Learning from experience in case conference: A Bionian approach to teaching and consulting

In case conferences as well as didactic seminars, the power of the group can bring psychoanalytic education to life. However, primitive anxieties activated by group dynamics may also interfere with teaching and learning. The authors offer the example of a stalemated private practice case conference that had unconsciously organized against learning as the members began to read Bion's work. The case conference leader, an analyst, presented her case conference, which was mired in basic assumption dependency dynamics, to our peer consultation group. Drawing upon Bion's early contributions on groups, as well as his later ideas about thinking and mental growth, the peer group facilitated the case conference's return to work-group functioning and learning from experience. Activated in the peer group, commensal container↔contained processes gradually spread throughout the entire relational system of peer group, case-conference leader, case-conference members, and patients. This example underscores the importance of promoting within our institutes a culture in which faculty view themselves as part of an evolving intersubjective matrix that works to foster the containing capacities of candidates, patients, and faculty alike.     

Creating an Intersubjective Reality: Commentary on Paper by Arnold Rothstein

The author discusses Arnold Rothstein's paper “Compromise Formation Theory: An Intersubjective Dimension” and challenges his definition of intersubjectivity. She offers a perspective in which the import of intersubjectivity theory is less to dissolve the notion of objectivity than to grasp processes of mutual engagement, regulation, and recognition. While it is true that the recognition that the analyst is also a subject and therefore does not have exclusive knowledge is an important shift in the psychoanalytic paradigm, the author suggests that the intersubjective is far more encompassing than this. Intersubjective theory emphasizes the active creation of consensus or conflict about reality rather than merely the recognition that the analyst's perspective on reality is subjective. This cocreation produces a different emotional experience of connection, not merely a change in the quality of insight. Finally, Rothstein's case illustrates how he responds to the need for recognition and regulation. He shows us how focusing on the procedural allowed him to make an intersubjective shift, not simply an intrapsychic interpretation of compromise formation.     

The Mutual Development of Intersubjectivity and Metacognitive Capacity in the Psychotherapy for Persons with Schizophrenia

While cognitive behavioral approaches have been shown to help some individuals with schizophrenia, these approaches may be limited when working with patients with impairments in the metacognitive abilities required to form complex and integrated representations of themselves and others. In response, this paper explores the possibility that a key to working with patients with relatively impaired self-reflectivity lies in explicitly focusing on a patient’s intersubjective experience within psychotherapy. We offer theoretical and empirical support for the assertion that the tolerance and capacity for intersubjectivity is a basis for the development of self-reflectivity in general. We also explore how the fostering of intersubjective processes in psychotherapy might enable some patients to form more complex ideas about themselves and so better ward off delusions in the face of the challenges of daily life. To illustrate these principles we present the case of a patient with tenaciously held delusions and limited capacity for self-reflection. We discuss when and how the therapist’s awareness and verbalization of intersubjective processes within session allowed her and the patient to develop more complex and consensually valid ideas about him as a being in the world, which then assisted the patient to achieve improvements in a number of domains in his life.     

Intergenerational transmission of violence: Is violence a pathology of intersubjective contact?

In this article, I look at violence as a pathology of the intersubjective contact. In particular, I claim that one possible explanation of violence is lack of recognition on a societal, intersubjective level. I propose an explanation based on Honneth’s concept of struggle for recognition and Merleau-Ponty’s account of intersubjectivity. The article takes the following course: I first give a short outline of the concept of intergenerational transmission of violence, as understood by psychology at the level of an individual, followed by a brief presentation a summary of sociological research on the concept. Then, I proceed with a discussion of Honneth’s three modes of recognition, viz. love, rights, and solidarity, as modes of intersubjective contact, leading to the development of self-confidence, self-respect, and self-esteem. I claim that the lack of these kinds of recognition leads to the decrease in confidence and trust and consequently to abusive behaviour, that it affects social integrity and brings about the destruction of social functions, and that it results in an individual and a society which have lost their “honour” and dignity. Finding his account of intersubjectivity lacking in its philosophical aspect, I complement Honneth’s account of intersubjectivity with that of Merleau-Ponty, based in his understanding of the intertwining of the subject and the world and the reversible contact between and among subjects within the world. Considering the negative effects of misrecognition as described by Honneth, in the light of Merleau-Ponty’s understanding of intersubjective contacts among subjects, I conclude that a country where all three modes of recognition have been disturbed houses a society lacking self-confidence, self-respect, and self-esteem, and consequently shows all the signs of Honneth’s forms of disrespect, i.e. abuse and rape, denial of rights and exclusion, as well as denigration and insult, all of which are forms of intergenerationally transmitted violence.     

The Pursuit of College in Adulthood: Reclaiming Past Selves or Constructing New?

This study examines the identity processes that are implicated when adults return to college, including the possibility that they may be reclaiming past selves from adolescence or constructing new selves at this particular juncture. In this study, 70 nontraditional-aged community college students were surveyed about their educational pathways, with a focus on their career and educational plans and actions when finishing high school through the current time. In addition, a diverse subset (n = 14) was interviewed. Results suggested four identity processes, two that involved past career selves from adolescence when constructing future pursuits (reclaim past, reject past before constructing new) and two that did not (construct new, expand current). Participants with prior college experience as adolescents were more likely to report well-developed past selves, but they more frequently rejected rather than reclaimed due to lack of perceived feasibility. Future research involving adult identity development is discussed.     

The Compatibility of Hegelian Recognition and Morality with the Ethics of Care

I draw connections between Hegel’s concepts of recognition and morality and demonstrate how they are compatible with an ethic of care. I explore Hegel’s Sittlichkeit and demonstrate the role that intersubjective recognition plays in the development and sustainment of ethical communities. I demonstrate how his emphasis on the community and interpersonal relationships play an important role in his moral theory. I then contrast Hegelian and Kantian views of morality and argue that Hegel’s account places greater emphasis on attending to the needs of others and showing genuine concern for their well-being. By highlighting the intersubjective nature of recognition between self-consciousnesses, and the interconnectedness of agents in an ethical community, I maintain Hegel’s morality is compatible with an ethic of care because it emerges out of intersubjective mutual recognition and its foundation is built upon responding to the needs of particular others and protecting the bonds of the community.     

On becoming a child: Reverie in the psychotherapy of children

My aim in this paper is to examine the role of reverie in facilitating the development of the child‐subject, that is, the child's continuous motion towards subjectivity. I begin by briefly reviewing the concept of reverie and proceed with an examination of elements I believe are fundamental and common to both reverie and child psychotherapy, that is, primary thought processes and primitive impulses. I then describe and demonstrate the atmosphere created by these elements using three examples from the psychotherapy of 8 year‐old Jonathan. Next, I discuss an intersubjective parallel of Bion's reverie and a developmentally oriented version of Ogden's reverie, focusing on its relation to processes of destruction and recognition. I argue that reverie provides the recognition of the child's struggle for his own birth and growth as a subject, that is, of his child‐subject. Finally, I refer to the presence of reverie from the primary preoccupation of mother and father till the child's reverie of himself, his day‐dreaming.     

精神分析的主体间转向:理论特征与分歧

主体间理论是当代精神分析领域最重要的取向之一。与更传统的精神分析相比,其理论特征表现为从区分“内/外”空间到强调“之间”的空间、从“主体—客体”关系到“主体—主体”关系、从顿悟到行动、从基础主义和实证主义到诠释学和建构主义。尽管存在术语的混乱和观点的分歧,但精神分析的主体间转向几乎遍及各个流派,广泛影响了北美洲、欧洲和拉丁美洲的诸多分析师。未来的主体间理论需要保持开放的态度,持续与先前的理论、临床资料和其他学科领域对话。     

The Wisdom Group: a psychotherapeutic model for elderly persons.

This article describes the "Wisdom Group," a therapy devised for the psychotherapeutic treatment of elderly persons. Preliminary work was done with five men of advanced age who were psychiatric in-patients with diagnoses of organicity and depression. The approach was effective in eliciting interaction during the meetings with each other and the group leader. The potential use of this intervention with a greater variety of elderly persons is discussed.     

The affective spaces of global civil society and why they matter

Many early-career researchers aim at making research socially engaged. In the initial stages of my research on international volunteering for development I learnt very quickly that any push towards social justice has been blunted by the damaging mechanisms of neoliberal power. The temptation is therefore to make research socially engaged by exposing such malign presences of power in volunteering organisations. This paper grows out of this interest and builds an argument of how researchers can engage power and write into being a better future. This brings into contrast the capitalocentric orientation of fieldwork preparation against the micro-processes of meeting and being with other bodies come together to constitute work in the field. Through work with an NGO in New Delhi the case is put that such meetings of bodies are affective and this is central to making research socially engaged. Affective moments give rise to love, solidarity and hope. Making research sensitive to such intersubjective moments writes into being the possibilities of a better and more just future. The paper makes an attempt to put this approach to research into practice.     

Achieving college student possible selves: navigating the space between commitment and achievement of long-term identity goals

This study explores the possible-self construction and achievement process in students of color from low-income communities by investigating these processes in 28 college students. Findings suggest that while parental encouragement of college aspirations may affect age at which the college student possible self is constructed and expectancy level, development of schematic possible selves is more crucial to achievement of possible-self goals. Furthermore, findings point out a need to include conceptual schemas, in addition to procedural schemas, as potential predictors of possible-self achievement.     

Bread and Roses: Empathy and Recognition

Empathy and Recognition represent two closely intertwined, crucial elements of human relatedness, and thus of the analytic relationship. Each ushers in a different quality of relatedness in the dyad: Empathy is a response to a basic human need, crucial to psychic safety and coherence, and may be imagined ahead of time as the need for someone to understand one’s experience, to get one’s pain. By contrast, recognition as a longing may be only partially formulated before it is emergent, because it is in the moments when it is realized that the desire for its inherent mutuality may be most keenly felt. It is in such moments, often arising through collision and unpacking between two distinct and suddenly more fully knowable subjectivities, that the experience of desire may be both held and renewed. Recent relational writing has made clear how deeply intersubjective empathy may be, in its fullest realization; however, with recognition, the desire for the other as other, who may now be known as such, arises anew out of the experience of being met in intersubjective encounter. Like bread and roses, both are vital as felt experience, and in potentiating transformation.     

Jungian socioanalysis,social dreaming and the emerging complexity of Europe1

This paper presents central elements of what we have termed Jungian socioanalysis – an emerging theory combining analytical psychology, complexity theories, sociological theories, socio- and psychoanalysis, social dreaming, group analysis and affect theories consisting of five assumptions (see also Odde & Vestergaard 2021). Jungian socioanalysis develops a process approach, as opposed to a systems approach, to sociality. In this paper we focus mostly on one of the five assumptions, namely that Jungian socioanalysis explores social fields ‘from within’ through smaller groups, treating group processes as a vehicle to gain a psychosocial and cultural understanding of larger social entities. We give an example of this approach with a presentation of two local social dreaming experiences in Denmark, focusing on Europe in transition. We show that the most significant outcome doesn't rely on the specific content of the dreams, but rather on the engagement in the social dreaming process itself, resulting in transformative image-affects. The paper ends with reflections on how these social dreaming experiences inform a Jungian socioanalysis, pointing to enabling intersubjective meetings, or present moments, opening for a deeper understanding from within the group as opposed to a systems approach. The paper is a revised version of a presentation at the 2018 European Congress in Avignon.     

Psychocultural Interpretations and Dramas: Identity Dynamics in Ethnic Conflict

Ethnic identity connects individuals through perceived common past experiences and expectations of shared future ones. Identity is concerned with group judgments and judgments about groups and their motives. This article explores identity through the case of Loyal Order Protestant parades in Northern Ireland and the concepts of psychocultural interpretations (shared, deeply held worldviews found in group narratives) and psychocultural dramas (conflicts over competing, and apparently irresolvable, claims that engage the central elements of a group's historical experience). Psychocultural dramas are polarizing events whose manifest content involves non-negotiable cultural claims, threats, and/or rights that become important because of their connections to core metaphors and group narratives that embody a group's identity. In ethnic conflicts, psychocultural dramas arise over competing claims that evoke deeply rooted dimensions of the conflict which cannot be settled by reference to more general rules or higher authority. Psychocultural dramas are tools of analysis for understanding the centrality of cultural identity and ritual in ethnic conflict and for the redefinition of such conflicts in ways that increase the chances for managing them constructively. Examining the psychocultural dramas surrounding parades disputes in Northern Ireland suggests why and how some conflicts are more amenable to constructive outcomes than others.     

Be It Ever So Humble...: The Controversial Issue of Psychotherapy Groups in the Home Office Setting

Group leaders who have home offices may be disclosing more about their personal lives than they consciously intend. While the home office may be convenient and financially advantageous for the leader, this disclosure can be problematic for both the group therapist and group members. It may provide more information about the leader than some members want to know or are able to metabolize. And although poor boundary maintenance can occur in a professional office setting as well, the leakage in the home office is inevitable. The potential pitfalls seem to be at least threefold: over-stimulation, gaslighting, and the emperor's new clothes effect. These hazards exist independently of the leader's training, competence, or ethics. This paper examines the impact of the home office setting on group treatment. Leaders who practice from the home need to be ever-vigilant of untoward treatment reactions that are related to the setting itself. The article provides vignettes that illustrate the benefits and liabilities of the home office.     

Beyond doer and done to: an intersubjective view of thirdness

Analytic work based on the intersubjective view of two participating subjectivities requires discipline rooted in an orientation to the structural conditions of thirdness. The author proposes a theory that includes an early form of thirdness involving union experiences and accommodation, called the one in the third, as well as later moral and symbolic forms of thirdness that introduce differentiation, the third in the one. Clinically, the concept of a co-created or shared intersubjective thirdness helps to elucidate the breakdown into the twoness of complementarity in impasses and enactments and suggests how recognition is restored through surrender.     

Unconscious Communication in the Intersubjective Analytic Field at Times of Separation,Loss, and Termination

ABSTRACT

Unconscious communication, like transference-countertransference, is ubiquitous in life and in the psychoanalytic process. Regardless of a clinician’s theoretical perspective, and despite differences in clinical technique, Freud’s advice to turn our unconscious to the patient’s unconscious “like a receptive organ” has guided generations of analysts toward deeper exploration of the countertransference in the intersubjective analytic field (Freud, 1912a, p. 115). In this clinical article, the recognition and use of unconscious communication, from the ordinary to the more extraordinary or uncanny, is described at moments of separation as harbinger of loss and, ultimately, termination. Such moments hold potential for a depth of emotional resonance with and accessibility to our patient’s psychic realities that may otherwise be unavailable due to our systemic defense against a shared existential anxiety that all things come to an end. The emergence of unconscious communication via the analyst’s reverie and dreams are considered an opening of potential space where ending can be conceived as a bearable thought—a transitional organizing experience for the dyad.     

Language and Intersubjectivity: Multiplicity in a Bilingual Treatment

This paper explores the psychodynamics of analytic work conducted between a French patient and an American analyst who are both bilingual in French and English. The depth of the patient's early traumatic relational history is initially bound and cloistered in French, her mother tongue. The author argues that through the symbolization of a series of initially dissociated enactments a transitional space is created in the treatment, facilitating the integration of the patient's (and analyst's) early French-speaking selves. Language is considered as a container for both dissociative and associative forms of multiplicity, as it serves to mediate an external and internal intersubjective expansion both between and within patient and analyst.