Psychoanalysis as science

This work explores two “Copernican shifts” in the history of psychoanalysis. The first is Freud's recognition of the motives behind the constructions of psychic reality; the intrusion of the wish in the subject's perceptions. The author explores the roots of this recognition in the scientific tradition of Kant and Helmholtz, and suggests that these two predecessors were topical for Freud in their deviation from a theory of “immaculate perception”. The other theme of this work is what the author suggests is a contemporaneous “Copernican shift” in psychoanalytic theory. This shift consists in a recognition of the topicalness of the experience of reciprocity. Connections between this experience and the experience of the self are described, and implications for the theory of the psychoanalytic process are suggested.     

Psychoanalysis as a vocation

Psychoanalysis may be seen as caught between two different trends of disenchanted modernity: rationalization, which leads to the framing of our work as a professional discipline subordinate to the dictates of instrumental rationality, and self‐analysis, which frees us from the dictates of orthodoxy, inequality, and authority. But a further difficulty lies within the aspect of enlightenment, which has not only provided a greater role for our subjectivity but disguised relations of authority, conformity, and objectiflcation in our work. Psychoanalysis has objectified the other while idealizing its knowledge as objective, has paradoxically denied the very subjectivity that must serve as the source of the analyst's knowledge. However, the reaction against this condition, which may tend to produce counter‐ideals of not‐knowing and mutuality, must also be carefully deconstructed. Differences in the meaning given by different schools to the use of the analyst's subjectivity suggest that pluralism will make new knowledge demands on psychoanalysts. Analytic training should include the development of critical abilities that help to meet these demands within a context of education as a collaborative, democratic process. Knowledge itself can be used homeo‐pathically as an antidote to the old ideal of the knowing authority.     

Psychoanalysis, marital therapy, and object-relations theory

This paper attempts to indicate why psychoanalysts should be interested in marital therapy. It discusses the clinical advantages and disadvantages of marital therapy as compared to psychoanalysis, describes the contributions of the classical psychoanalytic viewpoint to marital therapy, and finally, attempts to complement the classical psychoanalytic viewpoint with an object-relations viewpoint which can illuminate marital dynamics and provide interpretive content during the course of marital therapy.     

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