On the early history of male hysteria and psychic trauma

This paper discusses the influence of Jean-Martin Charcot's views on Sigmund Freud's early theory of hysteria and the notion of psychical trauma. We consider the early history of both psychical trauma and male hysteria, for in Charcot's view traumatic hysteria and male hysteria are identical. Freud's two 1886 lectures on male hysteria, delivered after his return from Paris, are crucial to the subject because they present Freud's first impressions of Charcot and his teaching. Some of the ideas presented in the two lectures foreshadow Freud's later generalization of the etiological role of trauma and his theory of the role of psychical trauma in the genesis of hysteria; that is, each hysterical symptom is due to a psychical trauma reviving an earlier traumatic event—the so-called principle of deferred action (Nachtraglichkeit). Several arguments substantiate the thesis that Freud's notion of psychical (sexual) trauma was developed in reference to Charcot's notion of traumatic hysteria, and that the early psychoanalytic theory of psychical trauma is clearly indebted to Freud's encounter with Charcot's male traumatic hysterical patients. The discussed Freudian development points out the major role of (physical) traumata in eliciting psychopathological pictures and in this way is of definite historical relevance for the present-day discussion on the traumatic nature of the so-called multiple personality syndrome and other dissociative disorders, and post-traumatic stress disorders.     

Dissociation,the Analyst's Vulnerability,and the Body: Review of Awakening the Dreamer: Clinical Journeys by Philip M. Bromberg

This review praises Bromberg's rich and evocative new book for its clinical and theoretical usefulness and elaborates on three broad themes: the analyst's personal role in traumatic enactments, dissociative/addictive uses of the body, and the distinction between life-threatening and developmental trauma. Extending Bromberg's formulations, the author argues that in successful work with trauma survivors, the analyst must be actually (temporarily) traumatized as actual, personal vulnerabilities of the analyst are necessarily engaged. The analyst's vulnerability serves as an internal contact point, opening up a process of unconscious empathy with the patient and providing crucial validation of the patient's experience. The review also explores how bodily processes are used to further dissociation with eating disordered patients and how they become the source of treatment difficulties. When the patient's states of desire have been “detoured” into the body (where they are ruthlessly controlled or attacked) as well as into the relationship with food (where they are temporarily gratified), they are not as available to be mobilized in the analytic relationship. The review also questions Bromberg's assumption that the underlying dissociative mechanisms are the same for life-threatening trauma (or Posttraumatic Stress Disorder) and developmental (or relational) trauma.     

Freud's view of hysteria in light of modern trauma research

Freud's earliest notion of the aetiology of hysterical symptoms was based on his hypothesis on the importance of trauma dissociation, upon which he began to construct his first theory of neurosis. Soon, his conception of trauma narrowed to apply only to sexual trauma, and later only to childhood experiences of sexual abuse by the father. He substituted these earliest variations on a theory of neurosis with the libido theory due to his discovery of infantile sexuality, the poor treatment results he had with hysteric patients, the frequency of hysteria symptoms, the difficulties he had in distinguishing between his patients' internal and external realities and the ambiguous nature of the reasons behind the patients' problems, presumably due to repression. Recent trauma research, however, has rediscovered trauma dissociation, which is separate from repression. This has led to a new theoretical understanding of trauma-originated dynamics and the development of corresponding treatment interventions. In this paper, the author analyzes the development of Freud's conceptions of hysteria in the social-clinical cultural context of his period, as well as the reasons which led Freud to abandon the notion that trauma dissociation was an underlying cause of hysteria symptoms.     

THE OBJECT‐PRESERVING FUNCTION OF SADOMASOCHISM

The terms sadism, masochism, and sadomasochism seem to have become increasingly, if loosely, associated with aggression in psychoanalytic discourse. This is due in part to the fact that Freud's changing ideas generated confusion about the relative contributions of libido and aggression. The author reviews Freud's variable usage and offers a clinical vignette to illustrate the importance of noticing how sadomasochism may maintain a tie to the object by controlling it. The author offers a developmental speculation for the role reversibility typical of sadomasochistic manifestations. He closes with a comment on the role of sadomasochistic aims in adult sexual perversion.     

Moses,Michelangelo and Freud: From an interlacement of stories in history to some suggestions for treatment theory

Abstract

The first part of this paper is inspired by Freud's interpretation of Michelangelo's Moses, which as the author shows, profoundly expresses Freud's subjectivity and personal features. With reference to clinical treatment, when the analyst “reasons” without considering his or her partner's position, the setting is lacking from a relational point of view. The consequence is that the analyst is missing a precious resource, that is, his or her patient and the documental sources he or she transmits in the analytic dialogue. In the second part of the paper, the author analyzes the nature of documental sources. This information pertains to both the patients’ pasts and their histories, expressing their rigid conservative needs, and to their evolution and transformational needs, in view of future possible change. Evolution needs are not visible, because they are implicitly present, and—according to the author—they could be recognized through the method of discrete details proposed by the Italian art critic G. Morelli. A broader vision of analytic listening is also considered: the past should be taken into account with the aim of interpreting the present and the future, as changing spaces. Change in therapy is announced through nonrepressed unconscious signals and by the language of the implicit. In the conclusion, the author exposes the connections of change, implicit, symbol, metaphorical language and waiting time.     

Reflections on Freud's Dora Case After 48 Years

I revisit Freud's case of Dora from the vantage point of current literary and psychoanalytic perspectives. Mahony (this issue) argues that Freud's understanding of Dora is unconvincing to the modern reader because Dora is a victim of trauma rather than sexual repression. I extend Mahony's ideas in terms of the development of psychoanalytic ideas, place Freud's view in the context of my psychoanalytic education in the mid-20th century, and suggest that modern contributions to trauma theory and memory further support the thesis that Dora was a victim of trauma rather than of conflicted libidinal desires.     

BE CAREFUL WHAT YOU WISH FOR! THE SURRENDER OF GENDER

Close examination of Freud's Three Essays on the Theory of Sexuality (1905a) reveals an ambiguity in Freud's language as he simultaneously tries to escape 19th‐century psychiatric paradigms concerning sexuality and perversion while also retaining a normative approach to adult sexuality that created new categories of pathology. The result is an ambivalent legacy that has both hampered and helped contemporary clinicians as they deal with a diverse array of presentations of gender and sexual orientation in today's world.     

WITHSTANDING TRAUMA: THE SIGNIFICANCE OF EMMA ECKSTEIN'S CIRCUMCISION TO FREUD'S IRMA DREAM

The author considers the medical rationale for Wilhelm Fliess's operation on Emma Eckstein's nose in February 1895 and interprets the possible role that this played in Freud's dream of Irma's injection five months later. The author's main argument is that Emma likely endured female castration as a child and that she therefore experienced the surgery to her nose in 1895 as a retraumatization of her childhood trauma. The author further argues that Freud's unconscious identification with Emma, which broke through in his dream of Irma's injection with resistances and apotropaic defenses, served to accentuate his own “masculine protest”. The understanding brought to light by the present interpretation of Freud's Irma dream, when coupled with our previous knowledge of Freud, allows us to better grasp the unconscious logic and origins of psychoanalysis itself. 1     

The ego in Lucy R: notes on conflict in one of Freud's first cases

This paper focuses on Freud's discussion of the case of 'Lucy R' presented in Studies on Hysteria (Breuer and Freud, 1895). It is possible to see here a notion of the 'ego' being employed by Freud many years before the 1920 'turning point' in his work, and an account of the ego as a 'dominant mass of ideas' is used to explain how psychical conflicts for his patient are transformed into physical symptoms. The image of the ego defending itself against an 'incompatible' idea structures Freud's own account, and it also structures recent critical commentaries on Freud's work from within feminist writing and studies of rhetoric. Some consequences for present-day psychodynamic practice are reviewed in the course of the discussion.     

THE INTERPLAY OF DEDUCTIVE AND INDUCTIVE REASONING IN PSYCHOANALYTIC THEORIZING

Deductive and inductive reasoning both played an essential part in Freud's construction of psychoanalysis. In this paper, the author explores the happy marriage of empiricism and rationalism in Freud's use of deductive reasoning in the construction of psychoanalytic theory. To do this, the author considers three major amendments Freud made to his theory: (i) infant and childhood sexuality, (ii) the structural theory, and (iii) the theory of signal anxiety. Ultimately, the author argues for, and presents Freud as a proponent of, the epistemological position that he calls critical realism.     

“AFTER THE EVENT”: FREUD'S UNCANNY AND THE ANXIETY OF ORIGINS

This essay aims to revise Freud's theory of the uncanny by rereading his own essay of that name along with the key material Freud drew on in formulating his theory: E. T. A. Hoffmann's short story “The Sandman” (1816a) and Ernst Jentsch's essay “On the Psychology of the Uncanny” (1906a). While arguing, initially, both that Jentsch's work is fundamentally misconstrued by Freud and that it offers a better account of what happens in Hoffmann's story, the essay moves beyond Jentsch's account to offer a more philosophically oriented theory of the uncanny, one more in line with Freud's ideas in Beyond the Pleasure Principle (1920a).     

The Freud–Ferenczi controversy in light of Emma Eckstein's circumcisio

Abstract

Emma Eckstein's circumcision trauma has been powerfully suppressed, denied, and dissociated from the history of the origins of psychoanalysis. Even though Freud did not categorize it as a trauma, he was deeply impacted by it in the period when he provided psychoanalysis with his foundation. Despite Freud's intellectual erasure of the trauma that Emma experienced, her “cut” never ceased to unconsciously break through Freud's fantasies and discourse, haunting the psychoanalytic building as a veritable ghost. Sándor Ferenczi became the recipient of what Freud could not consider in his own mind, and his revision of the “Bausteine” (building blocks) of psychoanalysis featured an attempt to heal the split embedded in the foundation of psychoanalysis.     

On excess,trauma and helplessness: Repetitions and transformations

Freud's work establishes a link between an excessive amount of excitation, the infant's experience of helplessness, and trauma. The idea of excess emphasises a quantitative element, not reducible to the field of representation. In this paper I explore the notions of excess and closure in relation to two clinical examples. A patient who lived through experiences of excess and flooding is contrasted with another patient whose experience of excess is expressed through withdrawal. The complex process of elaboration and working through in their analyses takes place by bringing together affect, representation, sensorial and somatic experiences, dreams, associations and enactments as they are gathered and given meaning après coup through analytic work. Two concepts were central to the understanding of what took place in the analyses: excorporation and figurability. The paper emphasizes the place of temporality in creating a triadic space in an analysis as it relates the here and now with the there and then in the work of après‐coup. The paper also traces the roots of this modern approach that relates the analyst's work of regression, time, and the creation of a triadic space to Freud's metapsychology.     

Does Freudian Theory Resolve “The Paradoxes of Irrationality”?*

This paper consists of two related parts: I. A detailed critique of Donald Davidson's thesis—in his “The Paradoxes of Irrationality”—that “…any satisfactory [explanatory] view [of irrationality] must embrace some of Freud's most important theses” (p. 290). I argue that this conclusion is doubly flawed: (i) Davidson's case for it is logically ill‐founded, and (ii) its Freudian plaidoyer is also factually false. II. Relatedly, in the second part, I confute the recent arguments given by Marcia Cavell, Thomas Nagel, et al. to establish that psychoanalytic causal explanations of irrationality are epistemically justified, because they are extensions of the desire‐cumbelief pattern of accounting for intentional actions. As a corollary, it becomes clear that these authors have failed to undermine my epistemological strictures on the foundations of psychoanalysis.     

The problem of real trauma and the future of psychoanalysis

Abstract

Contemporary psychoanalysis emphasizes the role of “real” trauma, as it is well shown by recent sociological and theoretical developments (such as Kohut's Self psychology, object relation theory, renewed interest in Ferenczi's and Sullivan's contributions, etc.). To understand more clearly these developments, the author traces again the steps laid down by Freud in building the psychoanalytic edifice. The renewed interest in the environment, in real traumas, and in the vicissitudes of object relations could be a “paradigm change” in psychoanalysis: a return to Freud's original seduction theory. This development is seen as related to the difficulties of Freud's drive theory.     

GRADIVA: FREUD,FETISHISM, AND POMPEIAN FANTASY

This paper is a critical reconsideration of Freud's analysis (1907) of Wilhelm Jensen's novella Gradiva: A Pompeian Fantasy (1903). Freud's interest was aroused by the parallels between Jensen's presentation of dreams and Freud's model of dream formation just published in The Interpretation of Dreams (1900). Freud also acclaims Jensen's presentation of the formation and “cure” of his protagonist's delusion about a marble bas‐relief of a woman walking. This paper argues for the centrality of the phenomenon of fetishism, briefly considered but excluded from Freud's analysis. The fantasy of Gradiva as “the necessary conditions for loving” (Freud 1910, pp. 165–166) is also a key thesis of the essay, which makes use of the newly translated Freud–Jensen correspondence contained in this article's Appendix.     

Emotions as practice: Anna Freud's child psychoanalysis and thinking–doing children's emotional geographies

The paper introduces Anna Freud's early writing from the perspective of the theory and practice of children's emotional geographies. Discussing especially Freud's view on the theory of defence mechanisms and her early arguments with Melanie Klein about the nature of the child's mind, it explores how children's emotions can be approached beyond children's own representational accounts of their emotional experiences. The paper advocates an engagement with Anna Freud's work and psychoanalysis that would account for different forms of knowledge produced in the intersubjective processes of research and for the significance of the relationships with child participants.     

Freud's “A Case of Successful Treatment by Hypnotism (1892–1893)”: An Uncommon Therapy?

Freud's first reported successful treatment by hypnosis included suggestions that have much in common with some recent developments in family systems therapy. The case is discussed within the context of the evolution of psychoanalytic and family systems theories with the view that intrapsychic and contextual forces are not mutually exclusive. The author agrees with Haley in his recent book, Uncommon Therapy, regarding the value of viewing psychiatric symptoms as manifestations of a disturbance in family relations, occurring especially at transitional stages of family development. However, the emphasis on behavior change and symptom removal restricts the potentiality of the family approach to that of psychoanalysis in 1895, when it was a naive, simplistic, and mechanistic therapy.