Reply to Review Essay

I thank John Kerr for his long and detailed review of my Freud biography and note our major points of agreement and disagreement. Kerr and I both see the wisdom of placing Freud in the context of the major relationships of his life as opposed to viewing him as a self-created hero. We also note the value of using contemporary ideas and research, much of them based on the foundation that Freud erected, to loop back and understand him in new ways. I believe, more strongly than Kerr, that Freud's early traumatic losses, and the way he came to terms with them—or did not—in his self-analysis, had long-lasting effects on his character, relationships, and psychoanalytic theory and therapy. Several minor points of agreement and disagreement are also discussed.     

THE THREAD OF DEPRESSION THROUGHOUT THE LIFE AND WORKS OF LEO TOLSTOY

Tolstoy, the author of two masterpieces, War and Peace and Anna Karenina , remains a writer of genius. Yet, after writing War and Peace , his existence had been torn apart by a serious depression. This depression, which was melancholic in character, almost destroyed him and, once he had finished Anna Karenina , led him to want to renounce not only sexuality but also literary creation and material possessions. Through examining Tolstoy's life and work, the author tries to uncover the underground paths of this depression, which emerged brutally in the middle of his life, and to understand why his creative genius dried up. Like Leonardo da Vinci, Tolstoy turned away from his artistic work, declaring that 'art is not only useless but even harmful', and thereafter devoted himself to philosophical, political and religious writings. These new sublimations would help him to recover his health.     

Claude Debussy's opera Pelléas et Mélisande: Secrecy,mystery and ambiguity in Debussy's life and art

Debussy attempted to conceal the stresses of his early life: his father leaving to fight in the Franco-Prussian War, his younger siblings being sent to live with an aunt, and Debussy remaining alone with his mother. His early-discovered musical talent provided him with a sense of continuity throughout his life. However, he felt his training at the Paris Conservatoire to be restrictive and rebelled against it in the musical style he developed. Debussy’s opera Pelléas et Mélisande gave him an opportunity to creatively depict these thwarted passions and his aversion to restriction.     

Freud, Dora, and the maid: a study of countertransference

Early advances in psychoanalytic knowledge, profound though they were, were incomplete structures to be built upon, modified, and partially discarded. In addition to errors due to insufficient knowledge, Freud's difficulties with Dora stemmed from countertransference. Dora's transference included an identification with a governess/maid. Important oedipal role played by a nursemaid in Freud's life made him vulnerable to being left by Dora. The maid, Monika, "the prime originator" of Freud's neurosis, seduced him, chastised him, and taught him of hell. In his self-analysis she was associated with Freud's mother who left him when she gave birth to his sister. When he was two and a half years old, Monika was discharged and jailed for stealing. I suggest that Freud's attraction to Dora revealed itself in his libidinal imagery of the treatment and his premature sexual interpretations, the effects of which he misjudged. Defending against his attraction, he pushed her away from him, did not act to keep her in analysis or allow her to reenter analysis later. In addition, since Dora had left him as he must have felt his childhood nursemaid had, he reacted as if she were that maid. Hurt, saddened, and angered, he used reversal and deserted her, thus damping his feelings.     

Thirty years of abdominal pain

In this paper, the author describes a brief psychotherapy with a man who has struggled with abdominal symptoms for most of his adult life. After an unhappy childhood, the patient (Mr A) married and then was witness to the birth of his stillborn child, in a foreign country. Soon after his abdominal symptoms started, and plagued him for the following 30 years. In the therapy, Mr A began to explore areas of guilt, hostility, and shame, together with previously unknown-about unconscious phantasies. By the end of the therapy, he reported a substantial diminution in his symptoms, as well as changes to his relationships, and mode of thinking and feeling. Some aspects of working psychoanalytically with patients with somatic symptoms, especially those pertaining to the gastrointestinal tract, are discussed.     

Screen memory: its importance to object relations and transference

A screen memory of an obsessive and narcissistic man, reported early in psychoanalysis, both represented and disguised the patient's oedipal conflict, incestuous wishes, and sibling rivalry. It symbolized for him his relationship with his mother and was treated by him, in a repetitive and fetishistic manner throughout treatment, as the reason for his bitterness toward life, his sense of entitlement, his narcissism, and his distrust of women. In the transference, the memory-far from being inert- constantly played an active role in his wishes and disappointments regarding the analyst, and in his fantasied oedipal triumph over him. As the analysis progressed, and after years of treatment, the encapsulated nature of this memory began to give way to the patient's growing awareness of his oedipal wishes, the full range of his feelings toward his mother, and his sense of abandonment by her. The nature of screen memory is explored, including how it relates to a patient's personality and use of the past in general, how it may figure in the development of a person's object relations, and the decisive role it may play throughout a treatment.     

Personality change following encephalitis lethargica in childhood. Eventual fate of a patient

An account is given of a patient who died at the age of sixty. He had no recollection of having had encephalitis as a child. In his schooldays, the patient was subject to severe behavioral disorders which were not susceptible to outside influence. During his military service he was frequently punished for conduct prejudicial to discipline and good order, and at the front he was even sentenced to death, but reprieved. His later life brought him no tranquility, ever new conflicts driving him from one job after another. Breaking into uncontrollable fits of rage, he would psychically attack the people around him, threatening to kill them. He was incapable of controlling his impulses. He spent the second half of his life in institutional care, his extrems impulsiveness being the cause of considerable disruption. Post mortem examination confirmed the encephalitis lethargica he was assumed to have suffered as a child, which was responsible for the typical change of character. It is evident how encephalitis lethargica in childhood sets a lifelong mark on the conduct, with appalling consequences.     

Erikson’s Case of the Theological Student

This article focuses on Erik H. Erikson’s case of a theological student on the borderline of psychosis. The case, presented in a lecture published in Insight and Responsibility (1964, pp. 47–80), was important to Erikson for two important reasons: It enabled him to gain confidence in his capacity to help young adults and convinced him that he was not being disloyal to Freud by focusing on patients’ religious experiences. His presentation of the case focuses on an enigmatic dream image that caused the patient to believe that he was losing his mind but that, when interpreted, led to a breakthrough in his therapy and eventual recovery of his mental health. The springboard for his study of Martin Luther, this case illustrates the three primary religious images that Erikson identifies in Young Man Luther (1958): the maternal matrix, the paternal voice, and the pure self. It also illustrates how the timely appearance of a new person in one’s life may have enormous therapeutic value.     

On not being able to enter Noah's Ark

The paper describes the psychoanalytic psychotherapy of a patient who had originally been referred at the age of 15 because of his social isolation. In fact, he suffered from high-functioning Asperger's syndrome and lived in an almost delusional world populated by a number of imaginary companions, which he used to counteract a deep void and sense of deadliness within him. After five years of therapy, the patient was able to move on, allowing him to be successful in his academic studies, and to abandon his imaginary friends. This paper focuses on a subsequent phase of the therapy when the patient, as a young man, began to show an interest in and attraction to the world of intimate relationships. The paper is grounded in Meltzerian theory, especially his ideas about the role of beauty in the mother–child relationship, and about the world of intimate links as opposed to conventional ones.     

When Interpretation Derails the Patient: The Negative Impact of Certain Misuses of the Concept of the Unconscious

Alternatives to classical psychoanalytic theory and technique have existed in the form of various "deviant" schools, all of which have found that contemporary conflict theory fails to achieve good results with the patients they treat. While the principles of interpersonal, self-psychological, intersubjective and relational schools are reasonably well known through the psychoanalytic literature, the opportunity to examine detailed analytic accounts by classical analysts has only recently become possible. The publication of full case reports has recently become a feature of the traditionally based psychoanalytic journals. This paper makes use of a recent volume of the Psychoanalytic Quarterly to examine the interpretations made during a lengthy analysis of a male patient struggling with his ambivalence about marrying his fiancée. The analyst repeatedly attributes his patient's reluctance to marry and negative feelings about his fiancée as determined by his unconscious conflation of his mother and his fiancée. The author attempts to demonstrate the derailment of the patient by these interpretations. They prevent him from solidifying his own judgment and, in so doing, prevent him from taking suitable action. An alternative approach to the material of the case is presented, including very different interpretations that would, in the author's opinion, liberate the patient rather than derail him from achieving his life goals.     

Making of Victim a Patient: Sexually Abused Children and the Consequences of Unprofessional Help

The disclosure of sexual abuse by a child not only disturbs the mental peace of the family members but influences their attitudes towards the victim as well. This article explores how the diverse types of attitudes of the family members towards the victim and un-fulfillment of role expectation of a victim from his/her family members make him/her a patient. An attempt has also been made to analyse how the reluctance of parents to take any professional help impedes the recovery of the child along with the strategy a child adopts to cope with this traumatic event of his/her life. The child wants love and support from his/her close relatives, besides expecting protection from them. In such circumstances even a little negligence from any of the family members or their unsupportive and unpractical attitudes towards the victim, makes him/her a silent sufferer. A sense of helplessness develops in her/him and later on this sense of helplessness makes him/her a patient of depression.     

The rise and fall of Hugo Münsterberg

This article addresses the turbulent life of the German-American philosopher and psychologist Hugo Miinsterberg in Germany and his role in founding the psychological laboratories at Freiburg and Harvard. He is best known for his contributions to forensic, industrial, and the “new” experimental psychology. Over a span of twenty years (1897–1916), Miinsterberg rose to become the leading psychologist in the US. When he turned his attention to cultural and political issues, particulary his efforts on behalf of a mutual understanding between Germany and America, he had a serious break with the Harvard administration and later, his colleagues. An advocate for world peace, his final years were marred by World War I which left him embittered and socially isolated. Judged harshly at the time, he is now receiving the recognition that posterity did not tender him.     

A lifelong attempt to understand and assess personality

The author recounts the story of his life and career in clinical psychology from 1917 to 2003. He offers hypotheses about parts of his personal life that may have predisposed him to develop a special interest in assessing personality, discusses formative influences on his particular approach to the topic, and describes the settings in which and some of the colleagues with whom he participated in some principal pieces of research on this aspect of psychology.     

Norman Garmezy (1918-2009)

Norman Garmezy, a pioneer in research on risk and resilience, died in Nashville, Tennessee, on November 21, 2009, at the age of 91. He was a legendary mentor as well as an eminent scientist in clinical psychology. Norm was born on June 18, 1918, in New York City and grew up in the Bronx in a Jewish neighborhood where educational attainment was highly valued. The scientific study of resilience as conceived by Norman Garmezy, his peers, and students has transformed the science and practice of multiple disciplines, from the molecular level to the global ecosystem, infusing a strength-based and recovery-oriented approach into psychology, education, social work, and psychiatry. Current research on resilience ranges from studies of plasticity in brain development to effective planning for resilience in the context of disaster. Norm's influential ideas and research earned him international acclaim and many honors for lifetime achievements in science. Throughout his career, Norm held many leadership roles. Throughout his life, Norm spoke with great love about his wife of 63 years, Edie Garmezy (who died just months before him in 2009), and their children. In addition to his work and his family, Norm had three abiding passions-theater, movies, and politics. During the last two decades of his life, Norm and those who loved him endured his long decline from Alzheimer's, which slowly stole his brilliant mind and hilarious sense of humor. Nonetheless, the incredible spirit and humanity of this giant scholar continued to shine through this terrible disease. To the end of his life, Norm's face would light up with a smile as he greeted the people he loved, and he would often exclaim, "Wonderful!" Norman Garmezy was a remarkable person and scholar who left an extraordinary legacy of love and work to inspire future generations in their efforts to understand and promote the human capacity for competence and resilience.     

How Can That Be Me? Developmental Disruption in a Young Adult

A young adult who experiences a psychotic break is at high risk of feeling that his or her life and sense of Self before the de-compensation were fraudulent. This article describes a young man who suffered such a trauma and deeply felt this sense of fraudulence and covers how his treatment developed. We established a dual narrative: one that explicated the precursors to his break and one that showed how the life that he had previously held to be his personal story were both authentic. The capacity to integrate the two created a sense of wholeness that permitted him to re-establish himself in his everyday life.     

THE WILDE ANALYST

Oscar Wilde (1854–1900) took on the challenge of teaching us how to live artfully. From the dynamic successes and tragedies of his own life Oscar knew that everything worthy of existence is worthy of art, including its ugliness and suffering. Oscar observed much about human nature, especially his own, in an era when convention was not challenged, knowledge was taught and appearances were everything. For him, “The supreme vice is shallowness.” Society and psychoanalysis can still be honored and shaken by his words. The paradoxical and complex nature of Oscar's insights was as good as any coming from a thoughtful psychoanalyst. After the first two attempts to write about Oscar fell flat, it became clear that I must engage with him and try to match the unsparing commitment to explore his unconscious and interior life. In the process of creating the array of sketches of my psychoanalytic encounters with Oscar, I also found the words to describe what drew me to the field some 20 years ago—the art of psychoanalysis.     

Career Process: A New Concept for Vocational Behavior

Vocational guidance has been traditionally too concerned with helping individuals choose an occupation. There is need for more awareness of change in vocational life. The concept “career process” stresses the continual changes and the varied developmental tasks in occupational life. Implicit in the career process concept is that no final ohoicepoint in vocational behavior exists; rather, counselors should help the individual learn key developmental tasks that will ultimately better equip him to face the realities of change as a part of vocational life.     

Black holes: Some notes on time,symbolization, and perversion in the psychodynamics of addiction

Abstract

The existence of man is distinguished by its split state: man stands in the middle of life yet still has an awareness of his own death. He has to compensate whatever is missing in him naturally at the societal level, created as culture, and at the individual level through creativity. Rank investigated the human ‘creative drive’, the anthropological aspiration to express oneself in creative works, and to overcome the fear of death with its help. Freud admired poets and artists, whose achievements he could not psychoanalytically access, but he considered science superior to the harmless and naïve arts. There are two anthropological radicals: premature birth and the consciousness of death. Freud's massive fear of death made it difficult for him to acknowledge the problem of death appropriately. In Rank's concept, the development of human creativity contributes towards the fear of death being alleviated so that the knowledge of death can be integrated into life; creativity belongs to the fundamental opportunities of man that may enable him to find a way through neurosis. Failure is as much a part of life as is creativity: those who do not experience and accept life in its tragic dimension are denied creativity. Only a creative person who accepts his partial failure finds the strength to continue to be creative without his imperfect work leading to the ritual repetition of the same thing again and again, that is, getting stuck in recidivism.     

‘From nature to nature’s God’: Ellis A. Davidson—mid-Victorian educator, moralist, and consummate Designer

In recovering the life and work of Ellis Abraham Davidson (1828–1878), this paper draws attention to a Victorian who expands our understanding of Anglo-Jewry as he does not fit the occupational stereotypes. Unusually, he contributed to education, more specifically to the socially-important but frequently neglected topic of technical education. He taught the “lowly” arts, generally known in the nineteenth century as “arts and manufactures”, or the “useful arts”, or “art and design”. Thus although he did not become an artisan or tradesman himself, through his teaching others acquired the requisite skills to become artisans and tradesmen. Moreover, drawing on his experience teaching practical subjects he lectured to Jewish artisans and advised the Board of Guardians on the best way to support apprentices. Finally, and most importantly, this study of Davidson sheds new light on the relations between science, technology, and Judaism in the mid-Victorian period. Thus the final two sections of this paper will examine his commitment to a form of natural theology that set him against Darwin’s theory of evolution and also informed his only book directed specifically at the Anglo-Jewish community.     

G. C. Lichtenberg: dreams, jokes, and the unconscious in eighteenth-century Germany.

The German physicist and writer Lichtenberg (1742-1799) was well known during the nineteenth century as a humorist, thinker, and psychologist. He was also a favorite author of Freud, who read him beginning in his teens, quoted him frequently, and called him a "remarkable psychologist." Despite this, he has been ignored by psychoanalysts and historians of psychiatry alike, and most of his writing is still unavailable in English. An introduction to Lichtenberg as a psychologist is provided, stressing material dealing with dream analysis, association theory, and drives. Relevant excerpts are translated into English. Lichtenberg is shown to have insisted upon the need for a systematic and rationalistic study of dreams, to have analyzed individual dreams (describing them as dramatized representations of thoughts, associations, and even conflicts from his own waking life), and to have emphasized the functional link between dreams and daydreams. His remarks on drives and commentary on eighteenth-century association theory represent a significant practical application, and thus refinement, of Enlightenment rationalistic psychology. These achievements are assessed in light of Freud's early fascination with him; it is argued that Lichtenberg is an example of the relevance of the historical and cultural background of psychoanalysis to clinical practice.