Building Blocks Toward Contemporary Trauma Theory: Ferenczi 's Paradigm Shift

In laying down the building blocks of contemporary trauma theory, Ferenczi asserted that trauma is founded on real events and that it occurs in the interpersonal and intersubjective dynamics of object relations. He stressed the significance of the presence or lack of a trusted person in the post-traumatic situation. After the trauma, the loneliness and later the isolation of the victim represent a serious pathogenic source. In the traumatic situation, the victim and the persecutor/aggressor operate differing ego defense mechanisms. Ferenczi was the first to describe the ego defense mechanism of identification with the aggressor. Ferenczi pointed out the characteristic features of the role of analyst/therapist with which (s)he may assist the patient in working through the trauma, among them being the development of a therapeutic atmosphere based on trust, so that the traumatic experiences can be relived, without which effective therapeutic change cannot be achieved. For the analyst, countertransference, as part of authentic communication, is incorporated into the therapeutic process. These are the key building blocks that are laid down by Ferenczi in his writings and appear in later works on trauma theory.     

The Psychoanalytic Conception of Trauma in Ferenczi and the Question of Temporality

A reciprocal and ongoing interaction about theory and clinical technique developed between Freud and Ferenczi in the years from 1908 to 1933. During the course of this ongoing dialogue, the concept of psychic trauma gradually transformed. Ferenczi continued to elaborate on this issue, and concluded with his work on the interaction of trauma and fantasy. Ferenczi initially refuted Freud's early trauma theses and finally conceptualized a metapsychological reformulation of trauma, an inverse development to Freud's formulations. Ferenczi highlighted two essential concepts in the theory and technique of trauma: the processes of identification and the splitting of the ego, while he stressed the enormous role of disavowal in the dynamics of trauma. The author hopes to demonstrate how Ferenczi's contributions added to developments of the concepts of disavowal and temporality, to the recovery of traumatic memory and the modification of the classical concept of interpretations.     

LACAN AND FERENCZI: PARADOXICAL KINSHIP?

The kinship between Ferenczi and Lacan can be compared with the phases of an eclipse. Throughout the first period of his teaching, Lacan presents Ferenczi as the most relevant analyst among the first pioneers. It is clear that he hopes to develop Ferenczi’s subversive reflections about clinical practice. Surprisingly, in the second period references to Ferenczi seem to disappear, even when he takes on the question of trauma in light of what he calls the register of the Real; he does not cite Ferenczi at all. In a third period, after Lacan’s death, certain Lacanians are very critical about Ferenczi, often excessively. Today, analysts open to Lacan’s teaching are discovering Ferenczi and the richness of his work, in which Lacan found numerous springheads for his own work.     

Trauma theory in Sándor Ferenczi’s writings of 1931 and 19321

The author states that it is Ferenczi ’s writings of 1931 and 1932 that exhibit the most conspicuous departures from Freud ’s ideas and at the same time contain Ferenczi ’s most original contributions. The texts concerned – Confusion of tongues between adults and the child ( Ferenczi, 1932a ), the Clinical Diary ( Dupont, 1985 ), and some of the Notes and fragments ( Ferenczi, 1930–32 ), all of which were published posthumously – present valuable and original theories on trauma which are significant not only in historical terms but also because the ideas concerned are relevant to our conception of clinical psychoanalysis today. The aim of this paper is to give an account of Ferenczi ’s trauma theory as it emerges from his writings of 1931–32 and to specify the points on which he differs from Freud.     

Ferenczi’s Concept of Identification with The Aggressor: Understanding Dissociative Structure with Interacting Victim and Abuser Self-States

No one has described more passionately than Ferenczi the traumatic induction of dissociative trance with its resulting fragmentation of the personality. Ferenczi introduced the concept and term, identification with the aggressor in his seminal “Confusion of Tongues” paper, in which he described how the abused child becomes transfixed and robbed of his senses. Having been traumatically overwhelmed, the child becomes hypnotically transfixed by the aggressor’s wishes and behavior, automatically identifying by mimicry rather than by a purposeful identification with the aggressor’s role. To expand upon Ferenczi’s observations, identification with the aggressor can be understood as a two-stage process. The first stage is automatic and initiated by trauma, but the second stage is defensive and purposeful. While identification with the aggressor begins as an automatic organismic process, with repeated activation and use, gradually it becomes a defensive process. Broadly, as a dissociative defense, it has two enacted relational parts, the part of the victim and the part of the aggressor. This paper describes the intrapersonal aspects (how aggressor and victim self-states interrelate in the internal world), as well as the interpersonal aspects (how these become enacted in the external). This formulation has relevance to understanding the broad spectrum of the dissociative structure of mind, borderline personality disorder, and dissociative identity disorder.     

The Return of Dissociation as Absence within Absence

My aim is to translate Ferenczi’s central concepts of the intrapsychic impact and imprint of early developmental trauma into both revived and contemporary conceptualizations. The concept of dissociation was renounced by Freud, yet it is returning as a cornerstone of recent trauma theories. Ferenczi used the concept of “repression,” but used it in the sense of an intrapsychic imprint of early external trauma that fragments consciousness, that is, as dissociation. Furthermore, early trauma is double: an absence of protection that threatens existence of the self, combined with an absence of attachment and of recognition of this threat and terror; thus it is an absence-within-absence. This contemporary conceptualization entails a widening of the intrapsychic realm to include an intersubjective one, and regards dissociation as a unique and complex intrapsychic absence, which is a negative of the external absence-within-absence in the early environment.     

Losing the Certainty of Self

In his theory of trauma, Ferenczi points to the disbelief of adults of a child's account of an event as an actual traumatizing factor. Ferenczi also states that of all the consequences of the trauma, which include identification with the aggressor, psychic coma, departure from the possibility of dreams, and a fall to the hell of nightmares, the most important and fundamental is the lack of certainty of self. The disbelief of the adults destroys the certainty of what is perceived and experienced; it has the power of annihilating the child's belief in his own perceptions, his trust in his own senses. The loss of certainty of self appears to be a common characteristic in patients with distinct psychic dynamics. We will analyze the loss of certainty of self in cases of patients of the NEPECC (Núcleo de Estudos em Psicanálise e Clínica da Contemporaneidade) [Center of Studies in Psychoanalysis and Contemporarity Clinic] at the Federal University of Rio de Janeiro.     

Fresh old news from Ferenczi about the function of dreams: The dream as a Kur,as a treatment and as a Gyógyászat

This article discusses a text on the function of dreams and their relation to trauma. Ferenczi intended to present this material as a talk at the 12th International Congress of Psychoanalysis, which was to take place in Interlaken, Switzerland the same year that he wrote it (1931). The entire conference, however, was postponed, and parts of this communication’s content appeared in other texts in which Ferenczi rethinks the concept of trauma and its clinical significance. In the present article the author makes use of the Freud/Ferenczi correspondence to contextualize Freud’s Hungarian follower’s originality regarding his theorizations about different aspects of the function of dreams. In the 1931 speech, as well as in this article, Ferenczi used a patient’s dream work as a clinical example of a process in which traumatic experiences and unmastered sensory impressions can be repeated to achieve a better working‐through for the dreamer. The process Ferenczi describes resembles an effort of self‐treatment, of self‐Kur.     

THE CHILD AS A TRAUMATIC SELF-COMPONENT IN FERENCZI’S LATER PSYCHOANALYSIS

In the Ferenczi renaissance of the last few decades it has become more and more important to elaborate and reconstruct the general shape, the “Weltanschauung”, of his psychoanalysis. The construct of his “psychoanalytic anthropology” is based on the relational nature of individual existence. Relationality pervades the life narrative through the concept and role of the trauma and is crucial to the understanding of Ferenczi’s self-concept. He understood the human individual as essentially fragmented in a “preprimal” way, in which the split self contains the child, as an active, always present infantile component. Through powerful allegories like the “Orpha” or the “wise baby,” Ferenczi suggested an essentially post-modern idea of self that can be connected and differentiated from Winnicott’s True and False Self.     

The Failure of Clara Thompson’s Ferenczian (Proxy) Analysis of Harry Stack Sullivan*

After hearing Ferenczi’s talks on theory and practice in New York in 1926, psychiatrist Harry Stack Sullivan urged his friend and colleague Clara Thompson to get analyzed by Ferenczi so they could learn his technique. After saving for 2 years Thompson was a patient of Ferenczi for three summers and then moved to Budapest full-time for analysis until Ferenczi’s death. Two years after she returned to New York she attempted to analyze Sullivan. Analysis was broken off in anger by Sullivan after 14 months. Before the promised Ferenczian analysis began Thompson discovered Wilhelm Reich’s Character Analysis (1933) and she tried an aggressive attack on character with Sullivan rather than Ferenczian trauma-oriented “relaxation” and “neocathartic” therapy. Sullivan could not tolerate this. Because of their own unhealed trauma both individually and in relation to each other, neither Thompson nor Sullivan was able to advance Ferenczi’s views on trauma or its healing in America.     

Constructing the truth From ‘Confusion of tongues’ to ‘Constructions in analysis’1

The author hypothesizes that the papers Freud wrote in the period 1934‐9 constitute a fi nal turning point in his work resulting from an attempt to work through, by means of self‐analysis, early traumatic elements reactivated by the conditions of his life in the 1930s. The author emphasizes that the ups and downs of Freud's relationship with Sándor Ferenczi and the mourning which followed his death in 1933 played an important role in this traumatic situation. He suggests that through these last works, Freud pursued a posthumous dialogue with Ferenczi. This working through led Freud, in Moses and monotheism, to an ultimate revision of his theory of trauma, a revision which the author examines in full, in the light of the works of the Egyptologist, Jan Assmann. A new analytical paradigm emerges: that of constructions in analysis developed in the article of the same name. The activity of construction appears as an alternative to the mutual analysis proposed by Ferenczi and is closely bound up with the notion of historical truth. In psychoanalysis, it would mean constructing a historical truth whose anchoring in the material truth of the past is essential, though it should not be confused with it.     

Ferenczi's "Teratoma": A Result,not a Process

In Martin Stanton's 1990 monograph Sandor Ferenczi: Reconsidering Active Intervention , one of six exegetical chapters was titled "Teratoma", using Ferenczi's own word for malformations of (psychic) development. Since then, there has been a tendency in the larger Ferenczi literature to use "teratoma" as a metaphor, leading to the creation of many odd readings and contexts for this very specific, medical, anatomic term. When Stanton becomes expansive in viewing the teratoma as a "transitional object" which "negotiates a relationship between the growth of ideal-ego ideas in oneself and the outside 'influence' of inner systems of thought" (p. 176), he is entering the play-space that opened between Ferenczi and Groddeck during the 20s as Ferenczi's relationship with Freud became increasingly constricted. What this misses is that Ferenczi was a physician, as was Groddeck. For all their fanciful explorations of mind and body relatedness, for both Ferenczi and Groddeck there would be a shared background of certain basic terminology. In that medical terminology, "teratoma" refers to variable numbers of primordial germ cells in the embryo, which in the course of development become displaced, sequestered and grotesquely overgrown; they can never become the tissues they were meant to be. Their potential is forever squandered. "Monsters" they may be; "doubles" they may seem; but they are utterly non-viable. In his metaphorical application of the term "teratoma" to the natural history of (psychic) trauma, Ferenczi proposes a biological and psychological isomorphism that is both clinically illuminating and intuitively prophetic of the course of treatment of trauma, which he was discovering. Clinical and literary material are used to explore the gap between the anatomic teratoma and the psychic teratoma.     

Trauma and the Unconscious: Double Conscience,The Uncanny and Cruelty

Relatively little has been written on the role of trauma in conceptions of the unconscious. This paper explores Freud’s conceptions of the unconscious, comparing his ideas with the original French notion of “double conscience” and exploring their implications for technique. Whereas Freud’s concept of the unconscious mainly depends upon a theory of internal drives, Ferenczi’s ascribed a central role to trauma, shifting the focus to the individual in the context of relationships. The comparison is illustrated with a case history.     

Trauma and daimonic reality in Ferenczi's later work

Jung and Ferenczi made independent discoveries of an 'archaic' (Jung) or 'primordial' (Ferenczi) layer of the psyche that shone through the 'basic fault' in the psyche opened by childhood trauma. This paper explores those parallels through an extended vignette of Ferenczi's work with Elizabeth Severn, known as 'R. N.' in the Clinical Diary. A remarkable inner object known as 'Orpha' appeared in the patient's trauma experience and saved a seed of personality from total annihilation. Ferenczi's speculation about this 'daimonic' object is cited along with his discussion of a transpersonal immaterial reality that Orpha makes visible, and that links the patient's ego-experience with a spiritual/material unity not ordinarily available to consciousness.     

Trauma and the symbolic function of the mind

The relationship between trauma and the symbolic function of the mind is discussed in three parts. First, a short outline is given of the long‐lasting split within the field of trauma: it consists in a dichotomy between the symbolic and anti‐symbolic reading of the traumatic experience – as I have called it in a previous paper. In the second part, it is maintained that the work of Ferenczi represents an attempt at overcoming this split. In the third and last part, the notion of symbolic adaptation is introduced. The process of adaptation has to ensure the survival of the individual along lines capable to foster the hope that the lost equilibrium between the individual and his environment will one day be restored. This function is performed by symbols: by linking together the lost satisfaction and the hoped‐for wish‐fulfillment, by creating bridges between past and future, symbols enable us to adjust to the new environment without renouncing hope. Symbols are mediators between the pleasure principle and the reality principle. When a person is struck by trauma it is precisely this unifying function which is broken. A typical consequence of this situation is described by Ferenczi as a rupture between feeling and intelligence.     

Sandor Ferenczi: A Life Lived Dyadically

The life and theory of Sandor Ferenczi provide insight into both the historic admonition and the dangers of loving feelings in the therapeutic relationship. Ferenczi believed in the creation of mutuality in all analytic dyads. His refusal to subscribe to a hierarchical structuring of the treatment relationship led to his subsequent marginalization from the traditional psychoanalytic canon for nearly a century. On close inspection, however, he was a formative figure who laid much of the groundwork for current thinking about the intersubjective and relational approaches to treatment. Much of his life and theory can be understood through the lens of his relationship with Sigmund Freud. That relationship is closely scrutinized in the following historical examination.     

“So It Really Does Exist—The Sea-Serpent We’ve Never Believed in!” Ferenczi’s Influence on Freud Revisited

In the last phase of his work, Ferenczi created a new language for trauma, based on the fragmentation of mental life. In the paper on “The principles of relaxation and neocatharsis,” Ferenczi reformulated the goal of analysis by proposing that “no analysis can be regarded … as complete unless we have succeed in penetrating the traumatic material”, where the “traumatic material” was not to be sought in the neurotic reactions and adaptive solutions of the ego but in more primitive reactions, such as the psychotic turning away from reality, splitting, and fragmentation. This was exactly the material that Freud assimilated in the essay “A disturbance of memory on the Acropolis”, after the death of Ferenczi. Freud visited Athens in 1904, and the walk up to the Parthenon represented the successful coronation of his self-analysis. Actually, the hallucination turned out to be so uncanny that he never again visited Athens. In a letter to Fliess, written shortly before the meeting in Nuremberg, on January 24, 1897, Freud reported on a case history turning on a “scene about the circumcision of a girl,” who later was convincingly identified by Schur as Emma Eckstein. Did Freud have the germinal idea that Emma Eckstein’s hallucination of the penis contained the wish to overcome her trauma and the hope to have a restored genital? Is this the holy visitation, which haunted him on the Acropolis? Why did he give up the profound insight that the dreams of gigantic snakes had a traumatic origin?     

KLEIN,FERENCZI AND THE CLINICAL DIARY

The aim of this article is to revisit Ferenczi’s Clinical Diary (1932) to investigate the influence he had on Melanie Klein’s work. It starts from the position that insufficient recognition has been given to Ferenczi’s contribution to Klein’s body of work and her professional development. Her analysis with Ferenczi lasted 5 years, a relatively long analysis for the period. It explores his influence in three specific areas: the importance of raw and early emotion in the maternal bond, the importance of freedom and authenticity in the analytic relationship, and finally the use of transference and countertransference feelings. Ferenczi’s ill-fated experiment with mutual analysis will be discussed as it opened up a route to explore the analytic relationship, with important consequences for the future development of psychoanalysis.     

An extract of the analysis of the Monkey Puzzle Boy

Abstract

A client who wants his story to be made into a case history presents for psychoanalysis. An artist all his adult life, he expresses his sexual trauma through his art. His more recent artistic output is in the form of avant-garde video montages. The analysis stalls, becalmed by a failure to understand a circumcision event, a punishment for sexual expression. If Ferenczi and the Budapest school model learning from therapeutic errors, freedom of thought, sincerity, and experimentation, then this case history illustrates those. Real sexual trauma and a real circumcision event are entangled with fantasy and art in attempts to come to terms with them. The circumcision event was better understood with multiple readings of Carlo Bonomi’s work, which became part of the analysis. The wider Ferenczi community also became part of the story of the analysis, and in a kind of mutuality the analysis wants to make a contribution to that body of knowledge.