Ghostbusting Transgenerational Processes

Transgenerational processes contribute to organizing and disorganizing attachment. The past (in all its forms and potentialities) lives on in the present, influencing the affective field of the parent–child intersubjective matrix. In a child's construction of self, he or she may run up against the confounding presence of ghosts: the dissociated, and thereby unreflected upon past of their parents. This implicitly felt, yet explicitly unknown transmission interferes in the processing of emergent experience and impedes the child's development.

Attachment theory, informed by psychoanalysis, and nonlinear dynamic systems theory, is the main theoretical underpinning of this paper's examination of the mechanisms involved in the transfer of dissociated dynamics from parent to child. The child's symptoms grow out of an incoherent affective field that defies representational mapping into a flexible usable theory of mind. Through play a child therapist finds openings to enter the attachment system, reflecting on how a child's experience is being felt, yet unthought about by both child and parents. A parent's recognition process, thereby making what was implicitly felt explicit and consequently more coherent, supports the child in his or her efforts to reorganize aspects of the attachment relationship. Both clinical experience and quotations from literary works are woven into this paper in an attempt to convey the texture, emotional depth, and universality of the subject under discussion.     

Intergenerational Transmission of Violence: Shattered Subjectivity and Relational Freedom

This article considers a relational perspective regarding the intergenerational transmission of the trauma of violence. The psychoanalytic literature suggests that parents often transmit the trauma of violence to their children in the form of projected nameless dread and unmentalized states that interfere with the children's emotional needs and support. The offspring absorbs the trauma, which manifests itself in the form of disorganized attachment and in turn leads to the development of a predisposition toward cocoon-like dissociative states. This study considers two clinical cases that examine the interpersonal dynamics of dissociative processes. The therapist's reverie about his ancestors' survival of depersonalizing violence and Winnicott's concept of the survival and the use of the object help the therapist find his or her identity and gain the relational freedom needed to overcome the dissociative state, thereby becoming an alive subject who is able to help the child patient.     

On the Role of Reparative Processes in Childhood: Pathological Development and Therapeutic Change

This article continues my discussion of the process of therapeutic change in psychodynamic child therapy. In a previous essay (Barish, 2004), I stressed the therapeutic benefit of enhancing the child's positive affects as well as developing his or her capacity to tolerate painful affects. I now propose an extension of these ideas, a perspective on the nature of psychopathology in childhood and the implications of this perspective for our understanding of the therapeutic process, based on the clinical concepts of emotional injury and normal reparative processes.

Every emotional injury evokes in the child a complex affective experience, comprised of painful emotions as well as an intensification of the child's instinctive self-protective responses—some form of withdrawal and/or retaliatory response. In normal psychological development, as in healthy biological systems, reparative processes function to heal injuries. Failure of these normal reparative processes sets in motion malignant psychological events in the mind of the child: painful affects and associated fantasies increasingly dominate the child's sense of self and others, leading to prolonged states of withdrawal and demoralization or defiant rage. The therapeutic process, especially the therapist's empathy, intervenes to arrest this malignant development, helping unlock the child's exuberant energies and restore in the child a more confident and joyful participation in life.     

The origins of our gods and monsters

Beside me, a six-year-old child plays in the sandbox in my psychotherapy office, laughing loudly, engrossed in a fantasy which he is busily unfolding. He exudes the vibrancy and aliveness that is every child's birthright. A sense of self-possession is proclaimed in his stance, his eyes, his voice, and his demeanor.     

The Cocreation of Fantasy and the Transformation of Psychic Structure

This author argues that therapeutic action in child psychoanalytic psychotherapy rests with the creation and transformation of fantasy through play, which in turn shifts psychic structure. The paper details the treatment of an eight-year-old girl whose mother's inability to playfully participate in the inner world of her child interfered with the child's development of a fantasy life. The author suggests that the introduction of objective reality (i.e., interpretations that link the child's play with the real world) potentially impinges on and interferes with the transformational processes of fantasy. Developing the capacity to distinguish reality from fantasy does not take place through a forced accommodation to reality, but rather through the expansion of fantasy and a widening of the realm of the imagination. The elaboration of fantasy in concert with a parent or analyst is what builds the child's capacity to differentiate reality from fantasy.     

Relation‐based intervention with at‐risk mothers: Outcome in the second year of life

It has been shown that the UCLA home visiting/mother–infant group intervention made a significant positive impact during the child's first 2 years of life on two indices of the mother's support and on three areas of mother–child and child development: (1) The mother's responsiveness to the needs of her child and the related development of his or her security of attachment; (2) the mother's encouragement of her child's autonomy and the related development of his or her autonomy; and (3) the mother's encouragement of her child's task involvement and the related development of his or her task orientation. By child age 2 years, the mothers experiencing the intervention, in comparison with those that did not, also used verbally persuasive as opposed to coercive intrusive methods of control and their children responded more positively to these controls. Mothers who did not experience the help of the intervention had significantly more difficulty controlling their child if it was a boy as opposed to a girl. They used the least appropriate methods of control, and the boys responded more negatively to these controls. The nature of the development of the mother's use of appropriate controls and the child's response to that control was elucidated by determining on the total sample where 12‐month antecedents influenced the indices of control either independently of or in interaction with the intervention status. The child's endurance in the test situation was an independent predictor of mother‐appropriate control and the child's positive response to that control, while the absence of maternal intrusiveness further enhanced the impact of the intervention on that control. ©2001 Michigan Association for Infant Mental Health.     

Doing things differently: an appreciation of Meltzer’s contribution

In this paper I wish to draw attention to aspects of Donald Meltzer’s ways of working which characterised his practice as a psychoanalyst and which I consider important in appreciating his originality. Several central themes are described and elaborated including: the central relevance of child analysis and the unity of child and adult analysis; the value of working in a clinical group with colleagues; the revision of psychoanalytic theory; joint research and writing projects; Meltzer’s recognition of the power of infant observation as a tool for learning; the commitment to a wider psychoanalytic culture; the particular contribution to the Tavistock child psychotherapy training. Examples from Meltzer’s written archive, both his books and papers, are used to demonstrate and illuminate these themes, alongside clinical material from child psychotherapy work brought to the author’s attention in supervision.     

The relationship of mother–child interaction and the child's development of symbolic play

The extent to which the mother–child interactive relationship either promotes or limits a child's ability to see options or choices in the environment was investigated. It was predicted that this quality of interaction provided primarily by the mother would relate to the child's cognitive development as reflected in his or her level of symbolic play. The level and frequency of symbolic and nonsymbolic play in 30 children, ages 12 to 47 months, were coded and mothers' options‐promoting and options‐limiting behaviors were identified. Children, across this range of ages, whose mothers created an options‐promoting social context were observed engaging in more symbolic play. Nonsymbolic play, however, was not found to be significantly influenced by the mother's interactive style. A child's symbolic play marks a dynamic developmental achievement for the child, and appears to be related to the social context created by the mother's interactive style. ©2003 Michigan Association for Infant Mental Health.     

Light and color in a void: The analysis of a special needs child

This clinical report comes from the five year, four day a week analysis of a male child. What is special is that this treatment is of a child with marked mental retardation. I have retained this nomenclature because that is how Ricardo's parents described his mental capacity. What they meant was that he was greatly impaired in his cognition and this could be seen in Ricardo's severe cognitive, social, behavioral, and relational improprieties. I have privileged the function of psychoanalytic understanding and the role of transference to bring about modifications in this child's internal world. And I have considered the patient's psychotic mental state to be in need of psychoanalytic treatment not withstanding his psychosis's connection to his cognitive handicap. I have also added information I have received after the analysis, information that demonstrates continued integration coming from the analytic process. Owing to Ricardo's limited mental capacities, this article advances clinical information that is not often found in analyses of children. There are possibly many other children like him who nonetheless would benefit from dynamic psychoanalytic understanding. On the other hand, I shall not discuss this matter theoretically, even though some theoretic considerations are necessary. Clinical practice and the transferential relation are this report's principal material.     

Alter(ING) Potential Space: Personalization and Community in Psychoanalytic Therapy

In this paper, I use the notion of alterity to amend Winnicott's view of potential space. I suggest that the parent's potential space—omnipotent recognition and treatment of the baby as person—makes possible the baby's belief in and experience of omnipotence, which is manifested in his/her omnipotent recognition and treatment of objects in terms of utility, pleasure, and function. This early manifestation of potential space gives way to recognition of objects as proto-persons, which accompanies the child's illusion that the (transitional) object recognizes him/her as a person. Here the child learns to surrender to the object's omnipotent constructions and, in these moments, there is a proto-communion—an illusory experience of mutual joining together as persons. This eventually gives way to a potential space wherein two or more people mutually and omnipotently construct and surrender to each other as persons, subordinating pleasure, function, and utility to the recognition of the Other as person. This depiction of potential space can serve as a framework for understanding the process of therapy as a struggle not simply of reality and illusion, but one of recognition and treatment of Others as persons and the possibility of communion and community.     

Infant-parent psychotherapy with an autistic toddler

This paper describes the 3½ -year treatment of an autistic toddler, who by age 5 showed normal social relationships and only minor residual cognitive features of the disorder. The treatment approach integrated infant-parent psychotherapy with techniques of special education and involved a two-person team that worked simultaneously in the family's home. The early work focused on discovering ways to mediate environmental stimulation so as to enhance the child's availability for social interaction. The treatment helped the parents understand this and explored and interpreted misconceptions about their son that interfered with parental feelings and functions. Multiple issues in the parent-child relationship and in the child's social and cognitive development eventually were addressed. This case illustrates one scenario in the development of relationships when an infant lacks the biological fittedness for social interaction. It demonstrates the possibility of ameliorating the autistic condition through a modification of infant-parent psychotherapy. The successful outcome of the case seems to be the result of several factors: The child's age at the beginning of treatment, his areas of cognitive strength, and his parents' exceptional ability to use and extend the therapy.     

Therapist memory and reverie: implications for the clinical setting

In this work, the author considers reveries to be ‘dream-like-memories’. In the course of a session they appear as proto-memory – the therapist’s early traumatic object relations that are recorded in the unconscious at an almost bodily level (a type of unthought known) and which are resurrected between therapist and patient when a similar traumatic subject arises between them. The therapist’s reveries are recollections in the form of dream-like allusions to his past experience. A clinical vignette from the psychotherapy of a child whose father suffered from PTSD (following a wartime experience in Afghanistan and Iraq) is discussed. Dissociative dynamics were repeated in the therapeutic relationship, in the form of an obsessive game intending to preserve the state in which there was no need to remember what had been unconsciously transmitted to the child: his father’s wartime experience. The projection of the primary elements which had been silenced evoked in the therapist allusions to his unconscious identification with his ancestor’s post-traumatic experiences. These allusions helped in overcoming the dissociated state. The role of memory in child psychotherapists’ receptivity of trauma is revisited.     

Primal splitting as a basis for emotional and cognitive development in children

This article discusses the importance of good primal splitting as the basis for the child's emotional and cognitive development. A theoretical introduction analyses the possible pathologies of primal splitting, as they were first pointed out by Melanie Klein and then by some post-Kleinian authors, in particular Donald Meltzer. This is followed by some excerpts from the clinical material of the first year of the psychoanalytic psychotherapy of a three-year-old child suffering from eating problems. Starting from the child's play activity, the author tries to identify the splitting problems that underlie the child's view of the world, and to address these with him. The article shows how at times it can be useful to speak also to the child's intelligence, combining the usual analytic work (containment of anxiety and analysis of transference) with the analysis of the child's distortions and cognitive misconceptions. The article also suggests that faulty primal splitting tends to be transmitted from one generation to the next.     

Clinical Commentary

This paper describes a lengthy period of psychotherapy with a child. This treatment began only after a prolonged contact with other child and adolescent mental health services during which the child's difficulties, which had initially seemed to be ordinary behavioural problems, had proved puzzlingly intractable to a variety of interventions. Subsequent psychotherapy revealed a profound disorder of development which lay bath the Surface presentation. In a climate where Asperger's syndrome is often felt to be untreatable, this paper argues that some children, at least, can benefit from psychotherapy and can be helped towards real mental growth. Asperger's syndrome in children bears some striking similarities to narcissistic personality disorder as described in the adult psychoanalytic literature and this paper discusses some of the theoretical and clinical implications of the innate origins of Asperger's syndrome.     

Differing Perceptions of Mothers,Fathers, and children Concerning Children's Academic Performance

This study examined the hypothesis that mothers' views of their child's performance on an academic task are more synchronous with those of their child than are fathers' views. Parents of 30 sixth-grade children were asked to predict their child's memory spans on a recall and a recognition task given to each child. Parents and children were also asked to judge the importance for the child's performance on 10 attribution factors created for use with memory tests. In line with the hypothesis, mothers predicted the child's memory span more accurately than fathers, and the mothers' attributions were more congruent with those of their children. Mothers were also more aware than fathers of the different demands of the two memory tasks. These findings suggest that mothers may be more aware than fathers of their child's academic progress and that mothers' attitudes and expectations may be more influential in determining the child's path of development.     

Empathy as dialectic imagination

Abstract

The importance of relationship processes for humanistic and psychodynamic therapists makes empathy a critical concept in psychotherapy. Experimental work suggests that learning occurs only when the subject is actively and cooperatively engaged in the learning process. Similarly, psychotherapy is only effective when the client is willingly active in the therapeutic process. A crucial aspect of the therapist's activity is empathic imagination, defined here as the use of “dialectic” thinking capacities‐the recognition of conceptual alternatives in a given situation. These processes are at the heart of a humanistic view of agency. The therapist's use of this capacity allows imaginative projection into aspects of the client's experience, helping the client to feel understood in the relationship and emboldened to consider new possibilities in life.     

Recognition,ideology, and the case of “invisible suffering”

The purpose of this paper is to expose, and provide a possible solution to, an internal inconsistency in Axel Honneth's critical theory of recognition. 1 Honneth requires a way of making his claim that misrecognition causes subjective suffering, with the potential to cognitively disclose injustice, consistent with his account of ideological recognition as a form of misrecognition that engenders compliance with an oppressive social order. Only by reconciling these claims—that is, by showing how ideological recognition can engender an acceptance of domination whilst at the same time causing subjective suffering—can Honneth's theory of recognition retain the kind of critical capacities he desires. As a means of achieving this reconciliation, I propose the notion of “invisible suffering.” In the case of ideological recognition, I suggest that the suffering caused by misrecognition has its disclosive power blocked by the faux‐affirmation that the ideology discursively accords, and this renders the experience of suffering, qua painful indicator of social injustice, invisible to the subject. Drawing on insights from medical sociology, I show how the need to supplement Honneth's theory of recognition with the idea of invisible suffering is revelatory of the kind of critical theoretical stance demanded by his ontological commitments.     

Psychodynamic treatment of failure in homeostatic organization in infancy

Failure in homeostatic organization in the early years of life is purported to indicate an early disorder in relationships. We report a method of psychodynamic psychotherapy with parents and child that addresses these problems with an emphasis on enhancing the maternal function. The nodal point of treatment consists of the “negotiation” between the needs of the child and the adaptive capacity of the environment, and includes both aspects of the primary adaptive modes: that of the child's ability to organize increasingly complex modes of adaptation and that of the organizing quality of the maternal function. One case is reported in depth to illustrate the problem and our psychotherapeutic approach.