Is psychoanalysis a science?

Freud Among the Philosophers: the Psychoanalytic Unconscious and its Philosophical Critics, by Donald Levy, New Haven: Yale University Press, 1996, 189 pages.     

What happens in a psychoanalysis?

A group of experienced analysts has developed scales and a coding manual illustrated with clinical examples to evaluate recorded analyses and psychodynamic therapies. The analytic process scales (APS) assesses three dimensions: (1) the contribution of the analyst: helping to develop a relationship in which the analyst can provide clarification and interpretation of transference and resistance; (2) the contribution of the patient: the communication of experience and the expression of feeling in ways which provide information about needs, wishes and conflicts, accompanied by self-reflection; and (3) interactional characteristics of the emerging relationship, explored by studying sessions divided into psychoanalytically coherent segments. A preliminary study of nine sessions has established that the variables assessed by the APS can be rated reliably. Study of the analysts' contributions illuminated their varied and complexstructure. Important differences emerged among the three patient-analyst pairs studied, and changes in scores over time tracked developments in the analytic work which would imply different treatment outcomes. The APS appears to be a reliable tool facilitating the systematic study of psychoanalyses.     

Must a hermeneutical psychoanalysis exclude science?

The work on this article was made possible in part by a grant to all three authors from the Social Sciences and Humanities Research Council of Canada (410-91-0422) and a St. Paul University research award. All three authors contributed equally to the text. An earlier version of this article was presented at the Division of Psychoanalysis of the American Psychological Association annual meeting, August 1990. We are grateful to James Pambrun, Ph.D., Ted O'Grady, and Bertram P. Karon, Ph.D. for their advice and encouragement. Correspondence concerning this article should be addressed to Paul Rigby, St. Paul University, 223 Main St. E., Ottawa, Ont, Canada K1S 1C4.     

Is psychoanalysis a matter of subjectivation?

We are not born subject but become one, in a two‐and‐fro process between what is played out on the intrapsychic stage and the field of intersubjectivation. The author proposes to examine two of the main movements of psychic life brought into play in this process. In the domain of the ‘subjectivating link’, becoming a subject depends on the relationship with another, authentically taken into account as a desiring subject and not simply as an object for oneself. In the course of history, this intersubjectivation is only internalized as a lasting preconscious predisposition if sufficient trust is established in the possibility of mutual recognition. When this perspective recedes, the subject tends to fall back on narcissistic positions, in search of an end to lack. Such a narcissistic tendency drives the subject to constitute himself by subjugating his objects, striving to rob them of their otherness. A plurality of subject positions will be recognized in every analytic encounter. Psychoanalytic work can allow for a lasting change insofar as it modifies the equilibrium between diverse psychic trends. The multiplicity of the issues at stake in subjectivation allows us to integrate theoretical pluralism while encouraging us to reflect on the diversification of our practices.     

What is psychoanalysis?

Although we are now less inclined to argue about whose treatment is entitled to be called psychoanalysis, we will understand current debates better if we revisualize what originally made psychoanalysis different from other treatments. At its birth, psychoanalysis twisted the common-sense treatments it grew out of into very peculiar shapes. In reaction to that extreme peculiarity, a process of normalizing began almost immediately and continues to this day. This process is illustrated by tracing the rise and fall of peculiarities in four aspects: medical procedure, the analyst's vision, the analyst's role, and the sense of time.     

Can psychoanalysis find its self?

There is a place for the theory of the self in psychoanalysis. To justify that claim, I return to an era in the development of psychoanalytic thinking about the self that preceded Kohut's formulations and that has set itself on a course of evolving a concept of the self more congruent with extant structural theory. I try to articulate the potential role of such a self-concept in connection with the issues of personal agency and subjectivity, complex personal qualities, areas of the complex interaction and integration of intrapsychic structures, object relations, narcissism, and internalization. The intent of this discussion is to facilitate the further development and articulation of the psychoanalytic theory of the self, particularly in terms of its integration with structural theory, to promote clearer thinking and more effective clinical efforts.     

Will psychoanalysis fulfill its promise?

Although Freud had aspirations of a university structure for psychoanalytic education the sociopolitical structure of the Austro-Hungarian empire precluded this, and psychoanalysis developed by default in the central European heartland within a part-time, private-practice educational structure. With its rapid spread in the post-World-War-II United States, and its ready penetration of American academic psychiatry, a counter educational structure arose in some quarters: the department-of-psychiatry-affiliated institute within the medical school. This article outlines beyond these other, more ambitious, academic vistas (the David Shakow model, the Anna Freud model, the Menninger Foundation, Emory University (USA), AP de BA (Argentina)); conceptions even closer to the ideal (idealized) goal of full-time placement within the university, with strong links to medicine, to the behavioral sciences and to the humanities. The putative advantages of such a structure are presented.     

Nursing and psychoanalysis — Uneasy alliances?

This paper examines the emergence of psychoanalytic ideas in nursing, tracing the history of these ideas, in particular the history of psychiatric nursing at the Maudsley Hospital since the 1950s. The development of psychoanalytically-informed nursing in the UK is compared with the developments in this field in the US. The future of psychoanalytically-informed psychiatric nursing is considered.     

What kind of discipline is psychoanalysis?

Current controversies involving clinical, conceptual and empirical research shed light on how psychoanalysis confronts its nature and its future. Some relevant debates in which Wallerstein, Green, Hoffman, Eagle and Wolitzky, Safran, Stern, Blass and Carmeli, and Panksepp have participated are examined regarding the characteristics of their argumentation. Agreements and disagreements are explored to find ways that could have allowed the discussion to progress. Two foci are highlighted in these debates: (a) whether a clinical common ground exists in psychoanalysis and what kind of procedure could contribute to further clarification; (b) complementation of in‐clinical and extra‐clinical evidence. Both aspects are scrutinized: the possibility of complementing diverse methodologies, and the nature of the shared clinical evidence examined in clinical discussion groups such as those promoted by the IPA Clinical Observation Committee. The importance of triangulation and consilience is brought to bear regarding their contribution to the robustness of psychoanalysis. So as to strengthen a critical perspective that enhances the discipline's argumentative field, psychoanalysis should take into account arguments from different sources according to their specific merits. By doing this, psychoanalysis increases its relevance within the current interdisciplinary dialogue.     

Ethics,metaphysics, and psychoanalysis∗

An attempt is made to point out some of the moral presuppositions and implications of psychotherapy in theory and in practice. In the various forms of dynamically oriented psychotherapy, the setting of goals and decisions concerning maturation and health have value components. Even in psychoanalysis in its strict sense, decisions made in accepting or rejecting contracts and determination of the terminating point of analysis are value laden.

Finally, in the theorizing of Freud and others about psychotherapy moral positions are assumed.     

After Babel: Teaching psychoanalysis on a former battlefield – experiences in an international research network

Abstract

This article describes a psychoanalyst's personal experience in an international and interdisciplinary social trauma research network. Crises and conflicts are understood as an integral feature of such a collaboration. Using the self-reflective capacity of the psychoanalyst may help to turn them into a new perspective. Crossing disciplinary borders, reconnecting to the field of academic research, might prove to be a rather rewarding step.     

What is conceptual research in psychoanalysis?1

The development of psychoanalysis as a science and clinical practice has always relied heavily on various forms of conceptual research. Thus, conceptual research has clarifi ed, formulated and reformulated psychoanalytic concepts permitting to better shape the fi ndings emerging in the clinical setting. By enhancing clarity and explicitness in concept usage it has facilitated the integration of existing psychoanalytic thinking as well as the development of new ways of looking at clinical and extraclinical data. Moreover, it has offered conceptual bridges to neighbouring disciplines particularly interested in psychoanalysis, e.g. philosophy, sociology, aesthetics, history of art and literature, and more recently cognitive science/neuroscience. In the present phase of psychoanalytic pluralism, of worldwide scientifi c communication among psychoanalysts irrespective of language differences and furthermore of an intensifying dialogue with other disciplines, the relevance of conceptual research is steadily increasing. Yet, it still often seems insuffi ciently clear how conceptual research can be differentiated from clinical and empirical research in psychoanalysis. Therefore, the Subcommittee for Conceptual Research of the IPA presents some of its considerations on the similarities and the differences between various forms of clinical and extraclinical research, their specifi c aims, quality criteria and thus their specifi c chances as well as their specifi c limitations in this paper. Examples taken from six issues of the International Journal of Psychoanalysis in 2002‐3 serve as illustrations for seven different subtypes of conceptual research.     

Freedom – the abyssal ground of Freudian psychoanalysis

Freedom is an a priori condition for the way in which Freudian psychoanalysis thematizes the development, the structure and the dynamics of our psychic life; the human psyche is essentially constituted by freedom. What this really means is that psychoanalysis lacks a foundation or ground – both as a psychological science and as a kind of clinical treatment. Freedom is the abyssal ground of psychoanalysis.     

Researching the “therapeutic relationship” in psychoanalysis,counselling psychology and psychotherapy—a qualitative inquiry

This paper reports the methodology of a research project based on and including a review of almost 1000 texts and more than 20 years of learning and supervised practice as clinician and supervisor in the psychotherapeutic professions on the nature of the therapeutic relationship. Following a pilot study by five years, the findings were reported in a 165,000 word document which encompasses poetry, personal experience, many textual extracts of theory or therapeutic dialogue, other research reports, theoretical considerations, clinical reflections, syllabus constructions—a postmodernist assemblage which nonetheless attempts coherence, validity and reliability. The findings have also been tested in the field for example by: (a) providing the framework for at least one four-year psychotherapy training course from which the first students have recently graduated by external assessment and (b) an independent psychotherapy accreditation process by a case study submission. It is argued that clinical practice or supervision should be inseparable from research—Particularly qualitative research in psychology.