The Frame,Within and Without: Discussion of “The Therapeutics of the Fee in Psychoanalysis”

The author picks up and expands on themes of fusion and separation brought up in Pauley’s discussion of the therapeutic uses of the fee in the psychoanalytic encounter. She asserts that the elemental nature of the exchange of goods speaks to us in the language of corporeal experience, making it a powerful disruptive force that can reshuffle defenses at the level of our most primary experiencing selves. This affords the fee the potential to reach us in the registers of sensation and enactment that bypass conscious, verbal communication making our authentic and ongoing attempts to grapple with it vital to the analytic project.     

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.     

A Discussion of “Disorders of Temporality and The Subjective Experience of Time: Unresponsive Objects and the Vacuity of the Future” by Stephen Seligman

In this review of Stephen Seligman’s contribution to the literature on disorders of temporality, the patient’s ordinary and extraordinary experiences of time in the clinical situation, the reviewer provides both theoretical confirmation and clinical illustration in support of the author’s arguments. Infant research, nonlinear dynamic systems theory, and especially a brain-based psychoanalytic perspective taken from the work of Gerald Edelman are introduced to facilitate understanding of memory in general and the second of Seligman’s disorders of temporality in particular. Edelman’s formulation on the biological evolution of consciousness affords a means to comprehend how the phenomenon of dissociation emerges spontaneously in the clinical situation that matches and offers an explanation Seligman’s own understanding.     

Discussion of “Visions of the Future: The Analyst's Expectations and their Impact on the Analytic Process” By Kenneth Winarick

The American Journal of Psychoanalysis -     

Frame and Frame of Mind as Fractals: Commentary on Anthony Bass's “When the Frame Doesn't Fit the Picture,” Ilana Laor's “The Therapist,the Patient,and the Therapeutic Setting,” and Discussion by Susanna Federici-Nebbiosi

Anthony Bass's evocative paper on the frame details the need for a personally flexible response when patients question the rigidity of an analyst's policies, and for practical alterations in the frame that may follow careful work and may facilitate treatment. However, Bass and the following authors neglect to discuss the need for a foundation provided by a firm, well-reasoned frame in all treatments. Such a frame that creates opportunities for work on core issues should be one focus of all training, and is especially needed in the kinds of roller-coaster treatments that traumatized and borderline patients require. This discussion outlines the reasons a firm frame is required in the first place and uses a clinical example from the discussant's practice to illustrate the hardfought vicissitudes of the frame under trying circumstances, even when there may be eventual modification of the frame.     

Holding the Baby in Mind: Discussion of Joseph Lichtenberg's “Communication in Infancy”

Joseph Lichtenberg suggests that infants are held in their caregivers' symbolic world before they create one of their own. This idea is addressed from the perspective of parental reflective functioning. This construct offers a means of further understanding how a caregiver's capacity to elaborate upon the mental life of her child sets the stage for the child's internal experiences becoming known and developed or distorted and stunted within the context of the relationship. These ideas both complement and expand upon the research and theoretical work described by Lichtenberg in his consideration of the development of communication with self and other in infancy.     

The Symbol and the Theory of the Life-World: “The Transcendences of the Life-World and Their Overcoming by Signs and Symbols”

This essay presents a phenomenological analysis of the functioning of symbols as elements of the life-world with the purpose of demonstrating the interrelationship of individual and society. On the basis of Alfred Schutz's theory of the life-world, signs and symbols are viewed as mechanisms by means of which the individual can overcome the transcendences posed by time, space, the world of the Other, and multiple realities which confront him or her. Accordingly, the individual's life-world divides itself into the dimensions of time, space, the social world and various reality spheres which form the boundaries or transcendences that the I has to understand and integrate. Signs and symbols are described as appresentational modes which stand for experiences originating in the different spheres of the life-world within the world of everyday life, within which they can be communicated, thereby establishing intersubjectivity. Schutz's theory of the symbol explains how social entities – such as nations, states or religious groups – are symbolically integrated to become components of the individual's life-world. The following paper reconstructs Schutz's concept of the symbol as a crucial component of his theory of the life-world, which is seen as an outstanding phenomenological contribution to the theory of the sign and the symbol in general.     

Emotional intelligence and job performance: The role of enactment and focus on others’ emotions

The link between emotional intelligence (EI) and job performance was examined focusing on the interplay between self- and other-focused EI dimensions. Two diary studies were conducted among divorce lawyers and salespersons. We adopted a two-level perspective including individual differences in EI (person-level EI) and within-person fluctuations in the usage of EI (enacted EI). It was hypothesized that a focus on others’ emotions predicts job performance in social jobs. Multilevel analyses showed that others-emotion appraisal contributed more to subjective (Studies 1 and 2) and objective (Study 2) job performance than other EI dimensions. This link was more apparent in person-level EI in Study 1 and in enacted EI in Study 2. Furthermore, EI dimensions interacted with regard to job performance, such that appraising the emotions of one person was more effective than appraising the emotions of two persons (other and self), and appraising others’ emotions was more effective when one’s own emotions were also used or regulated.     

Discussion of “Unraveling Whiteness”: Commentary on Paper by Melanie Suchet

In this discussion I consider several influences on the contemporary project of deconstructing racism and the concept of racialized subjectivity. This discussion applauds the turn in Suchet's work toward self-examination in a consideration of the experience of race and racism. Suchet's work moves the debates about racialized subjectivities into a deeper and more complex understanding of all the ways in which identifications and attachments cross race and class lines for many individuals. This discussion focuses on Suchet's treatment of the power of hybridic and biracial identifications, beginning with autobiographical material from Suchet's own childhood in South Africa. In this discussion of “Unraveling Whiteness” I integrate psychoanalytic concepts of enigmatic signification (the work of Laplanche) into a discussion of early attachment, and relational configurations with children and nonparental caretakers. The question of trauma or potential transformation in interracial experience is discussed, and some distinctions between American and South African experience are considered.     

Dysregulated Rhythms and the “Grip” of the Context: A Discussion of the Paper “Poison Cookies” by Katherine Oram

Two moments from the clinical narrative under discussion are used to highlight the critical impact of attention to timing not in terms of when and what to say, but rather as a an ongoing source of emotional meaning emerging on implicit dimensions of rhythm and affective tone occurring in the clinical interaction. Meanings having to do with different forms of power including fear of psychic annihilation, agency, and aggression expressed within sado-masochistic dynamics are demonstrated to be scaffolded and coming into formation on these implicit levels. Alternatively, Merleu-Ponty's concept of Urdoxa as a grip on context is introduced to highlight how the analyst's use of timing to violate an expectation for nonresponsiveness or impingement creates an experience of distance between enactment and reflection, allowing space for re-membering as a form of representation. Here the creation of space through timing serves not just a representational function, but also a way for affective self and interactive regulation to emerge in an interaction as scaffolding for experiences of predictability (i.e., continuity and coherence) and vitality in self and other.     

Aging,source memory,and the experience of “remembering”

In a previous study, we found source memory for perceptual features to differentiate between younger but not older adults’ reports of recollective (“remember”; R) and “know” (K) experiences. In two experiments with younger (17–30 years) and older (64–81 years) participants, we examined whether memory for meaningful speaker sources would accompany older adults’ recollective experience. Indeed, memory for male and female speakers (but not partial memory for gender; Experiment 1) as well as bound memory for speakers and their facial expressions (Experiment 2) distinguished between both younger and older adults’ RK reports. Thus, memory for some sources forms a common basis for younger and older adults’ retrieval experience. Nonetheless, older adults still showed lower objective source memory and lower subjective source-attribution confidence than younger adults when reporting recollective experiences, suggesting that source memory is less relevant to their retrieval experience than for younger adults.     

The identity struggle within Islam: Discussion of “Thoughts on the inner conflict within Islamic culture: Their existential anxieties and ours,” by Malcolm Owen Slavin,PhD

Abstract

There is nothing more fitting, the author believes, than for psychoanalysts to help our nations better understand the identity struggle that he believes underlies the radicalization process of radical Islamists. This identity struggle is a very deep one. At its core, it concerns what an individual Muslim feels about his or her bonds to the nation-state and what single cause in their life they are willing to die for. In this article, this struggle is characterized as theo-political and Islamo-national. In order to understand this better as psychoanalysts, the importance of the personal narrative – this sense of how an individual’s identity fits and meshes with the world around them – is stressed. To that end, this article will first given an introduction to the author and his family, and then bring readers to the Arab Awakening, which began in 2011. Dr. Slavin’s paper on Tunisia has highlighted so many of the elements of the changes that transformed Tunisia and some of the substrate that led to that evolution; this article provides the context both regionally and, more importantly, within the Muslim consciousness. The author describes the lens through which he was raised in Wisconsin as a devout Muslim and the son of Syrian political refugees. This then overlays an understanding of what was really happening across the revolutions of the Arab Awakening against tyranny and in the global consciousness of individual Muslims.     

Returning to the Infinite—Kohut’s Empathy,Levinas’s Other,and the Ethical Imperative: Discussion of Articles by Doris Brothers and Joseph Lichtenberg

This discussion interweaves the ethics of Emanuel Levinas with the empathic sensibility of Heinz Kohut’s psychoanalytic vision as a unifying lens that brings into sharp focus the ethical message of the articles by Brothers and Lichtenberg. Drawing on Raanan Kulka’s ideas on the permanent oscillation between states of separateness (emergence) and transcendent ethical states of dissolving, the principle of always returning to the infinite state of absolute responsibility to the other is brought forth as a fundamental ethical imperative that captures the ethical/spiritual center of the two articles. Brothers’ account of promise-making and Lichtenberg’s autobiographical account of his activism are seen to be reflections of the latter ethical imperative.     

Discussion of the Articles by Goodman,Schwartz and Aronson Panel Entitled “Are the Times Changing”

The authors ask what analysis would be like if Freud had started as a child analyst. They examine each of the presentations and suggest that each illustrates child techniques that can usefully be applied to work with adults with the goal of a unified “life cycle analysis.”     

Discussion of “The Therapeutics of the Fee in Psychoanalysis”

This discussion of Dr. Pauley’s paper (this issue) on the therapeutics of the fee first highlights the various valuable contributions Pauley makes. It applauds his unusual openness in sharing his internal vulnerability with patients around fees, his raising the question about why fee setting is so complicated for analysts and patients alike, his focusing on omnipotent fantasies in the transference and countertransference, and his uncovering of the multiple meanings money has for therapists beyond just their income. Berger picks up on Pauley’s invitation to therapists to be more curious about their own discomforts with money. Drawing on her own teaching, writing and clinical experience, she adds to Pauley’s more global ideas, stressing instead the more specific meaning of money in each treatment dyad. Among these specifics, Berger highlights the chronic avoidance of teaching about money in analytic institutes. She clarifies some Freudian ideas about how money can become tied up with anal witholding, and offers examples of how she got stuck with three patients around setting and raising their fees. Berger describes how these patients’ believed that their fees could mean safety, value or exploitation and how these attribuitions generated countertransference blind spots for her. The discussion urges clinicians to keep digging hard into themselves for the many meanings of money, to pay attention to the devil in their own details, and thereby maximize the richness of their work with patients around a topic so loaded for all of us.     

Commentary on “Night Cries: A Rural Tragedy” by Tracey Moffatt and Discussion of “States of Exile and Marginalization” by Gillian Straker

This is an excerpt of the work that I presented in Sydney last May at the International Association for Relational Psychoanalysis and Psychotherapy Conference “From the Margins to the Centre: Contemporary Relational Perspectives” in my capacity as discussant of Gill Straker’s work, which included the viewing of the film Night Cries by Tracey Moffatt. I focused on the relationships that are characterized by abuse of power, by inequalities that define interpersonal relationships, and by the type of trauma that ensues from them and on the ways and possibilities to find a way out, a method to reconcile with the victims.     

Response to “The luminous experience and the scientific method” by Oliver Nichelson

Acknowledging the cultural shaping of near-death experiences makes possible a deeper and more sophisticated appreciation of their meaning and validity.     

Commentary on “deconstructing difference: Gender,splitting, and transitional space”;

This essay identifies Kohut's major contribution as methodological: that psychoanalytic inquiry entails the sustained empathic immersion in the patient's psychological experience. Kohut's consistent employment of this method enabled him to discover that it was not instinctual drive derivatives but selfobject needs that were central to all psychological relationships. This discovery was the basis for the transformation of analysts’ approach to the “narcissistic”; aspects of a wide variety of disorders—a transformation whose theoretical and therapeutic importance rivals the revolutionary approach taken by Freud to the vicissitudes of psychosexuality and its disturbances. The author describes the major areas of progress in self psychology—much of which centers on the growing recognition that the health and vitality of the self depend on complex relational, or intersubjective, selfobject experiences. He indicates how this recognition is changing our perspectives on transference and countertransference and is improving our ability to respond optimally to our patients. He describes how optimal responsiveness constitutes the guiding principle for therapeutic work, and how it may both constitute, and be different from, “being empathic.”;