Spelunking as a manifestation of a counterclaustrophobia

Material is presented from the case history of a patient whose interest in spelunking (cave exploration) was found to be an unconscious expression of a type of counterclaustrophobia. Both oedipal and preoedipal determinants of the claustrophobic anxieties are delineated. Of particular note in this instance is the testicular element in the genesis of the patient's claustrophobia. His confusion of the movements of his testicles into his inguinal canals during childhood defecation with the movements of the feces themselves lent an special intensity to his fear of being flushed away from the mother by an expulsive anal birth from the claustrum. Childhood anxiety aroused when his testicles would become trapped in the inguinal canals was an important forerunner of the adult fear of being trapped in confined spaces. A counterphobic element of the spelunking per se was his enjoyment in hanging suspended by a rope in caves. In this manner, he was able to act out (by virtue of his body-testicle equation) his identification with, and control over, the disappearing testicles in the setting of a claustrophilic union with the mother.     

Superego formation, adolescent transformation, and the adult neurosis

The superego is heir to the Oedipus complex but has a much larger developmental legacy which includes preoedipal precursors and the influence of latency and adolescence. The superego continues to change in function and content throughout life, and radical transformation in adolescence may result in developmental discontinuity as well as core developmental continuity. A case is discussed in which adolescence was overlooked in previous analysis and in which adolescent superego modification had a major impact on the patient's character and his adult neurosis. The developmental significance of adolescence experienced under conditions of social isolation and rejection with forebodings of the Holocaust was unrecognized in sanctioned silence and shared analytic denial. These repeated earlier experiences of silent submission and stifled protest, and the silent suffering of the patient and his family, were an integral part of his humiliating and emasculating adolescent experiences. The intimidated adolescent, threatened from within and without, identified with the aggressor as well as with the victim. Identification with the aggressor and glorified victor contributed to a final adolescent structuralization of a punitive, sadistic superego and a rigidly perfectionistic ego ideal. As an adult, he tended to passive masochistic compliance with diminished self-esteem and unconscious self-denigration. He was prone to shame and guilt, self-criticism, and hidden hypercritical attitudes toward others. The adolescent internalization of aggression, intense castration anxiety, and pervasive narcissistic mortification led to retreat from resolution of revived oedipal conflict and to concomitant detrimental superego alteration. These issues were of major importance for analytic understanding and therapeutic progress.     

Fairy-tales in psychotherapy

Fairy-tales, like mythologies, can be found all over the world containing the same motif and chains of motifs. In this paper I have presented some theories on the occurrence of this archetypal phenomenon ranging from the old migration theory to Sheldrake's theory of morphogenetic fields. I have then tried to show how fairy-tale-motifs can appear in various ways in analytical therapy, often in hidden forms. We find them in patients' dreams as well as in their fantasies and associations. If the therapist is open to them they will also appear in his or her amplifications. He or she might then take note of the fairy-tale or point it out to the patient; in the latter case it might provide better access to the patient's problems and complexes as fairy-tales have an emotional completeness because of their pictorial character. Finally I have described the favourite fairy-tale of one of my patients and related it to his symptoms, his central complex and his personal ways of experiencing and behaving. This survey of how fairy-tales can be used in therapy with children and with adults far from exhaustive.     

Exploring a patient's shift from relative silence to verbal expressiveness: Observations on an element of the analyst's participation

By tracing a portion of close process of a patient's shifts from a relatively silent and inhibited stance to one in which he is beginning to verbalize more about his experience and fantasy, I will illustrate some tensions between the analyst's role as facilitating expressiveness and as occupying a place in the patient's internalized world. Since the analyst's functions as facilitator and as internal object (often an obstacle to the patient's expressiveness) are sometimes in conflict with one another, it is important for the analyst to be able to work internally with this conflict as he works with his patient. Splitting processes between these two functions may provide the analyst with cues related to the patient's and the analyst's resistance to understanding the patient's communication of unconscious conflict and the patient's recruitment of the analyst into the patient's internalized world.     

Fordham, feeling, and countertransference: reflections on defences of the self

This is a paper about the difficulties we as analysts get into when we find that a patient has activated something in our unconscious which we cannot resolve in our work with them. Fordham described at the end of his life, in a number of papers, his difficulties and discomfort at not being able to resolve an impasse with one of his patients. From the conversations we had about this situation I knew this caused them both a lot of pain. After Fordham's death his former patient consulted me. Arising from these consultations I describe how I have understood the impasse to have arisen between Fordham and his patient. This paper links character and clinical interests, personality and impasse, developmental failures and defences of the self. It is a personal statement in which I have struggled to represent the meaning in the pain these two men suffered during their analytic engagement, which lasted more than ten years. The theme of fathers and sons was central to the problem.     

Character: a concept in search of an identity

I have attempted to clarify the clinical usage of the concept of character. I have examined such terms as character trait, character, and character disorder. I have described various schemes of classification, and have proposed key definitions for the above terms. I have described the unique aspect of character, that is, its capacity to establish a relation between a superficial attribute and a deep structure. Finally, I have suggested that character represents the core of the individual from a particular point of view--a precipitate of a person's relations to the outside world.     

A sadomasochistic transference: its relation to distortions in the rapprochement subphase.

The development of a rageful sadomasochistic transference early in an analysis is presented. We describe key interventions that foster its resolution and offer a reconstruction of the patient's early life, focusing on difficulty in the rapprochement phase. We believe that the intense and difficult to manage sadomasochistic transference was linked to a repudiation of both preoedipal and oedipal triangulation, resulting in the perpetuation of a hostile dependent mother-child dyad and in the patient's unconscious belief that sadomasochistic interactions were the only means of establishing and maintaining a close relationship.     

Reflections on Klein's radical notion of phantasy and its implications for analytic practice

Analysts may incorporate many of Melanie Klein's important contributions (e.g., on preoedipal dynamics, envy, and projective identification) without transforming their basic analytic approach. In this paper I argue that adopting the Kleinian notion of unconscious phantasy is transformative. While it is grounded in Freud's thinking and draws out something essential to his work, this notion of phantasy introduces a radical change that defines Kleinian thinking and practice and significantly impacts the analyst's basic clinical approach. This impact and its technical implications in the analytic situation are illustrated and discussed.     

Individuation of women

The period between 30 and 40 years of age is probably the normal time developmentally for women to complete the individuation from their mothers. Because of the change of object from the primary object (mother) to the secondary object (father), as well as the lack of a narcissistic triumph over the mother comparable to that of a boy's penis, a woman's psychosexual development is more difficult and prolonged. The girl must resolve her attachment to the omnipotent mother and work through her Oedipus complex by deidealizing the father, recognizing that her anal-sadistic impulses do not castrate men, before she can completely individuate. Only then does she become an autonomous, complete woman. Passive-dependency in women is not a mature adult state, as several authors hold, but a partially resolved individuation from the mother, now transferred onto men. Becoming attached to men, idealizing them, they devalue themselves in order not to regress to the omnipotent preoedipal mother. Adulthood (30-40 years) is the time when this resolution can occur because there have been sufficient narcissistic achievements for the woman, enough distance from the actual preoedipal mother, and an opportunity to observe that their own anal-sadistic impulses toward men have not castrated or destroyed them, as well as an opportunity to see men as fallible and human. This is a reason so many woman return to school and begin careers in their 30s. This incomplete resolution is also a reason for fewer original discoveries and creative contributions by women than by men during the course of history. As society changes, this special difficulty for women to individuate may change as well, but I would predict that such change would not be as much as one might expect because of the unique psychosexual development of women.     

Reflections on Freud's reaction to the death of his mother

Freud's reaction to the death of his mother as he reported it in letters to Ernest Jones and Sandor Ferenczi is discussed. The sense of liberation and the absence of grief which he emphasized is given some analytic consideration. An attempt is then made to gain an understanding of Freud's somewhat cryptic remark that a change in the "values of life" in the "deeper layers" will have occurred following his mother's death. His discussion of these concepts in Civilization and Its Discontents, which was published just before her death, is utilized. The question is raised of whether the death of his mother may have been related to the change in Freud's view of the significance of the preoedipal mother which he presented in "Female Sexuality," the first paper he wrote after her death.     

His mother-tongue: from stuttering to separation, a case history

This paper delineates the transference and countertransference experiences in the analysis of a patient whose presenting symptom and main concern was his stutter. I suggest that oral-sadistic rather than anal-sadistic hostile elements may be identified in this patient's particular stutter. I focus on its significance in terms of object relationship: my patient's struggle to 'get born', to emerge as a separate other. I argue that early symbiotic fusion needs in conflict with the need to separate produce his stutter. Speech and language are seen as the vehicle for separation and the stutter as a flight from separateness back to an illusion of fusion with mother.     

Self-organizing individual differences in brain development

Brain development is self-organizing in that the unique structure of each brain evolves in unpredictable ways through recursive modifications of synaptic networks. In this article, I review mechanisms of neural change in real time and over development, and I argue that change at each of these time scales embodies principles of self-organizing systems. I demonstrate how corticolimbic configurations that emerge within occasions lay down synaptic structure across occasions, giving rise to individual trajectories that become entrenched with age. Emotions have a powerful influence on this process.This is because the neural processes mediating emotion consolidate patterns of activation across the brain, through their enhancement of inter-regional coordination in real time and their contribution to synaptic shaping over development. The loss of corticolimbic plasticity with age is an unfortunate fact of development, but it is compensated in part by transitional phases and individual learning experiences through which habits are modified or replaced. I emphasize variations in inter-systemic coupling as a key mediator of developing individual differences, and I discuss the acquisition of anxious/depressive appraisals as an example.     

Psychic functions of failure

While we can explain significant differences in social mobility between different occupational categories in terms of the economic and social resources made available to them, in order to understand those who deviate from the statistical mode we need to look at the unconscious meaning of "success" and "failure." Beatrice, Dave, and Sally are all children of professional families and yet have great difficulty being successful at work. Their difficulties with work are multi-determined and there are oedipal and preoedipal issues involved. However, in the case of Beatrice the issues are predominantly oedipal, while in the other cases the issues are primarily preoedipal. It seems that while the common oedipal themes inhibiting productive work and work satisfaction have been discussed in psychoanalytic literature under the rubric "work inhibition," albeit to a small extent, the preoedipal themes have been given less attention. This is because the traditional concept of "inhibition" has taken such a central place in the psychoanalytic perspective on work. The concept of "work inhibition" has paralyzed the development of a broader psychoanalytic framework for the analysis of work problems. As long as we limit our discussions of problems with work to the term "inhibition," they will focus on the oedipal problems of neurotic patients and a large gap will remain between theory and clinical experience because a large number of our patients have difficulties with work that are rooted in preoedipal issues. Unless we can stop being "inhibited" by the very concept, our theoretical understanding of problems with work will continue to lag behind our clinical understanding. "Work inhibition" is not the only type of major problem with work patients can have--they can be the result of a variety of dynamics on either oedipal or preoedipal levels.     

Early object-relations conflicts in marital interaction

In this paper I have tried to show how certain early object-relations conflicts in marital interaction had their principal source in the rapprochement phase of the separation-individuation process. The clinical material suggested that only a tenuous separation from the early mother had been achieved, and now the spouse (be it husband or wife) had become the new maternal representation; the early mother-child interaction was being recapitulated once again between husband and wife. It was the conflicts and vicissitudes of the rapprochement crisis which were instrumental in shaping the patient's infantile neurosis and not just the oedipal struggle of the infantile neurosis prototype. The clinical material furthers confirmation of marriage as a viable developmental phase. Considering such marital interaction from the point of view of our analytic technique, it provided a unique occurrence where the infantile neurosis, the adult neurosis (i.e., the pathological marital union) and the transference neurosis came together. Two issues were thrown into clearer focus by this confluence: first, the repetition compulsion principle was distinctly demonstrated; and second, support for recovery of experience from preverbal and semiverbal stages of early object relations was forthcoming.     

Creativity, “Twinning,” and Self-Destruction in the Life and Work of Tennessee Williams

Applying an eclectic psychoanalytic framework, this paper provides a thematic link between the core experiences of Williams' early life and his creative work. Both preoedipal and Oedipal themes are elucidated. The central issue that dominated Williams' mental life was his struggle between a sense of suffocation and confinement, on the one hand, and having artistic and sexual freedom, on the other. The experience of suffocation extended to his dread of becoming mad. This dread derived from his intense twinning or twinship merger with his schizophrenic sister who was confined in an asylum. The study focuses attention on a number of Williams' one-act and full-length plays, written during each of the decades of his public career, as representative of his overall dramatic opus. These works are indicative of his special relationship with his sister as well as of his obsession about self-indulgence and fear of confinement. The later plays suggest that he was subject to identity confusion.     

RESCUING RELIGIOUS NON‐REALISM FROM CUPITT

Don Cupitt's version of religious non‐realism based as it is on linguistic constructivism, radical relativism and the view that culture forms human nature has been attacked with devastating effect by realists in the last few years. I argue that there is another strand in Cupitt's thinking, his biological naturalism, that supports a different version of religious non‐realism and that he failed to see this possibility because of his global non‐realism and commitment to the strong programme in the sociology of scientific knowledge. Cupitt's biological naturalism should have led smoothly into evolutionary psychology, which has an account of religious belief that supports a non‐realist interpretation. Evolutionary psychology shows that religious beliefs are natural, normal and about matters of the deepest significance to humans. They gain their character from the operation of evolved structures of the mind and cannot be reduced to other sorts of belief. I argue that the form of religious non‐realism that emerges from taking biological naturalism seriously has a future because it respects the nature of religious belief and seeks to build on its capacity as a unique source of meaning in people's lives. There is also enough common ground with religious realism for there to be genuine dialogue between the two.     

Shaming and Unreasonable Shame in the Book of Job1

While the philosophical study of shame has gained popularity, its application in the interpretation of the Hebrew Bible remains in its early stages. This paper delves into an analysis of shaming and unreasonable shame in the Book of Job, particularly in chapter 19. Through an examination of the Hebrew text and drawing on contemporary philosophical definitions of shame and shaming, I argue that Job perceives his friends, God, and the community to be employing shaming tactics against him, attempting to induce feelings of shame, a sentiment Job considers unjustified. In his case, shame is deemed unreasonable because Job has not violated any cherished values that would warrant such an emotion. Additionally, I demonstrate that while Job senses God shaming him, the biblical character acknowledges that his deity is the sole entity aware of his innocence—God's eyes perceive accurately, in contrast to humans', which only assess outward appearances. The role of God as the perfect witness to Job's life is fulfilled in the epilogue of the book, where Yahweh vindicates Job from the shame he has endured by publicly denouncing the serious faults of his friends.     

Levinas,recognition and judaism

I seek to draw out the unique character of Levinas’ theory of recognition by highlighting its transitional character in a double sense. It is transitional, firstly, in that it stands between two models of recognition: the earlier agonistic model of Kojeve and the later model of Honneth which takes as its point of departure a primordial relation of mutual affirmation between individuals. It is transitional secondly in the sense that, while Levinas initially employs the concept of recognition, he is later explicit in his rejection of it. The interest of Levinas’ transitional model of recognition for the philosophy of religion is that Levinas negotiates both transitions by calling on archetypes borrowed from the Jewish tradition. An exploration of this model thus provides us with a fresh vantage point from which to address anew the question of the articulation of social philosophy and the philosophy of religion in his work.     

The shaping of masculinity: Revisioning boys turning away from their mothers to construct male gender identity

This paper offers an understanding of the nature of the internalization processes involved in the shaping of male gender identity founded on the boy's unique struggles in separating from his mother. The underpinning for the initial development of a sense of masculinity is reconsidered as the author questions the widely held idea of Greenson and Stoller that a boy normatively has to 'dis-identify' from his mother to create his gender identity. Import rather is placed on the conscious and unconscious aspects of the mother's (and father's) pre-oedipal and oedipal relationship with their little boy in order better to understand the nature of the boy's unique identifications and subsequent sense of masculinity. Both the security of the boy's attachment to his mother, in providing the foundation for a transitional turning to an 'other', and the mother's capacity to reflect upon and recognize her own, as well as the father's and her son's, subjectivity and maleness, are crucial in comprehending boys' 'attachment-individuation' process. Likewise, the unconscious paternal and maternal imagos and identifications of both the boy's mother and father, as well as the father's pre-oedipal relationship with his little boy and the boy's mother, are extremely significant in shaping a son's gender identity. The author argues that these early maternal (and paternal) identifications live on in every male and continue to impact the sense of maleness in a dialectical interplay throughout the life span. A maturing gender identity develops from integrating these early, pre-oedipal maternal identifications that no longer need be repudiated nor defensively organized as polarized gender splitting.     

Identität, Familie, Patienten, Olympier

The author deals with the tradition of mental patterns in psychoanalytic institutes shaping the character of training. He discusses several patterns which in his opinion have become dysfunctional and are already in change: the family model, the patient model, the conception of training analysts as Olympians, the psychoanalytic identity as the endpoint of training and the model of the closed society. He argues for further transformation of these institutionalized patterns in order to avoid stagnation and remain future oriented. For each pattern he proposes concrete measures, which can be helpful for change.