Termination,Terminable and Interminable: Commentary on Paper by Jody Messler Davies

The termination process begins while the analytic couple is preparing together to end treatment. Mourning the loss and binding the edges of the analytic relationship proceed within each participant after they no longer meet. Many of our common termination practices, however, undermine the patient's leave taking and endanger the positive internal object relationship that we hope our patient will carry into the future. Traditional teachings about how to practice termination, based on one-person psychology and classical principles of anonymity, abstinence, and neutrality, must change to reflect newer ideas about how analysis works. I propose that we think of termination as both a death and a graduation. I suggest ways in which the analyst might engage with the patient in mourning together. I stress the critical importance of follow-up sessions in which unanticipated negative reactions to the termination might be examined before the analytic tapestry has a chance to unravel.     

Life,Chaos, and Transdisciplinarity: A Personal Journey

This article uses an autobiography as an object of research, to both illustrate some principles of chaos theory in analytic practice, and give those ideas a personal and social context, thereby producing a unique but explanation-rich history of chaos theory and recent intellectual history of transdisciplinarity and social research in the West. The ideas from Chaos Theory it uses and illustrates include: three-body analysis (Poincaré); fractals (Mandelbrot); fuzzy logic (Zadeh); and the butterfly effect (Lorenz).     

Fromm's Impact on Interpersonal Psychoanalysis: A Well Kept Secret

Erich Fromm was one of the founders of the William Alanson White Institute in New York City and an important contributor to the development of the interpersonal approach to psychoanalysis. Many of Fromm's ideas about psychoanalysis have found their way into the mainstream of analytic thinking. Much of what he taught in supervision and in his lectures had to do with the role of the analyst, the analyst's use of himself in the analytic process and the necessity that the analyst experience what his patient is experiencing. From did not necessarily use terms like projective identification but his understanding presaged much of what analysts talk about today. Fromm himself did not write much about clinical practice. And while he repeatedly expressed his respect for Freud he was explicit in his disagreements. Fromm rejected the notion of the analyst as a blank mirror. Instead, analysis requires a passionate wish for truth both in the analysand and the analyst. Fromm calls this passion biophilic, implying that the unconscious does not only harbor destructive drives that need to be tamed; it also harbors creative drives which, while also irrational, are constructive and need be liberated through the analysis.     

Integrating couples and family therapy into a community alcohol service: a pantheoretical approach

This paper discusses the contribution of family systems theory and therapy to mainstream alcohol treatment programmes. Systemic psychotherapy is integrated with group analytic psychotherapy in a couples and family therapy service within a community alcohol service (CAS) which uses the Prochaska and Diclemente model of stages of change. Problems and solutions in putting these complex ideas into practice are discussed, with specific reference to issues of engagement. An example of our work with a couple is offered to illustrate our weave of theory and practice.     

Ferenczi's Rise and Fall from “Analytic Grace”: The Ferenczi Renaissance Revisited

In the last 20 years a Ferenczi Renaissance has been slowly building. There has been a rediscovery of the significance of Sándor Ferenczi, who can be considered the clinical genius of psychoanalysis. The politics of psychoanalysis led to the suppression of Ferenczi's ideas, removing his influence from psychoanalysis for about 50 years. Ferenczi's ideas and methods significantly deviated from his mentor, Sigmund Freud; he offered an alternative theory, The Confusion of Tongues and a new method, Relaxation Therapy. Ferenczi's pioneering contributions to analytic therapy include: the introduction of empathy into the analytic relationship; the curative function of the relationship in the analytic encounter; the role of activity in analytic therapy; the importance of non-interpretative behavior by the analyst; the function of the experiential and emotional dimensions in analytic therapy; analyst self-disclosure; and mutual analysis.     

“You Must Remember This”

The question of a theory of analytic change is approached through a consideration of analytic impasse. Impasse is considered in relation to impasse in the analyst, linked to an impasse in some forms of mourning in the analyst. The analyst's impasse is considered in the light of character formation, the relation of analytic vocations to early attachment, and object ties in the analyst leading to problems with omnipotence. Impasse then is tied to various processes and defenses that shape and contribute to the analyst's countertransference. Analytic change is considered then in the context of theories of nonlinear development, models of speech practice, and mutative action. These ideas are explored through case material.     

Elements of analytic style: Bion's clinical seminars

The author finds that the idea of analytic style better describes significant aspects of the way he practices psychoanalysis than does the notion of analytic technique. The latter is comprised to a large extent of principles of practice developed by previous generations of analysts. By contrast, the concept of analytic style, though it presupposes the analyst's thorough knowledge of analytic theory and technique, emphasizes (1) the analyst's use of his unique personality as reflected in his individual ways of thinking, listening, and speaking, his own particular use of metaphor, humor, irony, and so on; (2) the analyst's drawing on his personal experience, for example, as an analyst, an analysand, a parent, a child, a spouse, a teacher, and a student; (3) the analyst's capacity to think in a way that draws on, but is independent of, the ideas of his colleagues, his teachers, his analyst, and his analytic ancestors; and (4) the responsibility of the analyst to invent psychoanalysis freshly for each patient. Close readings of three of Bion's 'Clinical seminars' are presented in order to articulate some of the elements of Bion's analytic style. Bion's style is not presented as a model for others to emulate or, worse yet, imitate; rather, it is described in an effort to help the reader consider from a different vantage point (provided by the concept of analytic style) the way in which he, the reader, practices psychoanalysis.     

The analyst's anxieties in the first interview: Barriers against analytic presence

To answer the questions: why don't more people enter analysis and how do we get more people to do so? Attention is drawn to anxieties in the analyst that become obstacles to the initiation of analysis. The main focus of the paper is how to understand why analysts, irrespective of patient characteristics, seem to have resistances against embarking on analysis. Being a meeting between strangers the consultation activates strong emotional reactions in both parties. One way of coping is defensively to diagnose, assess and exclude instead of being present as an analyst. The analytic frame of a consultation is ambiguous, and a secure analytic function is needed in order to meet the openness and unpredictability of this frame. A fragile psychoanalytic identity is seen as central to analysts' failure to create an analytic practice; it takes years to develop and maintain a robust analytic function, and analytic work continues to cause disturbing emotional reactions in the analyst. Analysts' vulnerable identity is also linked to the history of psychoanalysis that has fostered an ideal of analytic practice that is omnipotent and impossible to reach. Therefore it is no wonder that attempts to reach a convinced recommendation of analysis can become diverted in the process of consultation. Confronting these inner impediments in order to strengthen the analytic identity is suggested as a better way to get more analytic patients than to keep looking for so‐called analysability in patients.     

The universe of our concerns: the human as person in the praxis of analysis

Since its inception, psychoanalysts and analytical psychologists have used the reductionistic methods of science to explain both human development and analytic practice. The most recent iteration of this tendency uses attachment as the explanatory principle. This disposition has created theories that understand the human solely as an organism. While this is a satisfactory way to view human development, it is not appropriate for the practice of analysis. In this context, the human must be viewed as a person that is explicable in his/her own terms. Interpretation based on reductionism eliminates personhood. Humans appear as persons in 'the feeling of what happens' or of 'being there', and, on the basis of this experience, develop stories in which their personhood evolves. The psychoanalytic, philosophical and neuro-scientific basis for this view of the human as person is discussed, and its relevance for analytic practice is considered.     

THE ANALYST'S HATRED OF ANALYSIS

Analytic work is loved and hated. Both attitudes deserve scrutiny, but the analyst's hatred of analysis, which transcends countertransference responses to individual patients, represents an impediment to gratifying analytic work whose recognition and conceptualization has been resisted. The author suggests that antipathy among analysts toward analysis and the analytic situation is normative and expectable, yet commonly experienced as shameful. He speculates that it is sometimes disavowed and projected. Training institutes might inadvertently foster this sense of shame rather than promote its working through. The recognition that analytic identity functions as both a loving and a persecutory internal object has implications for psychoanalytic education and practice.     

Raiding the inarticulate: The internal analytic setting and listening beyond countertransference

The analytic setting exists not only externally but also internally as a structure in the mind of the analyst. The internal analytic setting constitutes an area of the analyst's mind where reality is defined by unconscious symbolic meaning. Clinical examples illustrate how a secure internal setting allows flexibility in the external setting without sacrifice of its analytic quality. The internal setting can help analysts listen inwardly to themselves in a way that is free-floating with regard to their internal processes. This points beyond usual ideas of countertransference. An analytic encounter may stir up elements that belong to the analyst's psyche which, rather than impeding the analysis, can actively enrich it. Seamus Heaney's writings evoke comparisons between listening to poems and listening to patients, and a week in a patient's analysis is described in relation to these themes.     

Considering Gestational Life

This paper is an exploration into the question, “What does considering gestational life add to analytic theory and practice?” It attempts to situate prenatal experience in the psychoanalytic dialogue, to explore its place in subsequent mental life, to discuss how this may be useful in clinical process, and to reconceptualize some theory in light of a gestational perspective. Neuro-psychoanalytic theory is utilized with an emphasis on nonconscious mental process which takes the form of implicit memory, providing people with a sense of continuity and well-being or stress. Intra-uterine experience can include pain and suffering. Fetal stress is an integral part of prenatal development and its metaphorical use in clinical practice. Three concepts—gestational being/becoming, geatational holding, and objectless intersubjectivity—are offered as ideas to introduce order and conceptual clarity into the ineffable mysteries of in utero process. A gestational perspective is used to describe how the analyst intuitively tracks the patient’s sense of well-being/stress.     

Oneiric activity and the analytical process A semiotic perspective on Willy Baranger's theory of dreams1

This author reconsiders, from a semiotic perspective, the theoretical and technical ideas developed by Willy and Madeleine Baranger, especially W. Baranger's views on the function of dreams, the status of oneiric symbols and the further clinical‐technical use of dreams in the context of the intersubjective dynamic fi eld, together with the basic unconscious fantasy that emerges in the analytic situation. She attempts to relate the Barangers' ideas to others arising from Peirce's analytic semiotics that would support a triadic conceptualization of dreams. The need to incorporate a pragmatic view of communication and of the processes of production of sense as contributions to dream metapsychology and interpretation in the case of non‐neurotic patients is particularly emphasized. On the basis of the hypothesis of a described series of triads underlying the production and retelling of dreams, the acknowledgment of these produced/told dreams as intentional signs allows the presence of a continuous process of semiosis to be proposed. The author introduces clinical material to illustrate the communicative value of dreams through the textual analysis of the report and accompanying associations of three dreams. Such analysis takes a linguistic pragmatics approach that examines those aspects of meaning not accounted for by a restricted semantic theory.     

The extension of component analysis to four-mode matrices

A model for four-mode component analysis is developed and presented. The developed model, which is an extension of Tucker's three-mode factor analytic model, allows for the simultaneous analysis of all modes of a four-mode data matrix and the consideration of relationships among the modes. An empirical example based upon viewer perceptions of repetitive advertising shows the four-mode model applicable to real data.This research was supported by the University of Kansas School of Business Research Fund provided by the Fourth National Bank & Trust Company, Wichita. The ideas and opinions expressed herein are solely those of the author.     

Die DPG-Praxis-Studie

All psychotherapeutic methods must be scientifically evaluated. Empirical evaluation of evidence is a prerequisite for acceptance as scientific psychotherapy as well as for payment by health insurance. Currently the psychotherapy methods accepted within the German health system (behavioural therapy, psychodynamic psychotherapy, and analytic psychotherapy) are reviewed by a governmental evaluation committee concerning evidence, necessity and cost-effectiveness. The DPG practice study has basically two aims: 1) to conduct a large naturalistic study to investigate effectiveness, sustainability and economic aspects of psychodynamic and analytic psychotherapy and 2) to offer a framework for psychoanalytic institutes, members, candidates or groups to realize own research ideas by collecting additional data within the study. The present article describes the background, main research questions, structure and design of the DPG practice study with regard to the evaluation questions.     

The Whole and the Parts: Working in the Analytic Field

Field concepts have been imported from physics into psychology and philosophy, in the work of writers such as Kurt Lewin and Maurice Merleu-Ponty. In psychoanalysis, they are found in the work of Harry Stack Sullivan, Enrique Pichon-Rivière, and Willy and Madeleine Baranger. They are essential for relational analysis, where everything than happens in the analytic situation is considered to depend on both parties of the analytic relationship. The analytic situation is understood as a two-person setup, in which neither party can be conceived without the other, because they are inescapably bound and complementary. This is called a “dynamic field,” and it corresponds to an experiential configuration that changes and evolves in time. Insight is better understood as a restructuring of the field, a gradual development of both parties' understanding of their shared unconscious situation. In this paper I discuss the main ideas posed by the Barangers, as well as my own, and present a clinical vignette to illustrate the phenomenology of the field.     

A statistical model which combines features of factor analytic and analysis of variance techniques

This paper describes a method of matrix decomposition which retains the ability of factor analytic techniques to summarize data in terms of a relatively low number of coordinates; but at the same time, does not sacrifice the useful analysis of variance heuristic of partitioning data matrices into independent sources of variation which are relatively simple to interpret. The basic model is essentially a two-way analysis of variance model which requires that the matrix of interaction parameters be decomposed by using factor analytic techniques. Problems of judging statistical significance are discussed; and an illustrative example is presented.Much of the work on this paper was completed while the author held a U.S.P.H.S. Postdoctoral Fellowship at Yale University (1964–65). Many of the ideas in this paper have been discussed in the author's doctoral dissertation which was submitted to Yale University in 1965.Special thanks are due to Robert P. Abelson for his encouragement and for many helpful and stimulating discussions about problems which arose in the preparation of this paper. I would also like to thank Francis J. Anscombe and Alan T. James for their valuable suggestions and constructive criticism of an earlier draft of this article.     

The embodied self: thinking psychoanalytically in a time of 'science'

Abstract :  In order to be relevant in our 'scientific' times, it is necessary that we psychoanalysts situate our ideas in thoughtful and respectful relationship to neighbouring disciplines such as genetics, cultural studies, and neuro-anatomy. In this paper I suggest that, although psychoanalysis still continues to have valuable contributions to make to the understanding of human sexual experience and behaviour, in order to make these contributions relevant we must tune in with openness to the challenges posed by the unfolding discoveries in the other disciplines that grapple with the arena of human sexuality.
I will suggest ways in which research on sexual desire and gender identity may be assimilated into psychoanalytic thinking and give some examples of its use in analytic practice.     

PSYCHOTHERAPY AS PHASE-SPECIFIC INTERACTION

I am writing this paper to help myself, and hopefully some readers, to a better understanding of why some analysands in certain phases of the analysis develop the idea that they are homosexuals or that their analyst is homosexual. My basic thought is that even if these ideas have their individual roots and differ from case to case, they are also dependent on certain phenomena that are included in the analytic encounter and specified by different gender constellations constituting the analytic couple. I will present two examples from my own practice. From these two vignettes, I will draw some conclusions which are supported by my general psychoanalytic experience. The first example concerns male analysands. I have often seen male patients develop the fantasy that they “in reality” are homosexual. This fantasy is so common that it is a rule in my experience. I see it as a product of the fact that the psychoanalytic constellation consists, as in my case, of two men. The second example concerns female analysands. In a few cases with female analysands, I have seen the fantasy emerge that I, the analyst, am homosexual—a fantasy not seen in my male cases. Another difference is that I can't see this as a rule like the fantasy of the male analysands. In both the male and the female cases, I see the homosexual fantasies as a protection against discovery of the mother-transference to me. However, the fantasies have found different expressions depending on the specific gender constellation of the analytic couple: man and man and woman and man, respectively.