Sexual Outcasts: The Perceived Impact of Body Weight and Gender on Sexuality1

A person's weight may be perceived as an important aspect of his or her sexuality and a significant determinant of his or her interpersonal sexual experiences. However, researchers interested in body weight and sexuality have focused exclusively on sexual disorders found in individuals with eating disorders; consequently, little is known about people's beliefs about weight and sexuality, despite the individual and interpersonal significance of such beliefs. Undergraduates received information about a male or female, obese or normal-weight stimulus person and then evaluated that person along several dimensions related to sexuality. Participants believed that an obese man's sexual experiences would be highly similar to those of a normal-weight man. However, participants viewed an obese woman as less sexually attractive, skilled, warm, and responsive, and perceived her as less likely to experience desire and various sexual behaviors than a normal-weight woman. In addition, participants believed that an obese woman was less sexually attractive, skilled, warm, and responsive than an obese man.     

The analyst's excitement in the analysis of perversion

The author believes that unconscious sexual excitement in the transference and countertransference is an especially problematic aspect of the analysis of perverse character pathology and that perverse sexual gratifi cation deserves a more prominent position in the clinical theory of analyzing perversion than that which has been assigned tacitly through analysts' routine focus on the defensive and destructive dynamics of perversion. He presents clinical material from the analysis of a perverse patient that illustrates the role of excitement in the transference perversion established in this analysis; and he asserts that gratifying perverse enactments occurring in the transference perversion can appear not only as conscious or unconscious excitement in the transference but also, at times most clearly, as the analyst's excitement. The author suggests that using a clinical theory that supports the analyst in understanding his excited responses as perverse countertransferences-i.e. evoked excitement complementary to the sexual component of a perverse transference-will assist him in locating and thinking about gratifying, perverse excitement in the transference where it is most usefully analyzed. Finally, he discusses some of the reasons why analysts might deny, suppress or otherwise avoid perverse countertransferences and in so doing contribute to sustaining perverse resistances.     

Sadomasochism in the perversions: some thoughts on the destruction of reality.

The author summarizes and develops some of her viewpoints on the perversions (outlined in several of the books and articles she has written). For her all the perversions, whatever their content, develop against an anal sadomasochistic backdrop. Their aim is to destroy reality. Reality, from a psychosexual perspective, may be defined as resulting from the existence of the father separating the mother and the child. This may be formulated in another way: reality is recognition of sexual and generational differences. Or, yet again: mother and father have a procreative sexuality, whereas the child does not. This leads to the idea that the destruction of reality is equivalent to destruction of the paternal universe. Clinical case illustrations are provided, one of which centers on the assassination of an old man who, besides representing a paternal oedipal image, also represents reality itself. This case illustrates in concrete form the murder of the father, and hence of reality, accomplished by the pervert when he eradicates the paternal dimension of psychosexuality by regressing to the anal sadomasochistic dimension.     

Sadomasochistic relating: what's sex got to do with it?

The sexuality in sadomasochistic relating is most often viewed as defensive, functioning to erotize the repetition of earlier trauma, as a defense against painful affect, or as masking early, nonerotic needs for recognition and autonomy. However, this emphasis on the nonerotic dimension of so-called sexualized experience leads to symbolic interpretations of sexuality; this "deliteralization of sexuality" requires some embodiment in the concrete and literal, or metaphor is delinked from that which it is derived. Without discounting the validity of such formulations, this paper aims to put the drive (libido) back into formulations of sadomasochistic relations, and discusses the erotic dimension in sadomasochistic relations as an irreducible, hidden structure that both threatens and sustains the destructive attachment. It is suggested that sexuality is a driving force behind sadomasochistic interplay, while aggression may be recruited for defensive, concealing purposes. Through a case illustration, this paper demonstrates how sadomasochistic relating is symbolically penetrating, teasing, withholding, and intensifying in hate-inducing ways, all of which are designed to gratify and simultaneously harden the other. In many cases, sadomasochistic sexuality may be viewed as aggressivized, paradoxically, to maintain safety under the regressive pull of sexual and preoedipal longings.     

Ordinary Sadism in the Consulting Room

The analyst’s retaliatory sadism can be construed as a perversion of the wish to penetrate, just as masochism can be viewed as a degradation of the desire to surrender. When a patient refuses to speak any other language but that of domination and submission, ordinary attempts for communication and recognition fail. In her attempt to reach the patient, to reinstate herself as an active agent and subject, and also to dislodge the patient from a rut of despair, passivity, or malignity, the analyst may escalate to a sadistic response, even if she suspects that this might cause the patient pain. This type of sadomasochistic enactment can gather strength when disowned self-states of analyst and analysand are activated. In this process, an analytic interpretation, seemingly legitimate, can be used as a knife, a weapon, an instrument of retaliation and sadistic control. The disastrous potential of the analyst’s sadism is easy to imagine. Through a couple of clinical vignettes I will demonstrate that even something as lamentable as the analyst’s sadistic retaliation can lead to growth as long as such sadism can enter the analytic dialogue and the patient is allowed to perceive and reflect upon the analytic misbehavior, and the analyst is willing to join the patient in the quest to understand their co-created predicament.     

Private Terrors Sexualized Aggression and a Psychoanalyst's Fear of Her Patient

This clinical paper explores the meanings and evolution of an analyst's reaction of fear in relation to her patient's sexualized aggression. From both an intrapsychic and an intersubjective perspective, the author analyzes the coconstruction of this transference—countertransference phenomenon. Case vignettes illustrate the author's attempts to address her patient's sexualized aggression while struggling to free herself from the feelings of intimidation and fearfulness stirred by his sadomasochistic fantasies and patterns of interaction. The analyst's unconscious identification with the patient's disowned femininity and narcissistic vulnerability is seen as central to this countertransference “stranglehold.” Release from the analyst's masochistic position comes through a shift in her own affective participation. The importance of the analyst's recognizing her own unconscious contributions to this sadomasochistic dynamic is emphasized and elaborated. Discussion also focuses on the relevance of gender to the issue of countertransference fear, as illustrated in this particular male patient—female analyst dyad.     

Is there life without mother?

Clinical and literary materials are presented to illustrate the compulsive need some children (frequently abused and/or deprived ones) continue to feel as they grow up for submission to and identification with the earliest parental figure. Intrapsychic loss is threatened by intense murderous hatred felt toward a parent without whom the child's survival is not possible. Conflicts over sadomasochistic fantasy, feeling, and action are used to hold on to the parent within and without the mind, and these can dominate the child's life.     

Perceptions of Postdrinking Female Sexuality: Effects of Gender,Beverage Choice,and Drink Payment1

To examine the postulate that the drinking woman is viewed differently than her nondrinking counterpart, two experiments were conducted. In Study 1, 174 subjects completed an alcohol expectancy questionnaire that was modified to assess expected alcohol effects on another person: young man or young woman. The woman was perceived as being more sexual after drinking than was the man. These perceptions were also influenced by expected alcohol dosage, subjects' gender, and drinking experience. In Study 2, 176 subjects read a vignette depicting a woman having drinks with a man. To manipulate the stimulus woman's consumption and the drink payment arrangement, 8 versions of the vignette were employed: The woman was described as drinking cola or alcohol (beer, wine or whiskey) and as paying for her own drinks or allowing the man to “pick up the tab”. Subjects rated the drinking woman as significantly more aggressive, impaired, sexually available, and as significantly more likely to engage in foreplay and intercourse. Perceptions of her sexual disinhibition and likelihood of sex play were significantly enhanced if the man bought the drinks. Compared to their own perceptions of her, subjects estimated that her date would see her as significantly more disinhibited and socially skilled and as less impaired. The alcohol-drinking woman was also seen as less attractive than her cola-drinking counterpart. Practical implications regarding stereotypes about cross-gender drinking situations and theoretical implications regarding alcohol expectancy research are discussed.     

Fire,Light, Sound,and Music: Elements of Emotions in the Work of Mechthild of Magdeburg and in a Text from an Unknown Provençal Troubadour

In her book The Flowing Light of the Godhead, Mechthild of Magdeburg, a 13th-century German mystic, describes the inner experiences that have occurred over her lifespan. She thereby gives insight into an extraordinary process of individuation in a woman who lived in the so-called dark times of the Middle Ages. Her writing is full of emotion, fire, and love. For her “the Godhead is a burning fire” and the human soul is “a living spark in the great fire of the exalted majesty.” A second and much shorter text written by an unknown Provençal troubadour shows a bewildering experience of love and the effort of this man to connect the experience with his traditional Christian God-image. Not unlike the alchemists, he strongly includes the sensual world as part of his encounter with the divine. Both texts give insight into aspects of eros in medieval mysticism.     

A case of sadomasochistic transference: the analyst's contributions to perverse enactments

A young woman who came for treatment of anxiety and depression is presented in a detailed case report. She developed an erotized transference that was predominantly sadomasochistic and included her intention to torture and castrate the analyst. The author demonstrates how the analyst's behavior, including countertransference contributions, assisted in shaping the vicissitudes of sadomasochistic transference paradigms. A collusion was established between patient and analyst in a manner that enabled the analytic dyad to work productively toward an eventual resolution of the patient's conflicts. The author discusses the case's complexities pertaining to enactments, while emphasizing the importance of carefully monitoring and addressing countertransference experiences that mold and shape such a collusion.     

Accepting "total and complete responsibility": new age neo-feminist violence against women

Barry Konikov, a hypnotherapist, of Potentials Unlimited Inc., a Michigan-based company which produces approximately 160 Subliminal Persuasion/Self Hypnosis tapes, promises his listeners miracles. The tapes on premenstrual syndrome, abortion, and sexual abuse were analyzed. The self-hypnosis message by Konikov is dangerous for women, because his antifeminism, misogyny, and patriarchism are couched insidiously within New Age neofeminism. Under therapeutic guidance the woman listener can direct her own transformation to complete mental, physical, and spiritual well-being, and her new and improved self is so empowered as to accept total and complete responsibility to overcome the hurt about menstruation, abortion, or sexual abuse. Growth therapies such as Gestalt, guided fantasies, and bioenergetics undermine women with false promises of power. If women are so powerful, then it is their fault if they got raped, or battered, or if they have not received love, money, and inner peace. While seemingly empowering women to develop a strong sense of personal agency, Konikov ignores the patriarchal structures which intersect his women listeners' experience of menstrual discomfort, abortion, and sexual abuse. Konikov's New Age, neofeminist stance contains 4 stages of healing: responsibility, absolution, forgiveness, and resolution. Accepting responsibility for the wound next leads to absolution, and particularly absolution for men. As an example of absolution, Konikov's woman client-ex-plantation slave accepted her past-life relationship to her husband, absolved him of guild, and decided upon a divorce. The issue of absolution widens into forgiveness in the healing process, whereby Konikov wants women to hypnotize themselves therapy should be to help a woman see how her own power as an individual is inextricably bound to the collective power of women as a group. There is no doubt that the New Age neofeminist stance taken by Konikov on the tapes leaves women profoundly disempowered.     

Sexual fantasizing in males and females

Sexual fantasizing during intercourse, masturbation, and nonsexual activity was examined in 30 males and 30 females, American students at Tel-Aviv University. Each subject responded individually to questionnaires involving general background information, sexual activity, daydreaming frequency and attitudes toward daydreaming, and a sexual fantasy scale. The results indicated that virtually no man or woman denied having sexual fantasies. Any observable sex differences were in kind rather than amount of fantasy. Women had more submission fantasies, whereas men reported more performance fantasies. This difference was interpreted as reflecting social sexual stereotypes. In support of a cognitive skill model, it was found that sexual fantasizing proliferates along with increases in both sexual and daydreaming experience. Sexual passivity was related to a greater degree of fantasizing during sex. On the whole, the findings suggest that sexual fantasizing is a universal occurrence which in itself is not necessarily related to psychopathology.     

PROSPERO'S PAPER

The writer proposes that the interplay between the hermeneutics of psychoanalysis and literature can illuminate understanding of the transference and countertransference at large in an analytic treatment. Writing about the work with a young woman who had been persistently sexually abused as a child and who developed anorexia in her adolescence so severe that her life was endangered both by the illness and by attempts at suicide, the author finds his reading of Shakespeare's The Tempest a powerful informant to the work. Interpreting the object relations represented by Prospero and Miranda and the process of their integration into new mental structures lends the analytic work an additional level of understanding, in particular in relation to the oedipal bond between patient and analyst. When the analyst is confronted by the imminence of his own death towards the end of the analysis, his reading of Prospero's relinquishment of his magical powers and his release of his daughter into sexual maturity and independence helps the patient to replace her destructive inner objects with more reparative and benign ones as she develops a capacity for concern and mourning.     

When are AIDS patients to blame for their disease? Effects of patients' sexual orientation and mode of transmission

This study examined three factors affecting college students' attributions of blame for an AIDS patient's disease: sexual orientation of the patient, mode of HIV transmission, and the sex of the subject. 148 subjects read one of six vignettes describing an hypothetical AIDS patient who was described as either an heterosexual or an homosexual man who contracted HIV through one of three avenues: blood transfusion, sexual contact, or IV drug use. The homosexual AIDS patient was considered more to blame for his illness than the heterosexual AIDS patient, but only when mode of transmission was sexual contact. In addition, mode of HIV transmission was a significant factor in attributions of responsibility, as the patient who contracted HIV through a blood transfusion was rated as less responsible than the patient who contracted HIV through sexual behavior or IV drug use. Women consistently rated the AIDS patient as less responsible than did men.     

Homoerotic Countertransference The Love That Dare Not Speak Its Name?

Despite the recent interest in erotic countertransference and self-disclosure, little has been written about these phenomena when both analyst and patient are the same gender. Since homoerotic feelings can surface in any treatment, regardless of the participants' sexual orientation, this may well be a phobic avoidance that restricts many treatments, as well as our profession. I propose that the analyst's awareness of homoerotic feelings in the countertransference—including struggling with ways to express them—ultimately can create an atmosphere of safety. I offer an extended case example of one man with whom I colluded to ignore frightening aspects of his sexual fantasies. It was only by using my erotic countertransference, especially at a charged and pivotal moment, that I was able to help the patient begin to integrate split-off aspects of his sexuality.     

Emotional Communication in the Case of Antonio

ABSTRACT

In describing her work with her traumatized patient Antonio, Dr. Jane Lewis focuses on Barthes’s (1981) notion of a photograph as having the symbolic linking function of an umbilical cord, and emphasizes the notion of the punctum, the specific personal wounding detail in an image that connects to the viewer’s experience. This article discusses these ideas, which appear mystical to Lewis, in the contexts of the theory of multiple coding and the referential process, as well as recent advances in the fields of social neuroscience and embodied communication. In the early Arousal phase of the referential process, emotion schemas associated with painful events of the past are activated for both participants, in subsymbolic, embodied form. Antonio is largely mute and frozen; Lewis also feels herself freezing and disappearing. In the Symbolizing phase, Antonio begins to connect to dreaded experience of his past, and to tell memories, fantasies and dreams. Memories and images of her past, related emotionally to Antonio’s experience, are awakened for Lewis as well. Through their embodied communication and shared imagery, the therapist’s ability to find emotional meaning for her own painful experience appears to support the patient’s beginning to provide some meaning for his pain and dread. Related observations by Bollas and Arlow, and parallels to a case reported by Ogden are discussed.     

Emerging Perspectives on Distinctions Between Romantic Love and Sexual Desire

Abstract— Although sexual desire and romantic love are often experienced in concert, they are fundamentally distinct subjective experiences with distinct neurobiological substrates. The basis for these distinctions is the evolutionary origin of each type of experience. The processes underlying sexual desire evolved in the context of sexual mating, whereas the processes underlying romantic love—or pair bonding—originally evolved in the context of infant-caregiver attachment. Consequently, not only can humans experience these feelings separately, but an individual's sexual predisposition for the same sex, the other sex, or both sexes may not circumscribe his or her capacity to fall in love with partners of either gender. Also, the role of oxytocin in both love and desire may contribute to the widely observed phenomenon that women report experiencing greater interconnections between love and desire than do men. Because most research on the neurobiological substrates of sexual desire and affectional bonding has been conducted with animals, a key priority for future research is systematic investigation of the coordinated biological, behavioral, cognitive, and emotional processes that shape experiences of love and desire in humans.     

Sex-role orientation and stereotypes about male-female sexuality

An experiment was conducted to examine the stereotypes about human sexuality held by persons of different sex-role orientations. Sex-typed and androgynous subjects were given bogus information about the sexual experience of another person. This other person was either a male or a female and either high or low in sexual experience. The subjects were then shown some erotic slides and asked to predict how sexually aroused the target person would be by viewing these stimuli. Additionally, the subjects were asked to rate the target person on traits of a sexual and evaluative nature. The results showed, as predicted, that the sexual experience of a female target influences how much sexual arousal is attributed to her. Female targets of high experience were attributed more arousal than inexperienced female targets. For male targets, no such difference was found. Ratings of the targets on an evaluative dimension revealed a double standard: Sexually experienced females were rated lower than were inexperienced females; no difference was found for male targets. In addition, sex-typed subjects tended to express more traditional stereotypes of sexuality than androgynous subjects. The influence that these stereotypes may have in guiding malefemale interactions is discussed.This article is based on the author's doctoral dissertation, submitted to Kansas State University. The author gratefully acknowledges the assistance of William Giffitt, and his helpful comments and suggestions.     

The symbolic and concrete: Psychotic adolescents in psychoanalytic psychotherapy

Unique disturbances in symbolisation are characteristic of the pathology of schizophrenia. Drawing on the case vignette of a psychotic adolescent, the author discusses theoretical problems in the symbolisation process in general and then in psychosis, in particular the relation between 'concretism' as a thought disorder and other psychotic defences. The ability to symbolise on the one hand and to maintain sufficiently stable ego boundaries on the other hand are examined in their relation. The author's clinical experience supports her hypothesis that there is a close relationship between the impairment of the symbolisation process in the adolescent or adult psychotic patient and his/her inability to engage in symbolic play as a child. Special attention is paid to the role of early trauma and consequent pathology of object relations for disturbances of symbolic play in childhood. Regression to concrete thinking is understood as the chance of the psychotic patient to give some meaning to reality in an unreal, delusional world and as his/her last chance to communicate at all. Conclusions are drawn for psychoanalytic techniques in the treatment of patients who are deeply regressed in this respect. Special attention is given to the particular circumstances and challenges of adolescence and to providing psychoanalytic psychotherapy to adolescent psychotic patients.