Little Hans: a centennial review and reconsideration

Freud's "Analysis of a Phobia in a Five-year-old Boy" has stimulated interminable "reanalysis." The case of Little Hans, an unprecedented experimental child analytic treatment, is reexamined in the light of newer theory and newly derestricted documents. The understanding of the complex overdetermination of Hans's phobia was not possible in the heroic age of psychoanalysis. Current analytic thought, as well as distance de-idealization vis-à-vis the pioneering past, has potentiated a reformation of the case. The severe disturbance of his mother had an adverse impact on Little Hans and his family. Her abuse of Hans's infant sister has been overlooked by generations of analysts. Trauma, child abuse, parental strife, and the preoedipal mother-child relationship emerge as important issues that intensified Hans's pathogenic oedipal conflicts and trauma. With limited, yet remarkable help from his father and Freud, Little Hans nevertheless had the ego strength and resilience to resolve his phobia, resume progressive development, and forge a successful creative career.     

Re-reading "Little Hans": Freud's case study and the question of competing paradigms in psychoanalysis

Psychoanalysts have long recognized the complex interaction between clinical data and formal psychoanalytic theories. While clinical data are often used to provide "evidence" for psychoanalytic paradigms, the theoretical model used by the analyst also structures what can and cannot be seen in the data. This delicate interaction between theory and clinical data can be seen in the history of interpretations of Freud's "Analysis of a Phobia in a Five-Year-Old Boy" ("Little Hans"). Freud's himself revised his reading of the case in 1926, after which a number of psychoanalysts--including Melanie Klein, Jacques Lacan, and John Bowlby--reinterpreted the case in the light of their particular models of the mind. These analysts each found "evidence" for their theoretical model within this classic case study, and in doing so they illuminated aspects of the case that had previously been obscured, while also revealing a great deal about the shifting preoccupations of psychoanalysis as a field.     

Little Hans and Freud's self-analysis: a biographical view of clinical theory in the making

For nearly a century, Freud's "Analysis of a Phobia in a Five-year-old Boy" has been read mainly--if often critically--with Freud's conscious aim in mind: providing evidence for the central importance of oedipal conflict. Material recently released by the Freud Archives casts new light on Freud's treatment of Hans's mother, Olga Graf (nee H?nig)--which began at the height of his self-analysis in 1897--and of Hans himself. Read in the enriched context of new information from Eissler's interviews with Max Graf and Herbert Graf, two texts--Freud's 1897 letters to Fliess and the 1909 case history--illuminate possible personal motives for Freud's insistence on the primacy of oedipal conflict.     

Little Hans "analyzed" in the twenty-first century

Freud's monograph on the analysis of Little Hans is examined from a perspective aimed at highlighting elements of current thinking that would be considered mutative from those originally emphasized at the time it was written, and with a specific focus on the relative importance of verbal versus nonverbal interventions.     

The Little Mermaid: Hans Christian Andersen's Feminine Identification

While verbally transmitted fairy tales express universal human concerns, the literary fairy tale, the written creation of an individual author, permits a psychodynamic understanding of the writer. The little mermaid's willingness to undergo the pain and mutilation involved in the loss of both her tail and was voice in order to become a mortal and marry a prince has been regarded as illustrating problems in female sexual development. However, a review of Hans Christian Andersen's biographical data indicates that the story also represents his unconscious homosexual conflicts and supports Freud's concept of the role of castration anxiety in the negative Oedipus complex.     

Attachment and sibling rivalry in Little Hans: the fantasy of the two giraffes revisited

Freud's interpretation of Little Hans's "phantasy of the two giraffes" is pivotal to his oedipal analysis that Hans has inchoate desires for sexual intercourse with his mother. Bowlby argued that Freud's focus on his oedipal theory led him to ignore preoedipal attachment-related factors that have equal plausibility in explaining the clinical data. However, Bowlby did not attempt to apply the attachment perspective to the interpretation of Hans's fantasies that form the core of the case material. A microanalysis of Hans's giraffe fantasy and the evidence used to support Freud's claims about it yields an attachment-based sibling rivalry account arguably of greater explanatory power than the oedipal account. Consistent with Bowlby's hypothesis, the evidence suggests that Hans's giraffe fantasy is about the sibling rivalry triangle involved in caregiver attachment access, rather than (or in addition to) the oedipal triangle. The issue of multiple levels of meaning and the methodological challenges raised by multiple determination is also considered. The giraffe fantasy's attachment-theoretic explanation encourages a rethinking of this classic case and strengthens Bowlby's claim that the case is fruitfully viewed from an attachment perspective.     

Freud's Little Oedipus: Hans as exception to the oedipal rule

Freud's "The Analysis of a Phobia in a Five-Year-Old Boy" is regarded by Freud and by analytic readers and commentators as a prototype of his conception of the oedipus complex. A literary methodology is used to show that the interpretation of the oedipus complex at work in Freud's text in fact differs from Freud's standard view of it. While studying the paper as text, not as case report, may obscure or distort some clinical matters, it is valuable in that it makes legible a sort of theoretical unconscious in the text. In contrast to Freud's typically tragic view of the oedipus complex (in the tradition of ancient Greek tragedy), the Hans study evokes a comic vision (in the tradition of Greek New Comedy). This comic vision allows Hans a happy imaginative ending to the oedipal dilemma, challenges certain epistemic pretensions, and emphasizes the oedipus complex as a set of abiding existential questions. Given the deep link between Freud"s oedipus concept and a tragic view of human life, this departure in the Hans paper is a fascinating anomaly.     

Free will in context: a contemporary philosophical perspective

Philosophical work on free will is inevitably framed by the problem of free will and determinism. This paper offers an overview of the current state of the philosophical art. Early sections focus on quantum indeterminism, an outline of the most influential logical argument for incompatibilism between free will and determinism, and telling problems that face incompatibilism. A major portion of the paper focuses on the compatiblist alternative, favored by many working philosophers. The conditional account of free will offered by classical compatibilism can be shown to be inadequate. A number of compatibilist options remain open, however, and seem promising for future research. These include "hierarchical" or "mesh" accounts of free will, normative perspectives and an approach to free will in terms of an emphasis on context. Final sections draw out the implications of contemporary compatibilism for the brain and behavioral sciences and for the law.     

Female suicide and wife abuse: a cross-cultural perspective

Data from a number of societies, including North America, indicate that wife abuse may be one of the most significant precipitants of female suicide. Anthropological analysis indicates that in some societies female suicide is a culturally recognized behavior that enables the weak to influence the strong and/or take revenge on those who oppress them. Case studies from West New Britain Province in Papua New Guinea and comparisons with data from other societies suggest that if a woman's support group does not defend her when she is the victim of violence that passes the bounds of normative behavior, her suicide may be revenge suicide, intended to force others to take vengeance on the abusive husband. Research focused on the relationship between domestic violence and female suicide should be a priority of anthropologists as well as suicidologists.     

Conflict in contemporary clinical work: a self psychological perspective

The authors review the history of controversy regarding conflict versus deficit. They suggest that conflict, when conceptualized within the theory of self psychology, may arise in one of two ways, either: (1) along with deficit when caregivers are unable to provide developmentally needed selfobject functions, and, at the same time, these needed caregivers are also feared; these conflicts are unconscious and potentially pathogenic. Or: (2) conflicts may appear secondary to deficit. Such conflicts also require the analysis of selfobject transferences that have arisen on the basis of the underlying deficit. A clinical example demonstrates that deficit related to the oedipal phase may give rise to oedipal-selfobject transferences, requiring their working through for a successful termination.     

Edelson's contributions to group psychology: a contemporary perspective

If you are already familiar with Marshall Edelson's writings, you may be expecting this article to be difficult and challenging or outmoded. Since his work with groups began in the 1950s, so much has changed in how we treat the mentally ill, how we train mental health professionals, how hospitals are managed, and how treatments for patients are designed and delivered. This article was written in the belief that nothing is of more lasting relevance than a story of courage and commitment in the search for knowledge to relieve human suffering. Edelson's career is such a story. Intent upon advancing our understanding of groups and organizations, Edelson embodied a distinctive concern with values and boundaries. This article was begun when his physical health was in rapid decline and completed while he was still able to review it. He died January 17, 2005.     

Little Hans and the thought police: the 'policeman fantasies' as the first reported supervisory transference fantasies

The ‘policeman fantasies’ in Freud ’s case of Little Hans, famous for being Freud ’s most direct evidence for specifically sexual oedipal desire by Hans for his mother, are reconsidered. The Hans case is the first recorded instance of psychoanalytic supervision, and recent studies suggest that it is common for patients in supervised treatment to experience fantasies about the supervisor. It is argued that the policeman fantasies are the first recorded instances of such transference fantasies about psychoanalytic supervision and the patient–therapist–supervisor triangle. The explanatory power of this interpretation is supported by the nuances of the features of the fantasies themselves, as well as by the context in which they occurred that might serve as ‘day residues’. Moreover, this interpretation provides an answer to the central mystery of the two fantasies, which goes unaddressed by Freud ’s oedipal interpretation: Who is the policeman?     

Identity configurations: a new perspective on identity formation in contemporary society

This paper deals with the theoretical construct of "identity configuration." It portrays the different possible ways in which individuals configure the relationship among potentially conflicting identifications in the process of identity formation. In order to explicate these configurations, I analyzed narratives of identity development retold by individuals describing personal identity conflicts that arise within a larger context of sociocultural conflict. Thirty Jewish modern orthodox young adults were interviewed regarding a potentially conflictual identity issue (i.e. their religious and sexual development). Their deliberations, as described in the interviews, were examined, and four different configurations were identified: a configuration based on choice and suppression; an assimilative and synthesizing configuration; a confederacy of identifications; and a configuration based on the thrill of dissonance. The different configurations are illustrated through exemplars, and the possible implications of the concept of "configuration" for identity theory are discussed.     

Ego atrophy in substance abuse: addiction from a socio-cultural perspective

The use of intoxicants is indexed in American history adopting a social perspective of the role of alcoholism in traditional American society. Appealing to societal patterns, the elaboration of substance abuse as a disease is explored with a diagnostic focus on intervention as it relates to pathogenesis. Using clinical vignettes, the ego is proposed as the focus of pathology in the addiction process, featuring a regression to the defenses of projection and denial. Following the model proposed in Zinberg's seminal paper on addiction and ego function, various deficits are annotated that typify such regression. The ultimate clinical picture is one of ego atrophy, where basic interests and object relations are usurped by the all-consuming preoccupation with the substance of abuse.     

Child sexual abuse and the Catholic church: An historical and contemporary review

Although the recent revelations of clergy sexual abuse suggests an unusual and recent epidemic among the Catholic church, the historical record suggests this difficulty has plagued the church over the centuries. The recent effort of investigative reporters and adult survivors alleging sexual abuse by clergy, has led to an increased public awareness of the extent of illegal sexual activity occurring in the church. Opinion polls of Catholics in the United States have evidenced a critical view of the Church's administrative response to the crisis. Recently, criminal and civil cases have successfully challenged the negligence of the church hierarchy and the sexual misconduct by some of its members. Judicial decisions, however, tend to not hold churches liable for the sexual acts of their clergy. Despite continuing press coverage and civil/criminal litigation, research on priest offenders is virtually nonexistent The claims of unprecedented treatment success with clergy offenders has not been supported by published data. Given the high recidivism rates of sex offenders, the Catholic church should reconsider its policy of placing known sex offenders back into active ministry.     

Undoing dissociation. Affective neuroscience: a contemporary Jungian clinical perspective

In the last ten years both analysts and neuroscientists have begun to challenge the analytic world to explore the analytic view of the mind in relation to knowledge emerging from the field of neuroscience. I find that 'in many ways it is Jung's understanding of the mind, the human condition, and the self, that is most compatible with the insights that are emerging from neuroscience today' (Wilkinson 2004, p. 84). In this paper I consider the insights that neuroscience has to offer us as we seek to work with those patients whose early experience has diminished their capacity to be 'in mind' and with it their capacity for reflective self-function, whose defences are dissociative, whose need has been to keep unbearable experience at bay, out of mind. I look first at dissociationist theory and its development, then focus on the insights to be gained from neuroscience with regard to early trauma and its effect on the encoding and recall of memory. Finally, I turn to the nature of cure and argue that hemispheric integration is the key to undoing dissociation and the prelude to individuation.