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).
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.
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.
Passion, Responsibility, and >Wild Geese< Creating a Context for the Absence of Conscious Intentions
(1999)
Passionate Love
(1999)
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.
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.
Peuchet on Suicide,
(1999)
Peuchet: vom Selbstmord,
(1999)
Playing with boundaries.
(1999)
Recent contributions to the psychoanalytic literature suggest that the classical focus on psychosexuaiity has been lost. This charge is both wrong and right. After briefly surveying the evolution of psychoanalytic thinking on sexuality and reviewing the concept of libido, this essay retrieves the word Lust from the footnotes to which Freud consigned it and remodels it into a new idea. The proposition is put forth that a postclassical theory of sex compatible with contemporary clinical and theoretical practice can emerge once sexuality is rethought in the ambiguous, potential space between Lust and libido.
The analyst's identification with his or her profession and its ethos may profoundly influence the patient's treatment in subtle and less subtle ways. A particularly noteworthy instance of this is the impact of the patient's knowing that he or she is the subject of the analyst's writings. I present illustrative material from a patient in intensive psychotherapy who had pronounced reactions, especially evident in her dream imagery, to my having written about her. This material and the issues it highlights are discussed from the vantage point of the analyst's professional self and psychoanalytic discourse, which together constitute a >third< dimension vis-à-vis the therapeutic relationship. I consider what a Lacan-inspired perspective (Muller, 1996) might contribute to a relational understanding of the impact of the analyst's professional aspect.
Post-Jungian Dialogues
(1999)
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].
Postmodern theory and critiques currently exert a considerable influence on psychoanalytic theory, particularly in regard to the revision of a theory of sexuality and gender. This article reviews some of the critiques and alternative views of sexuality proposed by various postmodern theorists such as Butler, Jameson, Baudrillard, and Foucault. After conducting a critical comparison of these critiques and alternatives with contemporary analytic revisionist theory, I contend that, despite the useful aspects of postmodernism's critical cultural perspective, some postmodern positions run directly counter to certain key psychoanalytic tenets about human agency and the existence of an inner psychic world or selfhood. Furthermore, I believe that, despite the laudable politics of many postmodern writers to promote a greater diversity of nonpathologized sexual experience, the atrophied views of agency and selfhood depicted in the postmodern writings reviewed in this essay cannot support an approach that is concerned with clinical treatment or with describing processes of psychological transformation. A case vignette is provided illustrating the main arguments of the paper.
Stoller proposes two fundamentally contradictory conceptions of core gender identity. This paper urges that we accept the first, a relational conception: Core gender identity develops in the context of unambiguous sex ascription at birth and the virtually infinite number of daily infant-parent interactions permeated by all the conscious and unconscious meanings the child's gender has for its parents. The implications of this conception are explored in four contexts. The first shows that a recent case of sex reassignment, purporting to demonstrate a neurological base for gender experience, does not do so. The second argues that children's core gender identities as >girls< or >boys< are as diverse as the meanings that their genders have had for their interaction partners (usually the parents). The third emphasizes the priority of infant-parent interactions in core gender identity development and in the gendered meanings that children's genitals have for them. The fourth argues for the rejection of the >disidentification< hypothesis rooted in Stoller's second and unsupported conception of core gender identity and in Mahler's conception of separation?individuation, which might usefully be replaced by Lyons-Ruth's conception of attachment-individuation.
Promises, promises.
(1999)
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.
This paper addresses the gender of the analyst as an important factor in the shaping of the analytic experience. Specifically, it focuses on the notion that female analysts bring something different from what male analysts bring to the analytic dyad and that this influences and shapes the analysts’ translation of the patients’ experience – determining treatment course and therapeutic enactments. It begins with the idea that, for some men, working with a female analyst may ease the processing and metabolization of their aggression – allowing for a (re) integration of it with their sexuality and desire. The clinical material of a male analysand who sought treatment from a woman analyst is used to explore this idea within a post-Lacanian framework incorporating Kristeva's work on the maternal chora, the imaginary father or third, and the journey that the infant must make from the real to the symbolic, from biology to desire.