Rankian Will

Otto Rank (1884–1939) served as Freud's closest partner in the psychoanalytic movement from 1906 to 1926. From 1923 on, Rank, initially with Ferenczi, focused on making analysis more therapeutic, emphasizing current experience in the session over historical exploration and interpretation. Rank settled on will as a missing factor, and wrote extensively about it after the break with Freud in 1926, when he moved to Paris. He emphasized the here-and-now, redefined “resistance” as a positive aspect of counter-will, and suggested a time limit for analysis. Ousted from analytic circles in 1930, he eventually moved to New York, continuing to treat patients and teach until his unexpected death at 55 in 1939. After decades of obscurity, Rank has gained readers and therapists whose orientation is interpersonal, client-centered, relational, humanistic, or existential. His influence on post-Freudian ego-psychology is finally being acknowledged as are his ideas about creativity, will, life-fear and death-fear, guilt, and ethics.     

On teaching psychoanalysis

Teaching psychoanalysis is no less an art than is the practice of psychoanalysis. As is true of the analytic experience, teaching psychoanalysis involves an effort to create clearances in which fresh forms of thinking and dreaming may emerge, with regard to both psychoanalytic theory and clinical practice. Drawing on his experience of leading two ongoing psychoanalytic seminars, each in its 25th year, the author offers observations concerning (1) teaching analytic texts by reading them aloud, line by line, in the seminar setting, with a focus on how the writer is thinking/writing and on how the reader is altered by the experience of reading; (2) treating clinical case presentations as experiences in collective dreaming in which the seminar members make use of their own waking dreaming to assist the presenter in dreaming aspects of his experience with the patient that the analytic pair has not previously been able to dream; (3) reading poetry and fi ction as a way of enhancing the capacity of the seminar members to be aware of and alive to the effects created by the patient's and the analyst's use of language; and (4) learning to overcome what one thought one knew about conducting analytic work, i.e. learning to forget what one has learned.     

On the efficacy of psychoanalysis.

In this study we critically review the formal research literature pertinent to the outcomes of psychoanalysis and the factors influencing these outcomes. Our inquiry was conducted from a psychoanalytic perspective. We found the research yield consistent with the accumulated body of clinically derived psychoanalytic knowledge, e.g., patients suitable for psychoanalysis derive substantial therapeutic benefit; analyzability and therapeutic benefit are relatively separate dimensions and their extent is relatively unpredictable from the perspective of initial evaluation among seemingly suitable cases. The studies all contain clinical and methodological limitations which are no more substantial than in other forms of psychotherapy research, but they have not substantially advanced psychoanalytic knowledge. This raises challenges for the further development of formal research strategies native to psychoanalysis.     

On the scientific standing of psychoanalysis

This paper speaks for the claim that psychoanalysis qualifies as a scientific enterprise. It will derive from the conceptual and evidential structure of psychoanalysis a causal empirical hypothesis that admits of scientific intraclinical testing. Relevant topics from the philosophy of science (especially the nature of causal explanation and the work of Grünbaum) and the psychoanalytic theories of pathogenesis and therapeutic action are discussed in a preliminary way to create a framework for the demonstration. The dynamic unconscious is examined as the core causal concept of psychoanalysis. Taken together with an account of the structure of the mental apparatus, a coherent picture of mental causation (the propagation of an unconscious impulse) comes into view. This leads to the formulation of a set of clinical propositions that unite to generate a causal empirical hypothesis based solely on data from the analytic setting--namely, that the transferences and symptoms that appear in free association in the analytic situation possess an interrelational structure that is theoretically implied and can be statistically confirmed.     

On subjectivity and objectivity in psychoanalysis.

Epistemological subjectivism has found its way into psychoanalysis along several theoretical and clinical paths. It has developed out of the clinical interest in transference and countertransference and, in particular, from the broadly generalized definition of countertransference now popular. The clinically necessary attention to analyst-analysand interaction has been turned into interactionism or intersubjectivism and a denial of epistemological subject-object differentiation. These perspectives transform a clinical focus on the here and now of the analytic relation into the determination of the past by the present and a teleological reversal of causality. Once this reversal is made, narrative in the analytic situation becomes the co-creation of the analysand's past by the present analyst-analysand relation. Psychoanalysis, on this view, can at best substitute a coherent, novelistic account for the life history of a person. Some of the problems of subjectivism are examined here with a view to restoring to psychoanalysis the epistemology of science and common sense.     

On the place of siblings in psychoanalysis

In summary, this paper is a beginning attempt to close a gap that has existed in the psychoanalytic literature. Scant attention has been paid to the significance of sibling relationships, which have largely been relegated to an ancillary position as the cause of rivalry and envy. It is the contention of this paper that sibling relationships are of far greater significance to ego development, to structural and defensive considerations, and to self and object representations. Further, efforts have been made to delineate some of the ways in which sibling relationships can foster or abet the emergence of pathology in patients. Through the presentation of case studies, it has been shown that siblings are significant objects of internalization and that sibling contacts deserve attention in the analysis of personality development, psychodynamics and in the psychoanalytic treatment process.     

On the fate of psychoanalysis and political theory

The author explores the present structure of the relationship between psychoanalysis and political theory, finding that the two often attempt to integrate each other's findings as mere resources within the pursuit of fundamentally self-determined projects. This radically misconstrues the force and meaning of the insights upon which they draw. Especially when psychoanalytic interpretations of collective subjects (nations, regions, etc.) occur, the relationship between psychoanalysis and political theory may not be appropriately mediated, promoting suspiciousness about the interpretive and therapeutic efficacy of such nonclinical "interventions." The author proposes an alternative paradigm for a new working relationship between psychoanalysis and political theory.     

Psychoanalysis, psychoanalysis appropriated, psychoanalysis applied

The assumptions which predominate in the reading of psychoanalytic theory differ from those involved in listening to the patient in the psychoanalytic process. A weakness of much applied psychoanalysis is that these two sets of assumptions are confused and theoretical certainty is substituted for clinical exploration. This difference in assumptions is illustrated by the different assumptions about the signifier in two poems. In Freud's work on Leonardo, both attitudes toward the signifier are present, but the clinical aspect is located in Freud's method, not in his historical construction. The problems of maintaining a similar clinical stance in applied psychoanalysis are explored, and Freud's tendency toward historical certainty is speculatively considered as an instance of the parallelism phenomenon.     

Pandemic psychoanalysis

The American Journal of Psychoanalysis - Our clinical practice is contextualized by a co-participant trauma constituted by a confluence of upheavals–pandemic, politics, an epistemological...