Bulimia: psychoanalytic perspectives

Bulimia, the syndrome of food binging often followed by purging has been reported to be increasing in recent years. This communication reviews the psychoanalytic understanding of eating disorders, focusing on the pathology of early object relations and later intrapsychic conflicts over incestuous impregnation fantasies. Ancillary symptoms of kleptomania, laxative abuse, and vegetarianism are discussed, and associations with masturbatory conflicts and early adolescent phallic activity, i.e., horseback riding, are elaborated.     

The value of infant observation in the psychoanalytic training

The following case report is an attempt to describe how infant-mother observation is an exercise in a psychoanalytic mode of thinking and reacting, developing knowledge of object-relation theory. The aim of infant observation is not therapeutic; however, this paper suggests that it also might have a therapeutic side effect, creating mental space for the mother and thereby, helping her from becoming too engulfed by the intensive needs of the baby.     

Identification: psychoanalytic and biological perspectives

In recent attempts to bring psychoanalysis into greater contact with other sciences, a number of works have explicated neural science concepts and phenomena--affect, memory, consciousness--for the psychoanalyst. These efforts have helped analysts build a more scientific foundation for their theory and practice. A related task remains--namely, to take psychoanalytic concepts and see how they relate to other sciences. The concept of identification has a long history in psychoanalytic theory. It is seen in parent-child interactions, in teaching and mentoring relationships, and in psychoanalysis and psychotherapy. Neuropsychology and evolutionary biology have explored the phylogenetic precursors of identification, while genetics and infant observation provide insights into individual processes of identification. Finally, neuroscience, particularly recent studies of mirror neurons, offers information about the biological mechanisms of imitation and the relationship of imitation to identification. Findings from these sciences are presented in an effort to further the psychoanalytic understanding of identification, especially its biological underpinnings.     

Loneliness among school-aged children and their parents

The aim of this study was to examine the existence of the intergenerational transmission of loneliness between parents and children, including an examination of its stability and of gender differences. The study consisted of an evaluation of loneliness in mothers ( n = 834), fathers ( n = 661) and their 10-year-old children ( n = 981). Parent's self-reported loneliness was measured once, and their children's social and emotional loneliness were assessed at three time-points. The stability analysis indicated average stability in children's loneliness, especially their social loneliness. Boys were found to experience more emotional loneliness than girls. Structural equation modeling indicated no direct relationship between mothers'/fathers' loneliness and their children's loneliness. However, mothers' and fathers' loneliness reduced their daughters' peer-evaluated cooperating skills, which consequently predicted higher levels of both social and emotional loneliness.     

Primo Levi's loneliness: psychoanalytic perspectives on suicide-nearness

To elucidate suicide-nearness, the perspectives of the death drive and narcissism are applied to the writings of Primo Levi. Emerging themes are Levi's struggle to maintain his self-regard from his year as a prisoner in Auschwitz and onward, and his observations on xenophobia, violence, and the need for love. The gradual increase of depressive content in Levi's work is noted, as are his identifications with others who succumbed in the Holocaust or took their lives after surviving it. The conflict between the wish for peace and the need for love is seen as impossible to resolve under the threat of extermination and as reemerging in the prevailing sense of loneliness that Levi described.     

Cognitive tempo in children and their parents.

An adoption study was conducted to determine if cognitive tempo (as characterized by errors and latencies on the Matching Familiar Figures Test) is more similar between parents and their biological children or between parents and their adopted children. Zero-order correlations between parents and children were not significant (regardless of familial relationship), but the results of canonical correlations for mean of parents' scores with those of biological and adopted children respectively were consonant with hypothesized values, suggesting a degree of heritability exists. A slight trend for parents' latency to be consistently related to their biological children's latency was noted, but no such trend was present for errors. The heritability of latency versus errors in cognitive tempo is discussed.     

Adopted children who kill their adoptive parents

The killing of parents, frequently referred to as parricide, is a disturbing phenomenon that often generates widespread media coverage. Most of the scholarly literature on this topic has focused on biological offspring who kill mothers and fathers. Some analyses have examined juveniles and adults who kill their stepparents. To date, virtually no research exists on children who kill their adoptive parents because this type of victim–offender relationship has been absent from available homicide databases, thereby preventing such analyses. The present study is a content analysis of news reports of 46 cases of adopted children who killed their adoptive parents in several different countries. Data pertaining to offender and victim demographics, incident characteristics, and the processing of offenders from the initial charge through conviction and sentencing are examined. To the extent possible, media accounts are used to classify cases according to motives or circumstances leading to the killings. The article concludes with a comparison of profiles of children who kill adoptive parents in relation to those who kill biological parents, important observations that emerged from these news accounts, and discussion of possible explanations of parricide by adopted children, including adopted children syndrome, reactive attachment disorder, and biological risk factors. Limitations of this study and directions for future research are addressed.     

Therapeutic action in psychoanalytic therapy with toddlers and parents

Psychotherapy with toddlers and parents can focus on promoting attachment, facilitating development and improving interactions. Some techniques provide guidance to the parents, whereas others interpret to them their unconscious fantasies or ‘ghosts’ contributing to the child’s disorder. A recent paper introduced a psychoanalytically oriented technique, which emphasised the therapist’s interaction with the child in the presence of the parent(s). The child was addressed about his/her unconscious motivations in the session and the feelings towards the therapist. Also, the parent’s transference onto the therapist was seen as a vehicle that might further the therapeutic process and was accordingly addressed. The present paper analyses the therapeutic action in such treatments. Whereas work with the parents resembles that of ordinary psychodynamic therapy, therapeutic action is more difficult to conceptualise regarding the toddler, whose understanding of verbal interpretations and the therapist’s dialogues with the parent is more limited than that of an adult. However, a clinical vignette demonstrates a toddler’s precise and swift reactions to communications from mother or therapist. The paper investigates evidence from neuroscience and psychological research as to which communicative channels – beyond words – toddlers might perceive and comprehend. In addition, it is claimed that the countertransference is key to explaining how the therapist understands such communication.