remains or dares to return (out of a longing to connect or make things >right<). I wondered whether what Dr. Pizer's patient said at the end of Rebecca's second therapy with him was true (that she no longer needed a hug from him, finding it more mature to proceed without one), or if this was merely what she felt she should say in order to leave a key relationship she valued – also in peace and tranquillity.
The central thesis of this paper is that grand theories of development are alive and well and should be paramount to those interested in behavioral intervention. Why? Because how we think about development affects how we approach treatment. Here I discuss the central concepts of a new theory of development – dynamic systems theory – to highlight the way in which a theory can dramatically alter views of what intervention is all about. Rather than focusing on one root of maladaptive behavior such as biological predispositions, environmental causes, or motivational states, dynamic systems theory presents a flexible, time-dependent, and emergent view of behavioral change. I illustrate this new view with a case study on how infants develop the motivation to reach for objects. This example highlights the complex day-by-day and week-by-week emergence of new skills. Although such complexity presents daunting challenges for intervention, it also offers hope by emphasizing that there are multiple pathways toward change.
In. Replying to the discussions of Gilbert Cole and Stefanie Solow Glennon, I focus on several issues raised, including the continuing intrapsychic relationship with a dead parent who may have been destructive to the patient the analyst's facilitating role in enabling the patient to connect with, and construct the future of, the lost relationship the potential meaning of an enactment with a bereaved patient and some thoughts on the dyad's needs to work creatively postloss in multiple affective time zones.
The author considers a relational perspective of mourning and suggests an elaboration and extension of Freud's theory of mourning with a sharper focus on the dialectic of holding on and letting go of the formative lost object relationship. Sussillo argues that Freud's early (1917) theoretical tilt toward the relinquishment of affective ties with the dead, later expanded and culminated in a deeper relational sensibility, was shaped by his developing theories and personal losses. Her position is that the analyst can help facilitate the adult patient's affective experience of felt continuity with the absent object, lost in adolescence, that ultimately allows the separation and the transformation of the primitive bond. Sussillo's perspective represents a synthesis of relational theories in a broad sense – also informed by attachment theory, contemporary bereavement research, infant research, and developmental theory. This thesis is illustrated by a clinical example that highlights the therapeutic action.
The Use of Metaphors in the Service of the Therapeutic Alliance and Therapeutic Communication
(2005)
Theory and change. Commentary on Morris Eagle's >enactments, transference, and symptomatic cure<
(2005)
The author posits that Pizer's use of both narrative and lyrical style is not typical in psychoanalysis, whose scholarly tradition tends to favor a denser, more academic style of writing. The ways in which psychoanalysts read these two forms of writing are mirrors of one another. Both kinds of reading are forms of discipline both forms of writing are necessary in psychoanalysis. The author also writes that Pizer's >nonanalytic third< does not have to be a >good< thing like a poem it can be almost anything important to the analyst. The nonanalytic third is a soulful metaphor that can be used to create alternatives to rigid experience. Because rigidity in psychoanalytic relatedness is usually the result of problematic unconscious involvements between analyst and patient, the nonanalytic third can be significant in the negotiation of enactments.
Arthur H. Feiner, 1922-2005.
(2005)
This discussion of the paper by Stuart Pizer focuses on the unconscious forces operating within the analyst that can contribute to a therapeutic impasse. The author discusses a period when she unknowingly skirted interpersonal and transferential interpretations as a result of particular stresses in her personal life. It was not until she was taken to task by one of her patients that she realized the extent to which these stresses had led her to back away from the intensity of the therapeutic relationship. This discussion is offered as a cautionary tale, to remind every analyst of the importance of remaining as aware as possible of one's own circumstances, history, dynamics, and limitations and to be forever watchful of oneself.
Book Review : Sophia Richman, >A Wolf in the Attic: The Legacy of a Hidden Child of the Holocaust.<
(2005)
Nonlinear dynamic systems theories offer useful approaches for understanding psychoanalyses: One of the most distinctive and appealing features of psychoanalytic thinking is its focus on mental processes that defy categorization and linear explanation. Analytic therapists tolerate uncertainty, find meaning in apparently disordered communication, and embrace the unexpected twists and turns that emerge from intimate attention to the ordinary complexities of everyday life. These are hallmarks of a psychoanalytic sensibility that spans various theoretical persuasions. Non-linear dynamic systems theory embodies the same sensibilities: It emphasizes such descriptors as pattern, complexity, flux and flow, the interplay of ambiguity and order, stability and instability, and the natural value of uncertainty and generative chaos. Although systems theory may appear esoteric and overly intricate, it can be approached in an intuitive, experience-near way so as to offer a language and an imagery that underlie everyday clinical thinking. Its metaphors and aesthetics can help analysts become more precise, spacious, and immediate about basic assumptions that tend to be taken for granted. In addition to tracing this conceptual path, this paper provides a brief account of the history of nonlinear thinking in psychoanalytic theorizing and offers clinical examples.
Neil Altman and Rachael Peltz have written forceful and important papers on manic defenses and the loss of >social security< in American society. My own experience underscores the value of their project, which I view as a response to changes and differences that have grown over decades and accelerated in recent years. The emergence of the theory of manic defenses leads back to the crises of the 1930s, and psychoanalytically informed cultural critics have recognized similar patterns since the 1970s. I suggest evidence for their views, while also expressing skepticism about their more prescriptive ideas. The crisis they begin to analyze has even deeper roots in the ultimate fears generated in the mid-20th century.
A Psychodynamic (NonOedipal) and Brain Function Hypothesis Regarding a Type of Male Sexual Masochism
(2005)
In October 2004 it was my pleasure to present at a cutting-edge conference entitled The Interplay of Implicit and Explicit Processes in Psychoanalysis. In addition to offering an address (>The Essential Role of the Right Brain in the Implicit Self: Development, Psychopathogenesis, and Psychotherapy<), I also provided a commentary to Steven Knoblauch's excellent paper, >Body Rhythms and the Unconscious: Toward an Expanding of Clinical Attention.< In the following, I briefly summarize these presentations, with the purpose of showing how current advances in developmental and neuropsychoanalysis are being incorporated into the practice of clinical psychoanalysis. This work is part of an ongoing effort to expand regulation theory, an overarching theoretical model of the development, psychopathogenesis, and treatment of the implicit self.
In response to Franco Borgogno's article, the author talks about the dread of falling, a theme that appears in some of the dreams presented in Borgogno's case study and that conceals very primitive anxieties, each resulting from specific object relations constellations. The discussion elaborates the understanding of this dread through various theoretical perspectives as well as through Samuel Beckett's (1946) short story, >The Expelled.<.
In providing the background to a pivotal session, Stuart Pizer reveals his clinical work as an unsupervised neophyte, prior to his own analysis and analytic training. These early therapeutic efforts were flawed, leaving Pizer at times >grimacing with mortification 26 years after the fact.< But they were also extraordinarily helpful to the patient. Schaffer discusses the challenge of supervising similarly talented beginners: how does one teach psychoanalysis without desiccating a treatmen? How does one teach a relational approach, with no >basic model< and few rules, to a beginning analyst infused with an unformulated, yet often passionate, sense of what is >curative<? Pizer recognizes that were he to meet the same patient today, he would not conduct the same treatment. Now trained and analyzed, not to mention more cautious and >worldweary,< Pizer would not do what he did then. But what if he were the supervisor then? Schaffer concludes her discussion by asking Pizer how he, now a seasoned analyst, would supervise his early therapist self.
Stephen Wangh's insightful article, >Revenge and Forgiveness in Laramie, Wyoming< invites a psychoanalytic contribution to interdisciplinary dialogue on violence, revenge, and forgiveness. This author suggests that one strength of Wangh's perspective is his attention to the interplay of systemic and intrapsychic dynamics, which offers a needed corrective to dominant individualistic perspective in psychological and clinical literatures on forgiveness. He notes that Wangh does not clarify a particular definition of forgiveness or an approach to interdisciplinary dialogue. This commentary outlines a linguistic approach to the definition of forgiveness by drawing on three semantic domains of meaning (forensic, therapeutic, and redemptive or sacred). The author suggests some areas of rapprochement between the construct of forgiveness and psychoanalytical theory across each of these semantic domains and briefly illustrates the role of hermeneutics in interdisciplinary dialogue.
Freud's theory of melancholia has lately experienced a renaissance among those interested in the creative potentialities of the psyche. In this essay, I consider the ways in which melancholia can contribute to the actualization of these potentialities by preparing the ground in which inspiration can later take root. I also outline the circumstances in which the melancholy subject's refusal to abandon its lost objects represents an entirely valid response to loss. At the same time, I propose that if the subject is to develop an affirmative and imaginatively supple relationship to its psychic history, it must in the end move from melancholia to meaning production. Insofar as melancholia signals the psyche's inability or stubborn unwillingness to move forward, its powers by necessity remain dormant until the subject is able to exchange its sadness for the versatile meaning-making capacities of the signifier. I moreover argue that it is only when the subject is able to transcend its melancholia enough to begin to desire new objects that it can develop loving and responsible relationships with others – that it can begin to welcome others in their own terms rather than reducing them to its own narcissistic image.
Transferred fictions
(2005)
Neil Altman and Rachael Peltz suggest the relevance of psychoanalytic ideas drawn from the object relations tradition to understanding contemporary American social life. They see the denial of suffering and the projection of hostility in an increasingly individualistic culture as a >manic defense.< While sympathetic to this critique, this commentary raises questions about it. It argues that the object relations perspective is only one of several versions of psychoanalytic thinking. Psychoanalysis is neither value free nor committed to one set of values, but is rather a plural discourse within which moral and social differences can be explored. The paper suggests three ways for advancing the critical program set out by the authors. It recommends that clinical work be used as a valuable source of evidence of the consequences of social organization for personal lives, that arguments based on case descriptions of individual experience can be effective forms of public communication, and that the value of the >containment model< presented by Altman and Peltz needs to be demonstrated in practice as well as in theory, through psychoanalytic work both in and beyond the consulting room.
My response to the discussions is organized from an evolutionary perspective on the development of theory within psychoanalysis. After briefly stating the premises of the paper, I discuss each commentary. I experience Aron's discussion as more evolutionary than Benjamin's or Ellman's. It seems clear that we all have our own agendas. The reader is invited to try them on for size in the spirit of ongoing dialogue that characterizes this journal.
This paper has two purposes. The first is to elaborate compromise formation theory from an intersubjective perspective. The second is to explore the implications of this vantage point for our understanding of the modes of therapeutic action of psychoanalysis. I pursue the goals of this paper by outlining the essentials of compromise formation theory and by elaborating what I mean by its intersubjective dimension. Then I present and discuss analytic data to demonstrate the value of the theory for understanding aspects of mode of therapeutic action. Finally, I contrast this perspective with competing theoretical points of view.
Envy, Shame, and Sadism
(2005)
This case provides a delicate approach to vital purpose, unconscious pattern, and >emotion recollected in tranquillity.< The author defines, the >paradoxical analytic triangle< to which Pizer refers, as a human quality, an unprecedented level of understanding and comprehension, that lets analyst and patient recognize their own dependence on the object. In so doing, they both gain a quality of presence through recovering the projections that they have attributed to the object. Four aspects are considered important steps leading to this human quality within the analytic process: dissociation leading to impasse sensibility opening to countertransference recollection in tranquillity leading to self-reflexivity and the patient's >vital purpose< – the most salient aspect (the lighthouse) of the whole project.