The Freudian Antecedents of Cognitive–Behavioral Therapy

The writings of Sigmund Freud are reviewed, showing the similarities of many of his concepts with those of cognitive–behavioral therapy (CBT). Automatic thoughts, core beliefs, and the desire to please the therapist are shown to have parallels in Freud's ideas about involuntary thoughts, the preconsdous, the unconscious, and transference. Similarities in technique are noted, especially in light of Freud's original ideas about suggestion and influence as well as latter-day discoveries regarding Freud's actual practices. In certain ways, CBT is closer to Freud than is classical psychoanalysis. A brief history of the attempts to integrate behaviorism with Freud is given, showing how Freud's objectifying of dream reports presaged the viewing of verbal reports as behavior. Other developments in cognitive psychology are also discussed with regards to Freud's ideas about information processing and the production of memories.     

The life instinct

In psychoanalytic writing an oversimplified interpretation of Freud's concept of the life and death instincts sometimes colours the presentation. Roughly, there is an implication that the life instinct is 'good' and the death instinct 'bad'. Freud however is clear that: "Neither of these instincts is any less essential than the other; the phenomena of life arise from the concurrent or mutually opposing action of both"(1933b, p. 209). In this paper I look in detail at the characteristics of the life instinct as conceptualized by Freud, and draw on Bion's work 'on linking' to elaborate Freud's view that binding is the life instinct's key characteristic. I suggest that there are pathological forms of both the life and death instinct if defused (separated off) from the other, and I explore a pathological variation of the life instinct in which binding is without the negation, rest, limit or end provided by the 'opposing action' of the death instinct. I consider an instance of the kind that any analyst might meet clinically, in which an inhibited patient experiences severe anxiety that life-giving connections threaten to proliferate indiscriminately and to an overwhelming intensity and size.     

Freud's struggle with misogyny: homosexuality and guilt in the dream of Irma's injection.

The highly condensed dream element trimethylamin is central to the dream of Irma's injection. After a brief review of the medical literature on timethylamine (TMA), it is suggested that two important meanings of this chemical and its properties lie in its disguised reference to disparaging views of women, as well as to Freud's homosexual connection to Wilhelm Fliess. Freud's misogynistic and homosexual impulses were stimulated by Fliess's recent surgical error committed while operating on Freud's patient Emma Eckstein. Evidence is presented that the collaboration between Freud and Fliess in performing an aggressive act toward a woman was for Freud an enactment of a childhood situation in which he and his nephew John had ganged up on John's sister Pauline. The later relationship between Freud, Jung, and Sabina Spielrein is seen as an additional reenactment of this childhood triangle. An examination of Freud's associations to and analysis of the Irma dream, as well as some of his later relationships with women, indicates that guilt and the wish to make reparation were also prominent themes in Freud's inner life.     

Jewish Origins of Freud's Interpretations of Dreams

For many years, it was assumed that Sigmund Freud was never exposed to Jewish religious education and had no knowledge of the Hebrew language, the Bible or Jewish history. Freud himself considered this a neglected part of his education which he regretted. But the research of people such as Rainey reveals that Freud actually attended Jewish religious schools which offered intense religious education that included Hebrew language, the Bible and the Talmud, and Freud himself was an honor student in these subjects. The implications of this for our understanding of Freud's theory of dreams are explored.     

Some sources for a slip in a translation by Freud

Among Freud's papers, we find instances in which Freud describes the "psychopathology of everyday life" as he found it in himself and in others. "A Religious Experience" (Freud, 1928) contains examples of both kinds. In addition, this paper contains a slip of which Freud appears to have been unaware. Freud's paper interprets a religious conversion described in a letter written to him in English. In the translation of this letter into German, Freud inserted material that was not present in the original. He mentions another slip he made in speaking about the letter. These slips and some associated details in the paper indicate persisting unconscious conflict. The content of these slips and details points to an association with Freud's childhood anxiety dream reported in The Interpretation of Dreams (Freud, 1900). Freud's associations and discussion of that dream lead to the Philippson Bible of his childhood, which provides additional connections to the paper of 1928.     

Erikson's General and Adult Developmental Revisions of Freudian Thought: “Outward,Forward, Upward”

In this paper I explore Erik Erikson's revisions of Freudian thought and reasons for his conceptual departure. I show Erikson as the second stage psychoanalytic theorist who shifted thought upward in consciousness, outward to the social world, and forward throughout the complete life span. I explore Erikson's dispute of Freud's reductionism and predeterminism, and illustrate Erikson's movement afield of a model of mental illness, fragmentation, and negation. I explore Erikson's view that the social world is both inside and outside the psyche, rather than solely external to the person as Freud had held. Addressed is Erikson's conversion of Freud's notions of adult morality to a developmental view of the adult as a potentially moral–ethical person, and Erikson's revision of Freud's concepts of the potentially rational adult to a view of the adult with rational and emotional attributes. These words are Erikson's (1975, p. 39) terms for his theoretical focus. Erikson said that he had felt compelled to alter Freudian views, for the second stage psychoanalytic thought in which he participated required a focus on healthy development instead of attention to deviations from health. Such thought also required analysis of the importance of consciousness and of engagement in the social world, as well as a theory of adult development that extends throughout the mature years to chart the person's psychosocial growth and the development of principled behavior. To Erikson, Freud's views were reductionistic due, in part, to their placement within Newtonian and Darwinian thought. Further, Freud's thought was based on the assumption of an invariably moral person, and of the human who would eventually rise above the irrational powers that he found to govern the self. In this paper, I take up these points. I look to Erikson's revisions of Freudian thought, emphasizing the ways in which he made us think differently about psychological life and about adults in their ongoing development. This synthesis adheres to the points Erikson himself made about his departure from Freud, thoughts that appear in Erikson's (1987b) Harvard notes and marginalia, in his audiotapes, and in portions of his published writings.     

The choice of a name: "Dora" and Freud's relationship with Breuer

I have suggested that Freud's choice of the pseudonym Dora for his eighteen-year-old hysterical patient, Ida Bauer, was over-determined. Dora, it seems likely, was named not only after Freud's sister's nursemaid, as Freud himself explained, but also after Dora Breuer, Josef Breuer's youngest daughter. This theory is based on an examination of the similarities in the lives and symptoms of Anna O. (Breuer's famous hysterical patient of 1880-1882) and Dora; on an analysis of the transferences and countertransferences in the cases of these two young women; and on evidences of the persistent significance of Josef Breuer in Freud's life after 1895. These specific inquiries also call attention to the nature of hysteria at the end of the nineteenth century and to the ever-present complexities of the physician-patient relationship.     

A reappraisal of the Emma episode and the specimen dream

Schur's (1966, 1972) speculations that the "specimen dream" exculpates Fliess rather than Freud and that Freud was unaware of this are challenged. Schur's assertion that Freud was not aware of "current conflict" when writing The Interpretation of Dreams is countered with the previously unpublished "Completion of the Analysis" of the dream of "Running up the Stairs," which illustrates Freud's withholding of "current conflict" from his published associations. The view is advanced that Freud's and Fliess's treatment of Emma Eckstein might have been an important element in Freud's self-analysis because it was a repetition of his childhood conflicts. The identities of Emma Eckstein (operated on by Fliess) and Anna Hammerschlag Lichtheim, together with the previously unnoticed, published exchange between Abraham and Freud, are used to add further insight into Freud's interpretation of the dream. In addition, new material concerning Freud's father's terminal illness, beginning in July, 1985, casts further light on the specimen dream as well as others. It is argued that concerns about Martha Freud's sixth pregnancy and wishes for improved contraception were important determinants of the dream and part of the undisclosed associations. It is also argued that rivalrous elements of the associations are elaborated in the later non vixit dream.     

Freud, Oedipus and the Hebrew Bible

The current paper examines the question of why Freud employed Greek rather than Hebrew foundation legends, specifically the story of Oedipus, as a basis for psychoanalysis, Freud's choice of Oedipus emanates from his deterministic view of the universe, paralleling the Greek rather that the Biblical story of creation. In the Biblical account God precedes and creates nature with no sign of an Oedipal conflict. In the Greek account, nature precedes the gods and the Oedipal conflict is inherent. Freud's choice has implications for his view of human psychology.     

Recent reformulations of Freud's development and abandonment of his seduction theory: historical/scientific clarification or a continued assault on truth?

It is well known that, as part of Freud's early work with "hysteria," he reported making discoveries of sexual abuse that he interpreted first as genuine but subsequently as fantasy. Several writers now argue that Freud never made such discoveries; rather that he lied about them, only inferred abuse from his patients' symptoms, or suggested false memories to his clients. The present authors evaluate Freud's original work and these recent claims and conclude that (a) they are not new and are similar to the original reaction that Freud received; (b) the assertion that Freud did not make discoveries of abuse is unwarranted; and (c) these recent writers frequently have supported their positions by misrepresenting what Freud actually wrote, ignoring evidence that contradicted their position, failing to consider obvious and more plausible explanations for Freud's behavior, and going beyond the available data and stating with certainty what cannot be determined.     

The development of the drive object concept in Freud's work: 1905-1915

In 1905 Freud established the idea of an object of an instinctual drive as the basic object concept of psychoanalysis. He also introduced the derivative concepts of object directedness, object choice, and object finding. While taking these steps he simultaneously deemphasized the importance of drive objects in sexual life, contradicted himself on whether drives are autoerotic or object-directed in infancy, and made incompatible statements about whether or not object choice occurs before puberty. Freud's clinical work, reflected especially in the major case reports and a series of papers on fantasy, led to an apparent recognition of complexity in the mental life of children far greater than had been described earlier. The increased attention to and appreciation of mental content in childhood especially augmented Freud's understanding of the role of drive objects, object directedness, and object choice in infancy. This, in turn, led him to postulate a sequence of organizations of sexual life, named according to the zonal drive source plus the mode of object directedness, a process of theory development that continued through 1924. Object choice and, to a lesser extent, object directedness are concepts derived from and dependent upon the concept of drive object. Both require, however, explanatory constructs besides drive constructs. In 1915 Freud defined the term "object" in the context of stating his drive theory. Freud used the term object with several new modifying words during this decade. No new object concept was introduced, however, in this work, although some steps in that direction appeared to be in progress.     

The dynamics of owning and disowning: psychoanalytic and family perspectives.

The dynamics of owning and disowning one's inner life have both intrapsychic and transactional or interpersonal dimensions. Freud opened new vistas on our inner world using psycoanalysis as a tool. Although not unaware of the effects of family members upon each other, Freud's rejection of the seduction theory of neurosis in 1897 fatefully influenced the future course of psychoanalysis, placing the primary focus on intrapsychic relations. Until today, it has remained the task-perhaps the principal one--of psychoanalytic theorists to do justice to the interpersonal and family realm that Freud neglected, without sacrificing the enormous insights we owe to Freud. Three conditions for successful inner ownership are described: a capacity for self-object differentiation; tolerance of ambivalence; and a sense of physical integrity, of having a cohesive, nuclear ego. The pathology of inner ownership is related to a pathology of interpersonal ownership as transacted on the family level. One form of such relational pathology--parental overowning, as revealed primarily in families with schizophrenic members--is discussed, with a case example.     

Inventing Freud

Written to commemorate the 150th anniversary of Freud's birth, this paper construes Nina Coltart's statement that "if Freud did not exist it would be necessary to invent him," with its implicit comparison of Freud to God, to refer to (a) the things that Freud taught that are incontrovertibly true; (b) the unavoidable subjectivity in all judgments of Freud; and (c) the resemblances between psychoanalysis and religion. This last comparison is likewise seen to have both positive and negative aspects. Freud's ideas have inspired many people, yet he unscientifically arrogated sovereign authority over psychoanalysis. Freud's admirers are reminded of his extreme difficulty in admitting he was wrong and changing his mind when he should have known better, while his detractors are encouraged to consider the evidence supporting many of Freud's core tenets and to recognize that his discovery of psychoanalysis is indeed one of the supreme achievements in human history.     

The mind: psychoanalytic understanding then and now

The author discusses the evolution of psychoanalytic understanding from Freud's time to the present, citing the influence of various sociocultural changes. He addresses Freud's proper place in history and notes ways in which Freud's contributions cast him as belonging to Romanticism. Freud's shift from the topographic model of the mind to the structural one, and the influence of this on psychoanalysis, is discussed, as well as important developments in the field since Freud. The author focuses particularly on difficulties encountered in psychoanalytic practice today, and he describes what he has termed organizing interpretations as uniquely valuable in the treatment setting.     

Freud's Little Oedipus: Hans as exception to the oedipal rule

Freud's "The Analysis of a Phobia in a Five-Year-Old Boy" is regarded by Freud and by analytic readers and commentators as a prototype of his conception of the oedipus complex. A literary methodology is used to show that the interpretation of the oedipus complex at work in Freud's text in fact differs from Freud's standard view of it. While studying the paper as text, not as case report, may obscure or distort some clinical matters, it is valuable in that it makes legible a sort of theoretical unconscious in the text. In contrast to Freud's typically tragic view of the oedipus complex (in the tradition of ancient Greek tragedy), the Hans study evokes a comic vision (in the tradition of Greek New Comedy). This comic vision allows Hans a happy imaginative ending to the oedipal dilemma, challenges certain epistemic pretensions, and emphasizes the oedipus complex as a set of abiding existential questions. Given the deep link between Freud"s oedipus concept and a tragic view of human life, this departure in the Hans paper is a fascinating anomaly.     

The psychoanalytic discourse. The Freudian subject of analysis

Discussing "rationalizing" interpretations of Freud's work and suggesting as an example Jürgen Habermas' reception of Freud the authors mark non-rationalized forms of speaking and silence as specifically Freudian discoveries. Objecting to Freud's recourse to Plato's allegory of the yet undivided "globe man" they draw upon Nietzsche's critique of the "true world" (beyond phenomena).     

Leonardo's phantasy and the importance of Freud's slip: The role of the analyst's phantasies in applied psychoanalysis and in the analytic relation

In his paper on Leonardo, Freud made a slip. Referring to the bird which, according to one of Leonardo's memories, tossed its tail into the painter's mouth many times when he was a child, Freud replaced 'kite' with 'vulture'. It is widely accepted that this slip doesn't signifi cantly damage the whole of Freud's constructions on the paper, nevertheless, the part of his considerations relating to the meaning of 'vulture' should be discounted. In the author's view, this part of the Leonardo paper is necessary. Thanks to the slip Freud was able to reach a comprehension which otherwise would have been unattainable. Interpretation based on the vulture made possible the confi guration of a mother as 'daughter of the wind', as was the case not only with Leonardo's mother but also with Freud's. Interpretation of Leonardo's phantasy was achieved through Freud's unconscious identifi cation with Leonardo and the slip adequately interpreted becomes the evidence of this. Through identifi cation, Freud succeeded in making sense of Leonardo's memory but also in realising an indirect virile possession of his own 'winged' mother. Freud's position as interpreting subject in his paper on Leonardo also has more general value: the analyst's knowledge about the 'other' has a very important basis in the indirect expression of his unconscious wishes within the fi eld of sense. The author uses clinical material in order to show how the analyst's phantasies play an important role in analytical interpretive work.     

Freud's psychology and its organic foundation: sexuality and mind-body interactionism

Although Freud's neurological education had a great impact on his thinking, a review of Freud's early writings reveals that: (1) Freud adhered to a mind-body interactionist position that was not in accord with the mechanistic neurology of his medical school education; (2) Freud saw psychical processes as intentional, not completely determined by mechanical brain processes--but interactive with them; (3) Freud made functional and psychological interpretations freely without accepting a need to "neurologize" his psychological insights by providing specific neuroanatomical or neurophysiological correlates for such interpretations; and (4) Freud sought the organic base for his evolving psychology in sexual physiology, not neuroanatomy or neurophysiology.     

Freud and feminism: a critical appraisal

This paper traces the contributions made by women to Freud's ideas about women. Freud paid back the gifts he received from women with encouragement and support for their careers and with a theory that was instrumental in freeing women from both domestic bondage and fantasies of inferiority, but which was used by later "Freudians" as justification for returning women to an exclusively domestic life. Paying particular attention to Sabina Spielrein, Lou Andreas-Salomé, and H.D., the paper illustrates some of the contributions of women to early psychoanalysis, and speculates on ways in which Freud's thinking was guided by his belief that women are, and should be considered, equal to men.     

Freud's Irma dream and the origins of psychoanalysis

This paper investigates Freud's Irma dream as a response, in part, to the publication of Studies on Hysteria (Breuer & Freud, 1893-1895). As such, Freud's dream and associations reveal a great deal regarding the origins of psychoanalysis. The preamble to the dream reflects Freud's concern with the ground rules and boundaries of the psychotherapeutic technique that he was in the process of developing. This paper cites evidence for Freud's concerns regarding the consequences of alterations in these basic tenets. The Irma dream and Freud's associations also convey a deep and apparently unconscious concern within Freud in respect to the concept of transference, which he may have realized on some level had been used to defensively deny disturbing inputs by the therapist into the treatment situation and patient. The dream may be understood also as reflecting a deep sense of concern regarding unrecognized harmful effects of psychoanalytic psychotherapy and Freud's concern that the treatment process might be more destructive than helpful. The curative aspects of psychotherapy are viewed in terms of action-discharge rather than insight. In all, this reanalysis of the Irma dream focuses on Freud's unconscious conflicts, fantasies, and anxieties at a time when he, along with Breuer, presented a burgeoning psychoanalytic treatment modality to the professional world.