The influence of the gender of patient and analyst in the psychoanalytic relationship

An overview of current explorations of the influence of gender on the psychoanalytic situation is presented. The topic does not lend itself to simple generalizations because the accumulated experience of several generations of psychoanalysts is now merging with newer views of psychoanalytic technique, while at the same time psychoanalytic theory is being influenced by changing ideological crosscurrents and by new knowledge regarding the similarities and differences in the development of both genders. Major issues still open are the relationship between gender and sexuality and between erotic desire and love; the challenges of the boundary of the psychoanalytic relationship as a facilitating and containing frame for the exploration of oedipal conflicts; and the related temptations, prohibitions, and derivatives of the erotic tension in the transference-countertransference.     

Repression and splitting: towards a method of conceptual comparison

An attempt is made to compare two psychoanalytic concepts which by ‘belonging’ to different psychoanalytic groups have come to be defined and used differently. The paper is also an inquiry into the possibility of a comparative psychoanalytic method. The two concepts are ‘repression’ and ‘splitting of the ego’ and an examination is made of the semantic similarities and differences. Some clinical material is offered that adds indicative clinical evidence to test the semantic comparison. The aim is to answer the question: Are the terms simply alternative ones for similar clinical phenomena? The paper offers one method which could provide an answer. It represents a general method for clarifying and maybe reconciling the differing points of view of competing psychoanalytic schools.     

Some thoughts on the psychoanalytic situation.

This article develops ideas set out in a previous study on the "archaic matrix of the Oedipus complex" versus the fully developed Oedipus complex (their similarities and their differences), applying these to a study of the psychoanalytic situation. The central hypothesis is that there is a correspondence between the psychoanalytic situation and the structure of the mental apparatus. The author supposes that our perception of the world is intimately linked to the primary maternal relationship, to our wish to fuse with the mother once more, and to the accompanying fear such a wish inspires. To deal with this we create enclaves where the regressive wish can be satisfied without fear of ego dissolution. The author suggests that the psychoanalytic situation is one such enclave. She examines its specific features in the light of the structure of the mental apparatus as she defines it.     

PSYCHOANALYSIS AND PSYCHOANALYTIC PSYCHOTHERAPY

This paper attempts to address the similarities and differences between psychoanalytic psychotherapy and psychoanalysis as practice. Starting from the manifest technical points, which he dismisses as peripheral, the author reaches the position that he considers to be the fundamental area of contention, i.e. the tranference‐countertransference arena. Focusing on the countertransference stance of the professional in this process, the author distinguishes the defining differences of these two approaches, and hopes to show them to be more complementary than antagonistic.     

Response to John Beebe

This paper briefly describes the history of the professional interaction between psychoanalysts and analytical psychologists in the United States. There has been little public contact between the two groups since the personal feud between Freud and Jung has beer carried forth to the present generation of analysts. The relationship between Otto Rank and Freud and his circle demonstrated many of the same dynamics that were activated between Freud and Jung, who had broken off their relationship ten years earlier; this paper highlights the similarities between Jung's, then Rank's, exile from the psychoanalytic group, Jung's interest in spiritual matters, including his interest in the nature of religious experience, and his questionable dealing with the Nazis during the 1930s have been the stated reason for the taboo set against Jung's writings. Presently there seems to be a growing realization that there are large areas of mutual interest, and both the similarities and differences between the schools need further exploration.     

Why,Mrs. Robinson? The Seduction of Teenage Boys by Women in Classic Films

Utilizing three classic films, and psychoanalytic developmental theory, this paper explores the conscious and unconscious reasons why older women become sexually involved with teenage boys. After a presentation of aspects of young adult and midlife female development and a psychodynamic explanation for the developmental similarities between adolescence and menopause, each of the three films is summarized. The dynamics behind the women’s behavior, as presented in the films, are discussed. The third section of the paper discusses similarities and differences among the three women and the negative effects on the boys’ development.     

Transformation: Psychoanalytic and Eucharistic

This paper will explore parallels between Eucharistic and psychoanalytic transformation. Its objective will, in part, challenge the assumption that Eucharist constitutes a concrete and material reality, insular and devoid of symbolism; indeed, offering similarities to the psychoanalytic concept symbolic equation. It will be argued that Eucharist must be understood in context to its transformation within the community of believers, a relationship that offers accord to the transformation within the psychoanalytic relationship. Moreover, parallels between ultimate truth and divine mystery will be examined using the Bionian concept O.     

A Discussion of “Accompaniment in Jazz and Psychoanalysis”

The author discusses the contributions of Markman’s text (this issue) focusing on similarities and differences in how he and this author use rhythm as a musical metaphor for the interactional processes constituting a psychoanalytic encounter. This review emphasizes 1) Markman’s unique sense of reverie, 2) his thinking about rhythm in terms of embodied registrations, and, 3) the difference between Markman’s unit of analysis and that frequently used by this discussant for describing embodied registrations.     

TRANSFERENCE‐FOCUSED PSYCHOTHERAPY AND MENTALIZATION‐BASED TREATMENT: BROTHER AND SISTER?

Transference‐focused psychotherapy and mentalization‐based treatment are new psychoanalytic treatment forms for borderline patients. How do these forms of treatment differ and how are they alike? What interventions do they yield in clinical practice? In the past few years two methods of psychoanalytic treatment for borderline patients have been developed: transference‐focused therapy and mentalization‐based treatment. This paper explores the similarities and differences between them, with a special focus on how the different theories lead to different interventions in clinical practice. TFP takes the central problem to be the disorder in object relations, while MBT focuses on the self as agent. Further differences concern notions of the role of aggression, the presence of mental representations and the position of the therapist. Interventions formulated by therapists of both frames of reference in response to some therapy fragments differed substantially. Both theories share a desire to develop a psychoanalytical technique suitable for borderline patients, and both stress the central importance of the handling of the transference and of working in the here‐and‐now, as well as the necessity for effect research.     

Psychoonkologische Therapie und Psychoanalyse: ein Widerspruch?

Psycho-oncological psychotherapy and therapeutic work with severely somatically ill patients seems to be an area of limited interest in psychoanalysis. For example, case reports of psychoanalytic treatment with terminally ill patients are rare. This stands in contradiction to the importance of the fear of dying and death (wish) in psychoanalytic theory construction (e.g. narcissism theory). In addition to the obvious differences between psycho-oncological therapy and psychoanalysis, such as limited time perspective, the need for a flexible setting and dealing with the depth of regression, there are also important similarities and in particular the therapeutic work on early unconscious defence processes and coping with the fear of death. The theoretical and clinical work of the French psychoanalyst Michel de M’Uzan on experiences in psychoanalytic treatment of dying patients are an important example but are not well known in the German psychoanalytic community. The way psychotherapists deal with their own separation anxiety and fear of death is still a major issue and a barely appropriately reflected phenomenon, which possible represents a mutual confrontation (or an impossibility?) of psychotherapeutic work with dying patients.     

Exploring the similarities and differences between person-centred and psychodynamic therapy

Person-centred therapy is compared to the psychodynamic approach defined by Hans Strupp and Jeffrey Binder. Their broad-based time-limited version is chosen because it is a precise manual ofhow to practise that has been assembled from 30 years of research and practice experience. It is demonstrated that person-centred practice and theory are psychodynamic in a general psychoanalytic sense because they refer to unconscious processes. Furthermore, it is proposed that person-centred practice could be enriched by reconsidering the differences to and similarities with psychodynamic therapy, thereby establishing greater clarity about each form of practice and further defining the boundary between these similar forms of relationship and feeling-oriented work.     

Fromm’s understanding of the Buddhist philosophical theory and psychoanalysis: From the phenomenal ego to the authentic being1

Abstract

Erich Fromm was one of the first psychoanalytic thinkers who was genuinely interested in Asian philosophies. In the first part of this article, I will show Fromm’s imago of Buddhism as a radical, nontheistic, and ethical philosophy “without God.” I will argue that Fromm made an important difference between the phenomenal ego and being that proves crucial for his understanding of psychoanalysis and his critique of modern society. I will also explore Fromm’s synthesis of Buddhist philosophy and psychoanalysis, and show the similarities and differences between them.     

Similarities in becoming: transsexuals and adolescents

The Gender Identity Service (located in Boston, Massachusetts) is an evaluative and counseling unit designed to provide full services including sexual reassignment to transsexuals. In that capacity, since the spring of 1972, we have seen over 120 transsexuals. During this time we have been impressed with behavioral similarities between our population of transsexuals and adolescents. This emerging observation provided impetus for the present paper. After carefully reviewing our caseload material it is our contention that indeed psychological, biological and sociological similarities do exist. Through a comparison of these, we hope not only to make transsexual behaviors more comprehensible but also to underscore the importance of the adolescent years for the development of adult gender identity. Using primarily an ego psychoanalytic approach, the paper attempts to demystify the diagnosis of transsexual by pointing to its dynamic similarities with adolescence.     

Therapeutic technique in psychoanalysis and psychoanalytic psychotherapy.

As the distinctions between what we consider to be psychoanalysis and what we consider to be psychoanalytic psychotherapy have become more uncertain and more blurred, it follows that it is equally difficult to designate the techniques that would be appropriate and specific for each modality. The problem has been compounded by the fact that in recent years psychoanalysis in the United States has become considerably less homogeneous than in the past and the ego-psychological structural model is no longer the only point of view in the psychoanalytic marketplace. Further, with alterations in the criteria for analyzability, cases which, generally, had not been viewed as suitable for analysis, have been appearing with increasing frequency on psychoanalysts' couches. We have also recognized that the degree of congruence between our expectations from and the results of psychoanalytic treatment was often less than anticipated. It appears that analysts have become considerably less arbitrary about what psychoanalysis is and how a psychoanalysis can be carried out. The author is unable to delineate one technique that is intrinsic to and limited to psychoanalysis. There are, however, differences in degree and emphasis in the ways in which various techniques are applied in the therapy of psychoanalysis as compared to the therapy of psychoanalytic psychotherapy. Special attention is given to the role of a psychoanalytic process and the central place the analysis of resistance plays in psychoanalytic therapy.     

Where models intersect: a metapsychological approach

Current scientific interest in how the mind works creates a major challenge for psychoanalysis. The author proposes metapsychology as a bridging concept for an interdisciplinary dialogue. She presents a new framework on a microstructural level, within which different psychic representations are hierarchically organized. This framework permits a detailed comparison with Alexander Luria's (1973) neuropsychological model of the working brain (including recent theories of affect), and makes it possible to delineate the similarities as well as the differences between the psychoanalytic model of the mind and the neuropsychological model of the brain.     

Commentary on Nikolay Mintchev’s “Object-Relations and Cultural Narratives in the Analysis of Racism”

Nikolay Mintchev’s (this issue) consideration of the use of psychoanalytic thought as a critical framework for the analysis of racism focuses on the differences between the Kleinian and Lacanian schools. While his depiction of their differences and the relevance of those differences for social theory is fundamentally fair and accurate, he overlooks the fact that as clinical theories, they may indeed have more in common than their apparent differences suggest. Their shared attention to the importance of unconscious fantasy and to the mechanisms of transference or the encounter with the Other in clinical work undermines the rigid distinction between them that is necessary for Mintchev’s thesis. By accepting the common view of their differences, Mintchev assumes a weaker version of each and sacrifices the dialectical dimension of psychoanalytic thought that indeed enhances its utility as social analysis.     

Love Never Ends Well: Termination as the Fate of an Illusion: Commentary on Papers by Jill Salberg and Sue Grand

The following is a discussion of the papers by Jill Salberg and Sue Grand on the topic of psychoanalytic termination. The discussion focuses on the idiosyncratic nature of the psychoanalytic relationship and the particular nature of its ending, some similarities between the end of analytic love and the loss of love in every day life, problems with analyst initiated terminations, and the transgressive nature of termination and analytic creativity. There is a discussion of the cases presented by each of the authors.     

The neurobiology of fear memory reconsolidation and psychoanalytic theory

Advances in both experimental neuroscience and psychoanalytic theory and technique have made it possible to consider mechanisms by which psychodynamic psychotherapies might have an impact at the cellular and molecular level. Here potential analogies are drawn between (1) the mechanisms and results of blocking the reconsolidation of conditioned fear memories in the laboratory and (2) several key aspects of psychoanalytic process. A review of the biology of conditioned fear memory, including differences between extinction and inhibition of reconsolidation, indicates that this biology may have relevance to various ways in which psychoanalytic therapy is effective. The ideas proposed here might lead to further experimental attempts to understand the molecular biology of psychoanalysis.     

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.     

New heads for Freud's hydra: psychoanalysis in Los Angeles

This paper describes the transplantation of psychoanalysis from Europe to Los Angeles and the similarities and differences in followers, cultural attitudes, institutional organization, and patient symptoms. Psychoanalysis in both places attracted psychiatrists, psychologists, social workers, artists, writers, and movie people, all committed to "modernism" and cultural change. But special American conditions created greater institutional rigidity, medicalization, and a more diffuse patient symptomatology centered on the maternal relationship. Such conditions also fostered bitter disputes over modifications of psychoanalytic theory and practice which have only recently become less acute as the status of psychoanalysis has declined in America.