Analytic authority in historical and critical perspective: Beyond objectivism and relativism.
(1999)
Paradox and process
(1999)
In this paper I am tracing the history of countertransference and how it has informed the current debate about self-disclosure as a pivotal instrument of analytic work. Now that the analyst's >subjective factor< has been understood as a central influence on the analysand and as a vital source of information about the analysand's intrapsychic life, I argue that certain currents in the relational school of psychoanalysis confuse the analyst's subjectivity with his personality. While becoming more >real< with a patient may enliven a stale analytic dialogue, it ought not be confused with, or take the place of, an analysis of unconscious desires and phantasies. I claim that a two-person psychology can exist only within a tripartite structure in which the analyst does not lose sight of his complex function of being the carrier, observer, and conveyor of the unconscious currents holding both participants in check.
Kreativität und Schule
(1999)
This paper is a meditation on the interpenetration of mental and physical, particularly architectural, place. Its premise is that the relationship between person and place is transitional, ever in flux, person continually defining place into a continuous reality, and reality perpetually placing person. Further, this interchange occurs against the backdrop of an inconceivable void whereby the very terms of the interchange can be nullified. Such a void is unconscious and outside in the sense that it is outside what can be known. The matter of opening the inside to the outside becomes an endeavor shared by psychoanalysis and by architecture, notably sacred architecture. The exchange between inside and outside is considered using as examples the body, Freud's office, Disneyland, and the cathedral. Implications are extrapolated as to the provisional nature of the self.
A Contribution to the Settlement of the Historical Antinomy between Conflict and Defects in the Self
(1999)
Inquiring about the origin of mental distress from a relational point of view, the author focuses on the debate between conflict and structural defects, in order to overcome the dichotomy between the two different perspectives. According to the doctrine of defects in the self, which is based on certain Object Relations Theories, pathology is caused by faulty or inadequate caregivers. The doctrine seems too simplistic, because the child is thought of as completely passive. According to the relational viewpoint in psychoanalysis, the development of the subject takes place in a mutual conditioning process between the subject and the environment, which has to be better conceptualised. Defects in the interactive relationships with the primary caregivers, viewed as a failure in the relationship, create in the child a decompensation, which makes it withdraw from the relationship. In order to open itself to the relationship again, as a primal objectual need, the child builds up a pattern of response, which allows it to negotiate it again. Making use of the research on the first phases of development of R. Emde (psychoanalytic trend), C. Trevarthen (interactive-cognitive trend) and K. Kaye (child psychology), the author argues that the adherence to the structured response pattern leads to a conflict between the structured self image and any other potential different way of seeing oneself. Through a clinical vignette the author will demonstrate how this may lead to a non-cohesiveness of the self, viewed as an inactivation of the subject's developmental possibilities.
A gendered person lives in and creates a gendered body. Through the sexual life of the couple, two gendered bodies come together. In this paper, I draw on case material to illustrate how a multitude of sensations associated with what it feels like to be a man or a woman is aroused, affirmed, and created as one dimension of sexual experience. I suggest that these gender sensations may be organized through the three psychological positions – autistic-contiguous, paranoid-schizoid, and depressive. The movement among all three positions gives different shapes to sensory-based gender experience – each position making its own unique contributions to the qualities of what it feels like to be a man or a woman. In one case, I consider the possibility that gender transformation occurred through an unconscious intersubjective erotic third – the body of the couple – created between the patient and her husband.
They Shall Wear Fringes
(1999)
Action in connection with the therapeutic process is often equated with acting out. The subtle behaviour that belongs to ?the complicated system of transmitting and receiving unconscious signals? (Sandler), with which the patient attempts to make the analyst behave as the object of transference or to fulfill an unconscious desire, is also described as acting out or micro-acting out (Treurniet). This fine-grained action, however, means nothing; it is not symbolic or communicative action. Its intention is, rather, to trigger effects and induce interactions. It occurs not only on the side of the analysand but also on that of the analyst, and is part of the unconscious communication in the therapeutic process. Presented here are some of the various interactive ways and means with which the analyst is prompted into unconscious action and certain, unnoticed, ways in that he turn ?treatsfithe patient. The analyst's action responses can bear the character of interpretations with which he may unintentionally reveal how he regards the behaviour of the patient.
Satjagraha als Wissenschaft
(1999)
The forming and early development of the Swedish Society for Holistic Psychotherapy and Psychoanalysis is described. The influence of the personal background of those who formed the society, the general zeitgeist in which the society unfolded and the specific circumstances in the field of psychotherapy and psychoanalysis in Sweden at the actual time is paid attention to. The significance of Dr. Harold Kelman as a supervisor and teacher during the forming years is underlined. The forming of the International Federation of Psychoanalytic Societies (IFPS) is mentioned as an important matrix for the growth of the society.
Psychoanalytic Expertise
(1999)
Psychoanalysis, dissociation, and personality organization reflections on Peter Goldberg's essay
(1999)
In this paper, I consider the feeling of interiority as it evolves within the treatment relationship. A capacity to access and sustain one's interiority reflects a sense of personal solidity within which the validity of subjective process and privacy is taken for granted. When this capacity is relatively undeveloped, individuals rely on the >other< (including the analyst) to help them contact, elaborate, or manage their affective experience. Quite paradoxically, the analyst's active investigation of dynamic or intersubjective process may obfuscate rather than clarify this core difficulty. I suggest two alternative approaches to the treatment situation that stand in some tension and yet also complement each other. One emphasizes the >active< investigation of dynamic and dyadic process, wherein the analyst works interpretively and/or around relational issues. The other is organized around the >interior< dimension of the treatment experience, emphasizing the patient's need to develop or manage her affective process in the relative absence of input from the analyst. Two clinical situations are described, the first illustrating the use of silence with a patient whose difficulties involved affect articulation, and the second involving a patient whose need for affect regulation made her highly dependent on the analyst for soothing.
This article, which analyses a crime that took place in the city of Brasilia in 1997, is based on two separate and correlated hypotheses. Firstly, this crime reveals a fact about psychic structure: the >real< dimension irrupts through acts. Therefore, psychoanalytical practice must contemplate the >real< dimension. Secondly, we would like to pose two questions. Is it necessary for today's psychoanalysts to be aware of and involved with contemporary events? If the analyst ignores modern dialectics, what kind of symbolic involvement can he establish with the lives of the people he analyzes? Being committed to contemporary symbolic culture signifies that we must relinquish the comfortable division between good and evil. Acts of violence, performed by human beings, necessarily indicate both >enjoyment< and >truth<. In the symbolic dimension, we understand and comprehend; in the symbolic dimension, we are reasonable. But, not all acts fall within this pacifying register. If we consider these two aspects: on one hand, the analyst's responsibility to the patient, in regard to symbolic commitment and, on the other hand, the irruption of violent and senseless acts, this would mean that as analysts, we find ourselves lacking a certain neutrality, contrary to the position defended by some analysts.
This paper discusses one family's struggle with domestic violence involving three generations. In this case, coercive negative maternal attributions interacted with parent-to-child projective identification, which resulted in the child's internalization of parental perceptions involving confusion around danger and protection from danger. Projective identification occurs as readily from a parent to a child as from a child to a parent. As is illustrated, when the parent's use of projective identification is excessive, it has severe implications for the whole of the child's psychic development (Lieberman, 1992, 1994, 1997, in press Seligman 1993, 1995, this issue Silverman, Lieberman, and Pekarsky, 1997).
>Tue das Unerwartete< – Eindrücke über eine gewaltfreies Training zur Zivilcourage mit Bernd Sahler
(1999)
Freud's characterization and dismissal of the >symbolic dream interpreting< of his time – his idiosyncratic distinction between that metaphoric form of interpretation and what he called the >scientific< mode, and his subsequent asymmetrical focusing on the latter – seriously skewed his presentation of the nature and history of the Western dream tradition. It obscured the facts that an old theory regarded the dream as the unmasker of the hidden psychic life and that a venerable hypothesis that it could bring to light licit and illicit unconscious desires had not been forgotten by Freud's fin de siècle contemporaries. For many years, his injunction against the use of symbolism, except in the case of the sexual, had an inhibiting effect on psychoanalysts’ free use of manifest dream interpretation.
Developmental Metaphors: The Dialectic of Perception and Creation in the Construction of a Novel
(1999)
Using a naturalistic design, 44 patients in psychoanalysis were examined with regard to qualitative and quantitative outcome of therapy. The results were compared with those from 56 dynamic and 164 inpatient therapies. Comparison of symptoms, diagnoses, and motivation prior to therapy led to the conclusion that the patient groups treated within these settings differed greatly. For this reason randomisation appeared to be an inadequate strategy for comparing groups in different therapeutic settings. Using different outcome criteria, it could be demonstrated that psychoanalysis patients on the whole attained good therapeutic results. The outcomes were the best in comparison with the other two therapy categories investigated. The use of different outcome criteria and observer perspectives (patient and therapist) led to therapy results with clear-cut differences. In the patient view, the main effect was cessation of psychosomatic, anxiety- and depression-related symptoms. The therapists furthermore reported clear-cut changes in the scales depicting relationship variables. The study presents success rates obtained on the basis of different outcome criteria and discusses them with special emphasis on the methodology of recording outcomes. The paper concludes by making recommendations for psychoanalysis studies yet to be planned.
Das Unbehagen in der Moderne
(1999)
Masochistic fantasy staging can be seen as a creation of the ego in order to compensate for a psychic structural deficit that stems from being deprived of sufficient empathetic mirroring in early childhood. It consists in the inability to establish an internal empathetic object as a stable psychic structure. Using case-studies vignettes, it is shown how as a result struggle for empathy can become the central live theme and coincide with ?perverse? masochistic fantasies. After a short review of the most important traditional attempts to interpret masochism, the author delineates the communicative meaning of masochistic fantasies, which are composed of the complementary roles of the sufferer, the tormentor and the spectator. By this means the patient creates an inner scene which is apt to serve as a mirror for the experience of psychic pain and to represent the preverbal childhood trauma in a symbolic way. During analysis, this inner scene is shifted to the therapeutic relationship where different roles are kept ready for the analyst: the sadistic adversary; the unobtrusive witness of psychic pain and the role of an answering, reacting object. The relevance of these roles in therapy is examined. It is also shown how by somatisation of psychic pain the struggle toward empathy can be transferred to the stage of somatic medicine with the risk of provoking there a reaction referring solely to the body of the patient.
IFPS-Is there a Difference?
(1999)
This paper tries to answer a question about the difference between IFPS and other psychoanalytical institutions. The author states that there is a linkage between the ethics of psychoanalysis and the ethics of the institution. The ethics can not be represented by rules or standards of prerequisites, but by creating a space where the unconscious as desire, singularity and difference takes place. The bureaucratic organization and the hierarchy in the categories of members of IPA institutions goes straight against the transgressor experience of the unconscious. The training analysis under such conditions leads to an identification process with the training analyst, giving as final result standardized, homogeneous, obedient analysts. The author describes a new experience in the training of analysts in his institution without any kind of interference from IFPS. Finally, he concludes that differences exists between the two institutions and that they are mainly due to the identification process typical for IPA and the process of ''choice'' in IFPS.
Freud, Religion, and Science
(1999)
The author looks into the issue of interpretation and traces its evolution both from mere opinion, and from the point of view of the historical development of hermeneutics. In supervision interpretive dissonance may occur at several levels starting with the patient himself as well as his >gatekeepers<, and going up to the supervisor. The relationship between interpretation and supervision is examined in this context, taking into consideration the subjective and intersubjective levels of scientific inquiry. Supervision enhances the complexity of interpretation by introducing yet a third subjectivity that questions the supervisee's interpretation. This has advantages and shortcomings, as supervisors are not always aware that it is ultimately in the supervisee-patient situation where hypotheses are tested and confirmed. Theory alone cannot supersede the intersubjective situation. It is pointed out that psychoanalytic curricula should be reexamined in order to include semiotic science and its application to interpretation and supervision.
The author situates the development of Ogden's clinical theory over the past 20 years within a philosophic scheme. Ogden (1986, 1989), in using Hegel to deconstruct the Cartesian objectivist assumptions of classical psychoanalysis, goes beyond Hegel to create in Subjects of Analysis (1994) a new synthesis that is similar to aspects of Merleau-Ponty's phenomenology of intersubjectivity. This regrounding allows for the introduction of the analyst's prereflective and sensuous experience through reverie in the cocreation of an intersubjective >third.< The author illustrates how Ogden's solution to the problem of alterity transcends the debate over one-person versus two-person psychologies by producing a truly dialectical, postclassical psychoanalytic theory of intersubjectivity that is neither a one- nor a two-person psychology.
Kohut's major contribution to psychoanalysis was in his systematizing a clinical approach to disorders of the self. Kohut's theoretical innovations, however, are often misunderstood for a variety of reasons, as evidenced in Dr. Meronen's paper, >The Return of Narcissism: Heinz Kohut in Historical Context<. Through redressing some of Dr. Meronen's misunderstandings of self psychological theory and his subsequent conclusions, I attempt to clarify in this discussion Kohut's sweeping technical innovations and the theory from which they are derived, all of which are reflective of Kohut's fundamentally personal vision of the essential nature of man.
This paper develops a Bakhtinian dialogical perspective on the psychoanalytic discourse in general and on the concepts of true and false selves (Winnicott, 1960b) in particular. Bakhtin's assumptions about the origins of dialogicality in children's development are compared to Winnicott's ideas about the origins of true- and false-self processes. This comparison leads to a characterization of the false and true selves as different genres of the narrated self – the epic and the novel – each with its specific configurations of experience and temporality. Moreover, psychoanalysis is conceived as a unique phenomenon that centers on the internal and most of the time simultaneous dialogues that take place in each of the two participants. This perspective underscores the impact of the analyst's subjectivity on the analytic process as well as the multiplicity of the patient's and the analyst's selves. In this context, therapeutic change can be seen most of the time as a transformation of genre and not necessarily as a modification of contents. Free association allows for the transgression of the basic rules of narrativity, thus facilitating a generic shift. A dialogical relation between the openness of free association and narrativity's coherence is suggested. Life by its very nature is dialogic. To live means to participate in dialogue [Bakhtin, 1963, p. 293]. A word like >self< naturally knows more than we do [Winnicott, 1960a, p. 158].
Sozialisationswidersprüche heutiger Kinder und Möglichkeiten der Wertebildung in der modernen Schule
(1999)
Since its formulation by Bleuler in 1911, the generalisation of the term >autism<, mainly due to its use by Kanner in 1943 and its remake by authors of Kleinian inspiration, implies problems which mislead us, blurring our perception and understanding of clinical realities. Our psychoanalytical possibilities can be enlarged by a clear knowledge of the history of psychoanalysis, a dynamic approach to psychiatric classification and to problems related to our conception of the setting. On the basis of a case history the author shows how a child and its family worked through major autistic symptoms and proposes new approaches to some psychoanalytical concepts.
Promises, promises.
(1999)
Du suicide et de ses causes,
(1999)
>Haben und Sein<. Zur Bedeutung von Erich Fromms Sozialpsychologie für die Humanistische Lebenskunde
(1999)
In the last decade Bowlby's ideas on attachment have been taken up with tremendous flourish within psychoanalysis in general and by feminists, journalists, and politicians. This paper explores this new turn and suggests some historic reasons for the convergence between feminist ideas, politics, and attachment theory. While welcoming the wider dissemination of an attachment paradigm, it cautions against the too easy uptake of ideas that may be less than congruent with the fundamental challenge that attachment theory poses for conventional psychoanalytic models of the mind.