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.     

Weeds on the Ruins: Agency,Compromise Formation,and the Quest for Intersubjective Truth

Using Kundera's metaphor of “weeds on the ruins” to examine the impact of organized destruction of memory on the survival of a people, this paper explores the role of symptoms in negotiating a relational “compromise formation” by tracing their evolution as signifiers of previously dissociated intersubjective knowledge. It suggests that recent theorizing on the mutual constitution of agency and intersubjectivity creates the possibility of resurrecting the dramatic tension that characterized dual drive theory by relocating that tension between the desire to know (oneself, the Other) and the destruction of that desire. To do so, the paper contemplates an internally consistent lens for reconciling the terrain of deficit and dissociation with that of conflict by offering a process-oriented view of agency as “drive” that is rooted between subjective and material contexts. Finally, the paper explores the quest for intersubjective truth as offering a means of living beyond the ubiquity of compromise formation.     

Phenomenological Analysis and its Contemporary Significance

Can a phenomenologically-founded sociology contribute to the understanding of social change? By reference to the structure of the lifeworld as it has been analyzed by Husserl and Schutz, I argue that human action is formed by temporal, spatial, and social dimensions. These are objectified by a social semantics through which they gain their intersubjective cultural shape. From this perspective, I investigate changes in the temporal, spatial, and social dimensions of this semantics, as they occur in the present transformation of post-socialist societies. Finally, I consider whether these changes mark a return to Western patterns and whether they confirm the thesis of “the end of history.”     

When the Frame Doesn't Fit the Picture

I reconsider the function and construction of the psychoanalytic frame from an intersubjective, relational perspective. The analytic frame is meant to create and stand for, both practically and symbolically, a therapeutic structure with clear and safe boundaries in which the process of therapy unfolds. From my perspective, the establishment of the frame is, at the same time, an integral part of the process itself and reflects conscious and unconscious aspects of both patient and analyst. I explore this paradox and its implications for both practice and theory. In theorizing the functions of the frame, I draw on Goffman's frame theory, Bateson's anthropological and ethological studies, Ferenzci's perspective on the elasticity of technique, and a number of contemporary relational theorists. Several clinical vignettes are presented as illustrative of a new perspective on the analytic frame as cocreated and contextual, reflecting the variability of the psychoanalytic situation and the uniqueness of each dyad.     

A World of Systems: The Role of Systemic Patterns of Experience in the Therapeutic Process

This article underscores and expands on a contextualist, complexity theory perspective in conceptualizing the organization of personal, subjective experience and the therapeutic process. It emphasizes that one's personal, lived experience originates and continues to evolve from within a relational matrix, with affect as its primary currency, and reevaluates what, exactly, is being analyzed and potentially transformed in the clinical setting. An extension of intersubjective systems theory, this article focuses on two complementary themes: the concept of the interpenetration of multiple worlds of experience and the idea of systemically derived organizing principles. These ideas enhance our understanding of the positive transformation of subjective experience and expand our perspectives about therapeutic change in psychoanalysis.     

Sullivan und die intersubjektive Sichtweise

The author sees H.S. Sullivan??s (1892?C1949) interpersonal theory as the best theoretical framework for the contemporary intersubjective perspective in psychoanalysis and presents it in its pluridimensional articulation. After having extended Freud??s therapeutic approach to psychotic patients, Sullivan developed both a developmental psychology and a psychoanalytic and psychotherapeutic technique based on the ??interpersonal field?? as the basic unit of study. To the pluridimensional character of his theory also belongs its application to the cultural and social aspects of our personal identity. Because the contemporary psychoanalytic authors who shaped the intersubjective perspective limited themselves to the clinical dimension, Sullivan??s interpersonal theory can still provide the theoretical framework which any psychoanalytic perspective needs.     

Dreamtelling as a request for containment: three uses of dreams in group therapy

This article is an attempt to develop a coherent, unified, and consistent conceptualization of dreaming and dreamtelling in the clinical setting. Dreams told in a therapeutic setting are challenging events: fantastically rich in content, but often overwhelming in their implications for peoples' relationships. When told in therapy groups, dreams provide additional challenges for all participants. Learning to work with dreams not only enhances understanding of unconscious intrapsychic and group processes, but may also have a strong impact on the therapeutic culture and working relationships in the group. After differentiating dreaming from dreamtelling, I briefly describe three uses of dreams in groups-the classical "informative" and more familiar "formative" uses, and a new perspective that focuses on the "transformative" aspects of a dream told. According to this perspective, a dream told has an interesting past, an important present, and a worthwhile future because of its interpersonal, intersubjective influence on the dreamer-audience relationship.     

Commentary on Nebbiosi's “Organizing Patterns in a Dyad and in a Group: Theoretical and Clinical Implications”

Here I comment on Gianni Nebbiosi's paper “Organizing Patterns in a Dyad and in a Group: Theoretical and Clinical Implications.” Nebbiosi's thinking about dyadic and group experience from an intersubjective perspective is reflective of current trends in psychoanalysis—with the emphasis in contemporary theory shifting toward the affective dimension of self-experience. His formulations regarding the essential role of affect regulation in establishing dyadic and group organizing principles are consistent with the main point in intersubjectivity theory—that affects are organizers of self-experience. Nebbiosi develops an overarching conceptual framework and clearly elucidates the central role these organizing principles have in the formation of group identity and group cohesion.     

The Deaf and Their Problems by Kenneth W. Hodgson

Abstract

This article is an attempt to develop a coherent, unified, and consistent conceptualization of dreaming and dreamtelling in the clinical setting. Dreams told in a therapeutic setting are challenging events: fantastically rich in content, but often overwhelming in their implications for peoples’ relationships. When told in therapy groups, dreams provide additional challenges for all participants. Learning to work with dreams not only enhances understanding of unconscious intrapsychic and group processes, but may also have a strong impact on the therapeutic culture and working relationships in the group. After differentiating dreaming from dreamtelling, I briefly describe three uses of dreams in groups—the classical “informative” and more familiar “formative” uses, and a new perspective that focuses on the “transformative” aspects of a dream told. According to this perspective, a dream told has an interesting past, an important present, and a worthwhile future because of its interpersonal, intersubjective influence on the dreamer–audience relationship.     

Actions in Slow Motion: Theoretical and Methodological Reflections on Temporality in Actions and Intersubjective Understanding

This article examines the connection between actions, temporality, and media-based observation. Slow motion technology is currently being used especially in sports to examine and evaluate athletes’ actions more precisely in order to identify potential infringements of rules. Starting with a phenomenological perspective, this article engages in a critical assessment of the degree to which the intentions underlying athletes’ actions become clearer if their actions are slowed down using slow motion. It transpires that a more in-depth understanding is not possible because the process of time-stretching using media technology tends to obscure intersubjective understanding. Nevertheless, the use of different playback speeds does increase observers’ sensitivity to the temporality of action and observation. This is particularly the case when greater emphasis is placed on the body and its role in the formation and carrying out of intentions. With the phenomenological view and in special consideration of the body and the subjective intentionality, the paper contributes to a discussion about the connection of time and (inter-)action already led in ethnomethodology and conversation analysis. These findings mark a contribution to empirical social research as well, which is increasingly using video material in action analysis and should take slow motion as a possible augmented but also manipulated access to actions into account adequately. To this end, this article suggests a method for identifying the merits and demerits of using slow motion to analyse actions, and discusses the methodological implications of temporality in observation.

     

Principles of coparticipant inquiry: An introductory outline and implications for therapeutic action

Abstract

Historically, two paradigms have been dominant in clinical psychoanalysis: the classical paradigm, which views the impersonal analyst as objective mirror, and the interpersonal/relational model, which views the analyst as intersubjective participant-observer. An evolutionary shift in psychoanalytic consciousness has, however, been quietly taking place, giving rise to coparticipant inquiry, a third paradigm that integrates the individualistic emphasis of classical theory and the social focus of participant-observation, avoiding the reductionism of each. This new perspective, which is rooted in the radical teachings and clinical experiments of Sandor Ferenczi, represents a significant shift in analytic theory and has major clinical implications. This essay articulates the seven guiding principles of coparticipant inquiry and reviews its contribution to the psychoanalytic theory of therapeutic action. The curative process of reconstructive new experience in the analytic situation, referred to as the “living through” process, is seen to subtend curative change, for both patient and analyst. The inherent mutuality and bi-directionality of this beneficial “living through” process is examined in both its direct and its dialectic coparticipatory aspects.     

From Psychologism to Personhood: Honneth, Recognition, and the Making of Persons

The paper explores the philosophical anthropology and the moral grammar of recognition. It does so by examining how the formation of the self is informed by social recognition, the result of which can motivate individuals and groups to engage in struggles for recognition. To pursue this task, the discussion focuses on the insights of Honneth, who grounds his theory of recognition in the intersubjective relations between persons. The idea that recognition impacts the formation of personal identity is regarded as susceptible to the charge of reducing recognition demands into demands for satisfying psychological needs. Contrary to this worry, the central claim of the paper is that such an identity-based understanding of recognition can still be salvaged. More precisely, this can be done by conceiving of demands of recognition as demands for inclusion into personhood through which the moral dimension of recognition struggles is properly understood. This article concludes that despite its potential ambiguities, the notion of personhood and its relation to recognition remains philosophically defensible.     

Communicative depth: soundings from developmental psychopathology

My aim in this paper is to consider what it means to engage and communicate with another person. I do so by adopting the approach of developmental psychopathology, and compare and contrast the structure of communication that is manifest by typically developing infants on the one hand, and by children and adolescents with autism on the other. I highlight the pivotal significance of human beings' propensity to share or otherwise co-ordinate experiences with others, and analyze the conditions that make sharing and other forms of intersubjective relatedness possible. Often, discussions that oppose cognitive, affective, and motivational accounts of autism are pursued in an inappropriate frame of reference: at root, we need to understand the nature and developmental implications of affected children's difficulties in achieving communicative depth. In the pursuit of such understanding, we may gain insights into typically developing infants' capacities for intersubjective engagement.     

Materialism and the Subjectivity of Experience

The phenomenal properties of conscious mental states happen to be exclusively accessible from the first-person perspective. Consequently, some philosophers consider their existence to be incompatible with materialist metaphysics. In this paper I criticise one particular argument that is based on the idea that for something to be real it must (at least in principle) be accessible from an intersubjective perspective. I argue that the exclusively subjective access to phenomenal contents can be explained by the very particular nature of the epistemological relation holding between a subject and his own mental states. Accordingly, this subjectivity does not compel us to deny the possibility that phenomenal contents are ontologically objective properties. First, I present the general form of the argument that I will discuss. Second, I show that this argument makes use of a criterion of reality that is not applicable to the case of subjective experience. Third, I discuss a plausible objection and give an argument for rejecting observation models of self-knowledge of phenomenal contents. These models fall prey to the homunculus illusion.     

Enactive Fields: An Approach to Interaction in the Kleinian-Bionian Model: Commentary on Paper by Lawrence J. Brown

In taking up the matter of intersubjectivity in Kleinian-Bionian theories Brown creatively reimagines the clinical situation, transcending demarcations of analytic schools to arrive (though never fully arrive) at new understandings of interaction. I discuss Brown's engaging paper from my own emerging concept of enactivity, drawing distinctions between this approach and Bion's approach and extending the enactive to a consideration of enactive fields that, like Brown's paper, draws on the seminal reinterpretation of Kleinian theory by the Barangers. In writing of the field as an emergent process of becoming I rely on Merleau-Ponty's notion of “singing the world” to illustrate my developing understanding of the possibilities for interaction in the Kleinian-Bionian tradition. My comments on Brown's clinical case material focus on what appears to me to be the intersubjective aspects of his approach.     

Psychoanalytic Interpretation as Pharmakon: Applying Derrida’s “Plato’s Pharmacy” to Psychoanalysis

This paper presents a metaphorical heuristic to expand psychoanalysts’ views on the nature and method of interpretation from an intersubjective perspective. It uses one of Jacques Derrida’s findings in his essay “Plato’s Pharmacy,” a critique of Plato’s Phaedrus, as a model of psychoanalytic interaction. A parallel is drawn between psychoanalytic interpretation and the pharmakon—an ancient Greek term for ‘drug’ that means both remedy and poison. From this comparison, the inescapable dependence of personal meaning on contextual factors, specifically the context of the clinical intersubjective field, is shown. As a result, when an interpretation is offered, the analyst cannot truly know if the patient will receive it as remedy or poison. By keeping the context-dependent nature of personal meaning in awareness through the use of the pharmakon metaphor, analysts increase their abilities of interpretive understanding. In further discussion, the classical psychoanalytic concept of ‘negative therapeutic reaction’ is presented as an example of a decontextualized and reified psychoanalytic construct that becomes superfluous when interpretations are viewed through an intersubjective lens as pharmakon. Without the burden of expectation for being the authoritative imparter of reality and truth, the analyst may now attend to the patient in a way that is more fluid and reciprocal, where the relational field becomes what is primarily interpreted. Further, practical clinical implications of the concept of pharmakon suggest that since the analytic interpretation is subjective in every respect, effective clinical practice cannot be reduced to rigid protocols of technique.     

Overcoming the Problems of ‘Difference’ in Education: Empathy as ‘Intercorporeality’

In this paper I am concerned with the notion of empathy and its capacity for overcoming the problem of difference in social life. The concept of empathy has a long history in the Western philosophic tradition but has become discursively submerged in recent times. I am particularly interested in what philosophies of the body may contribute to our understanding of empathy. Psychoanalytic feminism provides some insights. However I identify Merleau-Ponty's conception of body-subject and the intersubjective encounter as offering a potentially more fruitful account of empathy.     

Some Questions About Divergences and Similarities Between Kleinian and Intersubjective Approaches: Reply to Commentaries

In this response I focus on some key issues raised by the different approaches of Kleinian and intersubjective clinicians. In particular, I raise questions about how the analyst's subjectivity is to be understood, given that the analyst needs to offer something that is over and above her pure subjective reaction. I also discuss projective identification and its implications for understanding the analyst's subjectivity.