The analyst's style and its impact on the analytic process: overcoming a patient-analyst stalemate.

Analysts have characteristic styles in working with their patients. At times of crisis or stalemate, an alteration in style may facilitate the progress of the treatment. To illustrate the impeding effects of an analytic style at a particular phase of analysis, I describe a stalemate in the analysis of a severely self-critical patient. Recognition of the limiting effects of style on the treatment became apparent in a countertransference enactment, influenced by the patient-analyst match. Self-analysis and alteration in the characteristic style of the analyst resolved the stalemate and enabled the analytic work to progress.     

Holistic versus analytic process models: a reply

Two classes of stimulus process models are considered in this reply to Dykes and Cooper. It is shown that analytic models which assume that stimuli are initially processed in terms of constituent dimensions do not account for large amounts of published data. It is also shown that the holistic-discriminability model that Dykes and Cooper reject is nonetheless consistent with their results and predicts all of the data for which their analytic model was constructed to account.     

REM sleep and the analytic process: a psychophysiologic bridge.

Recent research on the physiology of REM sleep has supported the hypothesis that it serves processes of psychologic adaptation. This study examines the relationship between physiologic parameters of REM sleep and evidence in analytic material of the need for adaptation. Significant correlations were found between defensive strain before sleep and REM latency, and between change in defensive strain from evening to morning and total REM time.     

Countertransference, empathy, and the analytic ideal: the impact of life stresses on analytic capability

Analysts' emotional attitudes toward countertransference issues are influenced by unduly perfectionistic ideals that are partly derived from the early period of psychoanalytic theory. Analysts' unconscious receptivity, whether of the beneficially empathic kind or the disadvantageous countertransference variety, is a reflection of a dynamic internal state. This fundamental relationship between empathy and countertransference is illustrated with examples. Important events that occur in the life of the analyst, by virtue of their impact on his own central compromise formations, cannot but affect his analytic functioning. Minor disturbances in analytic capability are commonplace and do not significantly handicap effective work.     

The impact of intrusive identification in the analytic process: Some implications of real trauma and phantasy1

In this paper, the author aims to show a possible understanding of very primitive identifications, especially intrusive identifications, when associated with traumatic situations and expressed through current phantasies related to these experiences. At first glance, this understanding could be considered quite straightforward. However, the original contribution offered by the author is the participation of this special kind of combination in the formation of the primitive intrusive identifications and its association with the imprisonment inside the primitive object of identification, especially the mother. The author proposes the amplification of the clinical use of the concept of ‘life in the claustrum’, originally described by Meltzer, moving beyond persecutory claustrophobic situations. He illustrates the phenomenon with the analytic work carried out with a patient whose narcissistic and intrusive character was structured on the basis of primitive intrusive identifications and phantasies related to the claustrum inside the mother. The patient's imprisonment inside the maternal compartments has, as its background, the phantasies related to the infantile traumatic experience of the death of the patient's brother, which are reproduced in the analytic relationship.     

Interior experience within analytic process

In this paper, I consider the feeling of interiority as it evolves within the treatment relationship. A capacity to access and sustain one's interiority reflects a sense of personal solidity within which the validity of subjective process and privacy is taken for granted. When this capacity is relatively undeveloped, individuals rely on the “other”; (including the analyst) to help them contact, elaborate, or manage their affective experience. Quite paradoxically, the analyst's active investigation of dynamic or intersubjective process may obfuscate rather than clarify this core difficulty. I suggest two alternative approaches to the treatment situation that stand in some tension and yet also complement each other. One emphasizes the “active”; investigation of dynamic and dyadic process, wherein the analyst works interpretively and/or around relational issues. The other is organized around the “interior”; dimension of the treatment experience, emphasizing the patient's need to develop or manage her affective process in the relative absence of input from the analyst. Two clinical situations are described, the first illustrating the use of silence with a patient whose difficulties involved affect articulation, and the second involving a patient whose need for affect regulation made her highly dependent on the analyst for soothing.     

Dynamic frequency change influences loudness perception: a central, analytic process.

Three experiments showed that dynamic frequency change influenced loudness. Listeners heard tones that had concurrent frequency and intensity change and tracked loudness while ignoring pitch. Dynamic frequency change significantly influenced loudness. A control experiment showed that the effect depended on dynamic change and was opposite that predicted by static equal loudness contours. In a 3rd experiment, listeners heard white noise intensity change in one ear and harmonic frequency change in the other and tracked the loudness of the noise while ignoring the harmonic tone. Findings suggest that the dynamic interaction of pitch and loudness occurs centrally in the auditory system; is an analytic process; has evolved to take advantage of naturally occurring covariation of frequency and intensity; and reflects a shortcoming of traditional static models of loudness perception in a dynamic natural setting.     

Tattoo and taboo: on the meaning of tattoos in the analytic process

Tattooing projects a visual image in transference to form a backdrop for the most salient unconscious inner conflicts arising during an ongoing analytic process. Like a snapshot, the tattoo is a dialectic record of the mother-father relationship, of desires for closeness and distance, commonality and difference, identification and individuation. As Walter Benjamin famously stated about the nature of visual images in his Arcades Project, the tattoo represents "dialectics at a standstill." What seems paramount to the patient who participates in the act of tattooing is the need for stasis and immutability, as if bringing unconscious conflicts to "standstill" were to deliver a sense of stability. Unconsciously, the need is triggered by a threat to the inner stability resulting from fear of violating a taboo escalating to the point that fears of abandonment and fusion become unbearable. On the one hand, the tattoo is a visual symbolization of a taboo transgression; on the other hand, it activates the same through an act of self-injury that resembles the magical ritual acts of indigenous peoples' use of tattoos. The taboo thus serves as an ersatz for the actual violation of the taboo in real life, so that the tattoo may be ascribed a magical significance or totemic function. And yet the tattoo's success as a vehicle for constructing a transitional object is always contingent on the tangible manipulation of the skin conjoined with the creation of a symbolizing visual image. The image then acts like a "patch" to repair holes blown into Winnicott's "potential space" and to reconstruct it.     

The analytic hierarchy process: An effective tool for a strategic decision of a multidisciplinary research center

The external orientation of academic research centers has a high impact on their internal organization. A multidisciplinary research center of the University of Groningen in the Netherlands is concerned with a strategic, organizational decision impelled by a shift in its external orientation. This decision implies a choice for either an organizational structure based on disciplines or an organizational structure based on the fields of application of research. Due to diverging opinions concerning the desirability of each alternative, a multicriteria decisionmaking approach has been applied. Saaty’s Analytic Hierarchy Process (AHP) has been used to facilitate joint decisionmaking processes by evoking consistent logical foundations and consensus formations. Strategic management has used a forward AHP model to determine the future research activities of this center based on its external orientation. Subsequently, two comparable decisionmaking groups have used a backward AHP model to choose the most appropriate organizational structure, based on criteria for scientific research. Feedback procedures have reduced disagreements and have led to a clear decision for a structure based on application fields of research.     

The clinical concept of analytic process: A conceptual investigation1

The authors discuss the term ‘analytic process’, confi rming the variability of the meanings ascribed to it. Although all the psychoanalysts of this and previous times acknowledge the existence of something called analytic process, as well as its importance, it has not been possible up to now to establish a consensual defi nition of it. The defi nitions are not only numberless, they also contradict one another. The possible advantages to analytic theory and practice proceeding from a uniform concept are incontrovertible. A review of the subject in the psychoanalytic literature has been performed. A conceptual study concerning the term, carried out among members of a psychoanalytic society affi liated to the IPA is presented, no consensual conceptualization for the term analytic process having been found. The subjects referred to the term as deriving from a variety of elements, some in common, but there was no agreement regarding the elements themselves. There was consensus regarding the role of the analytical relationship in the process, considered fundamental, as well as that of the extent to which the individual life experiences in that relationship defi ne the unique character acquired by the process within it.     

The third position: reflections about the internal analytic working process

The development of a third position is a key aspect of the analyst's ability to survive in the analytic relationship. In exploring the value of the third position, the author discusses other models relevant to clinical work, including the analytic-therapeutic position, the internal analyst, the alive analytic contact, and the phobic position. A case example illustrates these models and forms the basis for further discussion of the internal analytic working process.