A Window in Time: A Response to “Disorders of Temporality and The Subjective Experience of Time: Unresponsive Objects and the Vacuity of the Future” by Stephen Seligman

This response to Stephen Seligman’s “Disorders of Temporality and The Subjective Experience of Time: Unresponsive Objects and the Vacuity of the Future” considers Seligman’s ideas in the context of field theory. Seligman’s notion of becoming a self in time is elaborated through the concept, derived from field theory, of how time assumes an “essential ambiguity” that may facilitate analytic change and psychological development. This response suggests further that such “essential ambiguity” in relation to time opens both the patient and analyst up to a variety of complex, bidirectional influences, such as unconsciously mediated intergenerational transmissions of trauma. In addition, this response explores Seligman’s ideas associated with an analyst’s moment-to-moment recognitions and a patient’s corresponding development of a self in time in terms of their implications for analytic participation and analytic self-care.     

The “Once and Future” Focus of a Relational Psychoanalysis: Discussion of “Vitalizing Enactment”

In this discussion of Amy Schwartz Cooney’s paper (this issue) I focus on the current interest in relational theorizing on the analyst’s proactive role vis-à-vis her patient, that is, what she actually does for or gives to her patient. I consider the role of the analyst’s own internal “bad” objects in facilitating or inhibiting the therapeutic process. I end with a set of theoretical propositions about the ways in which an intense and deadening shame can lead to dissociation and/or repression of hopeful fantasies about the future.     

Discussion of “Visions of the Future: The Analyst's Expectations and their Impact on the Analytic Process” By Kenneth Winarick

The American Journal of Psychoanalysis -     

Discussion of “The Ketamine Model of the Near-Death Experience: A Central Role for the N-Methyl-D-Aspartate Receptor,” by Earl L. R. Jansen

We review strengths and weaknesses of Karl Jansen's approach to the near-death experience (NDE). Strengths include his limited goals and avoidance of the trap of explaining all features of the NDE with his theory, although he surprisingly misunderstood our previously published position. Additionally, we applaud the possible intersection of psychological and biological theories, demonstrated in Jansen's biochemical explanations for the individualized variations in manifestation and adaptive role of the NDE. However, he failed to take into account the pitfalls in the use of analogy, modeling oversimplification, and in taking association as causality and causes as meaningful, in the arguments for his theory.     

Dysregulated Rhythms and the “Grip” of the Context: A Discussion of the Paper “Poison Cookies” by Katherine Oram

Two moments from the clinical narrative under discussion are used to highlight the critical impact of attention to timing not in terms of when and what to say, but rather as a an ongoing source of emotional meaning emerging on implicit dimensions of rhythm and affective tone occurring in the clinical interaction. Meanings having to do with different forms of power including fear of psychic annihilation, agency, and aggression expressed within sado-masochistic dynamics are demonstrated to be scaffolded and coming into formation on these implicit levels. Alternatively, Merleu-Ponty's concept of Urdoxa as a grip on context is introduced to highlight how the analyst's use of timing to violate an expectation for nonresponsiveness or impingement creates an experience of distance between enactment and reflection, allowing space for re-membering as a form of representation. Here the creation of space through timing serves not just a representational function, but also a way for affective self and interactive regulation to emerge in an interaction as scaffolding for experiences of predictability (i.e., continuity and coherence) and vitality in self and other.     

Discussion of “I’mprovisation–Therapists’ Subjective Experience during Improvisational Moments in the Clinical Encounter”

The first part of this article discusses Romanelli, Tishby, and Moran’s qualitative research on the impact of training clinicians’ “skill-sets” derived from improvisational theater. Categories of experience were discerned from the data, along with findings of the impressive positive effects from the training on the clinicians’ ability to better respond to unpredictable “improvisational moments” in psychotherapy. The second part elaborates on how the authors' research represents a welcome addition to a larger conversation about how drama theory “puts” “flesh and blood” on the “bones” of Relational Metapsychology, which entails theories of process and change, rooted in an information theory based epistemology in contrast to Freud’s archaic and deeply flawed Metapsychology ensconced in a psychic energy theory epistemology. Finally, the authors’ lends to advocacy for clinical training in drama and improvisation being added to clinically based curriculums.     

Constructing the “Good Mother”: The Experience of Mothering Ideologies by Work Status

The purpose of this study was to explore how mothers construct their worker–parent identity within a cultural context of competing mothering ideologies. We used narrative data from interviews with 95 married mothers with at least 1 child under the age of 5 to compare the construction of intensive mothering expectations by middle-class full-time employed mothers, part-time employed mothers, and at-home mothers. Although previous research has shown that mothers alter work status to live up to intensive mothering expectations, our results show that mothers also alter their construction of intensive mothering expectations to reconcile these demands with their work status choices. The results also suggest that mothers with different employment decisions differ in their construction of Y. Elvin-Nowak and H. Thomsson's (2001) 3 discursive positions—accessibility, happy mother/happy child, and separation of work and home.     

Forms of Transformation in the Reflective Space: Clarifying “Mentalization” Theory Through a Clinical Application: Commentary on Paper by Stephen Seligman

In responding to discussions of my paper “Jonah: A Fantasy of Flight” by Fishman, Salberg, and Shulman, I focus on some of my critical assumptions in reading this or any other biblical text. Prominent among these is the need to relinquish the stance of “already knowing” the meaning of the text. This irreducibly enigmatic book demands close, informed, and literary reading. Within the context of a sustained reflection on the methodology and spirit of my enterprise, I discuss the main points of difference or disagreement that arise in the papers of my discussants, as well as celebrating the places of accord and enrichment.     

The Frame,Within and Without: Discussion of “The Therapeutics of the Fee in Psychoanalysis”

The author picks up and expands on themes of fusion and separation brought up in Pauley’s discussion of the therapeutic uses of the fee in the psychoanalytic encounter. She asserts that the elemental nature of the exchange of goods speaks to us in the language of corporeal experience, making it a powerful disruptive force that can reshuffle defenses at the level of our most primary experiencing selves. This affords the fee the potential to reach us in the registers of sensation and enactment that bypass conscious, verbal communication making our authentic and ongoing attempts to grapple with it vital to the analytic project.     

Vulnerability,Resilience, and Surviving Destruction: Discussion of “The Analyst’s Experience of Trust and Mistrust”

In this response to Danielle Novack’s intellectually astute and clinically rich paper on the “analyst’s trust,” I reflect on the valuable ways in which Novack elucidates this undertheorized aspect of the analyst’s experience and reconfigures trust/mistrust as a meaningful intersubjective dimension of the therapeutic relationship. Novack shows how attending to shifts in trust/mistrust can provide valuable clues for deciphering the transference/countertransference. While I strongly agree with her construction of trust as a psychoanalytic achievement, I question the notion that the analyst’s trust is a necessary condition for her participation. Novack’s work on the analyst’s trust joins a broader contemporary conversation about potential overreaches in the relational paradigm, which I discuss. Finally, I consider the implications of Novack’s work for specifying the factors that underly resilience and engaging a conversation about surviving destruction in contemporary relational psychoanalysis.     

A “Little Death”: The Near-Death Experience and Tibetan Delogs

A phenomenon remarkably like the near-death experience has been uncovered in Tibetan culture, aside from the so-called Tibetan Book of the Dead (Thurman, 1994). Anthropologists have gathered accounts of contemporary and historical cases of remarkable people called delogs. Seemingly dead for several hours or days, these people revive spontaneously and tell detailed accounts of otherworldly journeys. Their journey accounts contain elaborate versions of Buddhist otherworldly landscapes and characters, emphasizing the moral and spiritual teachings of Tibetan Buddhism. These delogs are a bridge between contemporary near-death experiences and ancient shamanic practices.     

The Symbol and the Theory of the Life-World: “The Transcendences of the Life-World and Their Overcoming by Signs and Symbols”

This essay presents a phenomenological analysis of the functioning of symbols as elements of the life-world with the purpose of demonstrating the interrelationship of individual and society. On the basis of Alfred Schutz's theory of the life-world, signs and symbols are viewed as mechanisms by means of which the individual can overcome the transcendences posed by time, space, the world of the Other, and multiple realities which confront him or her. Accordingly, the individual's life-world divides itself into the dimensions of time, space, the social world and various reality spheres which form the boundaries or transcendences that the I has to understand and integrate. Signs and symbols are described as appresentational modes which stand for experiences originating in the different spheres of the life-world within the world of everyday life, within which they can be communicated, thereby establishing intersubjectivity. Schutz's theory of the symbol explains how social entities – such as nations, states or religious groups – are symbolically integrated to become components of the individual's life-world. The following paper reconstructs Schutz's concept of the symbol as a crucial component of his theory of the life-world, which is seen as an outstanding phenomenological contribution to the theory of the sign and the symbol in general.     

A Near-Death Experience Followed by the Visitation of an “Angel-Like” Being

I describe a near-death experience (NDE) followed by a religious experience 15 years later in which the subject was visited by the same angel-like figure that she saw in the NDE. I describe details of the NDE and of the subsequent visitation; note transformational changes in behavior and associated aftereffects; examine childhood experiences possibly related to the NDE; review the presence of angels in Biblical and mystical literature and in contemporary media; and suggest a possible relationship between latent paranormal abilities and the occurrence of a variety of exceptional experiences.     

Mourning,Regeneration, and the Psychic Future: A Discussion of Levine’s “A Mutual Survival of Destructiveness and Its Creative Potential for Agency and Desire”

Lauren Levine’s paper illustrates how she straddled the lines between helping her patient to grieve his substantial loss and exploring new psychic possibilities. As she discusses the transformation of traumatic loss into developing capacities for mourning and regeneration, she also examines the analyst’s limits that are directly and indirectly expressed to the patient. This discussion examines the intrinsic relationship in analytic work between grieving, the depressive position, and psychic change.     

The “Perseverant” Personality: A Preattachment Perspective on the Etiology and Evolution of Binge/Purge Eating Disorders

The author integrates “psycho-digestive” metaphor with contemporary relational perspectives and developmental research to propose a way of thinking about the etiology and evolution of binge/purge eating disorders—including “purging anorexia,” bulimia, and “yo-yo” binge/dieting—and the personality organization that may underlie them. Focusing on the unifying, cyclical nature of these disorders, the author hypothesizes that an early-developing, fear-based form of somatopsychic perseveration may be set in motion from the beginning of life when a nursing infant is unable to achieve a psychic connection with a physically present and feeding (m)other. Without intervention, such a preattachment failure in (m)other/infant synchrony would inevitably impact all subsequent development. The author proposes that it may also lay the foundation for a uniquely intertwined somatopsychic personality organization—what she calls a “perseverant” personality—that fosters the development of binge/purge eating disorders. A perseverant personality is defined as a solitary and circular mode of being, thinking, and relating that is organized around a sustained physiological and psychological reliance on the feeding as a mode of thought-processing and affect regulation.     

Discussion of “The Therapeutics of the Fee in Psychoanalysis”

This discussion of Dr. Pauley’s paper (this issue) on the therapeutics of the fee first highlights the various valuable contributions Pauley makes. It applauds his unusual openness in sharing his internal vulnerability with patients around fees, his raising the question about why fee setting is so complicated for analysts and patients alike, his focusing on omnipotent fantasies in the transference and countertransference, and his uncovering of the multiple meanings money has for therapists beyond just their income. Berger picks up on Pauley’s invitation to therapists to be more curious about their own discomforts with money. Drawing on her own teaching, writing and clinical experience, she adds to Pauley’s more global ideas, stressing instead the more specific meaning of money in each treatment dyad. Among these specifics, Berger highlights the chronic avoidance of teaching about money in analytic institutes. She clarifies some Freudian ideas about how money can become tied up with anal witholding, and offers examples of how she got stuck with three patients around setting and raising their fees. Berger describes how these patients’ believed that their fees could mean safety, value or exploitation and how these attribuitions generated countertransference blind spots for her. The discussion urges clinicians to keep digging hard into themselves for the many meanings of money, to pay attention to the devil in their own details, and thereby maximize the richness of their work with patients around a topic so loaded for all of us.