Phallic and seminal masculinity: A theoretical and clinical confusion

Both inside and outside psychoanalysis, the word, 'seminal', is used to praise a creative contribution to science and culture. Rarely, however, does it refer to male procreativity, to the structures and functions that subserve it or to the anxiety related to a threat to it. This situation becomes evident in the concept of castration anxiety, which typically refers, with Freud, to cutting off the penis and not to extirpating the testicles. This phallic theory has been debated, repudiated and ignored. While there is an alternative literature on non-phallic masculinity, it is scattered and rarely refers to seminal function. Freud's theory meets his requirement for a well-articulated representation of absolute loss as an experience, but this clear structure – and its repudiation – obscure the observation and theory of the internal world of the male. I propose the concepts of 'seminal masculinity' and 'seminal castration', which I ground in Melanie Klein's concept of depressive anxiety. I contrast them with phallic masculinity and phallic castration anxiety, which I ground in her concept of paranoid–schizoid anxiety. I argue that they meet Freud's requirement that castration be a potential experience and that understanding masculinity demands such a basis.     

Has Castration Anxiety Anything to Do with Psychoanalysis?

ABSTRACT

Following the idea of Green about whether sexuality is related to psychoanalysis, I begin this article with a question that refers to the title of the work: “Has castration anxiety anything to do with psychoanalysis?” Concerned about the lack of bibliographic reference to the concept of castration anxiety, I make a tour of the notion, taking as its point of departure and arrival the intellectual itinerary of Freud. I continue with a brief review of later authors. Interested in rethinking this issue, I wonder whether castration anxiety is expressed in the same manner in the clinical practice of today. The question does not tolerate a hasty response, so I present two clinical vignettes to call attention to castration anxiety as a central factor in the development and understanding of the clinical practice. The last section refers to the discussion and concluding reflections.     

Is anxiety sensitivity distinguishable from trait anxiety? Reply to Lilienfeld, Jacob, and Turner (1989)

Lilienfeld, Jacob, and Turner (1989) questioned the conceptual and empirical distinction between anxiety sensitivity and trait anxiety, and suggested that results attributed to anxiety sensitivity are more parsimoniously explained by trait anxiety. In the present article, I clarify the theoretical distinction between these constructs, and provide further data that support this distinction.     

Terror in the countertransference: extreme anxiety as a clinician and organisational leader and its effects

Experiencing fear is a central feature of managing disturbed states of minds. In this paper, I will describe the experience of being terrified by a patient who was overtaken by extreme anxiety. Aetiologically, I will suggest that the lack of containment created terror in her mind. I will also describe my experience of leadership in a voluntary organisation. Using Hopper’s concept of a fourth basic assumption, I will highlight the omnipresence of annihilatory anxiety in an example of organisational trauma. I will suggest that focusing on the issues of countertransference, working through experiences of being terrorised and paying attention to how you emotionally respond are crucial to lessening terror.     

The effects of cognitive load on attention control in subclinical anxiety and generalised anxiety disorder

Poor regulation of emotions may involve impaired attention control. In the current paper, we report the results of two studies examining the interaction of anxiety, attention control and cognitive load. In Study I, using a performance-based task to assess attention control, we examined whether anxiety is associated with impaired attention control, and whether these effects are influenced by working memory load. In Study II, we examined these effects in patients with a diagnosis of generalised anxiety disorder (GAD) compared to non-anxious control (NAC) participants. Results of Study I showed that high anxiety was associated with increased attention control, that is decreased interference from distractors, but only under high cognitive load. These results were replicated in Study II such that individuals with GAD showed increased attention control relative to NACs, but only under high cognitive load. These results help clarify previous predictions regarding the effect of anxiety on attention control.     

自我聚焦对社交焦虑的影响：抽离与正念的调节作用

本文旨在探讨抽离和正念在自我聚焦对社交焦虑影响关系中的作用。两个研究分别采用相关法和实验法,探究自我聚焦内容（冗思、正念）和反思方式（浸入、抽离）对社交焦虑的交互影响。结果：问卷数据显示,抽离在自我聚焦注意影响社交焦虑的关系中起着调节作用,无论低抽离倾向还是高抽离倾向,自我聚焦注意都能预测社交焦虑,高抽离倾向减弱个体的社交焦虑感;实验结果表明,聚焦内容与反思方式两者交互作用于社交焦虑,浸入-聚焦冗思内容引发最强的社交焦虑,抽离-聚焦正念内容引发最弱的社交焦虑。结论：抽离和聚焦正念内容都最能有效缓解自我聚焦对社交焦虑的不良影响。     

Correlates of hypoglycemic fear in type I and type II diabetes mellitus.

We examined whether fear of hypoglycemia in insulin-dependent diabetes mellitus was associated with (a) higher levels of trait anxiety and general fearfulness, (b) difficulty in differentiating symptoms of anxiety and hypoglycemia, and (c) past experience with hypoglycemia. Joslin Diabetes Center outpatients with Type I and Type II diabetes (N = 232), all requiring insulin, were surveyed. Type I patients experienced significantly more fear of hypoglycemia than Type II patients. For the Type I and Type II groups, higher scores on the Worry subscale of the Hypoglycemia Fear Survey (HFS-W) were associated with higher levels of trait anxiety and fear. Higher scores on the Behavior subscale (HFS-B) were associated with higher levels of fear. Among Type I subjects only, HFS-W scores were also positively associated with past hypoglycemic experience and with difficulty in differentiating anxiety and hypoglycemic symptoms. These latter relations remained significant even after the variance resulting from trait anxiety and fear was removed. Other significant associations with HFS-B scores were not observed.     

Relation of anxiety to hostility in the course of inpatient treatment

The purpose of this study was to examine relationships between anxiety and hostility in hospitalized psychiatric patients, with the passage of time. The used psychometric instruments were the state of anxiety subscale (sA) of the Delusions Symptoms States Inventory (DSSI) and the Hostility and Direction of Hostility Questionnaire (HDHQ). The two questionnaires were administered during the first week of admission and completed again before the discharge of the patient. Two groups of patients emerged and were examined according to the sA scores reported on the second measurement. Group I (n = 44) consisted of patients reporting lower anxiety scores on the second measurement and Group II (n = 22) consisted of patients reporting higher anxiety scores on the second measurement. In Group I, the drop of anxiety scores was accompanied by parallel and highly significant drops of all hostility scores. In Group II, the increased anxiety scores were accompanied by non‐significant or marginally significant changes of hostility scores. The notion that hostility and anxiety are positively related was not fully supported. Also, the opposite thesis that there is a negative relationship between anxiety and hostility was not supported. The present study suggests that the levels of anxiety during the course of inpatient treatment are a factor influencing the temporal relationship between anxiety and hostility. Aggr. Behav. 00:1–6. 2005. © 2005 Wiley‐Liss, Inc.     

Subliminal psychodynamic activation method and annihilation anxiety: preliminary findings.

Research with the subliminal psychodynamic activation (SPA) method has led to improvements in subjects' functioning in a variety of areas, including but not limited to weight control, school grades, and feelings of general anxiety. In 1987, Hurvich proposed that the SPA method could be used to further the understanding of annihilation anxiety. 100 nonclinical subjects completed questionnaires pertaining to annihilation anxiety, psychological differentiation, and state anxiety and were tachistoscopically exposed to the subliminal message of symbiotic-like oneness, MOMMY AND I ARE ONE, and to control messages. Analysis showed that women with low annihilation anxiety had significantly lower state anxiety than women with high annihilation anxiety, regardless of the content of the subliminal message; results did not reach significance for men. Correlations among scores on the questionnaires also were noted.     

注意偏向训练对社交焦虑的干预：方法、效果与机制

社交焦虑障碍是最普遍且难于治疗的精神障碍之一。大量研究发现, 注意偏向训练可以有效缓解社交焦虑。研究者从自我报告、结构化评估、生理记录等方面考察发现, 接受了注意偏向训练的社交焦虑个体其注意偏向、生理唤醒和脑神经活动发生变化并且社交焦虑症状有所缓解。注意偏向训练对社交焦虑的干预机制可能是因为训练提升了个体对威胁性刺激的注意解除能力。今后的研究可以进一步明确注意偏向训练干预社交焦虑的效果与机制, 拓宽评估注意偏向训练效果的手段, 并探索其对社交焦虑干预的长期效果和对其它心理疾病的作用。     

Treatment of Excessive Interpersonal Dependency: A Cognitive-Behavioral Model

Clients with excessive dependency often seek treatment for an Axis I anxiety or mood disorder. Simply providing treatment for the Axis I disorder may fail to address the long-standing personality factors that may underlie the acute anxiety and depression. A four-stage model has been proposed for the treatment of excessive interpersonal dependency. This model describes strategic ways therapy content and style should change over the course of treatment. Despite the apparent utility of the four-stage treatment model, it may be difficult to apply in many sites that now emphasize short-term approaches to treatment. In many cases, therapy can be designed to address themes that are relevant to both dependency and the Axis I syndrome. Therapy can be focused around helping clients make improvements in stabilizing emotional reactions, enhancing views of the self, and improving social functioning. Treatment focused on stabilizing emotional reactions can help clients confront and develop tolerance for feelings of depression and anxiety. Treatment focused on enhancing views of the self can help clients improve their self-esteem, self-reinforcement and reduce self-criticism. Treatment focused on improving social functioning can enhance social skills, reduce social anxiety and challenge feelings of loneliness. In addition, treatment can focus on reducing specific aspects of interpersonal dependency and confronting developmental antecedents that may underlie the dependency.     

Anxiety: the importunate companion. Psychoanalytic theory of castration and separation anxieties and implications for clinical technique

In this article I consider the implications of our differing psychoanalytic theories of anxiety on clinical technique. Drawing on differentiations between the focus on separation or castration anxiety and the relative neglect of the latter in contemporary writing, I look in detail at two clinical examples of psychoanalysis in borderline young adults to exemplify the issue. 1     

Is a Worried Citizen a Good Citizen? Emotions,Political Information Seeking,and Learning via the Internet

In this study we explore the mediating role of emotions in the process of becoming a politically informed citizen. Contrary to previous studies, we expect that anger and anxiety will have much different effects on this process. We suspect the role of anxiety is somewhat unique even among negative emotions as mediator of the causal effect of political threats on information seeking and learning. In addition, we speculate that anxiety should improve the quality of information seeking, not just its quantity. In one experiment, we induce emotions directly and find that while anger, enthusiasm, and anxiety can lead people to claim they will pay attention to the campaign, anger actually depresses total information seeking. In a second experiment, we examine the impact of realistic political threats and find that exposure triggers several emotions but that only anxiety boosts information seeking and learning.     

Discomfort intolerance: evaluation of a potential risk factor for anxiety psychopathology

Discomfort intolerance, defined as an individual difference in the capacity to tolerate unpleasant bodily sensations, is a construct recently posited as a risk factor for panic and anxiety psychopathology. The present report used a biological challenge procedure to evaluate whether discomfort intolerance predicts fearful responding beyond the effects of trait anxiety and a well-established psychological vulnerability factor (i.e., anxiety sensitivity). Nonclinical community participants (N=44) with no history of panic attacks or any Axis I condition completed a 35% CO(2) challenge. Results are consistent with our hypothesis suggesting that discomfort intolerance incrementally predicts increased subjective reactivity to the challenge. Moreover, there was some suggestion that discomfort intolerance interacted synergistically with anxiety sensitivity to increase anxiety-related symptoms. These findings add to a small but growing literature suggesting that discomfort intolerance may play a role in the development of anxiety problems.     

“Castration Anxiety” Revisited: Especially “Female Castration Anxiety”

ABSTRACT

I find the term castration anxiety a still relevant and important key body fearful fantasy in males, especially expressing fear of the father; as is female castration anxiety an equivalent key fear of the ablation of the sexual and reproductive organs of females, especially by the avenging mother. Freud’s and his followers’ version of the female anxiety, however, has repetitively been shown to be askew since the 1930s, yet it keeps appearing again, as if still worthy of serious argument. To demonstrate its utter blindness to an emotional or imaginative appreciation of female body reproductive functioning, a detailed critique is offered of the once classic paper, “The Body as Phallus” by Bertram Lewin (1933). I recommend that a straightforward sense of female castration is helpful in exploring female body anxieties as a more defined bodily referent than can be encompassed by separation anxieties that are currently more popular.     

Modern Maladies of the Self: Borrowed Selves and Collective Faith

Cultures give rise to and support different kinds of self-constructions and types of faith. In this article I argue that particular Western beliefs and values can give rise to modern maladies of self and faith—borrowed selves and collective faith. Borrowed selves reveal a fundamental insecurity or anxiety that comes from a felt lack of possessing or owning the attributions of one's identity, which in turn shapes the very relationships and faith upon which identity is linked. More specifically, I identify two distinct, though related, manifestations of borrowed selves—normotic selves and nomadic selves—and their concomitant types of collective faith—merged faith and eclectic-autonomous faith. Both self-constructions and types of faith manifest persons' specific stance with regard to community and its traditions, and both are fueled by an unconscious anxiety and a belief in what I call relativistic individualism.     

Hyper-volume of eye-contact perception and social anxiety traits

Eye-contact facilitates effective interpersonal exchange during social interactions, but can be a considerable source of anxiety for individuals with social phobia. However, the relationship between the fundamental spatial range of eye-contact perception and psychiatric traits is, to date, unknown. In this study, I analyzed the eye-contact spatial response bias and the associated pupil response, and how they relate to traits of social interaction disorders. In a face-to-face situation, 21 pairs of subjects were randomly assigned to be either viewers or perceivers. The viewer was instructed to gaze either at the perceiver’s eyes, or at a predetermined point, and the perceiver was asked to indicate whether eye-contact had been established or not. I found that the perceptual volume is much larger than the actual volume of eye-contact, and that the subjective judgment of eye-contact elicited greater pupil dilation in the perceiver. Furthermore, the relationship between behavioral performance and social anxiety traits was identified. These findings provide new indications that internal traits related to lower social anxiety are potentially related to a restriction of spatial response bias for eye-contact.     

Comorbid anxiety and mood disorders among persons with social anxiety disorder.

Axis I comorbidity is associated with greater severity of social anxiety disorder. However, the differential effects of comorbid mood and anxiety disorders on symptom severity or treatment outcome have not been investigated. We evaluated 69 persons with uncomplicated social anxiety disorder, 39 persons with an additional anxiety disorder, and 33 persons with an additional mood disorder (with or without additional anxiety disorders). Those with comorbid mood disorders reported greater duration of social anxiety than those with uncomplicated social anxiety disorder. They were also judged, before and after 12 weeks of cognitive-behavioral group treatment and at follow-up, to be more severely impaired than those with no comorbid diagnosis. In contrast, persons with comorbid anxiety disorders were rated as more impaired than those with no comorbid diagnosis on only a single measure. Type of comorbid diagnosis did not result in differential rates of improvement of social anxiety disorder.     

EMOTIONAL SELF-AWARENESS AND ETHICAL DELIBERATION

How are we to distinguish between appropriate emotional responses that reveal morally salient reasons and inappropriate emotional responses that reflect our prejudices? It is often assumed that reason – considered as distinct from emotion – will make the distinction. I argue that this view is false, and that the process by which emotional responses are vetted involves ‘emotional self‐awareness’. By this, I mean feeling an emotion, being aware of so doing, and feeling some usually subtle emotional response, often of calm or anxiety, to it, together with a general readiness to feel and acknowledge what emotions one has. Registering and exploring feelings of anxiety that arise in emotional self‐awareness helps enable us to detect when emotions and thoughts are inappropriate. Deliberation that is not emotionally open in this way is therefore at an epistemic disadvantage. Furthermore, the attempt to remain unemotional when evaluating one's emotions can be produced or co‐opted by anxiety about one's feelings of precisely the kind that indicates one's emotional responses and thoughts are being distorted.