The Disappearing (or Ghost) Mother Transference: In Search of the Available Mother Within

As analysts, we speak of maternal transference as if it were a unitary phenomenon. We are trained to expect intense, powerful transference reactions. Yet there is a group of female patients who have a specific type of transference that lacks intensity. These patients often present by not presenting. I term this phenomenon the disappearing (or ghost) mother transference. This transference is quiet and does not create much stress. Using a case example, I will define this particular type of object relationship and discuss an alternative technique in treating these patients. It is my premise that these women must discover for themselves, at their own time and in their own way, the caring, living, available mother in the analyst.     

Pete the diesel: Psychotherapy with a severely disturbed five-year-old boy

The psychic significance of the figure of the grandmother in psychodynamic psychotherapy has received scant attention. This paper develops the concept of the ‘grandmaternal transference’ in parent–infant psychotherapy and explores its identification, its possible functions and its therapeutic significance. The grandmaternal transference has special relevance to parent–infant psychotherapy since the grandmother often represents both the mother’s mother and the child’s grandmother and offers a unique third position between mother and child. Three clinical vignettes illustrate how the grandmaternal transference may operate in this third position. In the first vignette, the therapist becomes in the transference a containing grandmother thereby facilitating maternal containment. In the second case, the therapist may be experienced as a differentiating grandmother able to help mother and infant with separation and individuation. In the third one, the therapist is transferentially experienced as a paternal grandmother who acts as a pseudo-father able to embody the paternal function. In each of these positions, the transference and countertransference – whether positive or negative – require that the therapist responds to rather than enacts the grandmaternal role. The three configurations of the grandmaternal transference have different clinical manifestations and offer different therapeutic ports of entry.     

THE ANALYST'S WAY OF BEING: RECOGNIZING SEPARABLE SUBJECTIVITIES AND THE PENDULUM'S SWING

Whether the analyst finds the patient's emerging transference affectively tolerable or intolerable plays an important role in the analytic couple's negotiation of the configuration that the transference‐countertransference relationship ultimately assumes. If the analyst is deeply repelled by transference‐related roles to which he is assigned, patient‐ascribed attributions, or projection‐drenched interactions, he may react in violent protest, engaging in enactments that say more about his separable subjectivity than about the intersubjective situation. While there has been a recent trend to view enactments as a crucial aspect of psychoanalytic technique, this trend risks overlooking the way in which the analyst's way of being comes into play in the treatment.     

Surrogate Motherhood Revisited: Maternal Identity from a Jewish Perspective

A new bill regulating ovum donation in Israel is set to pass its second and third readings in the Israel Parliament in the upcoming months. The new law will expand the number of locally donated ova available, as previously Israeli women were prohibited from donating eggs unless they were undergoing fertility treatment. Parallel to this legislative initiative, there has been a change in rabbinical thinking over who is considered the mother in a case of surrogacy. Previously, the consensus has been that the birth mother is to be considered the mother, but over the last few years there has been a change in thinking and the genetic mother is now considered the mother. The purpose of this paper is to present the ethical and legal issues from a Jewish perspective in determining maternal identity. The dilemma also demonstrates some of the difficulties in applying Talmudic law to modern problems and the various methodologies used to overcome these issues.     

Society for Personality Assessment,Incorporated Minutes of the Board of Trustees Meeting

When the record of both parents is considered together, we see a constellation in which the parental figures are each struggling to achieve gratification for strong dependency needs with the mother being the stronger and better integrated person but with exhibitionistic trends which may appear seductive to the child. Thus, for a male child who has the constellation of a weak dependent father and a somewhat disturbed exhibitionistic mother with unresolved dependency, the boy's identification as a male will have many vicissitudes. It is likely that, in many ways, he will be caught not only in the individual needs of these parents but in their difficult symbiotic relationship.     

The Kore complex: on a woman's inheritance of her mother's failed Oedipus complex

The Greek myth of Kore/Persephone captures a particular psychopathology of women who are torn between a deadened and often asexual husband (Hades) and an ongoing close relationship with a caretaking mother (Demeter). Psychoanalytic work often reveals that these women live in the shadow of their mothers' failed oedipal complex. Their identificatory preoccupation with maternal object preservation disrupted or distorted their oedipal development, and ever since continues to serve as a defense against sexual strivings. Thus, these women are trapped in a Kore complex: as maiden caretakers, they remain attached to and torn between a "grain mother" and a grandfather transference object.     

Emotion Display as a Strategy for Identity Negotiation

Affect control theory provides a formal model of emotions, behavior, and identity shifts during social interaction. According to the theory, emotions provide information about both the identity of an emoting actor and how well current social events are confirming that identity. Actors can avoid or mitigate identity damage resulting from inappropriate behaviors by displaying certain emotions (e.g. remorse). Alternately, actors can expose their identities to social damage by displaying inappropriate affect while behaving otherwise normatively. Here we present experimental tests of eight hypotheses based on affect control-based simulations. We find that (1) display of emotions that are affectively congruent with behaviors can reduce damage to identity from harmful behaviors; (2) display of evaluatively incongruent emotions can actually contribute to a spoiled identity, even in the context of socially positive behaviors; and (3) emotions that are evaluatively congruent with behaviors make actors seem more powerful. Respondents feel that they understand and like actors more when they display normative, affectively congruent emotions. These results are complicated somewhat by responses to the emotion of anger. One hypothesis—that low potency emotions will make actors seem more powerful—is not confirmed. We interpret these results and suggest avenues for future research.     

His mother-tongue: from stuttering to separation, a case history

This paper delineates the transference and countertransference experiences in the analysis of a patient whose presenting symptom and main concern was his stutter. I suggest that oral-sadistic rather than anal-sadistic hostile elements may be identified in this patient's particular stutter. I focus on its significance in terms of object relationship: my patient's struggle to 'get born', to emerge as a separate other. I argue that early symbiotic fusion needs in conflict with the need to separate produce his stutter. Speech and language are seen as the vehicle for separation and the stutter as a flight from separateness back to an illusion of fusion with mother.     

“Sometimes I Feel Like a Motherless Child,a Long Way from Home”: Complex Adolescent Identity Formation in a Transcultural Adoption

During adolescence, concerns about identity come to the fore. Questions such as “Who am I?” and “Who am I in relation to other people?” present unusual difficulty for the adopted child, who must navigate the complex developmental task of including two sets of parents (and possibly several cultures) within his representational world. Adopted children must also integrate the knowledge that they were born to one set of parents but are being raised by another. When the child's physical characteristics are different from the adoptive parents, this further complicates identity issues. Even when children have developed a safe and secure attachment to the adoptive parents, knowing that they were born into this world by a mother who then gave them away can evoke feelings of being utterly alone, bereft, and unloved. When adopted children enter adolescence, these feelings can loom large and powerful, derailing the development of their sense of identity. Presented here is the case of an adolescent in a transracial adoption in which the boy left his adoptive mother's home in a cataclysmic crisis, feeling alone and motherless, to run to his adoptive father, who suffered from major depression. The mother, too, felt bereft, and the therapist initially felt unable to help.     

Moms Hating Moms: The Internalization of Mother War Rhetoric

Work status and mothering are culturally constructed as rigid binaries. The purpose of this study was to explore the effect on mothers of these polarized characterizations of motherhood and to assess the social support mothers perceive they receive for their mother identity. This study, based on interview data collected from 98 married mothers of preschool children, demonstrated that Mother War rhetoric is most extensively internalized by at-home mothers. The majority of mothers perceived a lack of cultural support for their mother role, though the impact of cultural Mother War rhetoric was buffered or exacerbated by mothers' social support systems. The lack of adequate support from other mothers, spouses, parents, and in-laws led mothers to binary constructions of worker–mother identity. This, in turn, led mothers to seek support within shared contexts, which further separated at-home and employed mother from each other and separated mothers from the support of their parents.     

Adult age differences in unconscious transference: Source confusion or identity blending?

Eyewitnesses are known often to falsely identify a familiar but innocent bystander when asked to pick out a perpetrator from a lineup. Such unconscious transference errors have been attributed to either identity confusions at encoding or source retrieval errors. Three experiments contrasted younger and older adults in their susceptibility to such misidentifications. Participants saw photographs of perpetrators, then a series of mug shots of innocent bystanders. A week later, they saw lineups containing bystanders (and others containing perpetrators in Experiment 3) and were asked whether any of the perpetrators were present. When younger faces were used as stimuli (Experiments 1 and 3), older adults showed higher rates of transference errors. When older faces were used as stimuli (Experiments 2 and 3), no such age effects in rates of unconscious transference were apparent. In addition, older adults in Experiment 3 showed an own-age bias effect for correct identification of targets. Unconscious transference errors were found to be due to both source retrieval errors and identity confusions, but age-related increases were found only in the latter.     

SOME DIFFICULTIES IN THE ANALYSIS OF A WITHDRAWN PATIENT

The author discusses some difficulties that arose in the analysis of a seriously disturbed patient who found talking about himself extremely problematical. He defended against awareness of conflicts, ideas and affects while being tormented and overwhelmed by them. He seemed to have acquired an inhibited character that was not, however, schizoid. He related to others in a wary, quarrelsome, yet passive way. It became apparent that his sense of identity was confused. Attention to archaic fantasies led to the uncovering of a parthenogenetic unconscious fantasy involving identification with his mother and the attempted eradication of the mental function of his father. Experiences of differentiation led to extreme anxiety including risk of failure of ego functions with the arousal of latent psychotic anxieties. Interpretation of the content of sessions became possible only after several years: until then interpretation of defensive processes aimed at preventing contact or change predominated. Disclosure of 'unofficial' communications by the patient, expressed as lapses of vigilance by his severe superego, revealed his crises and feelings. These idiosyncratic, muted appeals for help became a vehicle through which interpretation of content and its transference meaning became possible. Some confusing transference and countertransference experiences in the analysis are described.     

Das homosexuelle Dilemma

This paper intends to support the idea of homosexuality as an independent development. It shifts the attention to a complex which is described as the homosexual dilemma. It emerges regularly with the regression in homosexual men. In their analysis it forms the basis of the transference and is the core complex which is regarded to be an organizer of the usual male homosexual development: The mismatching between outlines representing the parental thought about the male baby and his actual identity. It is a specific dilemma within the reflexive identity processes in the basic homosexual development. It continues in later interactions and dominates a major part of the homosexual life. The way how this dilemma is solved determines the further development. If this is done successfully, the child will have the chance for a healthy homosexual life. If it turns out to fail, the final result will be a homosexual disturbance of identity, i.e. a pathological homosexuality. Reporting clinical examples it is shown how the homosexual dilemma finds its expression in the transference. The analyst is mainly used as a narcissistic self object. Mostly, he doesn’t become an object of sexual desire but a companion who promotes the stabilization of the homosexual identity by recognition.     

Pregnancy and motherhood in elite sport: The longitudinal experiences of two elite athletes

Since the end of the 20th century, the elite athlete mother has been a growing social phenomenon, with increasing numbers of female athletes returning to elite level sport postpartum. Allyson Felix and Serena Williams are two recent elite athletes who successfully transitioned into their new identity of elite athlete mother. However, there is no guarantee that all transitional journeys will be as successful. The purpose of the present study was to enhance current knowledge of the experiences during pregnancy and motherhood in elite sport by exploring how becoming a mother impacted on the perceived personal and physical identity of elite athletes. Two elite athletes who had recently given birth to their first child were interviewed at two-months, six-months, and 15–16 months post-birth. Interviews were analyzed using a reflexive thematic analysis to explore how identity may have changed over the initial 15–16 months of motherhood. Three themes were developed, comprising: athlete identity; mother identity; and athlete mother identity. The sub-themes of identity, physical identity, shifting of goals, juggling athlete and mother identity, dual identity, priorities, and lifestyle were generated and demonstrated both similarities and nuances in the experiences of the two athletes. This study is the first to provide longitudinal insights into the experiences of both para and non-para elite athlete mothers during the initial stages of motherhood. Findings highlight the individual nature of such an experience and illuminate some of the negotiations of the personal, athlete, and mother identity that an athlete mother may experience.     

Centrality of women's multiple roles: beneficial and detrimental consequences for psychological well-being

Theorists have proposed that greater centrality (personal importance) of a social role is associated with better psychological well-being but that role centrality exacerbates the negative effects of stress in that same social role on well-being. The present study found evidence to support both hypotheses in a sample of 296 women who simultaneously occupied the roles of parent care provider, mother, wife, and employee. Greater centrality of all four roles was related to better psychological well-being. As predicted, wife centrality exacerbated the effects of wife stress on life satisfaction, and employee centrality exacerbated the effects of employee stress on depressive symptoms. Contrary to prediction, centrality of the mother role buffered women from the negative effects of mother stress on depressive symptoms. These findings point to an aspect of role identity that can benefit well-being but that has complex effects in the context of role stress.     

Symbiotic psychosis and the need for fame

This paper attempts to synthesize Tartakoff's concept of the Nobel Prize complex (a constellation of personality traits found in some achievement-oriented neurotics) with the symbiotic syndrome which Mahler noted among certain psychotic patients. The performance-oriented symbiotic syndrome formulated in this paper is found in patients whose pathology ranges from the normal to the psychotic. The familial constellation involved in this performance-oriented symbiosis consists of an obessive, successful father; a depressed, hysterical, unfulfilled mother; and a child who is made to take the father's place in the household. The mother exploits the child by offering attention only when he achieves or performs in such a way as to fulfill her narcissistic strivings and bolster her self-esteem. The father is often involved in a similar symbiotic relationship with his own mother and therefore sanctions his wife and son's dyadic relationship.     

When Daughter Becomes Mother: Inferences from Multiple Dyadic Parent–Child Groups

In this paper, I describe how new mothers can be preoccupied with their mothers and can replay their relationship with them transferentially with professionals and nannies, who become surrogates for their mothers. New mothers need affirmation from their mothers and from mother surrogates because, in their new role, they experience a sense of helplessness and anxiety and have difficulty tolerating aggression, ambivalence, and conflict. Stern's “motherhood constellation” and “good grandmother transference” are useful constructs for understanding how to best approach and help new mothers and their babies. From observations in multiple dyadic parent–child groups at the Pacella Parent Child Center, I have distilled two factors that help new mothers address their anxieties—the bonds these mothers make with one another and their transferential bond with the group leader and other professionals at the center. I critically discuss and compare theoretical inferences derived from individual psychoanalytic or psychotherapeutic work (as exemplified by Balsam's work) with the inferences derived from Stern's dyadic model and with inferences derived from psychoanalytically informed group situations. I consider the implications of the ubiquity of ambivalence conflicts, especially around aggression.     

Working with Adopted Clients

When working with clients who have been adopted, therapists must be alert to the fact that lack of information about the birth mother and feelings of rejection can lead their patients to use defense mechanisms and create fantasies that will affect the transference and countertransference. Using examples from both agency and private practice, this article helps the clinician understand how adoption has affected their client's lives both in and out of the therapy room and suggests ways to modify treatment with a greater sensitivity to adoption issues.     

Erotized transference reconsidered: expanding the countertransference dimension

A reconsideration of the erotized transference from a contemporary perspective has been presented utilizing detailed case material provided by Stoller. The main thesis is that this type of transference, traditionally conceived as a product of a particular kind of patient often felt to be borderline, is better understood as arising in a specific intersubjective context involving both participants in the psychoanalytic situation. The focus is on the intricate interaction of analyst and patient, recognizing that either may serve as a selfobject for the other. This view assumes a more expanded countertransference role than recognized in the earlier literature. The psychoanalytic situation can be erotized by either or both participants. A corollary thesis is that the details of a patient's fantasy should also be viewed as codetermined and that imbedded within it might be the patient's subjective experience of the psychoanalytic interaction. Alluded to peripherally is that the erotized transference in the interaction between male analyst and female patient is, in part, a manifestation of traditional roles assumed in situations involving a male authority figure in close engagement with a female who perceives herself as relatively powerless. This issue has recently received considerable attention from writers who have addressed themselves to the important gender issues in psychoanalysis.     

BODY, MOTHER, MIND: ANOREXIA, FEMININITY AND THE INTRUSIVE OBJECT

This paper takes as its starting point the preponderance of female to male patients who suffer from anorexia. The author suggests that there may be something specific about certain experiences of femaleness which predispose towards anxieties of intrusion. Two contemporary theories of the aetiology of anorexia are outlined. Both of these suggest that the problem has its origins in intrusion or invasion of different sorts. The author suggests that many women who suffer from anorexia have an intrusive object instated in their minds, which may not necessarily be the result of actual intrusions in external reality. In the final part of the paper, the author examines the intrusiveness of anorexic patients in the transference and suggests that such patients very often harbour profound phantasies of intruding between the parents, with a wish to regain their special place with mother, untroubled by the presence of father. It is further suggested that the psychopathology underlying certain cases of anorexia leads to a failure in symbolisation. This failure in turn complicates the clinical picture, making such patients particularly difficult to think with about their difficulties.