PATHWAYS OF PLEASURE

This article describes a mode of transference relationship in which the analysand has to contend with a psychic mobilisation that results from exchanges with the analyst-object and is related to the activation of pleasure in his/her own mental functioning. The patient's ego feels the internal and external excitations that stem from this mobilisation to be dangerous because of the anxieties about threatening intrusions that they raise. These anxieties arise along the contours of narcissistic flaws that give resonance to early traumatic experiences. The ego protects itself from the danger by organising narcissistic defences that oppose the impulses towards the analyst-object and foster a stagnation of the psychic work. The author puts forward the hypothesis that the patient's ego, not tolerating exposure to drive-related dangers, retracts into a mode of primary anality that is imprisoning and restrictive, setting up a fantasy of narcissistic nidification in which a part of the ego merges with an omnipotent primary object. The purpose of this strategy is to neutralise the excitations - as far as possible - while nevertheless maintaining the element of the drive excitation that forms the basis of the fantasy. The dynamics and the economy of the defensive organisation are examined in detail, as are the questions that these raise. A clinical case illustration is presented.     

Fantasy or structural defect? The borderline dilemma as viewed from analysis of an experience of nonhumanness

The experience of nonhumanness, a crucial aspect of the phenomenal self of borderline states, is studied in two cases to test assumptions concerning the application of the classic ego-psychological or object-relations and self-psychological models. Are these experiences to be seen as fantasy and treated as manifest content, with dynamically active unconscious conflict and meaning, requiring interpretation, or as a developmental arrest in which structural disturbances are ameliorated through clarifying and empathic interventions? The first case is of a patient with a neurotic depression and hysterical and obsessional character traits, treated in a classic psychoanalysis. Even though dyadic oral and anal fantasies were strongly in evidence, the ego was well integrated. The second case is of a severe borderline patient who showed depressive panic and agoraphobia. Her major ego disturbances, poorly integrated and differentiated self- and object representations, and primitive defenses prevented effective psychoanalytically oriented treatment. Interventions were used to consolidate self-representations, internalize tension-regulating structures, promote adaptive ego functions and reality testing. These clarifications were necessary to move the patient to where she could tolerate facing unconscious dynamic conflicts. Only at that point could repression be lifted, memory emerge, and interpretation be utilized.     

Neuropathologies of the self: clinical and anatomical features

The neuropathologies of the self (NPS) are disorders of the self and identity that occur in association with neuropathology and include perturbations of the bodily, relational, and narrative self. Right, especially medial-frontal and orbitofrontal lesions, are associated with these conditions. The ego disequilibrium theory proposes this brain pathology causes a disturbance of ego boundaries and functions and the emergence of developmentally immature styles of thought, ego functioning, and psychological defenses including denial, projection, splitting, and fantasy that the NPS patient has in common with the child. I hypothesize that during brain development between approximately ages 3 and 7 immature defensive functions and fantasies tend to be replaced by mature defenses and the inhibition of fantasy a process that depends upon maturational processes within the right hemisphere. I propose a four-tiered model of the NPS that emphasizes a multifactorial approach and includes both negative and positive, bottom up and top down, and neuropsychological and psychological factors.     

The observing ego as voyeur

A resistance to self-observation and self-reflection is discussed in which there is a perversion of the observing ego. The observing ego has been unconsciously recruited in the service of enacting an unconscious fantasy: the fantasy of being an excited observer of a primal scene who is punished for making forbidden observations. This voyeuristic observing ego is pathologically enmeshed in a love triangle with the patient's seductive superego (i.e. identification with the desired but unfaithful parent) and with the patient's punitive superego (i.e. identification with the rivalrous parent). This unconscious scenario is played out in the clinical situation as the patient unreflectively cycles through phases of denial (i.e. self-seduction) and moral masochism (i.e. self-betrayal). A case study illustrates how humor may be employed to free the observing ego from being enthralled by a perverse superego. Humor may unconsciously enable a rebellious attitude toward the omnipotent sadism of a perversely oppressive superego and thus enable the observing ego to break free from its pathological enmeshment.     

On the Lap of Necessity: A Mythic Reading of Teresa Brennan's Energetics Philosophy

In several works Teresa Brennan examines how, contrary to social notions of the separate and contained self, all that exists in the natural world is connected energetically. She identifies a “foundational fantasy” whereby the ego comes into existence and is maintained by the notion that it controls the mother. The effects of this fantasy are socially oppressive and, in the technological era, environmentally disastrous. M;y examination of narratives and images in ancient myth, popular culture, literature, and art suggest ways to counteract the destructive fantasy through re‐symbolization of the relation to what Brennan understands as the original/living nature, which is correlated to the mother's body.     

The Red Book from a pre-modern perspective: the position of the ego, sacrifice and the dead

This paper tries to investigate The Red Book from a pre-modern point of view especially with reference to a Japanese cultural and clinical perspective. In spite of overwhelming contents from the unconscious, the position of the ego is remarkable as a formal aspect throughout The Red Book. The ego manifests itself as a stable observing agency which results in clear images. In the case of Japan, visions are historically rare because of the much more vague position of the ego. While in Liber Primus the ego manifests itself via suffering and tragedy, in Liber Secundus it has more distance and humour, and takes the form of comedy. Mythological images are internalized as fantasy in Liber Secundus. So the rebirth of God does not need to be performed literally but by way of internalization, which is the origin of Jungian psychology. In its substantial aspect, the references in The Red Book to pre-modern cultural images of sacrifice and redemption of the dead are impressive. The sacrifice may suggest that the numinous cannot be experienced as ritual and symbol but necessitates direct violence and sexuality.     

Some comments on masochism and the delusion of omnipotence from a developmental perspective.

This paper explores the relation of the delusion of omnipotence to masochism and suggests that this fantasy constitutes a major component of the resistance so prominent in work with masochistic patients. The connections among masochism, omnipotence, negative therapeutic reaction, and clinging to pain are discussed. The classical view has been that the failure of infantile omnipotence forces the child to turn to reality. Our experience with masochistic patients suggests that it is the real failure to achieve competent interactions with others that forces the child to turn to omnipotent solutions. The distinction is made between fantasies that enhance the real capacities of the self and those aimed at denying and transforming the pain and inadequacy of the mother-child relationship. The epigenetic transformations of omnipotent fantasies through all levels of development are described. The patient's need to protect the omnipotent fantasy is discussed in relation to resistance at each phase of analysis.     

Is the truth in the details? Extended narratives help distinguishing false “memories” from false “reports”

The present study examined the effects of fantasy proneness on false "reports" and false "memories", of existent and non-existent footage of a public event. We predicted that highly fantasy prone individuals would be more likely to stand by their initial claim of having seen a film of the event than low fantasy prone participants when prompted for more details about their experiences. Eighty creative arts students and 80 other students were asked whether they had seen CCTV footage preceding the attack on Swedish foreign minister Anna Lindh up to, and including, non-existent footage of the actual moment of the attack. If affirmative, they were probed for extended narratives of what they claimed to have seen. Overall, 64% of participants provided a false "report" by answering yes to the initial question. Of these, 30% provided no explicit details of the attack, and a further 15% retracted their initial answer in their narratives. This left 19% of the sample who appeared to have false "memories" because they provided explicit details of the actual moment of the attack. Women scored higher than men and art students scored higher than other students on fantasy proneness, but there was no effect on levels of false reporting or false "memory". Memories were rated more vivid and clear for existent compared to non-existent aspects of the event. In sum, these data suggest a more complex relationship between memory distortions and fantasy proneness than previously observed.     

Promoting Advanced Ego Development Among Adults

An intervention study was conducted to investigate whether advanced ego development could be promoted if account was taken of the factors likely to be involved in the ego stage transition process in adulthood. A conceptual framework that identified such factors was described, in which it was hypothesised that stage transition occurs in response to life experiences that are structurally disequilibrating, personally salient, emotionally engaging, and interpersonal. The intervention was designed in accordance with these proposed types of life experiences, and was targeted toward adults at the modal stage of ego development. Using an experimental design, a significant increase in ego level was found in 2 equivalent intervention groups, with no increase found in a matched control group. The findings demonstrate the possibility of continued ego development in adulthood, including development to the advanced ego stages, and provide clarification regarding some of the processes involved in such development.     

Creativity and oedipal fantasy in Austen's Emma: 'An ingenious and animating suspicion'

Austen's Emma is one of the great novels of the Western tradition. In this paper the author explores the meaning of Emma's 'ingenious and animating suspicion' that Jane Fairfax seduced her best friend's husband, Mr Dixon. The interpretation that a psychoanalytic understanding makes possible shows how this suspicion represents an oedipal fantasy projected on to Miss Fairfax. Further exploration demonstrates how the fantasy is linked both to Emma's systematic unkindness to Jane Fairfax and to Emma's famous insult to Jane's aunt, Miss Bates. Emma's suspicion projects an oedipal fantasy with its incestuous impulses on to her rival and satisfies an envious aggression at the same time. The author's purpose in this paper is to bring to light through psychoanalytic understanding Austen's dramatisation of the complexity and creativity of the oedipal situation. In addition to the regression in oedipal fantasy, the primary process also functions with a progressive quality that expands and enriches the ego, a double movement described in Keats's 'negative capability', which has been elaborated by Bion. The primal-scene fantasies are often brought alive in the analytic transference. These situations and painful emotions are dramatically portrayed through Austen's genius as vehicles for change. A sudden integration follows a phase of disorganization: 'It darted through her with the speed of an arrow. Mr Knightley must marry no-one but herself'. Emma, who is Austen's 'imaginist', moves from the projected fantasy of the sad love triangle through envy aggression and the narcissistic blows of self-doubt and loss of love to moments of illumination and connection.     

Mindless Bodies–Bodyless Minds

Possibilities opened up by scientific–technical developments of the last century have led to the breaking up of our basic concepts regarding elementary aspects of human life. Boundaries are more easily crossed (also among genders); the reality of functions and the functions of reality are becoming interchangeable. The audio-visual galaxy, which has evolved over the course of the 20th century, with its two dimensionality has resulted in generations growing up in the past decades who have learnt that the “other” can be a virtual body: the sensual is no longer an essential part of human relations. The somato-affective aspects of the experience get split off—relationships emerge between bodyless minds. This fragmentation also means that the body is seen increasingly as mindless: the linkages between body and mind are profoundly undermined. Reality and fantasy melt into one another. Reality control and thinking becomes insecure effected by a view of the world that has lost its keystones of orientation. When body boundaries get confused in such a manner how do ego boundaries develop? How will primary relationships alter among such conditions? What will the internal images of the objects be like? The deconstruction of our basic concepts about space, time, dimensions, body- and ego boundaries made differentiation and the processes of symbolization extremely difficult. Postmodern ideas, questioning the validity of facts have contributed greatly to transforming our image of reality also on a theoretical level. How do these massive changes effect our daily clinical work and our theory of the mind? My paper tries to explore some experiences and ideas related to these questions through clinical cases and narratives of our present times.     

Some notes on insight and its failures

Many patients who had been in a prior psychoanalysis or psychotherapy have a view that "insight" has not been useful to them. The previous treatment has often been condensed into a screen memory serving a variety of functions. An attempt is made in this paper to explore problems of the effectiveness of insight and its relation to a range of ego functions, transference issues, and related fantasy systems.     

Response to cigarette deprivation as a function of oral fantasy.

The role of oral fantasy in reactions of heavy smokers to smoking deprivation was studied. Experimental subjects were first evaluated with the Holtzman Inkblot Test to measure amount of oral fantasy. They also evaluated themselves on a number of Semantic Differential continua. Smoking deprivation followed. Retest Holtzman blots and Semantic Differential rating scales were then administered. Subjects also indicated number of somatic symptoms and body image distortions produced by deprivation. Control subjects followed the same paradigm except they smoked throughout the procedure. It was found that the greater the orality of experimental subjects the greater the number of somatic symptoms and body distortions they experienced following deprivation; and the more they viewed self as having shifted in a less favorable and less potent direction. Such relationships were absent in the control group.     

Physical Activity and Increases in M Response

An attempt was made to demonstrate that in spite of the clinically documented characteristic inverse relationship between fantasy activity and physical activity, there also exists a direct, associative relationship between the two. M and other inkblot scores were the measures of fantasy, and inkblot responses were obtained before and during exercise (not after exercise, as previous studies). A significant increase was observed in the inkblot measures during exercise, and this associative bond between fantasy and physical activity was seen in the light of: 1) interference with the organism-environment interaction; 2) the dual meaning of M; and 3) the development of ego delay capacity.     

A new perspective on agitated grief reactions

This paper suggests a psychodynamic formulation to promote further understanding of patients manifesting symptoms commonly referred to as agitated grief, or agitated depression. This condition is associated primarily with the death of a parent. Insufficiently separated identity, regressive processes of identification, and AA-pseudo-autonomy are identified as significant contributors to this condition. Most significantly, an unconscious fantasy of imminent death to befall the symbiotic survivor is identified as precipitating the panic, terror, and moderate-severe disorganization of ego functions which differentiates agitated grief from bereavement or other forms of depressive reactions. During the crisis stage the therapist's informed presence can provide the patient with a stable secondary reference point. This element of the therapeutic relationship can lead to a pronounced diminution of anxiety, halt further ego disorganization and promote improved coherence of ego functions. Given this stabilization, the unconscious fantasy of imminent death can be introduced to the patient's consciousness thus obviating its pathological effects.     

Fantasy formation: a child analyst's perspective

Unconscious fantasy is the principal unit of psychoanalytic investigation. Though individual fantasies, either conscious or unconscious, may emphasize drive, defense, or superego interests, all fantasy life develops from a limited number of themes; these themes concern drive-related issues, experiences of helplessness, or combinations of both. Fantasy formation and fantasy content undergo developmental change. Sensorimotor, behavioral memories occur prior to fantasy and are influential in determining repetitive behavioral enactments. The complexities of infant behavior do not require the postulation of fantasy or representational memory. A complex, innate, instinctual organization of the newborn, similar in many respects to that of other newborn mammals, and distinct from the psychological organization of the older infant, is suggested as an explanation of these phenomena.     

Ego atrophy in addiction illustrated through American cultural music folklore

Popular music is an artifact of folklore that can provide a keen insight into societal complexity. As a window with minimal censorship, it allows access to a subgroup whose motifs are often obfuscated from within and without by defensive and self righteous distortions. Music is a primary source depicting the strivings and failings of a culture or its tributaries. An overview is offered of the American social historical context of substance abuse, as it informs the theory of ego atrophy to conceptualize addiction. In this study, it is appealed to as an aid in the elaboration of addictive behavior. Adjunctively, major themes in movie pictures are referenced as parallel, albeit less refined, indices of stereotype in the culture. Together with societal laws and mores, these markers point to a specific behavioral and value system that typifies the ego of the substance abuser.     

Dissociation and self-awareness in directed daydreaming

Self-awareness, as the ability to be the observer of one's own cognitive. affective, and volitional states, was explored in directed daydreaming. Self-awareness of varying complexity and depth was found in the dissociated ego states, which were experienced as relatively discontinuous with each other in space and time, and discontinuous with the subjects' usual experience of a cohesive self. An extreme expression of shallow self-awareness was found for a few subjects who reported a fantasy with no experience of a self. The most elaborate form of self-awareness, coconsciousness , was found for the majority of subjects in the two-ego state group, where both of their ego states were associated with an identity feeling, and where one ego state evidenced full awareness of the thoughts and feelings of the other state. Coconsciousness was found to be a prerequisite for deep self-awareness in directed daydreaming.     

Ego atrophy in addiction illustrated through American cultural music folklore

Popular music is an artifact of folklore that can provide a keen insight into societal complexity. As a window with minimal censorship, it allows access to a subgroup whose motifs are often obfuscated from within and without by defensive and self righteous distortions. Music is a primary source depicting the strivings and failings of a culture or its tributaries. An overview is offered of the American social historical context of substance abuse, as it informs the theory of ego atrophy to conceptualize addiction. In this study, it is appealed to as an aid in the elaboration of addictive behavior. Adjunctively, major themes in movie pictures are referenced as parallel, albeit less refined, indices of stereotype in the culture. Together with societal laws and mores, these markers point to a specific behavioral and value system that typifies the ego of the substance abuser.     

Thawing the 'frozen accidents': the archetypal view in countertransference

Jung's concepts of psyche and psychic energy are relevant in countertransference. Working with Jung's archetypes as 'transconscious' dynamic fields of probabilities helps the analyst, as a clinician and teacher with limited human consciousness, to confront and recognize the unconscious cross-purposes of 'anomalous' countertransference, and to convert it to insightful 'participatory' countertransference-Jung's archetypes will be juxtaposed with William James's fields, Gerald Edelman's qualia, and most particularly with Murray Gell-Mann's 'frozen accidents'. Two vignettes – from A clinical and a training setting – suggest chat from a Jungian perspective, countertransference may be seen at the psychic juncture where ego, the personal shadow, the interpersonal other and the archerype of the collective unconscious meet in the determining images of a life, fantasy, dream, analysis, and seminar. So-called 'parallel process' will be seen as enclosure in the circles of reference emanating from the patient's experiences in those arenas deemed archetypal, i.e., structurally significant. The relativity of unconscious time will be mentioned. Jung's notion that, called or uncalled, the archetypes are present, informs the thesis that we must name archetypal images if we are to know them, and we must know them to be free.