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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.
La proyección, desde referentes marxistas y humanistas, de los principales conceptos del psicoanálisis aplicados al ámbito de la acción de la persona y de la situación social constituye una línea de pensamiento e investigación fructífera para la solución de los problemas de la sociedad contemporánea. La importancia metodológica de categorías holísticas como la de Proyecto de Vida, construída y aplicada en diversas investigaciones por el autor podrían aportar, desde los referentes teóricos que se expresan, a la complejidad del campo de conocimiento y tranformación humana de la sociedad.
Le Coq-Héron
(1999)
The paper discusses Frieda Fromm-Reichmann's theoretical contributions on the psychotherapy of psychoses and refers it to other authors' views. Today widely accepted, she stressed transference and countertransference as es-sential issues in the treatment of severely disturbed patients. She disagreed with authors like Federn who interpreted the concept of regression in a way that to treat schizophrenics means to treat children of different ages. Different from Federn, she advocated interpretations also of the positive transference to show the patient where he stands in life. Later on, Fromm-Reichmann opposed John Rosen and his direct analysis interpreting first the contents of the psychotic's speech. She stressed the form of the interaction and of the everyday behaviour where she saw where the patient stands in the world. The discussion shows that Fromm-Reichmann developed her theories and practice in cooperation and discussion with other psychoanalysts working with psychotic patients.
Since Freud's Dream Interpretation and his additional writings on the analysis of dreams, the technique of handling a dream report within the analytic session has remained nearly unchanged. It is characterised by dream-centred associations and their interpretation in regard to dream content and to transference. This approach constitutes an alien element within contemporary interactional psychoanalytic technique and tends to provoke resistances in the analytic dialogue. This article stresses the function of dream reporting during the session with respect to the interactional process. It is concluded that sufficient attention should be given to interactional analysis of dream reporting in accordance with the questions: Why does the patient at this point of the process tell a dream, and why does he tell this very dream instead of another?
This paper attempts to reassess Elizabeth Severn's place in the history of psychoanalysis. It does so by focusing on her three out of print books, which until now have been overlooked in discussions of the patient Ferenczi called ?RN? in the Clinical Diary. Her first two books, written in 1913 and 1917, provide the reader with valuable glimpses into what was the pre-analytic mind and person of Elizabeth Severn before she began what would be a ground breaking eight year analysis with Ferenczi. A key to understanding Elizabeth Severn, her writings, as well as many of our traumatized patients lies in a what Ferenczi and Severn called ?Orpha?. The paper suggests that an appreciation of this obscure phenomenon is critical in the treatment of trauma. After investigating her first two books in light of Orpha, the paper will compare and contrast them with her last book, The Discovery of Self, written toward the end of her analysis, and published shortly after Ferenczi's death in 1933. The tone, texture and content of this third book is strikingly different from her first two books, suggesting a depth of healing in Severn not previously reported in the literature.