The thin line between reality and imagination: attachment orientations and the effects of relationship threats on sexual fantasies

The authors examined the effects of relationship threats on sexual fantasies. In two studies, participants described a sexual fantasy following an imagination task and reported their attachment orientations. In Study 1, participants imagined relationship or nonrelationship threat scenes. Results indicated that relationship threat led to fantasies that involved interpersonal distance and hostility themes. Furthermore, following relational threat, women and more anxiously attached individuals were most likely to use relationship-maintaining strategies in their fantasies. More anxiously attached individuals were also particularly likely to represent themselves as alienated. In Study 2, participants imagined sexual or emotional threat scenes. The findings showed that sexual threat elicited self-enhancement, whereas emotional threat led to fantasies involving both self-enhancement and attachment-related themes. Emotional threat was also most likely to induce negative views of others in more avoidant women. Implications for understanding the underlying functions of sexual fantasies within the context of romantic relationships are discussed.     

The Castration Complex

ABSTRACT

Theoretical formulations of the castration complex have changed as psychoanalytic theory has developed. The author briefly reviews the literature and asserts that analyzing the set of fantasies related to potential or imagined castration continues to be clinically quite important. Understanding these unconscious fantasies provides a window into the individual's experience of his or her body in relation to those of important others throughout development. A case is provided to illustrate this, and to discuss the ways in which several different ways of thinking about castration fantasies contributed something essential to this analysis.     

FANTASY WORLDS AND SELF-MAINTENANCE IN CONTEMPORARY AMERICAN LIFE

Abstract. Because actual social experience is often damaging to conceptions of self, individuals in all societies engage in identity work beyond ordinary social interaction. For people in religious groups, identity work may involve the subjective experience of interactions with spirit beings as in altered states of consciousness such as dreams, reverie, or trance. In memories, anticipations, and fantasies, secular Americans, too, may experience gratifying imaginary social interactions when they gain recognition and acclaim from imagined others. Unlike spirit relations these fantasies are not culturally defined as "real." However, like spirit relations, they may have very real effects on self-maintenance.     

Transference perspectives of story telling

Every story teller tells his stories to an imagined reader who is his transference imago. The evident validity of this proposition in the psychoanalytic process is paralleled in the literary process. Disjunctures between process or form and content and the uses of active and passive voices in the grammatical sense reveal the workings of transference in the writer's attempts, through his narrative voice, to influence the imagined reader or imago. Clinical and literary examples are employed to demonstrate these issues.     

Little Hans and the thought police: the 'policeman fantasies' as the first reported supervisory transference fantasies

The ‘policeman fantasies’ in Freud ’s case of Little Hans, famous for being Freud ’s most direct evidence for specifically sexual oedipal desire by Hans for his mother, are reconsidered. The Hans case is the first recorded instance of psychoanalytic supervision, and recent studies suggest that it is common for patients in supervised treatment to experience fantasies about the supervisor. It is argued that the policeman fantasies are the first recorded instances of such transference fantasies about psychoanalytic supervision and the patient–therapist–supervisor triangle. The explanatory power of this interpretation is supported by the nuances of the features of the fantasies themselves, as well as by the context in which they occurred that might serve as ‘day residues’. Moreover, this interpretation provides an answer to the central mystery of the two fantasies, which goes unaddressed by Freud ’s oedipal interpretation: Who is the policeman?     

Cultures of Exile: Diasporic Identities and the "Imaginations" of Africa and India in the Caribbean

In this article, I explore the similarities and differences in the way Africa and India were constructed, or how the notion of an idealized "home" as part of the diasporic imagination was "imagined" by peoples of African and Indian origins in the Caribbean. How do diaspora discourses construct homes away from homes in the context of cultural dislocation and displacement? How were imagined Africa and imagined India constructed, and who were the constructors of these two imagined communities? I argue that the "ideologies of return" that were articulated in these two movements were fundamentally different. Whereas the attempt to embrace a "lost" Africa was premised on physical repatriation and cultural return, the attempt to reconnect with a lost India was based essentially on symbolic projections, which saw Indian Caribbean peoples taking pride in being part of a great civilization and culture but not wanting to go back to India.     

A patient's transference to the analyst's supervisor: effect of the setting on the analytic process

A case is presented in which the patient's transference to the analyst's supervisor became evident just prior to the switch from clinic to private patient status. The patient experienced the supervisor as a restraining father figure who protected her from acting on her erotic wishes toward the analyst. Analysis of this led to the recall of previously repressed memories of sexual wishes toward her brother, and the sense of protection from these wishes that she had gotten from the presence of her father. The literature on transference involving the supervisory constellation and the training setting is reviewed, and the concepts of split and institutional transference are examined. Factors inhibiting the analysis of patients' fantasies about the analyst's status as trainee, including the presence of the supervisor and the institute, are discussed.     

Das Drama des begabten Kindes und die Suche nach dem wahren Selbst

The clinical material for this study of female fantasies stems from a specific psychoanalytical situation where the analyst and the analysand are pregnant at the same time. The impact of this situation is powerful. The emergence of archaic fantasies is facilitated in transference and countertransference. Fantasies of damage to the baby or to the procreative function may emerge very vividly in the double pregnancy setting and working through these fantasies becomes possible. It is suggested that these fantasies are typical female castration fantasies and manifest the fear of the mother's revenge and punishment for forbidden oedipal wishes. The double pregnancy setting may sensitize the analyst to her pregnant analysand's unconscious communication and yet blind the analyst in some areas to the protection of her own baby. The duality of phallic strivings in the girl's psychosexual development is discussed. They may be employed as a defense against specific feminine anxieties, such as fear of retaliatory attacks on her inner space and its fertility: the female castration anxiety. They may also be constituents of her sexuality, coexisting with inner genital strivings. The co-existence of phallic and inner-genital strivings in the female psyche is always conflictual.     

Response to Peter Fonagy

Peter Fonagy highlights the therapeutic efficacy of new experience, 'a way of being with the other', while the author gives priority to interpretation, insight into and the working through of unconscious conflict. The recovery of the repressed memories and fantasies of childhood is now an intermediate goal of psychoanalysis, largely superseded by transference interpretation and genetic reconstruction. Transference, like symptoms, is a return of the repressed. The author believes Fonagy's theoretical and technical focus on the non-conscious, rather than the dynamic unconscious, devalues the persisting influence and pathogenic significance of the infantile unconscious.     

Wishful information preference: positive fantasies mimic the effects of intentions

When pursuing set goals or intentions, people prefer to acquire information about the pros rather than the cons of their goal pursuit. Little is known about information preferences at earlier stages, when people are not yet serious about pursuing a given future. In the present three studies, positive fantasies that depicted an idealized desired future--compared with fantasies that questioned whether the future would be so ideal--created a preference for pros over cons, just like set goals or intentions have been shown to do. Positive fantasies created a stronger preference for pros versus cons when people were not serious about pursuing an imagined future or had just foregone an opportunity to do so. Results suggest that before people are engaged in serious pursuits, positive fantasies spur the selective acquisition of pro information, which may lead to poor decisions even if the acquired information is carefully deliberated on later.     

Talking about medication

With the increasing use of psychotropic medication concomitant with psychoanalysis, attention must be given to the challenges created by complaints of medication side effects. When confronted with these side effects, analysts may experience specific, uniquely actualized countertransference anxieties that can prompt the abandonment of transference analysis. Particular countertransference fantasies that arise in combined treatments are examined, as are the reasons for the analyst's suspension of curiosity and openness and its clinical consequences. In these situations, effective analysis requires the analyst to be "bilingual," to hold in mind both the analytic and the pharmacological model.     

The patient's own pillow on the couch

Material is presented from two hypochondriacal patients who insisted on using their own pillows on top of the bolster-pillow on the analyst's couch. A number of important transference fantasies are seen as underlying this unusual resistance to the progress of the analysis. In addition, the analyst's countertransference feelings are described.     

Three visits to eternity: Freud, Wiesel, and Patient X

Freud's experience on the Acropolis is reviewed and reappraised. Also, the experience of Elie Wiesel at the Wall in Jerusalem and Patient X's reaction visiting an Egyptian temple are examined. Carl Jung's wish to go to Rome and his inability to do so are noted. The aim of the paper is to offer deeper understanding about intense reactions many sensitive and creative people experience over travel to special places. These places are treated as idealized and ambivalently loved transference objects. Normal anticipatory pleasure prior to the trip is impaired and reality pleasure at the site cannot be enjoyed. When these spots are reached, ego regression is initiated by the intolerably intense narcissistic pleasure mobilized by the gratification of fantasies that were felt to be unrealizable. The fantasies can be conscious or unconscious and from oedipal as well as preoedipal and postoedipal developmental levels; however, they always involve the fulfillment of overwhelmingly powerful wishes. The deep ego regression, archaic fantasies, and the complex defenses mobilized are frightening since there may also be concern about ego dissolution or irreversible transformation. One highly adaptive solution which helps master these conflictual and developmental experiences is creative ego activity. While maintaining integrity for the individual ego and enhancing the self, creative work and accomplishment also enrich and advance the cultural process.     

Identity maintenance in the affectively distant patient

Patients who are affectively distant, in that they appear to have little conscious emotional investment in the analyst, have been described increasingly in the psychoanalytic literature of the last twenty years. Typically, they have been understood either from a developmental point of view as defensively struggling against wishes for symbiotic union or, on the Kleinian model, as having unconscious fantasies of bodily fusion with the mother that, upon separation from her, result in annihilation anxiety that generates autistic defenses. Of special importance is the work of Heinz Lichtenstein, who stresses early identity maintenance and the role of mirroring experiences with the mother in the development of an "identity theme." This concept is used here as a symbiotic precursor of ego identity that ties the self to a particular mother. It is this primitive form of identity that can occasion regressive self-definition in the transference of the affectively distant patient. Two cases are presented that illustrate dynamics and transference dispositions occurring in the psychoanalysis of these patients. The discussion focuses on the role of the patient's catastrophic fear of acceptance, as well as on the consequent need for self-protective measures. It is argued that careful and consistent analysis of these conflicted areas of these patients' transference leads toward greater integration of their identity and personality.     

Discussion of “Hysteria and Humiliation”: Commentary on Paper by Sam Gerson

This commentary describes certain differences in how Relational and Contemporary Freudian analysts approach both the conceptual dynamics of hysterical functioning and its clinical management. The discussion shows how, despite considerable agreement between these two groups concerning the critical importance of a receptive other for the successful buildup of virtually every aspect of mental life (not to be confused with the concept of co-creation), they also have quite substantial differences; differences that are rooted in contrasting basic assumptions about the ways in which fantasies, unconscious transference displacements, and self-regulating repetitive processes are set up in the mind. The discussion also illustrates how the clinical management of hysteria differs considerably depending on whether what is taking place in the consulting room is conceived of as an autonomous, repetitive process that the patient brings to the treatment and repeats (one way or another) over and over again, or whether it is conceived of as co-created, belonging to the minds of both persons in the room, even if not in equal measure or equal ways.     

SOME DIFFICULTIES IN THE ANALYSIS OF A WITHDRAWN PATIENT

The author discusses some difficulties that arose in the analysis of a seriously disturbed patient who found talking about himself extremely problematical. He defended against awareness of conflicts, ideas and affects while being tormented and overwhelmed by them. He seemed to have acquired an inhibited character that was not, however, schizoid. He related to others in a wary, quarrelsome, yet passive way. It became apparent that his sense of identity was confused. Attention to archaic fantasies led to the uncovering of a parthenogenetic unconscious fantasy involving identification with his mother and the attempted eradication of the mental function of his father. Experiences of differentiation led to extreme anxiety including risk of failure of ego functions with the arousal of latent psychotic anxieties. Interpretation of the content of sessions became possible only after several years: until then interpretation of defensive processes aimed at preventing contact or change predominated. Disclosure of 'unofficial' communications by the patient, expressed as lapses of vigilance by his severe superego, revealed his crises and feelings. These idiosyncratic, muted appeals for help became a vehicle through which interpretation of content and its transference meaning became possible. Some confusing transference and countertransference experiences in the analysis are described.     

Controlling,Avoiding, or Protecting the Object: Three Reactions to the Breakdown of Psychic Retreats

In working psychoanalytically, it is common to encounter patients who need to carefully manage their immediate objects. This is evident in their stories about external life at home, at work, and with friends as well as in how it emerges within the transference. While a frequent theme in many analytic cases, the motives behind this need are varied.

Case material is used to show how these reactions emerge when psychic retreats fail. When unable to find refuge in pathological organizations or psychic retreats, patients are exposed to the worst of paranoid and depressive anxieties with only a fragile foxhole to withdraw into or defend from. In such a precarious psychological state, fantasies of unbearable self and object danger emerge, leading to various forms of acting out, overreliance on projective identification, and perverted images of giving and receiving. These fantasies result in the desire for idealized objects, the drive to resurrect fallen objects, and the need to avoid cruel and attacking objects that have taken over and replaced the sought out ideal.     

Egocentric organization of spatial activities in imagined navigation

Studies on spatial frameworks suggest that the way we locate objects in imagined environments is influenced by the physical and functional properties of the world and our body. The present study provides evidence that such an influence also characterizes imagined navigation. In Experiment 1, participants followed spatial directions to construct an imagined path, while either keeping constant or updating their orientation at each step. A pattern of step times diagnostic of spatial frameworks was obtained in the updated-orientation but not in the constant-orientation condition. In Experiment 2, participants performed the updated-orientation condition with two levels of external support for the reference frame being used. Step times conformed to the predictions of spatial frameworks in both conditions. Both experiments also provided support that the processes involved in imagined navigation exhibit the operator-operand dynamics of other mental skills previously documented in the mental arithmetic domain. These results reinforce Piaget's (1954) notion that spatial displacements and integer arithmetic share a set of structural characteristics     

The week the couch arrived

Changes in the therapeutic environment can elicit intense and unpredictable responses from patients, who then react to the new elements with their own unique thoughts, fantasies, emotions and behaviours. When the change is very specific, and when it entails implications for the treatment itself, these patient responses can coalesce around more profound experiences of the transference as well as of the countertransference. The author, as a candidate or analyst-in-training, purchased an analytic couch for his office and observed the unfolding of what this new couch meant for existing treatments. Using clinical examples, he describes the three most common patient responses that occurred: rejecting, ambivalent, and embracing. The richly variant ideas and fantasies related to the analytic couch are described, and the couch's history within Freudian and Jungian contexts is reviewed. Personal determinants that could lead to the decision of whether to use a couch as part of analysis are considered from the standpoint of the analyst's preferences and own experience with the couch. The couch is discussed as a signifier of the analytic process with cultural meanings alluding not only to familiar stereotypes, but also to psychological healing and self-development.