Anna Freud’s Diagnostic Profile: Then and Now

ABSTRACT

This article argues that Anna Freud’s diagnostic aim of assessing a child’s developmental status to obtain a picture of the child’s total personality remains central and relevant to contemporary child mental health. It introduces the work of a research group at the Anna Freud Centre which re-examined Anna Freud’s Provisional Diagnostic Profile (1965), in 2001 and again in 2016, to include contemporary developmental psychology and attachment research. The resulting 2016 revised Diagnostic Profile is published in this issue for the first time.     

Peter Heller's a Child Analysis with Anna Freud: the significance of the case for the history of child psychoanalysis

A Child Analysis with Anna Freud, a collection of Anna Freud's detailed case notes of her treatment of the young Peter Heller between 1929 and 1932, was first published in English in 1990. Not only does this work give us direct access to Anna Freud's ways of thinking and working at a crucial period in the early history of child analysis; it is also one of the few records of an adult reflecting in depth on the experience of being in analysis as a child. Yet to date this work has received little attention in the psychoanalytic literature. In an attempt to redress this neglect, the Heller case study is placed in the context of Anna Freud's emerging ideas about child analysis. In particular, its significance in the development of her psychoanalytic thinking is investigated in the light of her 1927 book, The Technique of Child Analysis.     

Anna Freud: The Hampstead War Nurseries and the role of the direct observation of children for psychoanalysis

The psychoanalytic tradition of direct observation of children has a long history, going back to the early 20th century, when psychoanalysis and the emerging field of 'child studies' came into fruitful contact in Freud's Vienna. As a leading figure in the attempted integration of direct observation with the new psychoanalytic knowledge emerging from the consulting room, Anna Freud played a crucial role in the emergence of this field. But her major contribution to the theory and practice of observing children came during the Second World War, when she founded the Hampstead War Nurseries. The author describes in detail this important period of Anna Freud's career, and discusses the impact it had on later work. He explores the theoretical contribution that Anna Freud made in the post-war years to the debate about the place of direct observation in psychoanalysis, and concludes that Anna Freud's 'double approach' (direct observation plus analytic reconstruction) still has a great deal to offer as a method of both psychoanalytic research and education.     

Wandlerin zwischen den Welten

Anneliese Schnurmann belongs to the first generation of Anna Freud’s coworkers in the war nurseries and psycho-analytical child experts, as pediatric analytical training was called, which were established by Anna Freud. Although Anneliese Schnurmann later completed a training at the British Psychoanalytical Institute as an adult psychoanalyst, she remained a lifelong follower of Anna Freud’s concept. This might be due the fact that she had found a replacement homeland as had many emigrants from Germany and Austria in the circle around Anna Freud. Even during her time in Berlin, Anneliese Schnurmann, who was befriended with the Bonhoeffer family, established the “Jugendstube Charlottenburg” (Youth Home Charlottenburg) for unemployed youth, together with Dietrich Bonhoeffer.     

Anna Freud's Analysis by Her Father: The Assault on the Self

Sigmund Freud's analysis of his daughter, Anna, continues to create many troubling questions: For example, in terms of his own theory did Freud envisage the transference reactions of his daughter in her analysis with him? How are we to understand Anna Freud as a well-trained analyst in terms of the inevitable limitations of her analytic experience with her father? Menaker explores the ethical effects of this analysis in regard to fundamental problems in psychoanalytic theory and therapy.     

Freud's metapsychological speculations1

In this paper, the author seeks to analyse the nature and function of metapsychological theory in Freudian psychoanalysis. He shows that Freudian psychoanalytic theory is composed of an empirical part‐the psychology of clinical facts‐and a speculative part‐metapsychology. Freud considers this latter part as being a speculative superstructure of value that is only heuristic, capable of being supplanted by other superstructures of the same type. The author sustains the idea that this metapsychology is the fruit of speculative method, whose foundations were elaborated by philosophers and epistemologists before Freud, including Immanuel Kant and Ernst Mach. He concludes with considerations regarding the future of metapsychological theorisation, presenting criticisms of Freudian metapsychology offered by both philosophers and psychoanalysts, and pointing to the perspective opened by Donald W. Winnicott of a psychoanalysis without metapsychology.     

An Overview of Joseph Sandler's Key Contributions to Theoretical and Clinical Psychoanalysis

Joseph Sandler was instrumental in bringing about what Ogden (1992) has termed the “quiet revolution” in psychoanalytic theory over the past several decades. His accomplishments reflected his capacity to combine empirical research skills with the highest order of understanding of psychoanalytic theory. From the more traditional frame of reference acquired through his analytic training, Sandler gradually evolved a complex integration of ego psychology and object relations theory that has become increasingly dominant. Throughout this process, Sandler strove to keep theory tied to clinical activity. While most analysts pay lip service to the intimate relationship of theory and practice, Sandler, using the Hampstead Psychoanalytic Index as his framework, researched the applicability of psychoanalytic concepts to the clinical setting. This resulted in reconceptualizations of some of the basic building blocks of psychoanalysis. His training as an experimental psychologist gave him a fresh perspective on traditional concepts, which he supported and altered on the basis of empirical research. His immersion in child development at the Anna Freud Centre also influenced his intellectual development.     

Observing,playing and supporting development: Anna Freud’s toddler groups past and present

This paper describes an approach to working therapeutically with parents and toddlers in groups as practiced at the Anna Freud Centre. By intervening early to prevent later disturbance, the parent–toddler groups continue the tradition begun by Anna Freud in the Jackson Nursery in Vienna, the War Nurseries in and around London, and the Hampstead Clinic following the Second World War. Common features include the commitment to working with children and their parents, to observation, training and research, and to finding techniques that address developmental needs, delays and disturbances. Just as children select the specific therapeutic elements they need from a classical child analytic setting, parents and toddlers select what they need from what Anna Freud described as the various ‘therapeutic possibilities’ provided by the parent–toddler groups. The parent–toddler relationship is supported during a period which is crucial for future development, difficulties are identified and addressed before they become entrenched, and, where necessary, timely referrals are made to clinical services on the basis of the trusting relationships developed between the staff and parents in the groups.     

Melanie Klein and Anna Freud: The discourse of the early dispute

Divisions in the field of the psychoanalysis of children can be traced to a dispute over the infantile super-ego between the theorists Melanie Klein and Anna Freud beginning in 1927. These divisions are understood within the analytic world as the result of scientific disputation between alternative valid theories. An examination of the language, claims, and epistemology of Klein's and Freud's publications in 1927 that marked the public commencement of the conflict, reveals a personalized discourse in which authority was derived from the allegiance, experience, and personal analytic standing of the contestants as much as from theoretical insight. The structure and rhetoric of the debate suggest that, rather than terminating the dispute, the publications of 1927 served to encourage professionalization in child analysis and establish Anna Freud and Melanie Klein as authoritative alternative theorists.     

We’re Not in Kansas Anymore,or How I Learned to Embrace My Inner Minecraft

This article briefly describes the history of the use of toys in child psychotherapy, from its early years with Anna Freud and Melanie Klein through modern electronic devices. The function and purpose of the use of toys is discussed with an eye toward what is the same as the field’s early pioneers and what might be different. Ultimately, the author contends that it is how the players use the toys and games in their relationship that is primary, echoing sentiments voiced by Anna Freud many years ago before the advent of Minecraft, GoPro, and smartphones.     

Letter to Freud: on the plight of psychoanalysis

In the form of a letter, the writer communicates to Freud her appreciation for the incomparable richness and complexity of the psychoanalytic enterprise in its century-long evolution from classical, Freudian origins to new developments in theory and technique. At the same time, concern is expressed about the continuity and survival of psychoanalysis in a cultural milieu that has absorbed its once radical ideas about sexuality and unconscious motivation while resisting its viability as a method of treatment.     

Burial and resurgence of projective identification in French psychoanalysis

Curiously enough, the concept of projective identification was ignored, and even rejected in France for at least two decades after the publication of the founding texts of Melanie Klein and Herbert Rosenfeld. This rejection was due to a critique from child psychoanalysts close to Anna Freud and also from the teaching of Lacan: the first took the real mother–child relation extensively into account, while the latter only saw the internal object as a signifier. The fact that during this period the countertransference was a concept reduced to its negative content no doubt explains this deliberate ignorance. With the dissemination of a broader and more positive conception of the countertransference, a renewal of interest could be observed in the 1980s with references to empathic listening and to the effects of thought‐induction.     

Infantile sexuality: Its place in the conceptual developments of Anna Freud and Donald W. Winnicott

This essay explores the place of infantile sexuality in the theories of Anna Freud and Donald W Winnicott. Both Anna Freud and D.W. Winnicott incorporated and at the same time changed the classical psychoanalytic account of infantile sexuality and the instinctual drives. Whilst Anna Freud remained closer to her father's original conceptualization, she developed a multidimensional model of development which gave the drives a foundational status whist also maintaining their significance in giving meaning and texture to children's subjective experience. Winnicott also retained much of S. Freud's original theorizing except that in a fundamental way he turned it on its head when considering earliest development. For him the establishment of the self was paramount, and the drives and infantile sexuality merely served to give substance to that self.     

The Plausibility of a Feminist Philosopher’s Take on Freudian Analysis

The analytic tradition of thought in the West started in the late nineteenth century with what is known as ‘linguistic turn’ in philosophy. But as a methodological movement, it impacted other areas of knowledge as well. Feminist scholars react to the analytic tradition of thought in many various ways. Many of them critique and challenge the tradition. The present paper aims at a review of a feminist take on Sigmund Freud who imported analytical tradition in psychology at the beginning of the twentieth century. Luce Irigaray questions the legitimacy of Freudian analysis and challenges the claim of neutrality of Freudian discourse by accusing that Freud works within a patriarchal-biased ideology. About the logical basis of Freudian discourse, Irigaray alleges that a logic of indifference is at work there. But how far has Irigaray, as a feminist, been successful in showing the biases and loopholes in Freudian discourse? This paper attempts to show that the Irigarayian line of argument and critique of Freud does not offer a stronger and plausible feminist stance.

     

Life and death in Freudian metapsychology: A reappraisal of the second instinctual dualism1

In this paper we re‐examine the second instinctual dualism hypothesis introduced by Freud in Beyond the Pleasure Principle. We suggest that the life instinct hypothesis as something opposed to the death instinct does not seem to fit into this theory easily. On the other hand, death instinct turns out to be an internal necessity of Freudian metapsychological theory from the beginning of Freud ’s metapsychological writing. We shall argue, based on the ideas formulated in Beyond the Pleasure Principle and in later metapsychological texts, that Freud could not wholly justify the existence of an opposition and a symmetry between the two classes of instincts. Even though up to his last works Freud held on to this instinctual dualism, again and again his arguments lead to the idea that the life instincts should be regarded, ultimately, as death instincts.     

Freud's paternity crises

This article reexamines the interpretation of the significance of the Aliquis slip and related materials in terms of a family crisis in 1900 involving Freud, Anna Freud Bernays and their youngest sister Paula. It contends that Ernest Jones and Anna Freud later hid this story from history, largely for family reasons. It supports this contention by drawing on Ernest Jones and Anna Freud's archived letters, Anna Freud Bernays’ memoirs, the complete Freud‐Fliess letters and other historical sources and compares them to The Origins of Psychoanalysis and to Ernest Jones’ biography of Freud. It shows how events during the crisis manifested themselves in Freud's On Dreams, the Aliquis slip, and the banking error story. It rejects Peter Swales’ hypotheses about Freud and Minna Bernays being part of the Aliquis slip, but accepts Didier Anzieu's idea that Minna Bernays was the subject of the banking error story. It shows that the motive for the historical repression of the story began with Freud, but was over determined and included guilt and pain that developed when Paula and other sisters got caught up in the Nazi takeover of Austria.     

Revised Diagnostic Profile 2016: Revisions,Rationale, and Further Thoughts

ABSTRACT

In 2001, a working party at the Anna Freud Centre undertook the task of looking at Anna Freud’s original Provisional Diagnostic Profile and seeing if, in the light of current knowledge, modifications should be made. A broad view of the mind as a complex dynamic system sculpted out of biopsychosocial forces underpins the chapter with reference to allied disciplines and research. The chapter considers the rationale for adding certain features and highlighting and/or reframing others. In shifting the emphases from the original drive theory perspective to an explicitly object relational one, the authors acknowledge the altered metapsychology while arguing that the revisions preserve the original psychoanalytic and developmental template, including the importance of the psychosexual organization. The authors offer their suggestions to the question in 2015: would yet further revisions need to be made and if so which? The working party reconvened in 2016 to further revise the Provisional Diagnostic Profile.     

Revised Provisional Diagnostic Profile: 2016

ABSTRACT

In Anna Freud’s and other previous versions of the diagnostic profile, drive theory and the structural model were the central organizing concepts. Though these are retained in the current version, greater emphasis has been made of other conceptual perspectives. In particular, the importance of understanding the impact of the child’s external world and the child’s attachment security; also the central importance of affects, both their recognition and management. These changes are seen in such sections as those on the ego which has been expanded to include a section on play and affects. The developmental line of anxiety and the concept of theory of mind have also been added.     

Anna Freud and Observation: Memoirs of Her Colleagues from the Hampstead War Nurseries

ABSTRACT

Initially, Anna Freud did not wish to carry out systematic observations; rather, she wanted to be in the field while maintaining an analytical attitude with a free-floating attention. Based on memories of her employees Manna Friedmann, Anneliese Schnurman, Hansi Kennedy, and Joyce Robertson, this article discusses the way in which Anna Freud taught them to observe the children. She also observed those very colleagues who were observing, in order to be able to convey to them, a psychoanalytic view of the children.