Being, thinking, creating: when war attacks the setting and the transference counter-attacks

When trauma enters into the reality of the analyst and of the analysand, when it attacks the setting, what becomes of the analyst’s role? How can transformations be brought about? With reference to three clinical situations, the author attempts to explore how the articulation between transference and countertransference – the inter‐relation – structures the situation; the analyst must remain in his or her role as analyst through managing to create and to reflect upon the clinical aspects of that situation when faced with the unpredictability of what war brings in its wake. It then becomes possible to see how the work of the negative can be confined to the outer limits of the setting.     

Art within analysis: scapegoat, transference and transformation

Through clinical example and pictorial illustration, the author examines ways in which art offers a particular means of psychological transformation in states which may otherwise be in expressable. A transference to the art work itself is proposed. It is submitted that, mediated within the transference/ countertransference dynamic, this 'scapegoat transference' facilitates a particular process of psychological differentiation. The aesthetic qualities of art presented within analysis will resonate with other countertransference affects. Clinical material demonstrates how observation of this--aesthetic countertransference--leads to a distinction between the 'diagrammatic' and the 'embodied image. The process of integration of shadow material is furthered by the temporary safe-keeping of the art work by the analyst.     

Subject in first person--subject in third person: subject, subjectivity, and intersubjectivity

In this article, the author traces the history of the concepts of subject, subjectivity, and intersubjectivity in different psychoanalytic theories in the last decades. She argues that the uniqueness of these concepts and their different implications were not emphasized enough. The author discusses the various implications and contexts of the concept of subject in psychoanalytic theory proper and to relate as to: (1). The need to distinguish between the concepts of subject and subjectivity; (2). The mutual interdependence of the subject and his subjectivity and the intersubjective domain (both in the development of the individual and in theoretical thought pertaining to it). Her point of departure is from the position of the subject as a free creature, the centrality of the experiencing individual, from his/her perspective—the subject in the first person. She tries to explain the paradox implicit in the experiential dimension, the place of the other as participant, as both negating and recognizing—the subject in the third person. She suggests the interdependency of the first-person experience of subjectivity on the intersubjective dimension.     

On the edge: The psychoanalyst's transference1

Countertransference is a central topic in analytic work and in the literature. The concept of countertransference includes a basic question which has been understood in different ways. The author attempts to differentiate between the psychoanalyst's transference and his countertransference in the analytic process. It is hard to draw a line between them; analysts are always on the edge. The analyst's transference will be explored and described using three approaches: narcissism, regression profile and the analyst's phase of life. Regression profile is a new concept developed by the author, which may help us to understand the core of the analyst's transference in the analytic situation. She illustrates the topic by clinical vignettes.     

Art, dreams and active imagination: a post-Jungian approach to transference and the image

The term active imagination is sometimes applied rather uncritically to describe all forms of creative activity that take place in depth psychology. Whilst there are many forms of expression that evoke or are evoked by active imagination, they cannot automatically be classed as active imagination. In this article investigation of visualized mental imagery, dreams and art reveals three distinct forms of image-based psychological activity. Integrated and mediated within the transference and countertransference dynamic, it is proposed that the engagement in active imagination reflects and is influenced by the transference. Distinctions between sign and symbol, simple and big dreams as well as diagrammatic and embodied imagery clarify the differences. Examples from clinical practice demonstrate each mode in action within the analytic frame.     

The death of an analysand: transference, countertransference and desire

This paper is offered as an exploration of transference and countertransference issues when, in the process of analysis, the analysand becomes terminally ill. Written from the point of view of the analyst, eros and boundary issues are discussed. It is proposed that those who are about to die may form particularly intense erotic attachments and that this is characteristic of a speeded up individuation process. The paper is based on the case of a suicidally depressed man who formed an immediate, dependent and erotic transference. After three months, he was diagnosed as having an inoperable lung cancer. From then on the analytic frame was challenged by pressures to act out in a number of different ways. It is argued that gender difference and the heterosexual pairing facilitated the differentiation of adult, sexual and Oedipal feelings from infantile, pre-Oedipal ones. Maintenance of the analytic frame enabled the individuation process to continue to the end.     

The case of Marcello: transference and the unfolding of the analytical relationship

The analytical process of a male patient is herein described, the main focus being on the phase when the transference develops and transference projections are modified, leading to a transformation of the personality, which was previously characterized by severe obsessional defences. The specific aim of the discussion is to evaluate when and what to interpret, in relation to the importance of the transferential patterns and with regard to the role of the analyst as a container.     

Reading minds: Mentalization,irony and literary engagement

The concept of ‘mentalization’ has recently provided a fertile resource for thinking about various issues in psychoanalysis, including attachment, children’s play, personality disorders and the work of interpretation within the analytic setting. Mentalization also provides fruitful ways of thinking about how we read. This paper will suggest that book reading is akin to mind reading: engaging with certain literary texts is akin to understanding the minds of others from the subjective perspective required by mentalization. This way of thinking about literature provides a useful way of understanding its value. The paper will focus specifically on the uses of irony and free indirect speech in Jane Austen’s novel Persuasion. Austen’s use of literary techniques provides a way of understanding the inner lives of her characters via the ironic voice of the implied author, and requires the reader to engage in the kinds of understanding and insight required for mentalization.     

Impervious and intrusive: The impenetrable object in transference and countertransference

The author describes an internal object that he calls the ‘impenetrable object’ which has two characteristics: being impervious to the projections from the patient and being intrusive, i.e. projecting into the patient. It arises out of an early relationship with a mother who may be generally disturbed or traumatized so that she is unable to take in or tolerate the child's projections and may use the child as a receptacle for her own projections. He links the concept of an impenetrable object with other concepts such as Williams's ‘reversal of the container–contained relationship’ and Green's ‘dead mother’. If such an object dominates the patient's internal world, it can lead to severe difficulties in the analytic process. Interpretations may be experienced as violent projections from the analyst which the patient has to ward off and the analyst may enact an impervious or intrusive object in various ways. The author describes a case in which such dynamics played a significant role. He argues that intensive work in the countertransference is required to detect subtle enactments and allow a shift in the analyst, which in turn can enable change in the patient. He gives clinical material that demonstrates such work by the analyst and illustrates the shift from an impenetrable object to a more permeable one in the patient's internal world.     

Origin and destiny of subjectivity: from professional roles to treatment processes,through an interpretation of the remains of the day by kazuo ishiguro

This reflection addresses a very important topic for care professions, with a special look at psychotherapy. To clarify the role of subjectivity and the birth and maturation of a professional role, I will present an analysis of a literary text through which it will be easier to find out how the identity of a professional role is formed and starts to mature and get codified. In particular, what are the risks associated with its rigid codification to its technical normative? I intend to draw a comparison with some subjectivity building forms that have founded the Western human’s model in its professional articulations over the centuries.     

Scotland: religion,culture and national identity

In this initial article of the International Journal for the Study of the Christian Church's special issue on Perspectives on the Church in Scotland, as well as offering a wider context for the contributions that follow, I want to explore what connections in general might be said to exist between Scottish identity and Christianity, and then, more particularly, the impact of religion on the country's artistic culture, written as well as visual. Even those whose interest in the Scottish dimension may be marginal at best may find the discussion of broader relevance, since all nations now face to varying degrees the problem of how to relate their present pluriform identity to a narrower past. England, for instance, is ethnically much more diverse than its near neighbour and so struggles to find an appropriate contemporary self-definition. This can be seen reflected in the way in which politicians, in speaking of ‘British core values’, often merely reiterate what are universals in the western world, such as democracy, equal respect before the law, gender equality and so on, as with Nick Clegg's recent list on the Today programme on Radio 4 (10 June 2014) in which Gordon Brown's similar list during his premiership was simply reiterated. Others, though, continue to wrestle with what appeal to England's past history might mean and even with whether the established Church might have some continuing role within it, with the philosopher Roger Scruton offering a particularly intriguing instance in his Our Church: A Personal History of the Church of England (2012).     

Reasoning Together: Temptations, Dangers, and Cautions

In the appropriate contexts reasoning is a powerful tool for producing intersubjective agreement about what counts as the best answer to a question that generates inquiry; sometimes employing arguments can lead to agreement about what is the right answer. In this paper we hope to show, however, that unabashed optimism about the power of argument is misplaced. Such optimism rests on an implausible picture of the power of articulation. Sentences cashed out as reasons to believe another sentence is true cannot bridge large gaps in substantive understanding. A failure to realize this fact, moreover, leads to an uncautious and unreflective optimism about the power of argument that ultimately threatens the very reasons-giving process. What is needed, then, is a much more modest sense of the role of argument.     

Learning from the patient: The East,synchronicity and transference in the history of an unknown case of C.G. Jung

This article presents the history of one until now unknown case of C.G. Jung: Maggy Reichstein. Born in Indonesia in 1894 in a very aristocratic family, she brought her sister to Zurich to be treated by Jung in 1919, and later she herself was in analysis with him. Jung used her case as example in his lecture in 1937 on the realities of practical psychotherapy, relating it to the process of transference and countertransference. Jung deepened his studies in Eastern psychology after a series of dreams she had, which culminated in the Yoga Kundalini Seminars. She was also the case presented in his article of 1951 on the concept of synchronicity. Jung wrote that her case, concerning synchronicity, remained unique in his experience. Jung also published some of her mandalas. He considered her able to understand his ideas in depth. Reichstein was for Jung an important case, which challenged and triggered his interests in different subjects.     

Trauma, Shame, and Group Psychotherapy: A Self Psychology Perspective

This paper attempts to define trauma from a self psychology/intersubjective perspective and explores shame as a basic aspect of trauma. Self psychologically oriented group therapy is examined as an effective treatment modality for dealing with issues of shame as well as the after effects of trauma.     

On psychic reality and neutrality: Empathy and the work of construction in countertransference

Abstract

The clinical challenges faced in encountering patients who do not fit the standard treatment of Oedipus conflicts clearly show the limitations of the interpretative method, thus making indispensable the study of clinical concepts and techniques as a way to broaden the psychoanalytic horizons. In order to analyse the different psychopathological problems resistant to traditional clinical approaches, it is necessary to reorganise the technique on the basis of a better understanding of the ways in which subjectivity is rooted in early psychic constitution. In this way, empathy becomes important as a clinical tool. The use of empathy must be understood as a decisive factor in handling clinical cases and situations in which the treatment encounters obstacles that restrict the power of the analyst's verbal interventions.In this case, can we say that the use of empathy interferes directly with and changes the position of the concept of psychic reality? Moreover, as we use empathy, can we also say that the concept of neutrality is transformed, without being abandoned? The intention of this paper is to discuss these questions using clinical material taken from the analysis of borderline clinical cases and situations.     

Nature, Interthing Intersubjectivity, and the Environment: A Comparative Analysis of Kant and Daoism

The Kantian philosophy, for many, largely represents the Modern West’s anthropocentric dominance of nature in its instrumental-rationalist orientation. Recently, some scholars have argued that Kant’s aesthetics offers significant resources for environmental ethics, while others believe that Kant’s flawed dualistic views in the second Critique severely undermine any environmental promise that aesthetic judgments may hold in Kant’s third Critique. This article first examines the meanings of nature in Kant’s three Critiques. It concludes that Kant’s aesthetic view toward sensible nature is indeed inconsistent. The article, however, also suggests that the “I” as “transcendental apperception” discussed in the paralogisms of the first Critique holds some promise of “interthing intersubjective” thinking. The second half of the article demonstrates that Daoism with a dialectic concern similar to Kant’s has something insightful to offer in its idea of interthingness based on a phenomenal account of nature. The article investigates important Daoist ideas of interthing analogical experience, qi, spiritual exercise, and wuwei in its dialect relation to zizan. By bringing Daoism and Kant into dialogue, the author hopes to bring forth a synthetic approach that is better suited to today’s environmental concerns.     

On the impact of words: interpretation,empathy and affect regulation

This paper offers a contribution towards furthering our understanding of a theme more usually associated with the Freudian tradition, namely the role and function of words as action, particularly in relation to the representational process and its somatic roots. Some reference to neuroscience research will be offered in this respect. It also considers the value of differentiating Empathy from Empathism, as defined by the Italian psychoanalyst Stefano Bolognini who distinguishes informing complementary countertransference from states of over‐concordance. Two analytic sessions taken from the intensive analysis of a deeply deprived late‐latency child showing violent behaviour are provided with the aim of illustrating the application of these concepts. It is argued that, given the same elaboration of the countertransference and the adequate empathic position on the part of the analyst, the difference in the outcome of the interpretation was made by the specific use of words—in this case the use or not of the personal pronoun―in the two sessions. As the case material is taken from the clinical work of a supervisee, some elements regarding the supervisory situation are also discussed in the paper.     

Intimate Partner Violence, Welfare Receipt, and Health Status of Low-Income African American Women: A Lifecourse Analysis

Although the association among intimate partner violence (IPV), welfare receipt, and health status has been well-established, little is known about the temporal sequencing of these events. In a random sample of low-income African American women in an urban Midwestern county, lifecourse data about IPV and welfare receipt were obtained using the Life History Calendar method (D. Freedman, A. Thornton, D. Camburn, D. Alwin, & L. Young-DeMarco, 1988), along with data about mental and physical health status. Controlling for relevant factors, longitudinal analyses found that previous experience of IPV increased women's odds of receiving welfare benefits in a given year, but previous welfare receipt did not. Cumulative IPV, but not cumulative welfare receipt, was associated with current and past-year health problems. These findings are consistent with the hypothesis that IPV leads women to turn to welfare assistance, and that compromised physical and mental health due to past cumulative IPV interferes with women's gainful employment.     

Projective identification,containment and sojourn in the psyche: Clinical notes on a specific type of transference-countertransference interaction

Abstract

This paper suggests that the interplay between transference and countertransference is considered to be a valuable channel of communication. The author puts an emphasis on the containing function of the analyst. The patient strives for an experience of an object (analyst) that tolerates and copes with the patient's projections. There are some moments when analysts feel themselves to be invaded, controlled or abused by their patient's products. As Bion has postulated, this situation takes the form of a sojourn in the analyst's psyche. Clinical vignettes are given to provide support for the ways in which the analyst contains and elaborates the projections of the patients in his or her own mind and the therapeutic role that these processes have.     

Acting,feeling and thinking: psychoanalytic psychotherapy with Tracey

This paper consists of a case study and commentary which formed a part of the inaugural lecture in a series entitled ‘Working with Psychosomatic Issues’*. The audience consisted of psychoanalytic, body psychotherapy and integrative practitioners. The presentation was divided into three parts, (1) an outline of philosophical themes that inform perspectives on health, illness and psychosomatic phenomena, (2) the case study reproduced below and (3) a summary of Winnicott's work (1960, 1966, 1988) on ‘the indwelling of the psyche in the soma’. The case study describes work with a young woman who harms herself through self-hitting and, in addition, expresses other physical manifestations of psychological distress. The core approach of the practitioner is psychoanalytic. The work is informed also by postmodern sensibilities and phenomenological themes.