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The Dream Unbound
(1999)
Since the publication of Freud's Interpretation of Dreams, the psychoanalyst has been concerned with how to bring the unconscious mind closer to consciousness. This paper reflects the shift in understanding the use of dreams for the psychoanalytic exploration of the vicissitudes of the self and a shift away from the notion of wish fulfillment as a core motivational force in wish production. Another important change in psychoanalytic theory is the relevance of the analyst's subjective experience of the patient, which enhances the understanding of the therapeutic process. From the acknowledgment of the importance of a countertransference dream, the analyst has greater access to thoughts, feelings, and images which enable the analyst to work through the resistances to change, which occur in the consulting room. Two clinical vignettes depict the use of self-state dreams which reveal the patient's self-experience and a countertransference dream which gives greater access to the analyst's inner world and thus wards off a potential dismantling of the psychotherapeutic relationship.
Fromm, Erich Pinchas
(1999)
Sándor Ferenczi's first paper (1908) on the subject of premature ejaculation – in its stress on the repercussions of the symptom itself in the other (in this case, the woman), rather than its unconscious significance or the patient's pathology – is an early signal of the ethical directions his future clinical work would take. Ferenczi – displaying a decidedly relational, not merely intrapsychic, orientation – underlines the peculiar idiosyncrasies of each partner in the couple and also the fact that any relationship worthy of the name must take place in conditions of mutual pleasure and advantage. In particular, Ferenczi strikes a blow for the >legitimate< needs of the weaker partner to whom the stronger must allow and offer mental space and voice by virtue of his knowledge and power. For the above reasons this first paper is a >calling card< which announces Ferenczi's later reflections on the specific affective qualities that may render the psychoanalytic environment non-traumatic, as well as his criticism of the narcissistic aspects of the analyst (one of the most important motives for subtle and hidden trauma), who views the work of interpretation as the product of a single mind (in my terms: a kind of colonisation and expropriation of the other) rather than as fruit of an encounter that would take into account both the unique characteristics of the partner as well as the rhythms appropriate to such a relationship.
A New Start for the Continuation of MEGA-Project: Notes on the Recent Publication of MEGA IV/3
(1999)
A Case of Primary Vaginismus
(1999)
Sometimes human sexuality manifests itself in forms that must be interpreted as symptoms of a severely disturbed psychological situation. The author presents a case in which primary vaginismus – a long known symptom in the gynaecological field and difficult to approach both from a gynaecological and a psychological point of view – is the manifestation of a personality with psychotic elements.