Delving into psychoanalytic texts: the notion of the reading third

In this article I introduce the notion of the reading third, which evolves during the reading process. The idea came to my mind while studying Wolfgang Iser’s theory of the reading process, and already knowing about Thomas Ogden’s concept of the analytic third: What is experienced, shaped and understood while reading a text? The notion of the reading third is based on psychoanalytic theory and method like just Ogden’s concept, and on the aesthetic response theory of Iser. Elaborating the reading third, I combine two modes of reading: one understanding and interpreting, and one floating and experiencing mode. To these modes I add two different understandings of truth. The first mode is connected to a traditional, objective and visible truth. The latter mode relies on Wilfred Bion’s concept of O, a special kind of evasive, ephemeral truth. The reading third takes and loses form as one reads, accentuating reading as a highly creative activity, where each reading elicits different understandings, experiences and truths. I give examples of such a way of reading psychoanalytic texts like those of Bion and a work of fiction, Henry James’ short novel The Turn of the Screw.     

Expressions of vernacular psychoanalysis

The present paper examines the clinical integration of theory and experience from the perspective of clinicians’ subjective shaping of inquiry. The author suggests that the historical, conceptual development of clinical psychoanalysis parallels the progressive articulations of consensual understanding within the clinical hour. He suggests that the clinician's utilization of vernacular elements, derivative of direct experience as well as of reference to the wider range of psychoanalytic thinking, addresses gaps and disconnections within the abstract understanding of the clinical psychoanalytic process. Providing examples from psychoanalytic history, he concludes with a contemporary example of psychoanalytic papers, reflecting vernacular elements that are of use to practicing clinicians.     

Truth and Consequences: What We Lose and Gain in Psychoanalytic Postmodernism

In this article, I use the psychoanalytic concept of truth as a lens through which to explore how psychoanalysis has changed and not changed under the influence of postmodernism. I suggest that the seeking after truth remains in current psychoanalytic practice even though under different guises or conceptual umbrellas, for instance in the high value placed today on authenticity (or trueness) to self and of relationship. Although, admittedly, the search for truth in the sense of compiling historical facts has receded, our current interest in the construction of narratives still comes with the requirement that the stories we co-create with our patients at least have the ring of truth if they are to facilitate psychic growth and psychological intimacy. Additionally, I offer an overview of some of the salient characteristics of postmodern psychoanalysis, with suggestions as to how each of these might relate to the concept of truth. In closing, I borrow a brief clinical vignette from the unpublished notebooks of Melanie Klein for the purpose of making a brief comparison between earlier and current ways of interacting in the treatment relationship.     

The Protective Skin of the Analyst’s Case Formulation: Commentary on Paper by Tom Wooldridge

The contours of every psychoanalytic process are shaped by its case formulation. This discussion of Tom Wooldridge’s paper (this issue) of the long-term, psychodynamic treatment of a patient with severe anorexia provides opportunity to demonstrate that formulation derives from aspects of the clinician’s clinical education and personal growth. Wooldridge’s metaphor of the containing functions of the entropic body is extended to include particular paternal functions that an analyst provides his patient and that are suggested in the dialogue of this clinical material. Psychoanalytic case formulation distinguishes it from other aspects of an integrated treatment plan for eating disorder patients; in particular, clinician and patient discover important metaphors and elaborations of personal history that assist in recovery. Thinking through a case from different lenses provides real gratification for the psychoanalyst and a bulwark to assist in potentially life-saving work because of its protective and enriching functions. Drawing upon the metaphors Wooldridge expands upon such as secondary skin formations and the entropic body, I suggest that clinicians who work in the field of eating disorders could draw great benefit from learning more about what psychoanalytic case formulation offers patients. Detailed, evocative case examples such as the one Tom Wooldridge puts forward may be one way to reach this important audience because they bring to life many of the unique features of contemporary psychoanalysis.     

Binding,narcissistic pathology and the psychoanalytic process

This article discusses the question of truth claims in psychoanalysis, revolving around the concepts “construction”, “reconstruction”, “historical truth” and “narrative truth”. In Part I of the article, these concepts are discussed in an historical context, in particular, Freud's view, the narrative tradition and some of Bion's ideas. In Part II, an attempt is made to synthesize these concepts. It is argued that the constructed character of the unconscious has to be integrated into the patient's reconstruction of his/her life story. The psychoanalytic project enables the patient to create a new narrative that claims to possess historical validity. It is important in this context not to understand the notion of “history” objectivisticallv as if it were a question of revealing certain objective historical facts. Instead, it is suggested that the connection between the present understanding of the past and the past as it was experienced in the past should be understood as a fusion of horizons. Finally, the necessary function of consciousnesslself-consciousness for the psychoanalytic project of acquiring knowledge about one's unconscious is pointed out.     

Psychic Truth and the In-Session Work of the Analyst

I seek to address one of the issues most affected by the postmodern culture, such as the crisis of rationality and truth, and try to reformulate its place within the psychoanalytic clinic using the contributions of Freud and Ferenczi, who drew the matrix of a passionate dialogue about the truth and the analyst work that has nurtured many contemporary theoretical developments. Essentially, the major influences of postmodern thought in psychoanalysis are to emphasize the importance of the patient–analyst interaction, the role played by the analyst in the patient’s transference and the rejection of the model of the analyst as a distant observer who interprets without having anything to do with whatever happens within the mind of the patient. Consequently, because both postmodernism and psychoanalysis are concerned with human subjectivity and love for truth, although indeed understanding them from different perspectives, both schools of thought become easily interrelated. I conclude that psychoanalysis, committed as it is with the search for truth, cannot ignore the influence of postmodern thought, as well as the postmodernist movement should not disregard all theoretical consistency provided by psychoanalytic theory and metapsychology.     

Psychoanalysis and Human Values

Psychoanalysis can contribute quite a lot to the question of values and to a theory of ethics. While the first part of this presentation is focused on the impact psychoanalysis continues to exert on present day ethical theory, the second part discusses Erich Fromm's particular approach to psychoanalysis. Fromm was the first to reformulate in his psychoanalytic approach the idea of an ethic of the virtues. With his theory of character (and of social character) he made values an integral part of psychoanalytic theory. Hence, what matters most morally from a psychoanalytic stance is the quality of character orientation. Despite the fact that - in Fromm's own socio-psychoanalytic approach - man's character is the product of adaptation to the environment, morality for him is dictated by economic and social requirements - whatever common sense may tell us to the contrary. For Fromm there is an intrinsic primary tendency to growth in all human beings. Thus, morally good is whatever furthers the growth of our own powers by which we relate to the outside world and to ourselves in a loving, "sane" and creative way. The last section reflects some implications of Fromm's approach to understanding values as an integral part of psychoanalytic theory, and finally discusses whether the search for truth and human values is as obsolete as postmodern thinking claims.     

Something and Nothing,Aliveness and Deadness: Discussion of “Three Dimensional Field Theory”

In this discussion of Philip Ringstrom’s provocative paper (this issue), I attempt to elaborate on several concepts: the role of “something” and “nothing” in psychoanalytic treatment, the problematic nature of the search for truth, the dialectic of aliveness and deadness, and the inevitability of improvisation in the pursuit of aliveness in the crucible of treatment. I also enumerate several transference–countertransference vulnerabilities inherent in improvisation.     

The Task of the Translator

This discussion reflects closely on Dominique Scarfone’s call to consider psychoanalysis as a practice founded on ethics, and to rely on this premise in charting a fundamental common ground such that has eluded psychoanalysis for most of its history. Out of the three points Scarfone centers on, I dedicate most attention to the third—psychoanalysis as modeled on the notion of translation—because I find his suggestion inspiring, and promising toward the goals he sets for his paper. Building on the basis Scarfone offers in this context with the help of ideas developed by Walter Benjamin and Emmanuel Levinas, I suggest that the vision that can pull us together as psychoanalysts indeed relies on an ethics of attending to the other’s speech, its meaning as well as its fundamental yet complicated striving for comunicability. More specifically, we need to recognize that words can hide our need to say them. That what we say obscures our vulnerability and shame. That when we try to recall, the language we speak is distorted by the personal and historical forces collaborating to make us forget ourselves. I argue that the task of the psychoanalytic translator is therefore to uncover and resignify the scattered, coded fragments; to help us restore our ability to tell our stories; and to recognize that more than everything, we want to tell them.     

Self-Formation and the speculative: Gadamer and Lacan

Abstract

Gadamer’s project in Truth and Method is as much about truth in the human sciences as it is about human subjectivity, for, following Heidegger, he claims that truth is reducible to method (technical rationality) only if one is misled by old Enlightenment subject/object dualisms. Posing the question of the possibility and nature of truth in scientific thinking, where a strict division between subjective and objective has fallen away, Gadamer belongs, as one of its inaugural figures, to an alternative tradition of philosophical complexity, which implicates environmental systems (culture, ideology, institutions), embedded in language, in the constitution of human subjectivity.

With these theoretical shifts in mind, what caught my attention in a press report concerning the trial of (subsequently convicted) serial killer, Stewart Wilken (“Boetie Boer”), was the strangely anachronistic question that dominated the front page of a Port Elizabeth newspaper: “Boetie: Is he Sick or Evil?” This question, in my view, harks back to a questionable framework of Enlightenment autonomy, which depends upon the easy technical rationality of clear-cut dichotomies. In what follows I hope to show that in acknowledging the role of complex interrelations between cultural and other systems, a tradition of philosophical complexity justifiably claims a more adequate framework for understanding self-formation than that underpinning the discourses at work in Wilken’s trial. I shall draw on Gadamer’s hermeneutic model of an “embedded” subject, which is based on his speculative model of “play” outlined in Truth and Method, and supplement this with Lacan’s psychoanalytic account of subject formation.     

A Psychoanalytic Reading of <Emphasis Type="Italic">A Monster Calls</Emphasis>: Biblical Congruencies and Theological Implications

This essay offers a psychoanalytic reading of Patrick Ness’s A Monster Calls, an award-winning novel (which recently has been made into a film) about a 13-year-old boy whose mother is dying of cancer. I use Sigmund Freud’s “On Dreams” to interpret several scenes from the novel, interspersed with lessons from the life of Jesus. I argue that such a reading can help persons of all ages take the emotional lives of teenagers more seriously, specifically by witnessing the depth and complexity of ambivalence as represented in the novel. Also, an important feature in the novel (and a vital congruence between psychoanalysis and the teachings of Jesus) is the transformation of emotional ambivalence into paradoxical truth.     

Credo

I believe psychoanalysis is, first and foremost, an art. As an artist, empathy, curiosity, and creativity are required of the clinician. These qualities contribute to making every treatment unique, just suited for this patient with this therapist at this moment. Psychoanalytic theories provide useful models, metaphors, and model scenes that enable clinicians to better understand and engage their patients. Each theory can make a unique contribution to the analyst’s pallet but, I argue, attempts to integrate theories can dull their uniqueness. The personal experiences that led to these proposals about psychoanalysis and psychoanalytic treatment are described.     

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.     

Like a phoenix from the ashes – or “sack cloth and ashes”?:1 The reconstitution of psychoanalytic institutions in Germany since 1945 and its consequences

Abstract

Here, I attempt to formulate some thoughts about the past, present, and future of psychoanalysis and its institutions in Germany. To do this, I have employed my varied experience as a supervisor and consultant to many such psychoanalytic institutes over the past several years. Themes discussed include the history of psychoanalysis in postwar Germany, the organizational structure of German psychoanalytic institutes, and their cultures in regard to group and organizational dynamics, and political and economic aspects. Finally, I add brief thoughts about the future, taking into account recent developments relating to planned changes in laws governing psychotherapy in Germany. Further, I attempt to analyze and comment on: coming to terms with the past; how to begin after the “Zero Hour”; the form of organization of psychoanalytic institutes in Germany; missing patients and missing candidates; constructive debate and hurting people’s feelings; the lack of “detoxification” and “recycling” of the poisonous remains of psychoanalytic processes; and the future of psychoanalytic institutions in Germany. I end with an example of a typical primary task used in conducting large groups in the institutes in which I worked, and include an anonymized table listing individual interventions, their duration, and frequency. These should provide an idea of my way of working, and an overview of the dimensions of the task.     

Heidegger’s Concept of Truth Reconsidered in Light of Tugendhat’s Critique

Ernst Tugendhat’s critique of Martin Heidegger’s conception of truth is an ongoing topic in Heideggerian scholarship. In this paper, I contribute to the ongoing exchange between defenders of Heidegger and those who are in agreement with Tugendhat. Specifically, I contend that Tugendhat’s criticisms fail to situate Heidegger’s account of truth within his broader phenomenological–hermeneutic project. In the end, Tugendhat’s critique is grounded upon philosophical assumptions that Heidegger is bringing under question by rethinking the concept of truth. I suggest that thinking through Tugendhat’s critique and attempting to formulate an adequate Heideggerian response gives us a richer understanding of both Heidegger’s account of truth and his general philosophical project.     

Psychoanalytic witnessing as a prerequisite to psychotherapy with a severely sexually abused young adolescent male ex-inner city gang member

This paper discusses psychoanalytic witnessing as the prerequisite for psychoanalytic psychotherapy with a severely sexually traumatised young adolescent boy, Dean. This form of witnessing acted as a prior stage for treatment through the psychotherapist acknowledging Dean’s trauma, without seeking to symbolise its registration in the psychotherapeutic relationship. As sexual abuse is about something done to the person, this acknowledging crucially conveys belief in the truth of what has happened to the patient at the hands of the external world. My work with Dean taught me that such acknowledgment allows for such traumatised patients to then feel more able to accept interpretations based upon what they are doing to the external world, encapsulated in the transference to their psychotherapist. Because trauma is often so deeply felt, and leaves patients dissociated or fragmented, seeking evidence of its presence needs keen observation. Here the paper discusses an experience of bodily countertransference that alerted me to the location of Dean’s trauma’s registration in our relationship. Overall, the paper seeks to demonstrate the importance of psychoanalytic witnessing as a form of containment in itself, and the essential basis for psychotherapeutic work using symbolisation and the transference.     

Languages of trauma; towards a phenomenological response

In this article, I explore the possibilities of a phenomenological perspective on trauma in psychoanalytic practice. I highlight the problem of interpretations that universalise experiences of trauma, provide explanations in terms of ‘causes’ and assume particular processes/stages of ‘recovery’ from it. The notion of trauma challenges dichotomies of ‘internal’ and ‘external’ worlds. Traumatic experiences always have a context – that of the immediate relational circumstances of the individual suffering from the trauma, including the wider social/relational context, and the person’s history. I argue for an attunement to the language and specificity of the meanings, verbal and non-verbal, conscious and unconscious, of the client’s suffering within the analytical relationship. This requires the therapist to avoid ‘ready-made’ interpretations from psychoanalytic theory and to be open to the poiesis of the speech, which emerges between therapist and client. My discussion of my reading of the Chilean documentary film, Nostalgia for the Light, which focuses on the traumatic experiences of those who survived Pinochet’s military regime (1973–1989), highlights how diverse responses to trauma are. The originality of the language of the film calls on us as therapists to discover new ways of listening and speaking to our clients’ suffering.     

Reflection on the relationship between psychoanalysis and christianity

Coming to terms with Freud's ideas and attitudes toward religion is prerequisite to any consideration of the compatibility between psychoanalysis and Christianity. In a previous essay and in this one I have attempted to sort out Freud's ambivalence and ambiguity in the area and to point out their relevance to the issue at hand. In this paper I survey and criticize the opinions of a number of writers, as well as putting forward some of my own. I emphasize that the compatibility question is one of value, rather than of fact, and that one's answer to it depends largely on one's conception of psychoanalysis itself. The issue is not clear-cut. Some aspects of psychoanalytic theory and practice appear more reconcilable with Christian theology, ethics, and spirituality than others. A few psychoanalytic tenets seem in direct contradiction to religious ones. I close with an historical-sociological point that I believe has some bearing on the matter.