The Experience of the Holy: A Relational Psychoanalytic Analysis

The title of this paper, The Experience of the Holy is a direct reference to Rudolf Otto's book Das Heilige. The paper begins with Otto because he lays out many of the important issues involved in a psychological investigation of the experience of the holy, especially the question of whether the sacred is a unique object of experience, or a characteristic of our experience of ordinary objects. The paper then discusses three contemporary relational psychoanalysts (D.W. Winnicott, Hans Loewald, and Christopher Bollas), and the ways in which their theorizing illuminates the psychology of the sacred.     

Clinical Flexibility in the Psychoanalytic Situation: The Elasticity Principle

Abstract

This paper explores the development of the Elasticity Principle, first introduced by Ferenczi based upon his clinical observations. This important shift away from classical neutrality was inspired by Ferenczi's human approach to psychoanalysis. Learning from his analysands, he not only determined that in order to reduce resistances the analyst should present any interpretations in a tactful, empathetic manner, but also that the analytic work should bend or yield toward the analysand. The paper traces the evolution of the Elasticity Principle to The Grand Experiment, which was Ferenczi's analysis of Elizabeth Severn utilizing provision as an analytic tool. The paper follows the contemporary extensions of the Elasticity Principle in the development of Self Psychology and in the Relational perspective. A clinical example illuminates aspects of the Elasticity Principle in the work with a difficult analysand.     

Robert Waska: The Total Transference and The Complete Counter-Transference: The Kleinian Psychoanalytic Approach with More Disturbed Patients

The American Journal of Psychoanalysis -     

Function(s) of Religion in the Contemporary World: Psychoanalytic Perspectives

With respect to our psychoanalytic frame of reference allowing us to study the extent of the hypotheses concerning the religious phenomenon as formulated by Sigmund Freud and Jacques Lacan, in the context of a cross approach between the accuracy of the concept of conversion and of psychic mechanisms or phenomena at stake within conversions, and based on the testimonials of subjects acknowledging themselves in the experiment of conversion, we try to understand if and how religion is anchored in our cultural era through subversive effects it may have on the subject.     

The Role of Relational Processing in Memory for Actions: A Negative Enactment Effect in Free Recall

The enactment effect occurs if people remember items that they enacted or enacted symbolically during study better than items that they were simply asked to remember. Enactment is generally believed to lead to thorough processing of individual items. There has been some controversy as to whether the superior processing of information concerning the relations between action phrases (i.e. whole-list relational information) may additionally contribute to the enactment effect. The extant empirical data on this issue seem contradictory. In the account brough forward here, it is hypothesized that whole-list relational information is processed better during enactment than during verbal learning only if it taps the same aspect of a concept as the verb-object relational information within each action phrase. It is processed worse if these two types of information tap different aspects of a concept. This explanation represents an extension of the three-factor account of positive and negative generation effects to the field of memory for actions. To provide evidence for this account, positive and, notably, negative enactment effects in object recall and in organization scores are demonstrated in three experiments with a total of 246 participants.     

Discussion: On Some Contributions of the Interpersonal Tradition to Contemporary Psychoanalytic Praxis

Writers identified with the interpersonal psychoanalytic tradition are primarily responsible for initiating the relational turn in psychoanalysis: the evolution from an objectivist one-person model of analytic praxis to that of an intersubjective, two-person paradigm. The two papers discussed here focus on two qualities in the analyst—curiosity and spontaneity—and how these elements of the analyst's subjectivity have helped lead to a potential enrichment of patients’ responsivity to analytic engagement.     

Structure with Engagement: Toward an Integration of Trauma and Relational Psychoanalytic Models in the Treatment of Dissociative Disorders

Trauma model approaches to the treatment of dissociative disorders may provide containment and direction and yet, these same approaches may be constricting and limit exploration. However, relational psychoanalytic approaches may allow for engagement and exploration while potentially failing to provide containment and structure. This article provides an overview of key elements of both models and considers the question of whether it is possible to creatively resolve theoretical and clinical tensions between trauma model and relational psychoanalytic responses to dissociation. A review of the history of the study of dissociation in the field of psychoanalysis and concerns about psychoanalytic practice in the context of dissociation is followed by comparing contrasting conceptualizations of the assumptions of normality, definitions of dissociation, theories of etiology, goals of treatment, and theorized mechanisms of action. The review ends with a discussion of potential possibilities for clinical integration.     

力求麻醉手术前四个充分有效防范围术期不良事件

世界麻醉医师协会联合会提出"帮助全世界人民获得最高质量的麻醉、镇痛和复苏"宗旨,我国医院管理年提出"以病人为中心,以质量为核心".如何提高麻醉质量,我们提出了力求麻醉手术前"充分了解、充分认识、充分准备、充分沟通"的措施,以期有效防范围术期不良事件的发生,确保医疗安全.     

Freud's Views and the Contemporary Application of Hypnosis: Enhancing Therapy Within a Psychoanalytic Framework

Freud's theoretical writings on hypnosis are reviewed and reasons for his abandoning of this clinical tool are suggested. Clinical hypnosis is an altered state of consciousness which has its own felt reality and does not bypass the ego. In fact, many of the essential characteristics of hypnosis are ego functions. Functions such as focused or free-floating attention, deep absorption, enhanced memory, imagery, ego-receptivity, ego-activity, defenses, and the capacity for self-observation all remain intact in hypnosis. This view is contrasted with Freud's early uses of hypnosis which were not informed by his later psychoanalytic discoveries. Clinical material is presented which illustrates how the conversion from a psychoanalytic psychotherapy to a hypnoanalysis resolved a therapeutic impasse and allowed for a productive treatment. Fromm's view of hypnosis, as a special form of adaptive regression in the service of the ego is clinically illustrated. It is postulated that the altered state of hypnosis facilitates an increased ego mobility. It is the psychic mobility of hypnosis which facilitates the vacillation between primary and secondary process thinking; the experiencing ego and the observing ego, and conscious and unconscious experience. It is largely the ego-mobility and available memory in hypnosis that account for its advantages as compared to non-hypnotic treatment. Relational and self-psychological components of hypnosis are also proposed.     

One Hidden Object,Two Spatial Codes: Young Children's Use of Relational and Vector Coding

An important characteristic of mature spatial cognition is the ability to encode spatial locations in terms of relations among landmarks as well as in terms of vectors that include distance and direction. In this study, we examined children's use of the relation middle to code the location of a hidden toy, using a procedure adapted from prior work on spatial cognition in gerbils (Collett, Cartwright, & Smith, 1986). Children of 4 and 5 years searched for a hidden toy in a large-scale environment. They were trained to find the toy with either 2 or 1 landmark present. On subsequent trials we altered the number and locations of the landmarks to determine how children represented the location of the toy. With 2 landmarks present during the initial training trial, the children coded both the middle location and the distance and direction from the toy to the landmarks. With 1 landmark present during the training trial, the children coded the location in terms of distance and direction to the single landmark. Our results shed light on seemingly inconsistent prior findings in both human and nonhuman species and indicate that both relational and vector coding are present in young children.     

What Abandoned Children Construe as Stressful Experiences: Implications for Psychoanalytic Relational Theory and Child Psychotherapy

As part of psychological evaluations to determine whether interventions were needed, 106 abandoned children (aged 5 to 19 years) residing in SOS-Kinderdorf International Children's Villages in Spain were individually administered a structured interview to learn what each child construed as upsetting. Before admission, each child had been exposed to one of three traumatic, interpersonal experiences: excessive neglect; physical abuse; and parents who were prostitutes, abusing drugs, or both. In an unexpected finding, the events these children discussed most often as having upset them did not focus on abandonment or on traumatic conditions they had endured. Rather, converging with reports of public school children residing with their families in the United States, the events they discussed concerned harm to loved ones (e.g., accident, illness, hospitalization). In addition, children who had been visiting relatives while residing in a Children's Village differed from those who had not visited relatives in what they experienced as traumatic. The results are examined in terms of implications for psychoanalytic-relational theory and for planning treatment programs for children who have been abandoned or are living in institutions.     

论主客同一的心理学研究范式

本文考察了主客同一研究范式的内涵、发展脉络及历史地位。作者认为,主客同一研究范式体现着心理学的人文科学定向,张扬的是人有别于自然物的“天使”形象,展示的是将人的心理、行为视作“生活”,试图从内部体验、直观以达成对人的独特本质洞察的“内观心理学”境界。它和主客二分研究范式均可在未来心理学中获得各自合理存在的空间。     

主体、言语与情境的诠释学思考——从理性与德性作为概念的处境出发

诠释学对于社会科学和现实研究的意义重大,应尝试从不同的角度进行思考。从理性与德性作为概念处境出发的诠释,不但关照到主体与主体性的合理性与合法性,还可在其语言的言语行为作为情境的创制中,解脱现代技术社会已普遍面临或即将面临的存在之痛。     

The Fusion of Horizons: Dissociation,Enactment, and Understanding

All understanding is context dependent, and one of the most significant contexts for clinical purposes is the self-state. How we understand the other, and ourselves, depends on the state(s) we occupy. Dissociations between an analyst's self-states can, therefore, limit or impede understanding of the analysand by depriving the analyst of a fitting context within which to grasp what the analysand says and does. Clinical understanding may require the breach of such dissociations. I lay out some of the implications of thinking about transference and countertransference along these lines, with detailed examples illustrating the consequences of the analyst's dissociations and their eventual resolutions. Among the advantages of this way of thinking is that it amounts to a psychoanalytic account of the hermeneutic circle.