Das Drama des begabten Kindes und die Suche nach dem wahren Selbst

The clinical material for this study of female fantasies stems from a specific psychoanalytical situation where the analyst and the analysand are pregnant at the same time. The impact of this situation is powerful. The emergence of archaic fantasies is facilitated in transference and countertransference. Fantasies of damage to the baby or to the procreative function may emerge very vividly in the double pregnancy setting and working through these fantasies becomes possible. It is suggested that these fantasies are typical female castration fantasies and manifest the fear of the mother's revenge and punishment for forbidden oedipal wishes. The double pregnancy setting may sensitize the analyst to her pregnant analysand's unconscious communication and yet blind the analyst in some areas to the protection of her own baby. The duality of phallic strivings in the girl's psychosexual development is discussed. They may be employed as a defense against specific feminine anxieties, such as fear of retaliatory attacks on her inner space and its fertility: the female castration anxiety. They may also be constituents of her sexuality, coexisting with inner genital strivings. The co-existence of phallic and inner-genital strivings in the female psyche is always conflictual.     

The impossibility of forgiveness: shame fantasies as instigators of vengefulness in Euripides' Medea

Unforgivability in Euripides' Medea is explored in the context of intrapsychic forces favoring disruption and narcissistic withdrawal and precluding the influence of forces favoring repair of bonds, not necessarily to the betrayer, but to the social and moral order. The forces underlying disruption and withdrawal operate to such an extent that forgiveness and cooperation with the social order become impossible. Euripides' literary insights are explored with the purpose of deepening and extending the psychoanalytic understanding of shame, shame fantasies, projective identification, and vengefulness as they bear on the problem of forgiveness. Three types of shame fantasy are pertinent to the transformation of Medea's mental state from one of anguished and disjointed shame to diabolical vengefulness: anticipatory paranoid shame, the projective identification of shame, and withdrawal as a defense against shame.     

Sonya turned her skin outside in

In the case of a young woman, it was evident that she had difficulties in approaching her pregenital experiences during analysis and that she had defended herself against pregenital anxiety. While these defences were aimed at denying and repressing early oral and bodily fantasies end experiences, they had also influenced and inhibited her subsequent bodily and genital development. Psychosomatic symptoms had both absorbed and represented archaic feelings and fantasies which had not found a more precise mental expression. Consequently, her female inner space had been repressed and excluded by skinerotic defences.     

Object-related vs. narcissistic depression: a theoretical and clinical study.

This paper has focused on the sense of helplessness as an essential component of a depressive reaction. By inference, a sense of mastery and ability to achieve goals seems essential for a sense of well-being. Both patients presented here revealed infantile fantasies that hampered their exercising this mastery, and the path to well-being was the analysis of these fantasies. The treatment plans differed, though, in the locus of the fantasies. In an object-related depression such as Mr. Janson's, the fantasy involved the inhbition of functioning--that is, the inability to express aggression--and the treatment aimed at removing the inhibition. In a narcissistic depression such as Miss Gaynor's, the helplessness was not due to inhibited functioning per se. Rather, her goals were unrealistic, unattainable, and based on unconscious fantasies. Here the aim of treatment was the development of more reality-adapted and attainable objectives and the concommitant internalization of a more realistic sense of her own worth. Thus the common denominator in both depressive reactions was a sense of helplessness, and the path toward increased self-esteem was by way of the development of a sense of mastery and competence.     

Silent thoughts,spoken wishes: when candidate experience of the supervisor converges with patient fantasies

How and why a candidate's private experience of two supervisors emerged in patients' fantasies about them is explored. Four issues are examined in light of two control cases: (1) Patients divide, rather than split, the transference between supervisor and candidate, experiencing both ambivalently. (2) Even a patient with no knowledge of the supervisor's identity may have a fantasy of the supervisor that is congruent with the candidate's experience of the supervisor. (3) When new professional traits emerge in the candidate as he or she identifies with his or her mentor, the patient may attribute them to the invisible person in the room--the supervisor; the patient may intuit and be influenced by the candidate's feelings about the supervisor as well. (4) A patient's fantasies about the supervisor may reflect parallel process in reverse, whereby the patient discerns what is going on between supervisor and candidate through his or her treatment, just as the supervisor reads what is going on between patient and candidate through the candidate's reporting of the treatment. Because the trio is the truth of the training case, it seems fitting and empowering to acknowledge and analyze the role of the supervisor in the patient's mind.     

Some psychoanalytic reflections: femininity,feminism and fantasy in “APPLE TREE YARD”

This paper examines the interplay between femininity, feminism, and fantasy, based on the analysis of the protagonist of Apple Tree Yard, a British television mini series (2017) adapted by Amanda Coe from the novel of the same name by Louise Doughty (Apple Tree Yard. Farrar, Straus and Giroux, New York, 2013). This examination addresses the following questions: What causes a married, 52-year-old woman, with two grown children to engage in a reckless and perverse affair with a man she does not know? What unconscious fantasies have been evoked by the traumas of her childhood and of her adult life, and how do these unconscious fantasies encroach upon her external reality?

     

The fall of fantasies: a Lacanian reading of lack

The purpose of this article is to explain to a non-Lacanian audience the broad philosophical foundations of Lacanian theory, particularly the relationship that Lacan draws between the human subject's ontological lack and his or her creative capacities. In an effort to explain Lacan's distaste for psychoanalytic approaches aimed at strengthening the ego, the article outlines the manner in which Lacan connects ego-driven fantasies to the constriction of the subject's psychic world. Lacan suggests that narcissistic fantasies are misleadingly seductive because they-in occluding the internal rifts and antagonisms of the subject's being-alleviate his or her anxieties about the contingent basis of existence. However, the illusory sense of plenitude and self-presence that such fantasies provide prevents the subject from effectively discerning the "truth" of his or her desire, thereby holding him or her captive in socially conventional psychic paradigms. In consequence, it is only the fall of the subject's most cherished fantasies that empowers him or her to pursue a degree of subjective singularity. The article also considers the clinical implications of Lacan's theory of lack, including the ways in which the analyst's lack enhances the patient's capacity to claim an increasingly autonomous and multidimensional mode of encountering the world.     

The Castration Complex

ABSTRACT

Theoretical formulations of the castration complex have changed as psychoanalytic theory has developed. The author briefly reviews the literature and asserts that analyzing the set of fantasies related to potential or imagined castration continues to be clinically quite important. Understanding these unconscious fantasies provides a window into the individual's experience of his or her body in relation to those of important others throughout development. A case is provided to illustrate this, and to discuss the ways in which several different ways of thinking about castration fantasies contributed something essential to this analysis.     

Ana?s Nin and the developmental use of the creative process.

Ana?s Nin had the capacity to work through the wound of self-injury through the combination of poetic and analytic exploration demonstrated in her writing. She recreated her father, and confronted the fallacies of her idealization, as well as the suppressed anger that kept her enslaved in wishes for his mirroring admiration. There was no escape from injury for Nin. After the father's departure, she scrutinized herself for flaws, trying to discover a reason for her father's betrayal. Yet, the humiliation was modified by some knowledge of the narcissistic bind that she was in, and by some evidence that her father was unworthy of the kind of worship that she clung to from childhood. Nin transcends retaliation. Her fictional abandonment of her father does not come from vindictiveness. Rather, it comes through growing insight into herself and into her own needs. There is a letting-go of past fantasies of idealization, and a mourning process that is based on both awareness and acceptance of the disappointments in these idealized fantasies. Separation and loss stem from surrendering the fusion with the idealized object and its counterpart grandiose self, a grandiose self seen here as a false self that exists through resonating with image projections and their reflections.     

A patient's transference to the analyst's supervisor: effect of the setting on the analytic process

A case is presented in which the patient's transference to the analyst's supervisor became evident just prior to the switch from clinic to private patient status. The patient experienced the supervisor as a restraining father figure who protected her from acting on her erotic wishes toward the analyst. Analysis of this led to the recall of previously repressed memories of sexual wishes toward her brother, and the sense of protection from these wishes that she had gotten from the presence of her father. The literature on transference involving the supervisory constellation and the training setting is reviewed, and the concepts of split and institutional transference are examined. Factors inhibiting the analysis of patients' fantasies about the analyst's status as trainee, including the presence of the supervisor and the institute, are discussed.     

Psychotic withdrawal and the overthrow of psychic reality1

The author attempts to distinguish between the world of fantasy and the imagination (which fuels our capacity to ‘dream’) from a withdrawal into fantasy. In this withdrawal, the foundations of which are laid in childhood, a dissociation from psychic reality starts and from it the delusional world arises and constitutes the adult illness. During therapies of adult patients who have experienced a psychotic state, it is often possible to reconstruct the state of infantile withdrawal and understand how their dissociation from reality was ignored or unknowingly encouraged by their parents. Children destined to develop psychosis enter into the dissociated world not just as a defence against anguish or loneliness, but also for the pleasure of experiencing a delusional self‐suffi ciency and a gratifying omnipotence in which anything is possible. Mental workings that take place in the withdrawal do not follow the rules governing normal psychic functioning. Those fantasies cannot be either repressed or ‘dreamed’ in order to be transformed into thoughts. These psychopathological structures, which develop early and autonomously, have to be understood during analytical therapy in their origins and ‘deconstructed’ in order to help the patient to escape from their dominion. By means of clinical examples, the author tries to shed light on the possible ways of reaching patients in their psychotic shelters, thereby helping them to re‐emerge into a psychic reality.     

The differentiation of an androgynous imago.

Global phobic-obsessive states accompanied by androgynous images broke, with treatment, into alternating phobic and obsessive phases characterized by paternal images in the former and maternal images in the latter. The dynamics of the phobic states related to the patient's wish for and dread of the paternal phallus, complicated by the father's death during a transitional anal period. The dynamics of the obsessive states were related to wishes and fears of destructiveness of or by the maternal insides. The maternal insides were also experienced as both dangerous and life-giving to the father. As the patient worked through her paternal and maternal fantasies, especially in the transference, her fears of the outside world (the father) and her need to control the insides of her home (the mother) markedly diminished. Active and passive-responsive tendencies bound up and distorted in her obsessive and phobic states were able to undergo fuller differentiation and development with regard to both the internal maternal and paternal objects and the ego's modes of relating to them.     

Playing dead: an unconscious fantasy, bodily focused defenses, and their roots in infancy

A patient's unconscious fantasy of being her mother's dead baby emerged during the course of a long analysis, and was understood as her expression and explanation, constructed and elaborated throughout her development, of a fundamental and formative early infant state and experience. This patient's identification with a baby who had died before she was born was connected to her major complaint, a pervasive feeling that she could not act with intention, and to her obsessive ruminations, compulsive actions, and masochistic attacks on her body. The bodily based aspects and focus of these defenses were autistic-like, self-directed activities that can be understood as having their roots in what was experienced as catastrophic loss in the earliest weeks and months of life. Infant research, particularly on contingency detection, is especially useful in clarifying the ways in which these defenses may form, and in reconstructing and tracing the trajectories and intricate transformations of body ego, self- and other representations, and defenses from their earliest beginnings to their current manifestations in patients' fantasies and symptoms.     

The child's fear of infanticide and the nuclear cause of the neuroses

The concept that the child is predisposed to the fear of infanticide, and that that fear may be the central cause of his psychological problems and the primary motive force of his defense, allows us to view the defensive process from a different perspective than that offered by Freud's nuclear theory. Children's fantasies make it apparent that the idealization of their parents' image, and the devaluation of their own, constitute their basic defense against their fear.     

Unconscious fantasies, structural theory, and compromise formation

Although the existence of unconscious fantasies is an empirical assumption, in the clinical situation unconscious fantasies are treated as if they have a concrete existence. Unconscious fantasies form intermediate links in causal chains of which clinical observations constitute one end, and the components of unconscious conflicts, the other. Like all clinical material, fantasies may be affected by actual experiences; they may also be revised, layered, and can function to alter and disguise other fantasies as well as provide gratification. From a technical standpoint, it is most important to analyze their constituents and to adduce their primary purposes in the clinical situation of the moment. The nature of the evidence that identifies the presence of particular unconscious fantasies is discussed. Although a single analytic session is presented by way of illustration, I am convinced that the analyst's entire understanding of the patient inevitably channels his or her interpretive focus on the associational material of each analytic hour.     

THE ‘MEDEA FANTASY’: AN UNCONSCIOUS DETERMINANT OF PSYCHOGENIC STERILITY1

The author begins by pointing out that myths have always been powerful vehicles for the projection of ubiquitous unconscious fantasies. Having noted the importance of certain male protagonists of the Greek myths in Freud's theories, she observes that their female counterparts exert an equal fascination and suggests that the Medea myth as recounted by Euripides can be invoked to elucidate a central unconscious fantasy found to underlie the psychogenic frigidity and sterility of several of her female patients. The manifestation of this ‘Medea fantasy’ is illustrated by a clinical account in which a dream is analysed. The author next summarises the Medea story as told by Euripides and attempts a psychoanalytic interpretation of it. She draws attention to features of the ‘unconscious truth’ inherent in the myth that were shared by all the members of her group of patients. A case history then shows how the progressive understanding and working through of the Medea fantasy led to a change in the analysand's experience of femininity and enabled her to have children. It is postulated that both early infantile sexual fantasies and repressed memories of early objectrelations traumas such as maternal depression combine with ubiquitous bodily fantasies to produce the unconscious Medea fantasy.     

Therapeutic action in psychoanalytic therapy with toddlers and parents

Psychotherapy with toddlers and parents can focus on promoting attachment, facilitating development and improving interactions. Some techniques provide guidance to the parents, whereas others interpret to them their unconscious fantasies or ‘ghosts’ contributing to the child’s disorder. A recent paper introduced a psychoanalytically oriented technique, which emphasised the therapist’s interaction with the child in the presence of the parent(s). The child was addressed about his/her unconscious motivations in the session and the feelings towards the therapist. Also, the parent’s transference onto the therapist was seen as a vehicle that might further the therapeutic process and was accordingly addressed. The present paper analyses the therapeutic action in such treatments. Whereas work with the parents resembles that of ordinary psychodynamic therapy, therapeutic action is more difficult to conceptualise regarding the toddler, whose understanding of verbal interpretations and the therapist’s dialogues with the parent is more limited than that of an adult. However, a clinical vignette demonstrates a toddler’s precise and swift reactions to communications from mother or therapist. The paper investigates evidence from neuroscience and psychological research as to which communicative channels – beyond words – toddlers might perceive and comprehend. In addition, it is claimed that the countertransference is key to explaining how the therapist understands such communication.     

Obscuring Desire: A Special Pattern of Male Adolescent Masturbation,Internet Pornography,and the Flight From Meaning

The sexual development of adolescent boys is closely tied to masturbation. Erotic fantasies are used to work through conflicts concerning sexuality and gender. These fantasies may be extended, enriched, and socialized through a variety of means, including interactions with peers, various cultural means, and pornography. Adolescents also commonly defend against awareness of these conflicts by denying their significance and conceptualizing them as mere stimulants or concomitants of physiologic arousal. Internet pornography provides a particularly powerful means by which some adolescents can disguise or obliterate the meaning of personal masturbation fantasies and so be spared the anxiety associated with the fantasies and their conflicted meaning.     

The impulse to infidelity and oedipal splitting

Freud suggested that the child perceives parental intercourse as an act of infi delity by the desired but unfaithful parent. Parental sexual infi delity is felt to be a major narcissistic injury that gives rise to fantasies of revenge. A defensive organization arises to manage this trauma and its attendant revenge fantasies. That organization involves splitting of the desired parent into faithful and unfaithful parts, displacement of hostility on to the rival parent, and identifi cation with the desired but unfaithful parent resulting in the impulse to infi delity. Romantic fantasies of escape and rescue from evil rivals provide guilt free ways of satisfying fantasies of oedipal revenge. In those fantasies the evil rival is turned into an injured third party who gets his or her just deserts as the romantic couple gets to live happily ever after. This defensive organization may embroil patients in complicated love triangles as adults for which they may seek treatment. Analyzing the repudiated narcissistic wound of parental infi delity and the disguised revenge fantasies that defend against that wound may provoke narcissistic rage towards the analyst as a moralistic, possessive, controlling, envious, and spoiling oedipal parent.     

“With you I’m Born Again”: Themes and Fantasies of Birth and the Family Circumstances Surrounding Birth as These are Mutually Evoked in Patient and Analyst

Themes of birth and rebirth, being born and born-again, can be readily observed in clinical psychotherapy and psychoanalysis even as they remain undertheorized. A clinical case is presented that traces the first four years of an analysis as seen through the lens of four consecutive supervisory experiences. This paper explores the central importance of fantasies and narratives of one’s origins and birth and the observations, fantasies, and expectations generated by one’s family circumstances at the time of birth. The paper examines birth narratives, fantasies, and myths of origination by following a clinical case across four supervisions. The patient’s birth-related fantasies are shown to interact with the analyst’s concordant and complementary fantasies as the analyst interacts with a series of supervisors in the process of being born as an analyst. The analyst’s personal birth narrative is linked to his fantasies about being born professionally as an analyst, and these are shown to interact with the patient’s birth fantasies. The paper suggests the ongoing significance of unconscious fantasy within the framework of contemporary relational psychoanalysis.