The elusive concept of the psychoanalytic process

Although the term psychoanalytic process is frequently used, there is no consensual definition of its meaning. Some authors use it to designate a recognizable set of experiences within psychoanalysis. Others, a majority, use it as a synonym for the entire psychoanalytic experience, describing in detail what analysts do to achieve their goals. A range of views may be found between these extremes. A distinction is drawn here between the structure and content of the psychoanalytic process, which is regarded as a specific, definable entity--a red thread--within the psychoanalytic treatment experience as a whole, consisting of a microprocess and a macroprocess. The former is predominantly an amalgam of the patient's and the analyst's highly subjective experiences and entanglements, while the latter is predominantly an amalgam of the infantile and childhood origin of the patient's difficulties, as well as the analyst's conception of these difficulties based on a preferred theory. These ideas are used to formulate a definition of the psychoanalytic process based on clinical experience and are traced here primarily through lessons learned from a patient, Mr. K, over the course of a long and arduous analysis.     

An inquiry into the construct validity of the Vividness of Visual Imagery Questionnaire

The construct validity of the Vividness of Visual Imagery Questionnaire (VVIQ) was investigated using a series of visual memory tasks. Subjects were shown a picture after completing the questionnaire. Their ability to recall that picture was probed through a free-recall procedure, drawing, two spatial-recall tasks, and a multiple-choice questionnaire. Scores on the VVIQ were statistically unrelated to performance on any of the memory tasks demonstrating a lack of support for construct validity as a measure of visual memory imagery.     

Some psychoanalytic reflections on the concept of dignity

After reviewing the pertinent philosophical and psychoanalytic writings on the concept of dignity, this paper proposes three categories of dignity. Conceptualized as phenomenological clusters, heuristic viewpoints, and levels of abstraction, these include (i) metaphysical dignity which extends the concept of dignity beyond the human species to all that exists in this world, (ii) existential dignity which applies to human beings alone and rests upon their inherent capacity for moral transcendence, and (iii) characterological dignity which applies more to some human beings than others since they possess a certain set of personality traits that are developmentally derived. The paper discusses the pros and cons of each category and acknowledges the limitations of such classification. It also discusses the multiple ways in which these concepts impact upon clinical work and concludes with some remarks on the relationship of dignity to choice, narcissism, and suicide.     

On the reciprocal relationship between gender and occupation: Rethinking the assumptions concerning masculine career development

Social scientists who study the career development of women have tended to ignore variables which function to inhibit or facilitate change in the traditional pattern of men's vocational behavior. Although such neglect is understandable, given the pervasive promasculine bias of society and the parallel disparagement of what has traditionally been considered “women's work,” economists and sociologists have long pointed out that the vocational behavior of both sexes must change for there to be any significant alteration in the sexual division of labor. The present paper suggested the utility of viewing masculine career behavior as an extension of male sex role, and investigated counselors' reactions to an experimental analog of the vocational counseling process. As predicted, the counselors demonstrated negative reactions to a male aspiring to a nontraditional (i.e., feminine) occupation. The discussion outlined suggestions for research into factors which may relate to change in the traditional patterns of men's vocational behavior.     

The role of the object in drive cathexis and psychosexual development.

Alternate axes are explored in the orthodox formulation of drive cathexis and psychosexual development, with implications for corresponding object relation modes engendered by these processes. Somatic and defensive aspects are shown to impact on the function of the "other" as the individual matures. The separation/individuation process is subsumed into this overall developmental continuum, and the centrality of the object as a focus in cathexis and drive delineation is critically evaluated. The homeostatic notion of equilibration is appealed to in synthesizing the factors emerging from the analysis.     

The current status of the psychoanalytic theory of instinctual drives. I: Drive concept, classification, and development

The evolution of Freud's theory of instinctual drives, with the accompanying models of a mental apparatus, is remarkable for its tenacious adherence to addressing the fundamental problems of human psychology, here phrased as the problems of body-mind-environment relationships. The concept of instinctual drives continues to be one of the most pervasive concepts of psychoanalysis, weathering considerable attack over the last several decades, although losing some clarity in the process. I have cited and discussed as basic issues of the concept of instinctual drives: the relationship of observational data and theoretical constructs in psychology; whether our construct of drives is or should be or can be purely psychological; the problem of conceptualizing the ontogenetic origin of mind; the issues of the "force-meaning conjunction" and the problem of psychic energy in psychoanalytic constructs; and the relation of our concept of instinctual drives to the concept of instincts in general. It seems that progress with these fundamental issues might be made by utilizing models that are more homologous with present knowledge in related fields than is Freud's reflex arc model of the nervous system, in order to build a better drive construct within the framework of psychoanalysis. The classification of instinctual drives remains a problem. Clinically, aggression seems to be a factor in conflict, very much like sexuality. Despite widespread acceptance of the idea of aggression as simply parallel to sexuality in all respects, there are major discrepancies. Perhaps aggression cannot be viewed as a drive after all; perhaps our drive construct needs to be modified to accommodate aggression. Certainly, controversy in this area has interfered with the production of good clinical studies which could begin to increase our understanding of aggression and its place in the human personality. The psychoanalytic theory of drive development has probably undergone less change in the last forty years than other aspects of drive theory, although careful observational work has led to alterations of our views of the age of onset of genital awareness, of female sexual development and function, and of the latency period. This is the conclusion of the first of two papers examining the post-Freud development of the theory of instinctual drives in psychoanalysis. The companion paper follows on p. 402 of this issue of The Psychoanalytic Quarterly.     

The concept of the self in psychoanalytic theory and its philosophical foundations.

Concepts of "the self" in psychoanalytic theory have important philosophic underpinnings which may not be adequately appreciated. Both self psychology and ego psychology, with their contrasting positions on the self as a mental structure, retrace paths taken by Western philosophy beginning at least with Hume and Descartes. They reflect traditional philosophic questions, notably of a homuncular self internal to consciousness and the isolation of the subject from other selves. Psychoanalysis has not utilized Hegel's conception of the intersubjective origins of the self, in which the self emerges only in an encounter with another subject, although this approach is implicit in the work of Winnicott on the mother-infant dyad. This movement from a one- to a two-person psychology also presents conceptual problems, as illustrated by the psychoanalytic theories of Sartre and Lacan, who take up opposing positions on the status of consciousness and on intersubjectivity in the formation of the self. Sartre's phenomenology, with its emphasis on the questing nature of the subject in search of an identity, resonates with contemporary theories of narcissism in which the painful isolation of self from self-affirming and mirroring objects is central to clinical practice. Lacan's insight into the role of acquisition of language helps us to understand the formation of the subject in pursuit of a virtual selfhood, as Sartre described, but embedded within an intersubjective matrix.     

The concept of termination and the evolution of psychoanalytic thought

Termination is a post-Freud contribution to the psychoanalytic process, which is never complete. The concept is illuminated in its analytic history and development. A formal well-defined terminal phase led to a tripartite psychoanalytic process which derived from and contributed to advances in psychoanalytic theory and knowledge. The terminal phase is a valuable addition and conclusion, but may be invested with irrational expectation and analytic myth. Various features and formulations of the terminal phase are explored, and the limitations of termination are noted.     

The Latin American contribution to the psychoanalytic concept of phantasy

The author argues that the ubiquity of phantasies at various levels of mental functioning is undisputed in the current schools of psychoanalytic thought; however, she demonstrates some variations in their understanding of how the psychotherapeutic access to different configurations occurs. In the process of examining and acknowledging the central role played by unconscious phantasies in his patients’ symptoms, Freud gradually broadened the vernacular meaning of the German word ‘Phantasie’ that refers to imagination and the world of imagination, conferring on it the specific features that came to characterize its use in the psychoanalytic vocabulary. Later, the expansion of the concept derived from Melanie Klein’s clinical material obtained from child analyses gave rise to important debates. The author discusses the main points of disagreement that led to these debates, as well as their various theoretical and technical implications. Psychoanalytic associations in Latin America were strongly influenced by Klein and her followers. Thus, most of their scientific writings use the concept of unconscious phantasy put forward by the Kleinian school. Taking Kleinian principles as their starting point, Baranger and Baranger made the most original Latin American contribution to the concept of unconscious phantasy with their works on the unconscious phantasies generated by the analytic pair.     

Regression and psychoanalytic technique: the concretization of a concept

An exploration of the regression concept historically and conceptually reveals that its familiarity and frequent use have resulted in decreasing conceptual clarity and precision. Rooted in an outmoded fixation-regression model of development and psychopathology, the concept has become concretized. This paper is a beginning exploration of problematic aspects of the concept of regression, with emphasis on potentially detrimental consequences for psychoanalytic technique that derive from its unexamined use. Some of the salient issues are illustrated with clinical examples.