From<Emphasis Type="Italic"> Die Traumdeutung</Emphasis> to The<Emphasis Type="Italic"> Squiggle Game</Emphasis>: A Brief History of an Evolution

It is often possible to retrace the history of a new concept or a new technique, identifying precursor and reflections that would lay the foundations for the birth of something “new”. This also applies to the “squiggle game” of Donald W. Winnicott, one of the Winnicottian “creations” in which the distinctive signs of its fatherhood are more evident as, at the same time, are evident several debts to other scientists: from Freud’s interpretation of dreams, through Jung, Klein and Fordham to Milner’s “free drawings”.     

Dissociation,the true self and the notion of the frozen baby

Abstract

The widespread ‘trauma talk’ that is prevalent in the social sciences, has, in recent years, become increasingly commonplace in psychoanalytic writings, especially in attachment theory and relational psychoanalysis. This paper examines dissociation, a key concept in ‘trauma theory’, in conjunction with the Winnicottian term ‘true self’, in the context of a particular discursive and theoretical combination of the two. This discursive formation is named ‘the frozen baby discourse’, and it is presented and analysed. A critique is offered of the way ‘true self’, understood as a humanistic concept, is often used together with dissociation, in order to create a theoretical construct that is far removed from Winnicottian theory. This paper begins by exploring definitional issues, both around dissociation and ‘true self’. It is subsequently argued that this contemporary usage of ‘true self’ in combination with dissociation has important implications for psychoanalytic practice.     

Student essay competition prize winner creativity and inhibition: A comparison of freud and klein

Abstract

This essay reviews Freud's and Klein's approaches to the question of the nature of creativity. It attempts to show that a fuller understanding of creativity involves some linking between these two apparently divergent approaches. The work of Marion Milner and the Winnicottian School is suggested as a possible way forward in our understanding.     

Thoughts about the development of a potential space in the psychotherapeutic treatment of infantile psychosis

This paper describes the usefulness for the child psychotherapist of some Winnicottian concepts in psychoanalytic treatment of very young psychotic children. Particular attention is given to the concept of ‘potential space’ as Winnicott has formulated it in his writings. Three clinical cases are presented, one of these includes a complete mother-child session in order to show how the therapist can work to create a space where psychic events can become possible.     

The Book of Job and Male Melancholia: A Bizarre Story about Hating Mother God and the Maternal Jesus,Featuring Mel Gibson

This article tells, or advocates, a bizarre story about male revenge. By drawing from literature in the psychology of religion that deals with the Book of Job and by assuming the standpoint of “cultural hermeneutics” in biblical studies, the author playfully takes up an issue identified by Donald Capps: the issue of repressed rage in male melancholia. The author takes his cue from a recent doctoral dissertation from Princeton Theological Seminary. Jacobus Hamman (2000) applies a Winnicottian analysis to the Book of Job and argues that the Book of Job can be a useful pastoral resource today in a number of ways, including his proposal for believers to direct their aggression toward God. Implicit in Hamman’s Winnicottian analysis, but never explicitly stated, is the fact that God is Mother. The plot here is how the Book of Job might lead contemporary American men to hate Mother God and the maternal Jesus, thereby aiding them in externalizing their repressed and self-directed rage. Mel Gibson stars, if only briefly, in this childish story that presses the limits of Christian theology.     

CLINICAL WINNICOTT: TRAVELING A REVOLUTIONARY ROAD

The author contends that, contrary to the usual perception that Winnicott followed a linear progression “through pediatrics to psychoanalysis,” Winnicott's vision was always a psychoanalytic one, even during his early pediatric work. His place in the development of psychoanalytic theory is highlighted, and the author discusses such key Winnicottian concepts as transitional space, the false self, and the use of the object. Winnicott's unique approach to the form and value of analytic interpretation is particularly emphasized, and his thoughts on the treatment of depression are also addressed, as well as his distinction between regression and withdrawal. Included is a summary of convergences and divergences between Winnicott's thinking and that of Bion.     

Winnicott's children: The holding environment and therapeutic communication in brief and non-intensive work

This paper discusses brief and non-intensive work using a Winnicottian framework for understanding the processes involved. The importance of play, communication and interpretation are considered within the careful establishment of a unique holding environment for each patient. Parallels are drawn with ordinary development and care of the infant and young child. Two clinical examples are given to illustrate these concepts. The first describes the treatment of parents and children following the accidental death of the youngest child, and the second describes time-limited work with a sexually abused and abusing teenage boy. The value of providing a range of psychoanalytic treatments to meet the range of needs of patients is discussed. The importance of conceptualizing such treatments in ways that do not imply that they are ‘diluted’ psychoanalysis is also stressed, particularly with a view to the increasing pressure on therapists to offer help to as many children as possible within limited treatment time.     

Book Reviews

Books reviewed:
Casement, Ann (ed.)., Post-Jungians Today: Key Papers in Contemporary Analytical Psychology.
Frankel, Richard., The Adolescent Psyche: Jungian and Winnicottian Perspectives.
Hillman, James., The Soul's Code: In Search of Character and Calling.
Raphael-Leff, Joan & Jozef Perelberg, Rosine (eds.)., Female Experience: Three Generations of British Women Psychoanalysts on Work with Women.
Haynes, Jane & Shearer, Ann (eds.)., When a Princess Dies: Reflections from Jungian Analysts.     

Shaping and Discovering: Thoughts About Marc Rehm's Meditations

Marc Rehm invites us to muse about the theme of undue influence as it affects our relationships with our patients and children. Marc suggests that alongside our good intentions and loving vision of their future lie feelings of hate and destructiveness that complicate our efforts on their behalf. I address Marc's thesis, its Winnicottian roots, and then turn his question back on itself by musing about how his paper—which was born and nurtured in my writing group—might have itself been shaped (as much as discovered) by the group. I raise the question of undue influence as it affects the process of mentoring.     

Transitional phenomena as evidenced in prayer

In this paper, we demonstrate that the study of prayer facilitates understanding of the deeply personal object related nature of religious experience. Within prayer, individuals enter the transitional sphere and meet their God representation. Both conscious and unconscious aspects of prayer can be made available through the use of a projective test developed by the authors, known as STARR: Spiritual Themes and Religious Responses test. The data obtained suggest the usefulness of Winnicottian concepts of transitional phenomena, playing, communicating, and capacity to be alone as a contemporary psychoanalytic framework for interpreting religious experience.     

Working Through Countertransference: Navigating Between Safety and Paranoia for a Client With Complex Trauma History and Borderline Personality Organization

The aftermath of complex trauma deeply impacts one's self-organization and interpersonal relationships, often resulting in clients who present to therapy with borderline characteristics and are typically labeled as difficult to treat. Further clinical complications with paranoid features may quickly place the therapist at a loss with respect to managing perceived and/or actual threats to client safety. Using psychodynamic theories, especially Kleinian understandings of psychosis and Winnicottian approaches to early disturbance and its impact on the emergence of self, this article provides a detailed case illustration that explores how a critical reflection of countertransference as “enactment,” “communication,” and “imagination” can help the therapist to understand the client's unconscious symbolic psychic struggles and to guide treatment selections in the therapy process.     

Handling and self-handling: An object relations perspective on leisure exercise

This paper considers participation in exercise activities as a form of ‘self-handling’. The focus is on individual exercise rather than on activities, such as those involved in some sports and martial arts, which involve pair or group interaction.

The author suggests that the way in which physical activity is used, abused, or avoided in adult life is linked to the quality of primary relationships and in particular to childhood experiences of handling (Winnicott 1962a, 1970). She suggests that exercise evokes ‘memories-in-feeling’ (Klein 1957) of early experiences of handling and is thus essentially object related. A number of different psychic functions of exercise are considered in relation both to theory, particularly Winnicottian theory, and to clinical material.

As we are all aware, not everything a client does in the external world is raised for consideration in the context of the therapeutic relationship. The author reflects on the need to consider the meaning of the client's introduction of the subject of exercise into the therapeutic discourse, as well as the meaning of the physical activity itself.     

ON BEING TRICKED

This paper questions the function and subsequent affect of the trick within everyday life, emphasizing its dependence on visuality and misrecognition. It pays specific attention to the psychoanalytic implications of trickery and identity of ‘trickster’ in terms of environment, emphasizing the theories of transition and transformation indicative of the methodologies pertaining to the Object Relations School of psychoanalytic theory and the ocular theories of Lacanian psychoanalysis. The event of the trick is considered with regard to visuality, appetite and satisfaction, leading to a discussion of what the trick represents within the Winnicottian frame of transitional phenomena, of expectation referencing Bollas’s transformative experience, and of Lacanian méconnaisance.     

In-Between: Shapes of Subjectivities in the Analytic Situation

Starting from concepts that Winnicott developed and that are unexpectedly near to postmodern concepts, I attempt to map some features of the complex territory that lies between analyst and patient from the viewpoint of the relationship that exists between subjectivity and objectivity. In the first section, I give a personal reading of Winnicottian model, emphasizing the idea that the subject’s unconscious acts upon and transforms the object’s (thereby putting in motion further unconscious processes within the object). Then I highlight the presence, in the transference, of various levels of communication and of a paradoxical multidimensionality that upsets the traditional space-time categories and also upsets the analyst’s mental stance. In the third section, I present a new form of countertransference (pervasive), through which the patient’s unconscious creates a sensory environment of proto-emotions and atmospheres, of states and rhythms, that have permeated it and that, due to their intensity and nature, arrived there without symbolization. Finally, I attempt to demonstrate how the patient can undergo psychic change only if the analyst has, himself, inhabited an analogous process of transformation in response to the disturbances arising within the analytical relationship. The clinical-theoretical stance emerging from these reflections sees the relation to the other, to oneself, and to the world as made possible by subjective creation always taking place in the unconscious.     

Attention Deficit Disorder,Anxiety Disorder,and Learning Disabilities

Abstract

This article details an individualized psychoeducational model designed to treat a child with interrelated psychological and developmental issues whose psychic functioning was deteriorating within the traditional educational system. The team had leeway to function outside of the educational system to create an individualized, remedial, psychoeducational program. At the time we began the program, her diagnostic picture included: Anxiety Disorder, Attention Deficit/Hyperactivity Disorder, and Learning Disabilities. The treatment team consisted of an education specialist, two additional part-time teachers, a clinical social worker, an occupational therapist, a consulting senior child psychoanalyst, and the child's mother. The results at the close of the first school year are examined. Perspectives informing the psychoanalytic aspects of this case include Winnicottian and Fairbairnian Object Relations Theory and therapeutic milieu model.     

Living Entities that Join and Separate Us: A Discussion of “Trump Cards and Klein Bottles: On the Collective of the Individual”

González’s paper (this issue) strives to deepen the field of psychoanalytic thinking and the growing body of theory bridging psyche and society, by reaching to group theory and fashioning an unconscious internal structure for the social links alive within us. His paper represents an incredibly ambitious, rich, and highly complex synthesis of aspects of classical theory, object relations, relational, neo-Kleinian, Winnicottian, intersectional, feminist, multiple group, link, and critical social psychoanalytic theories. In my discussion I will position González’s ideas within the matrix of the Bionian psychic apparatus and field theories; followed by a response to his personal and clinical examples of the collective in the individual in the aftermath of the Trump election, and the challenges before us.     

A Rule of One's Own: Reply to Commentaries

I respond to two key issues raised by Bernstein and Frankel. One concerns the complex and potentially useful impact of misdemeanors on the treatment process. Without, however, minimizing this dimension of misdemeanors, I focus instead on how we deal with instances when we fail our patients by deliberately placing our own needs ahead of theirs. Bernstein raises the possibility that we are most likely to commit misdemeanors when we embrace an idealized Winnicottian model. I disagree, suggesting that all theoretical positions exclude some aspect of the analyst's personhood. Ultimately, we cannot escape the conflict between the analytic ideal and the reality of our nonideal humanity.     

Prayer as Therapeutic Process Toward Transforming Destructiveness Within a Spiritual Direction Relationship

This article will expand previous conceptualizations (Kuchan, Presence Int J Spiritual Dir 12(4):22–34, 2006; J Religion Health 47(2):263–275, 2008; J Pastoral Care Counsel, forthcoming) of what might be occurring during a prayer practice that creates space within a spiritual direction relationship for the creation of inner images that reveal a person’s unconscious relational longings and co-created representations of God that seem to facilitate therapeutic process toward aliveness. In previous articles, I suggest one way to understand the prayer experience is through a lens of Winnicottian notions of transitional space, illusion, and co-creation of God images. This article expands on these ideas to include an understanding of God as Objective Other (Lewis, The four loves, 1960) interacting with a part of a person’s self (Jung, in: The structure and dynamics of the psyche, collected works 8, 1934; Symington, Narcissism, a new theory, 1993) that has capacity for subjectivity (Benjamin, Like subjects, love objects: Essays on recognition and sexual difference, 1995) and co-creation (Winnicott, Home is where we start from: Essays by a psychoanalyst, 1990), of inner representations of God (Ulanov, Winnicott, god and psychic reality, 2001). I also expand on a notion of God as “Source of aliveness” by integrating an aspect of how Symington (Narcissism, a new theory, 1993) thinks about “the lifegiver,” which he understands to be a mental object. After offering this theoretical expansion of the prayer practice/experience, one woman’s inner representations of self and God are reflected upon in terms of a therapeutic process toward transforming destructiveness, utilizing ideas from Winnicott, Kohut, and Benjamin.     

Winnicott's invitation to ‘further games of Jung‐analysis’

Winnicott signs off his celebrated review of Jung's (1963) autobiography Memories, Dreams, Reflections with the warning that translation of ‘erreichten’ as ‘attained’ (implying assimilation) rather than as ‘reached to’, could ‘queer the pitch for further games of Jung‐analysis’. This subtly underscores his view that Jung—who he described earlier as ‘mentally split’ and lacking ‘a self with which to know’—remained essentially dissociated. However, Winnicott, whilst immersed in this work on Jung, wrote a letter to Michael Fordham describing himself as suffering ‘a lifelong malady’ of ‘dissociation’. But this he now reported repaired through a ‘splitting headache’ dream of destruction, dreamt ‘for Jung, and for some of my patients, as well as for myself’ (Winnicott 1989, p. 228). Winnicott's recurrent concern during his last decade was with ‘reaching to’—that quintessential Winnicottian term—some reparative experience that could address such difficulties in constellating a ‘unit self’. This is correlated with his engagement with Jung and tracked through his contemporaneous clinical work, particularly ‘Fear of Breakdown’ (1963). Themes first introduced by Sedgwick (2008) and developed by the author's earlier ‘Winnicott on Jung; destruction, creativity and the unrepressed unconscious’ (2011) are given further consideration.