Psychoanalysis as medicine,psychoanalysis as religion

The author explores unfavorable comparisons between psychoanalysts and medical psychiatry, tracing the crisis in the mental health fields created by managed care. This current crisis is traced to an historical identification with the medical profession and a more recent dependence on third-party payments. He suggests reorganizing the profession as a religion or spiritual exercise as a way out of the crisis and as a way of revitalizing its practice.Richard A. Friedman, Ph.D., is a psychoanalyst in private practice in New York City, supervisor at the Psychoanalytic Psychotherapy Study Center, and a faculty member and training analyst at the New York Center for Psychoanalytic Training     

Containment and ‘rational health’: Moran and psychoanalysis

The paper focuses on Richard Moran's account (in Authority and Estrangement) of the distinction between attitudes that meet, and alternatively fail to meet, his transparency criterion for what he calls rational health, and compare this with the psychoanalytic distinction between contained and uncontained states of mind. On the face of it, Moran's distinction appears to be a useful theoretical deepening of the psychoanalytic distinction. On closer examination, however, it appears that (a) rational health is a more demanding standard than containment, so the rationally unhealthy contains much that is mentally (quite) healthy; and (b) more seriously, some states that meet the “transparency” condition are manifestly mentally unhealthy. So transparency needs to be supplemented by an independently understood notion of containment to approach a realistic norm of mental health/ill health.     

The varieties of religious development in adulthood: a longitudinal investigation of religion and rational choice

The authors used growth mixture models to study religious development during adulthood (ages 27-80) in a sample of individuals who were identified during childhood as intellectually gifted. The authors identified 3 discrete trajectories of religious development: (a) 40% of participants belonged to a trajectory class characterized by increases in religiousness until midlife and declines in later adulthood; (b) 41% of participants belonged to a trajectory class characterized by very low religiousness in early adulthood and age-related decline; and (c) 19% of participants belonged to a trajectory class characterized by high religiousness in early adulthood and age-related increases. Gender, strength of religious upbringing, number of children, marrying, and agreeableness predicted membership in the trajectory classes. Results were largely consistent with the rational choice theory of religious involvement.     

Pure reason and contemporary philosophy of religion: the rational striving in and for truth

This essay urges contemporary philosophers of religion to rethink the role that Kant’s critical philosophy has played both in establishing the analytic nature of modern philosophy and in developing a critique of reason’s drive for the unconditioned. In particular, the essay demonstrates the contribution that Kant and other modern rationalists such as Spinoza can still make today to our rational striving in and for truth. This demonstration focuses on a recent group of analytic philosophers of religion who have labelled their own work ‘analytic theology’ and have generated new debates, including new arguments about Kant bridging philosophy and theology. Cultivation of a reflective critical openness is encouraged here; this is a practice for checking reason’s overly ambitious claims about God.     

On the persistence of very early memory traces in psychoanalysis, myth, and religion

It is tentatively proposed that fragments of certain early perceptual experiences of the parental objects such as the sight of the face and the breast of the mother, the smiling or angry expression of the face, the pleasing or disagreeable character of the voice, the soft touch or rough handling, the sight of the hands may occasionally be recoverable in the course of analysis. Some mythological figures and religious symbols may also hark back to similar motifs. The relation of this material to early modes of perception and the beginnings of object relations is examined. The data are correlated with the findings of child observation and of modern experimental psychology.     

Developmental psychology and psychoanalysis: I. The context for a revolution in psychoanalysis

After describing the manner in which the integration of psychoanalysis and developmental psychology became a central problem for ego psychology, the author examines the conditions that make it possible for new research and theory in developmental psychology to contribute to a revolution in contemporary psychoanalytic theory. They include: (1) the emergence of a state of "crisis" in American psychoanalysis centering on questions of the nature of early development and how it can be known; (2) the explosive growth of developmental research on early childhood dealing with issues at the heart of that crisis; and (3) the presence of a new generation of psychoanalysts and psychoanalytically oriented researchers capable of bringing that research to bear on those issues.     

Mental illness,religion, and the rational mind: The case of Clifford W. Beers

This article focuses on the mental illness of Clifford W. Beers, who pioneered mental hospital reform in the United States in the early decades of the twentieth century, and the encouragement Beers received from William James in this endeavor. It argues that James supported Beers because he personally identified with the younger man's struggles with mental illness and with the high value that he placed on the vital importance of the rational mind in regaining one's sanity.     

The manifest dream in psychoanalysis: a clarification

Controversies about the value of the manifest dream in psychoanalysis are usually a matter of semantics. The author concludes that two clinically meaningful questions about the manifest dream can be asked: Is the patient's report of a dream useful in formulating an interpretation if no formal associations to the dream elements are given? Inasmuch as such reports always include some kind of associations, and the analyst always possesses considerable knowledge about the patient, the answer to this question would seem to be "Yes, at least at times." In what ways can the manifest dream contribute to our understanding of the dream and the dreamer? Both the literature and clinical experience indicate that there are many ways; these are summarized in an appendix. One approach, the direct decoding of manifest dream elements, is discussed in some detail. Several examples of the undisguised appearance of memories of childhood traumatic experiences in the manifest dream are presented.     

Communicative psychoanalysis: Contributions to clinical practice and the development of a science of psychoanalysis

Robert Langs' communicative approach to psychoanalysis has lead to new clinical insights and to a promising line of quantitative research. Fundamental concepts of the communicative approach are explained and illustrated with a clinical example. Characteristics of the approach, which distinguish it from other modern, interactive analytic theories are discussed; as well as a critical clinical insight derived from the communicative approach. The approach's unique contributions to the development of a science of psychoanalysis are explained. The advantages and problems of the communicative method are also discussed throughout the paper.