„Ich möchte an Sie glauben können!“

During daily psychoanalytic treatment something happens that can be described with a term from the Old Testament: “to know”, giving psychoanalytic praxis a religious dimension. The author illustrates this thesis with a case report. First he tries to show how an interpretation of the casuistic material appears in the scope of the well-known concept of religion as an expression of dissoluble narcissistic conflicts. Then he applies Winnicott’s idea of “potential space” as a new scope for interpretation of the case. The conception of the “destruction of the object” according to Winnicott will be related exemplarily to the history of Jesus’ death on the cross and the miracle of his survival. By heeding the world of ideas of Klein and Bion, the author comes to the conclusion that religiosity is an anthropological constant, which cannot be reduced to a pathologic narcissistic event.     

Contributors

Abstract

This paper studies the interaction of the clinical theories of two major British theorists, Melanie Klein and Donald Winnicott. Through three clinical examples, we see how the “Klein-Winnicott dialectic” operates in a significantly developmental fashion to advance and fulfill clinical work. Winnicott’s “object survival” is looked at in developmental conjunction with Klein’s “mourning” as a primary clinical and developmental process. This interaction also captures the essence of working with the aggression of a self that has been traumatically disrupted within its early development. This paper demonstrates how such work leads to the assimilation and grieving of primal object loss, evolving into a “developmental mourning process.” This developmental mourning includes the working-through of an “abandonment depression” in the character-disordered patient. A clinical example in a 1989 essay on “psychic pain” by Betty Joseph is used to set up the clinical challenge of going beyond the symptomatic clinging behavior of developmental arrest, into full psychic birth as a separate other, an Other who can relate to an Other. Conclusively, the subjective visceral affect noted and monitored in its clinical dimensions here is that of human “heartache,” which can also include regret.     

THE “AS‐YET SITUATION” IN WINNICOTT'S “FRAGMENT OF AN ANALYSIS”: YOUR FATHER “NEVER DID YOU THE HONOR OF”… YET

The author proposes a new hypothesis in relation to Winnicott's “Fragment of an Analysis”: that as early as 1955, in the case described in this text, Winnicott is creating the paternal function in his patient's psychic functioning by implicitly linking his interpretations regarding the father to the Freudian concept of Nachträglichkeit. The author introduces an original clinical concept, the as‐yet situation, which she has observed in her own clinical work, as well as in Winnicott's analysis of the patient described in “Fragment of an Analysis” (1955).     

A Comment on teurnell's “the piggle—a sexually abused girl?”

Abstract

In his comment on Teurnell's paper “The Piggle—a sexually abused girl?” the author points to the risk of organizing a complicated clinical material around one single idea and briefly describes other ways of understanding the material in Winnicott's book. To the author's mind, the richness and depth of the material and the subtleness and aesthetics of the interplay between Winnicott and the Piggle, in Teurnell's way of reading, collapse into one single question: the possibility of a sexual trauma. At the end of the comment the role of the Piggle's father is shortly discussed.     

In dialogue with Daniel Stern: A review and discussion of The Present Moment in Psychotherapy and Everyday Life

Abstract

Daniel Stern's concepts of “present moment” and “now moment,” with impending kairos, are described. In the latter, the patient demands the authentic presence of the analyst. If the analyst can open himself to the patient, he proposes that this will result in more profound changes in the patient's implicit knowing than verbal interpretations in the narrative domain would lead to. The value of intersubjectively relating and dwelling more in the phenomenal than in the narrative dimension is highlighted. A similarity to the works of the existential psychoanalyst Harold Kelman is shown. The author agrees with, but also problematises, a tendency to favour the implicit, devaluing verbal understanding and interpretation, which may result in the patient not seeing the primitive levels in his inner life. For this purpose, works from D. W. Winnicott, Jessica Benjamin and Christopher Bollas, as well as others, are used. The author concludes that object relations and intersubjective theory need to complement each other that further, there is a need to give words to the middle-ground between the phenomenal and narrative dimensions.     

The name of the Piggle: Reconsidering Winnicott's classic case in light of some conversations with the adult ‘Gabrielle’

On the 40th anniversary of its publication, the author re‐reads Winnicott's The Piggle – a case of ‘on demand analysis’ with a child suffering from psychotic night terrors – in light of new information about the patient. Conversations between the author and ‘Gabrielle’ explore two areas not regarded as priorities by Winnicott: the transgenerational transmission of pathology/trauma, and the ways that language, in general – and given names, in particular – organize individual subjectivity. The question raised is to what degree Winnicott – who described the treatment as “psychoanalysis partagé [shared]” due to the parents’ involvement – thought of the pathology itself as ‘shared.’ The goal is not to supplant but to expand Winnicott's understanding of the case, borrowing insights from the work of Lacan and others.     

Pray erformance

Abstract

Female prisoners in recovery may anticipate defeat when projecting possibilities for their future hopes and dreams. These clients often identify with and attach to the role of prisoner and addict. This article describes a 12-week group treatment program, titled by the author as “Prayerformance.” In this work, female prisoners in recovery have an opportunity to connect spiritually and psychologically by using techniques like role play, improvisation, spontaneity training, storytelling, character development, mask work, and movement.     

Attention and Narration to Micro-Moment Registrations of Embodied Dialogue in the Clinical Interaction: How Are We Doing?

ABSTRACT

This article offers a comparison between two different strategies for clinical attention. The author compares his lens shaped by a musical metaphor of “polyrhythmic patterning” on embodied registrations which he describes as “fluidity” in contrast to a lens of structures or categories of experience. He then contrasts this lens to that offered by Lewis which she describes with the metaphor of an “imaginary camera” with which she creates “snapshots” as representations of unbearable (and often unformulated) trauma shaped by the patient's narrative and her own trauma history. Acknowledging the exquisite connection between analyst and patient, the author uses 2 clinical moments to further illustrate the benefits of each metaphoric lens for possible analytic work.     

A Story of Losses and the Creation of an Alternate World

The author presents a clinical case to illustrate the consequences of a history of loss, beginning with the early death of the mother. The creation of a complex defensive system based on internal division and manifested through the existence of an alternate world is analyzed. The author stresses the importance for the patient of re-experiencing the sense of emptiness within an analytical setting and learning to tolerate it thanks to dependence on the auxiliary self of the analyst. D. W. Winnicott?s suggestion of a relationship between the experience of emptiness and the fear of breakdown are also discussed.     

Freud and narcissism: Developing links for inclusion of the ‘object’

Abstract

The problematic of narcissism in the way Freud visualized forces us to acknowledge the dualism of drives inside the subject; the object relations theory then builds up on the inherent need and the structuring potential of the object. The paper traces the growth of this concept in Freud's thinking in a bid to show how the object's otherness is not fully metabolized within the Freudian corpus. On the other hand, recent criticisms of object relations theory point to the perfunctory role ascribed to Freud's most radical discovery of the dualism of drives. Winnicott, Laplanche and Green have all developed theories that have provided pertinent rejoinders to the problematic of narcissism and object relations. The paper discusses how deconstructing and “going back over Freud” helps us to redefine object relations and give the drive functioning due importance. Hence the main thesis of the paper – that of narcissism – reveals the decentered subject's tussle with itself and with the alienness emanating from the object's otherness. If used creatively, ideas such as “otherness”, “objectalizing function” and Green's conceptualization of the clinical significance of negative and positive narcissism then seek to enrich the theorization on narcissism.     

Breakdown in communication: On finding the child in the analysis of an adult

SUMMARY

In this paper a patient is described in whom communication with parts of herself and with her objects, internal and external, had broken down. I suggest that her way of communicating was achieved by projective identification, as described by Klein (1946) and Bion (1962). The only way she could deal with and communicate her own very “bothered” feelings was to “put them” into the analyst. In this way she “bothered” the maternal or analytic mind in such a way as to make the analyst experience feeling like a “bothered” child.

I have tried to show how the analyst holds or contains these feelings, and to show the gradual establishment in the patient of a different way of communicating with the analyst and with the more primitive parts of herself.     

Religious and Theological Journals Online

ABSTRACT

Multiculturalism is less about “the pursuit of recognition,” than about “the pursuit of transformation.” After showing how western theological libraries have been impacted by major western cultural movements such as the Renaissance, Reformation, and the Enlightenment, the author challenges theological librarians to recognize how the experience of western colonialism and imperialism marginalized non-western cultures and believers. The major consequence for theological education and libraries has been to view non-western peoples as “the other,” either hiding their histories or shifting their religious experience to the margins. Sawyer reminds readers that contemporary Christianity is growing fastest “at its old ‘margins’ while diminishing in its historic ‘centers’; therefore, theological librarians must shift their collecting and their collections in response to changing needs and new categories. Otherwise, some collections will become “veritably archival, as use-rates plummet.”     

Playing Together: DIR and Child Psychodynamic Therapy

ABSTRACT

This article describes the integration of the developmental, individual difference, relationship model (DIR) and relational child psychodynamic therapy. DIR is an effective treatment for many children with uneven development, not only for those on the autistic spectrum. The importance for child psychodynamic therapists to understand individual differences, as delineated by occupational and speech/language therapists, and to include parents within the treatment will be discussed throughout this article and in a particular case. An understanding of individual differences makes psychoanalytic formulations, especially about the body, more accessible and actionable. Overlooking the contribution of individual differences to a child’s play and development has consequences for progress in treatment. Together, DIR and child psychodynamic therapy can most effectively integrate “psyche” and “soma” (Winnicott, 1949). The child psychodynamic therapist’s particular expertise, in such areas as countertransference enactments and unconscious meaning, crucially contributes to this integration.     

Work-Related Impression Formation: Reviewing Parenthood Penalties and Investigating a “Fatherhood Penalty” for Single Fathers

Abstract

We review the evidence that mothers, compared to childless women or fathers, are discriminated at work (“motherhood penalty”) and that fathers may receive “caregiver penalties.” We conclude that (implicitly or explicitly) expected family roles appear to determine parenthood penalties. On this basis, we examined penalties for fathers who are only assumed to be primary caregivers. We found “fatherhood penalties” for single fathers compared to married fathers (Experiment 1, N?=?343) and compared to singles and single mothers (Experiment 2, N?=?142 professionals). We discuss the mixed evidence on work-related perceptions of parents.     

So,Doctor, Now,What Do I Do?<Superscript>*</Superscript>

This paper proposes a discussion about acting on the therapeutic relationship using the notions of playing and the “use of an object” formulated by Winnicott; the formulations of Ferenczi as the concepts of introjection and the “ability to feel with”, as well as the concept of cartography from Deleuze and Guattari. It discusses how to manage the meeting with individuals who confront the analyst with sudden questions, gestures and actions. I propose that the management of the acting considers that there is a call for a conversation in which “doing” is in question, and in which the playful dimension of activities without rules is employed as a necessary option.     

Reading Notes on the Beginning Phase of the Treatment of a Religious Patient

Abstract

Mark Somerstein's (2006) presentation of his deliberations regarding the dual focus of clinical and religious dimensions of a self-limiting male Roman Catholic patient are critically assessed. Somerstein, of Jewish faith, struggles to find a parallel avenue that would enable both his own faith and the patient's faith to be brought into the treatment process without unduly overloading the clinical dialogue. The present writer examines the implications of driving a sharp dichotomy between “religious” and “clinical” dimensions, insisting that the tendency to divide the two results from listening to religious material and metaphors at face value. At the deepest level, referred to as the latent theology, this split disappears. The author offers recommendations about the conditions that are required in order for countertransference in such cases to be effectively linked to the inner dynamics of the patient.     

Belief in UFOs as alternative reality,cultural rejection or disturbed psyche

No paranormal phenomenon has so captured public attention and has so permeated contemporary popular culture as have the so‐called “Unidentified Flying Objects” (UFOs). However, few empirical studies exist to explain why some believe UFOs are alien spacecraft while others do not. Survey data (N= 453) were collected to test three commonly advanced explanations of belief in UFOs as alien spacecraft. The “alternative reality” theory claims that UFO believers are simply those caught up in the awe and excitement of possible extraterrestrial life. Such believers believe because they want to, and they are also more psychologically involved with science fiction and with mysticism. The “cultural rejection” thesis is that UFO believers are social marginals and cultural “outsiders” who express their alienation by adopting deviant beliefs. The “disturbed psyche” theory holds that UFO believers are distressed, troubled, unhappy, or maladjusted persons susceptible to “primitive” thinking and delusions. The data analysis supported only the alternative reality theory and further found UFO believers much more involved with science fiction than with mysticism.     

Holy Matrimony

SUMMARY

Sacredness in marriage is described psychologically as an intense, complex, committed bond, mutually respectful and vulnerable, whose unique depth for both persons evokes the special word “holy.” Examples are cited, including the qualities lacking and at stake in problematic marriages.     

A process of mourning in the life and in the analysis of an adolescent

Abstract

This paper concerns the subject of “loss”, and the way “loss” is dealt with. A loss occurs which may be related to a real object - such as the death of a loved one - or to anything else which may represent a lost object, such as a stage or a function lost in life. Thus in adolescence, one has to face the loss of an infantile state.

Being alive, growing up, developing oneself presupposes losses and gains. One loses something in order to gain something else. This paper attempts to examine the subject, both in its theoretical and clinical aspects. In its theoretical aspect, I bring forward the points of view of Sigmund Freud, Melanie Klein and Wilfred Bion, concerning loss and how one deals with it.

In its clinical aspect, I present the case of an adolescent who, already in the process of having to face up to the loss of an infantile state - as happens to every adolescent - is obliged also to face the death of a loved one. Besides, the process of analysis itself presupposes that a person, in order to develop psychologically, has to face other losses, such as that of one's omnipotence, that of one's idealised objects, etc. Therefore, I am presenting for examination a situation in which a particular person deals with his losses in the light of the analytical transference.     

Listening to Somatosensory States in Psychoanalysis: Body,Trauma, and Poetry

ABSTRACT

The author starts from the apparently outdated James-Lange theory of emotion to rediscover elements of modernity for contemporary psychoanalysis: from James’ bodily-sensory dimension to Damasio’s “feeling of what happens,” to Bucci’s attention to the patient’s visceral narrative in session. William James stated that bodily sensations are the first elements on the path toward consciousness. Damasio emphasizes that “Consciousness is rooted in the representation of the body”. Bucci presents a framework for identifying linkages between bodily and symbolic states and to observe the various degrees of patients’ “visceral speech” in session. These parallels support a sensibility to listen to language as the voice of the body: the relationship between the patient’s narrative and the bodily-sensory dimension can be grasped through the patient’s “imagery” which may reference earlier somatic experience. Particular emphasis is given to the story-telling of trauma.