PSYCHOANALYSIS AND HUMAN RATIONALITY

It is clear that Freud's theories have had a profound and revolutionary impact on ideas about human nature and human rationality. However, the precise nature of that impact is less clear. It is often said that psychoanalysis reveals the irrational forces at the root of even the most apparently rational forms of thought and activity; and that, in so doing, it undermines ideas about human rationality which have dominated western thought. That is undoubtedly true. However, it is only one aspect of the truth. For the implications of psychoanalysis are more complex and far-reaching than this currently fashionable view suggests.     

PSYCHOANALYSIS AND PSYCHOANALYTIC PSYCHOTHERAPY

This paper attempts to address the similarities and differences between psychoanalytic psychotherapy and psychoanalysis as practice. Starting from the manifest technical points, which he dismisses as peripheral, the author reaches the position that he considers to be the fundamental area of contention, i.e. the tranference‐countertransference arena. Focusing on the countertransference stance of the professional in this process, the author distinguishes the defining differences of these two approaches, and hopes to show them to be more complementary than antagonistic.     

PSYCHOANALYSIS AND INFERTILITY MYTHS AND REALITIES

Psychoanalysis, long interested in infertility, and a valuable treatment for men and women suffering with this affliction, has also helped to create and support a myth of psychogenic infertility. Multiple causes of infertility exist across the physiological - psychological spectrum. There is no simple psychodynamic causality. Advances in assisted reproductive technologies provide treatments that create emotional stress and outpace psychological preparedness of patients and analysts. This paper is based on the experience of a unique study group in Boston. An analytic case illustrates some of the ways analysis can be a treatment of choice for people using assisted reproduction. In fact, analysis offers a unique opportunity to elaborate fully the complex realities and dilemmas faced by people and their therapists throughout the infertility experience. More generally, this study of the concept of psychogenic infertility explores a valuable role for psychoanalysis in the treatment of medical conditions.     

SOME THOUGHTS ON PSYCHOANALYSIS AND ETHICS

The author attempts to establish a framework for understanding the contribution of psychoanalysis to ethics through examining the work of certain philosophers, especially Kant. After reviewing the development of Freudian thought and going beyond the ‘psychoanalysis and/or psychiatry?’ question, he asserts that the space of the psychoanalytical cure revolves around an ethical problem. Thus, the limits of analysis should be determined by the subject's capacity for developing a structure of belief in the unconscious, with the concomitant capacity to go beyond equivocation in respect of an ethical conflict that underlies all cases where psychical suffering is manifested. Indeed, only human beings are called upon to deal with an ethical paradox “equally a logical one”which could be stated thus: there is Good in Evil and Evil in Good. This ethical paradox is the consequence of human subjection to the constituent laws of the Oedipus complex, which distances the human being, in his/her dealings with Evil and with Good, from any naturalist stance. In respect of the cure, then, we must take into account that Evil does not proceed from any particular drive‐based characteristic, but is rather the expression of specific subjection to an unconscious Other, towards which it directs its affects. Finally, the author proposes a principle that emerges from the preceding discussion: let us not impute to or place in the Other our own subjective splitting or pain at existing.     

MARION MILNER, MYSTICISM AND PSYCHOANALYSIS

It is unusual to combine mysticism and psychoanalysis. Marion Milner, however, achieved precisely this. Through her self-analysis and analytic work with children and adults—and using as an illustration her own and others' imaginative ideas, paintings, doodles, drawings and pictures—she drew attention to the potential for health and creativity of undoing the obstacles to mystical experience of oneness with what is beyond or other than the self, which she sometimes called God, the unconscious or the id. This article seeks to explain and highlight this aspect of her contribution to, and continuing importance for, psychoanalytic theory and practice—particularly that associated with Winnicott—through detailing her early life and diary-keeping experiments, some of her psychoanalytic case histories during and after the Second World War, her work as an artist, ending with her travels and her involvement during the 1980s and 1990s with the Squiggle Foundation and British Association of Art Therapists.     

THE EMPATHIC EMOTIONS AND SELF-LOVE IN BISHOP JOSEPH BUTLER AND THE NEUROSCIENCES

In Joseph Butler, we have an account of human beings as moral beings that is, as this essay demonstrates, being supported by the recently emerging findings of the neurosciences. This applies particularly to Butler's portrayal of our empathic emotions. Butler discovered their moral significance for motivating and guiding moral decisions and actions before the neurosciences did. Butler has, in essence, added a sixth sense to our five senses: this is the moral sense by means of which we perceive what we ought or ought not do. The moral sense yields relatively reliable moral perceptions when we love our neighbors as ourselves, and when our love for ourselves is genuine. Accurate moral perceptions will be thwarted by self-deceit—that is, by a self-partiality devoid of neighbor love, a condition that thwarts genuine self-love. This essay explores the parallels between Butler's understanding of self-deceit and Robert J. Lifton's understanding of "doubling."     

THE RELATION BETWEEN PSYCHOANALYSIS AND ITS METASCIENCE

This paper deals, first theoretically with the concepts of trauma, narcissism, and conflict causality, then clinically with the recurrent sequences of compromise formations which form characteristic vicious circles of a narcissistic, masochistic, and addictive kind, and ends with some technical conclusions and a psychological and philosophical reconsideration of the concept of repetition compulsion. The repetition compulsion, reflected in those “vicious cycles”, is viewed as an attempt to attain in symbolic ways affect regulation and conflict resolution which proves blocked because the affects and the drive needs evoked by them and closely connected with them, the forms of defense, and the superego demands, are all of a global quality and therefore irreconcilable with each other. Therefore, the consistent endeavors to express them in symbols also have to be defeated. Narcissistic crises, loyality conflicts, and shame-guilt dilemmas have a commanding position in the triggering of those sequences, of the ensuing impulsive actions, and of the splitting of consciousness and identity.     

RICOEUR'S PHILOSOPHY AND ITS IMPLICATIONS FOR PSYCHOANALYSIS

In differentiation of early and mature shame, the phenomenological content of shame changes with the development of a stable self-state. In this hypothesis, early shame refers to a person's dependence upon mirroring himself and in being mirrored by an outer object, while mature shame refers to introspection and self-reflection. From a developmental psychological point of view, the connection between self-development and mirroring is expounded. Mirroring is defined as a psychic dialectic process between the inner psychic reality and the outer reality. Early shame is connected to dyadic mirroring, which refers to attachment and empathy. Mature shame is connected to triadic mirroring, which refers to separation and reflection. Early shame emerges from discrepancies between the infant's expectations of a complementary affective response and the mother's response, and is defined as an early marker of differences in the mother/infant unit. It is argued that early shame in smaller ‘doses’ has a regulating function on self-development by maintaining the psychic dialectic process, while in larger ‘doses’, it has a disturbing effect on the self-development, resulting in pathological shame. In the therapeutic process, early shame appears as shame scenarios illustrated in the text by a clinical vignette.     

BUDDHISM AND PSYCHOANALYSIS: A PERSONAL REFLECTION

Around 600 BC Siddhartha Gotama practiced intensive meditation for several years and found a way for people to cultivate a sense of equanimity, wisdom, and compassion in their lives. Around 1900 AD Sigmund Freud undertook several years of intensive self-analysis and developed theories and therapeutic techniques for understanding how the unconscious operates in our lives to perpetuate neurotic suffering, and how we might gain insight and relief from that suffering and be more free to move toward our potential in this life. This article gives an overview of Buddhist theory and practice, gives an account of the author’s personal journey through both disciplines, and then point outs the similarities and differences in them, leading to an integration of elements of these two paths of exploration of the psyche, for the purpose of mutual enrichment.Dr. Nichol is a graduate of the Menninger Clinic and the Houston-Galveston Psychoanalytic Institute, and he is in private practice.     

INTERFACING RELIGION AND THE NEUROSCIENCES: A REVIEW OF TWENTY-FIVE YEARS OF EXPLORATION AND REFLECTION

Abstract. Exploration and reflection on the interfacing of religion and the neurosciences in the last twenty-five years provide a unique point of convergence on the relationship between science and religion. A focus on two streams of consciousness characterized the first phase in the 1970s. Scholarship suggested correlates between the styles of analytical steps and synthetic leaps of imagination and the belief patterns of proclamation and manifestation. The use of lateralized consciousness was critiqued as covering too much as well as not attending to evolutionary developments and philosophical and theological foundations. A shift to whole brain functioning with more differentiated investigations came during the second phase in the 1980s. Empirical studies corroborated the earlier analytical speculations in neurotheology and advanced the heuristic value or using the whole brain as a metaphor for understanding religion. By the third phase of the 1990s, meaning-making and integrating consciousness emerged as shaping the agenda between religion and cognitive neuroscience. The emerging methodology combines analogical continuities among levels of complexity and metaphorical leaps of inferential patterning.     

APPRECIATING DIFFERENCE: ROY SCHAFER ON PSYCHOANALYSIS AND WOMEN

The author describes and appreciates Roy Schafer's critique of Freud's view of female psychology and his other contributions to the psychoanalytic literature on women, noting his then‐novel emphasis that took into account social and cultural factors in analytic treatment. She relates the influence on Schafer's work of his ambiance in that era: the Yale University Student Health Services during the social turmoil of the 1970s (where she was his supervisee), with the university becoming coed, as well as the theoretical plurality even in the early days of the Western New England Psychoanalytic Institute.     

RELATIONAL GROUP AND INDIVIDUAL PSYCHOANALYSIS: CULTURAL ANTECEDENTS AND CLINICAL IMPLICATIONS

The One and the Many: Relational Psychoanalysis and Group Analysis. By Juan Tubert‐Oklander. London: Karnac, 2014. 288 pp.     

MEDITATIVE PSYCHOANALYSIS

Psychoanalysis and meditation not only compensate for the other’s blind spots, but also, when practiced together, can provide a richer experience than either discipline pursued alone. After considering the way meditation cultivates heightened attentiveness, refines sensory clarity, lessens self-criticism, and increases affect tolerance, thereby deepening psychoanalytic listening, I’ll examine how psychoanalytic perspectives on unconscious communication and meaning illuminate and transform the nearsightedness of meditation, aiding therapists and clients in understanding troubling thoughts, feelings, and behavior. This helps therapists deepen their capacity to help those people with whom they work. The paper also attempts to illuminate how the therapeutic relationship, conceived of in a freer and more empathic way—as the vehicle for both validating a person’s experience and providing opportunities for new forms of relatedness and self-transformation—provides a crucible in which old and dysfunctional ways of caring for oneself and relating to other people emerge and new patterns of self-care and intimacy can be established. In the concluding section, I will delineate meditative psychoanalysis, my own integration of meditation and psychoanalysis. Clinical material will illustrate my theoretical reflections.