The fall of fantasies: a Lacanian reading of lack

The purpose of this article is to explain to a non-Lacanian audience the broad philosophical foundations of Lacanian theory, particularly the relationship that Lacan draws between the human subject's ontological lack and his or her creative capacities. In an effort to explain Lacan's distaste for psychoanalytic approaches aimed at strengthening the ego, the article outlines the manner in which Lacan connects ego-driven fantasies to the constriction of the subject's psychic world. Lacan suggests that narcissistic fantasies are misleadingly seductive because they-in occluding the internal rifts and antagonisms of the subject's being-alleviate his or her anxieties about the contingent basis of existence. However, the illusory sense of plenitude and self-presence that such fantasies provide prevents the subject from effectively discerning the "truth" of his or her desire, thereby holding him or her captive in socially conventional psychic paradigms. In consequence, it is only the fall of the subject's most cherished fantasies that empowers him or her to pursue a degree of subjective singularity. The article also considers the clinical implications of Lacan's theory of lack, including the ways in which the analyst's lack enhances the patient's capacity to claim an increasingly autonomous and multidimensional mode of encountering the world.     

The wish for revenge

The wish for revenge is a ubiquitous response to narcissistic injury, and particularly to the narcissistic injury that accompanies oedipal defeat. Vengeful fantasy serves to represent and manage rage and to restore the disrupted sense of self and internalized imagining audience that have resulted from injury. Clinical and literary examples demonstrate the split within the representation of the self and the imagining other that underlies the wish for revenge, and the way that this split operates differently in the psychic economy of the transiently and the chronically vengeful.     

Narcissism and superego development

To elucidate the role of the superego in th maintenance of narcissistic equilibrium, we reviewed Freud's ideas about narcissism and the superego as well as the relevant theories of Kohut, Kernberg, and certain ego psychologists. These latter authors offer an alternative mode of understanding narcissism more consistent with Freud's structural theory, one in which signal affects and superego functioning play a central role in normal development and in the pathogenesis of narcissistic disturbances. Early steps in superego formation were then examined schematically to elucidate the interaction of environmental influences and emerging psychic structure. We suggested that the first step in a developmental line toward superego formation is based on the affective qualities experienced in the course of self-object differentiation. Subsequent steps examined were introject and ego-ideal formation; compliance with th object; compliance with the introject; identification with the introject and the ego ideal; and finally, with oedipal resolution, the integration of superego nuclei into a progressively structuralized autonomous superego system. This system achieves growing independence from the drives and from pressures from early introjects during the course of latency, and functions to maintain the demands of the conscience and the standards of the ego ideal; rewards or punishments result when these demands and standards are or are not met. The final stage briefly considered here was the revision, modification, and elaboration of moral codes and the ego ideal as part of the adolescent process. Narcissistic vulnerabilities at various stages were pointed out in an attempt to stress that a particular clinical picture in later phases of development or adulthood may derive from any of several development points of origin and from one or more etiological factors.     

Orientations of psychotic activity in defensive pathological organizations

The author reviews some clinical experiences of the treatment of personality disordered patients suffering from internal domination of ego functioning by a defensive pathological organization. In particular, the function and purpose of perverse, sadistic attacks by the organization on the ego are considered and questions pertaining to technique are raised. It is suggested that different forms of sadistic, subjugating activity by pathological organizations may denote differences in intent borne of the type and severity of the psychopathology of the individual. Patients with severe narcissistic psychopathology for whom object contact has become associated with the arousal of intense psychotic anxieties seem more likely to be subjected to an invasive, annihilatory imperative by the pathological organization, the purpose of which appears to be to obliterate the experience of contact with any differentiated object, to avoid emotion and to use coercion to enforce a primitive identification by the ego with the psychotic organization in the mind. Certain patients with less severe narcissistic psychopathology, yet for whom object contact can also be associated with the arousal of psychotic anxieties due to intense or persistent conflict with the object, sometimes expressed as organized sadomasochistic clinging to a punishing and punished object (for example, in certain borderline or depressed patients) exhibit sadistic attacks that serve less to annihilate object contact and more to intrusively control and punish the object. Observations of these phenomena have been made by a number of psychoanalysts in recent decades and these contributions are discussed. This paper is addressed primarily to the implications for technique with such patients, particularly a need for triangulation of their experiences of oppression in order to loosen the controls over the ego by the pathological organization.     

The observing ego as voyeur

A resistance to self-observation and self-reflection is discussed in which there is a perversion of the observing ego. The observing ego has been unconsciously recruited in the service of enacting an unconscious fantasy: the fantasy of being an excited observer of a primal scene who is punished for making forbidden observations. This voyeuristic observing ego is pathologically enmeshed in a love triangle with the patient's seductive superego (i.e. identification with the desired but unfaithful parent) and with the patient's punitive superego (i.e. identification with the rivalrous parent). This unconscious scenario is played out in the clinical situation as the patient unreflectively cycles through phases of denial (i.e. self-seduction) and moral masochism (i.e. self-betrayal). A case study illustrates how humor may be employed to free the observing ego from being enthralled by a perverse superego. Humor may unconsciously enable a rebellious attitude toward the omnipotent sadism of a perversely oppressive superego and thus enable the observing ego to break free from its pathological enmeshment.     

Thawing the 'frozen accidents': the archetypal view in countertransference

Jung's concepts of psyche and psychic energy are relevant in countertransference. Working with Jung's archetypes as 'transconscious' dynamic fields of probabilities helps the analyst, as a clinician and teacher with limited human consciousness, to confront and recognize the unconscious cross-purposes of 'anomalous' countertransference, and to convert it to insightful 'participatory' countertransference-Jung's archetypes will be juxtaposed with William James's fields, Gerald Edelman's qualia, and most particularly with Murray Gell-Mann's 'frozen accidents'. Two vignettes – from A clinical and a training setting – suggest chat from a Jungian perspective, countertransference may be seen at the psychic juncture where ego, the personal shadow, the interpersonal other and the archerype of the collective unconscious meet in the determining images of a life, fantasy, dream, analysis, and seminar. So-called 'parallel process' will be seen as enclosure in the circles of reference emanating from the patient's experiences in those arenas deemed archetypal, i.e., structurally significant. The relativity of unconscious time will be mentioned. Jung's notion that, called or uncalled, the archetypes are present, informs the thesis that we must name archetypal images if we are to know them, and we must know them to be free.     

Reconstruction and perceptual experience: further thoughts on psychoanalytic listening

Freud's monumental shift to the fantasy theory heralded the view that "it is psychical and not material reality" which is our sole domain of inquiry. Yet despite theoretical agreement and cogent technical admonitions against concerning ourselves with absolute or "external" truths, psychoanalytic listening betrays a stance in which the analyst attunes to a reality other than that of the patient's inner world, assuming the position of arbiter--even if a silent one--of what is or is not "distorted" in the patient's perceptual experience. The central impact of perception as a significant component of the patient's inner experience--past and present--goes unattended. Clinical examples from differing theoretical persuasions are reviewed to demonstrate this occurrence. An alternative mode of listening is considered which assumes an underlying shift in outlook, suspending any notion that we can "know" what is "correct" in the patient's perception, while sharpening attunement to its clinical impact--as may be evidenced by a shift in affect or state, a turn of phrase, or the transient appearance of a symptom or old behavior. It is argued that such a stance will lead to a more singular focus on the patient's psychic reality, permitting the emergence of a deepening realm of psychic phenomena, enhancing the capacity of self-observation, and richly facilitating the reconstructive process.     

Omnipotence in the transference and in the countertransference

The concept of omnipotence refers to a primitive fantasy, a mechanism of defense, and a pathological psychic structure. Omnipotence and its derivative defensive operation, omnipotent control, are highly prevalent in borderline personality organization. Three clinical vignettes illustrate these mechanisms in the treatment of patients with borderline, narcissistic, and obsessive personality disorders, respectively. These vignettes illustrate the transference developments when omnipotence and omnipotence control are dominant, and the therapeutic approach to these conditions.     

Self as the feminine principle

In analytical psychology, ego is associated with consciousness and the masculine principle. Although die feminine principle generally characterizes the unconscious, it was not assigned a psychic structure equivalent to the ego. This paper proposes a model of the psyche where self and ego are the major modes of psychic experience. The self as the 'being' mode represents the feminine principle and functions according to primary process; the ego represents 'doing', the masculine principle and secondary process. Feminine and masculine principles are considered to be of equal significance in both men and women and are not limited to gender.
Jung's concept of the self is related to the Hindu metaphysical concepts of Atman and Brahman, whose source was the older Aryan nature-oriented, pagan religion. The prominence of self in analytical psychology and its predominantly 'feminine' symbolism can be understood as Jung's reaction to the psychoanalytic emphasis on ego and to Freud's 'patriarchal' orientation. In Kabbalah, a similar development took place when the feminine principle of the Shekinah emerged in a central, redemptive role, as a mythic compensation to the overtly patriarchal Judaic religion.
In the proposed model of the psyche neither ego nor self represents the psychic totality. The interplay of both psychic modes/principles constitutes the psyche and the individuation process.     

Creativity and oedipal fantasy in Austen's Emma: 'An ingenious and animating suspicion'

Austen's Emma is one of the great novels of the Western tradition. In this paper the author explores the meaning of Emma's 'ingenious and animating suspicion' that Jane Fairfax seduced her best friend's husband, Mr Dixon. The interpretation that a psychoanalytic understanding makes possible shows how this suspicion represents an oedipal fantasy projected on to Miss Fairfax. Further exploration demonstrates how the fantasy is linked both to Emma's systematic unkindness to Jane Fairfax and to Emma's famous insult to Jane's aunt, Miss Bates. Emma's suspicion projects an oedipal fantasy with its incestuous impulses on to her rival and satisfies an envious aggression at the same time. The author's purpose in this paper is to bring to light through psychoanalytic understanding Austen's dramatisation of the complexity and creativity of the oedipal situation. In addition to the regression in oedipal fantasy, the primary process also functions with a progressive quality that expands and enriches the ego, a double movement described in Keats's 'negative capability', which has been elaborated by Bion. The primal-scene fantasies are often brought alive in the analytic transference. These situations and painful emotions are dramatically portrayed through Austen's genius as vehicles for change. A sudden integration follows a phase of disorganization: 'It darted through her with the speed of an arrow. Mr Knightley must marry no-one but herself'. Emma, who is Austen's 'imaginist', moves from the projected fantasy of the sad love triangle through envy aggression and the narcissistic blows of self-doubt and loss of love to moments of illumination and connection.     

Psychodynamic assessment of changes in children with autism under psychoanalytic treatment

In this article the authors report insights into autism developed through their extensive experience of psychoanalytic therapy with children with autism. The fi rst stages of body psychic development are seriously disrupted by this pathology, resulting in primitive anxieties of falling and of being liquefi ed. These anxieties are connected to the fragile development of body ego and of its related spatiotemporal organisation. The changes in children observed by the authors during the therapeutic process lead them to offer a psychodynamic assessment tool, which revolves principally around the development of body ego. After the initial state of 'severe autism', the authors describe three stages: the stage of 'recovery of the skin' (Bick); the established 'symbiotic phase', subdivided into 'vertical then horizontal splitting of the body ego'; and fi nally the stage of 'individuation'. First, the authors describe the principal psychoanalytic approaches to autism and refl ect on the links possible with nonpsychoanalytic work.     

OM PROJEKTIV IDENTIFIKATION; FEM PSYKOANALYTIKER TILLÄMPAR BEGREPPET UTIFRÅN OLIKA PERSPEKTIV

Understanding another person's mind is based on a shared frame of reference that derives from primary identification. In a psychotic disorder, this metaphorical configuration becomes damaged, leaving the ego in a state of extreme helplessness. To safeguard at least a minimum of psychic survival in this situation, the helpless ego resorts to a delusion that will form a surrogate frame of reference, which is no longer linked to primary identification, but to autoerotic excitations and self-induced affect states. The treatment of a psychotic patient should aim at the recovery of the original frame of reference based on primary identification and represented by the analyst in the analytic setting. The shared understanding of the patient's extreme helplessness paves the way for the unfolding of object directional needs and wishes in the therapeutic relationship and for their gradual internalisation into a more solid psychic structure.     

Die analytische Monade als Wiege der Realitätsprüfung

The relocation of my practice caused a lot of irritation and trouble, but triggered also psychic improvements in the analytic process with my patients, which is interpreted by referring to the theories of M. Balint and B. Grunberger. It is helpful to focus here on a narcissism concept which is not under instinctual control and to distinguish it from the transference rooted in drive theory. Especially useful proves to be the statement of both M. Balint and B. Grunberger that it is necessary to acknowledge and to affirm the wish of the analysand to establish and experience a pre-objectal “primary love” resp. an analytic monad. In case studies I try to show that the acceptance and affirmation of the projection of not drive-controlled narcissistic omnipotence feelings to the analyst are apt to secure and to preserve the narcissism of the analysand. Only this way can idealization and a stabilizing ego ideal initiate the integration of narcissistic exigencies and instinctual drives and organize the establishment of the reality principle.     

Acting out in the treatment situation

More and more frequently the deficiencies and deprivations of early life are seen in the inability of patients to utilize psychic process to ameliorate conflict and painful affect. As a result, the tendency to act out anger and violent feelings in the external world in ways that are destructive and damaging is a prominent symptom. In the course of therapy, this somatic expression enters the treatment situation itself, often directed to the person of the analyst as the transference object. Understanding dynamics of what is actually being reenacted and using this information to convert somatic language to psychic process is the central focus of this paper. Acting out is defined and what places it apart from other pathological symptoms is described, along with associated ego functions, triggering mechanisms, affects, narcissistic and preoedipal factors, speech and symbolization, and stability and quality of mental representations. Acting out has been linked to somatization in recent years, and is understood as a defense against hostile wishes and impulses in an attempt to eliminate internal dangers from awareness. Treatment focuses on moving acting out into the realm of talking out, free association, dream interpretation, and interpretation in general with the proper timing in assessing the patient's ability to transfer experiences with early objects onto the analyst.     

The illumination of history

Formulations regarding the patient's history have not only played an important part in understanding the patient, but interpretations explicitly linking the present with the past have been seen as central to the therapeutic process. In this paper the author considers the role of historical reconstruction in bringing about psychic change. He emphasizes the therapeutic value that lies in the exploration of the way the patient's history is embodied in his internal object relationships, becoming manifested in the transference-countertransference relationship. The author presents clinical material which he suggests allowed the analyst to follow the way the patient's internal object relations, coloured by her history, became expressed and played out in the sessions. He suggests that, when these processes can be followed and addressed in the present, this may lead to a diminution in the underlying anxieties. This can thus promote psychic change by freeing the patient's capacity to achieve a sense of connection with her history, and to tolerate the meaning of what emerges, which illuminates both the present and the past.     

The analyst's theory: A third source of countertransference

The author asserts that the analyst's theory, personal and/or academic, is an important source of countertransference which complicates our traditional understanding of the analyst's emotional responses as being constructed from a mix of his transferences and the patient's effects on him. From this perspective, theory - because it has no intrinsic relevance to the essential phenomena of individual analytic processes - may be a confounding, as well as a necessary, factor in clinical work. Although the analyst's theory might be conceptualized as a component of his personality that shapes his emotional reactions to a patient, the author believes that there is a valuable increment of conceptual clarity and additional clinical utility to thinking about a more direct role of theory in the process of countertransference formation. He uses aspects of the clinical analysis of narcissistic resistances to illustrate how some theories might predispose an analyst to confounding unconscious enactments by generating either positive or negative countertransferences which can be used defensively by the patient and/or analyst. He also illustrates how, in some contexts, an analyst's theory might attenuate potentially informative countertransference reactions and interfere in this way with the analyst's apprehension of the patient's psychic functioning. Finally the author addresses the importance of 'fit' between an analyst's working theory and a patient's psychopathology, and considers implications of his ideas for psychoanalytic training and practice.     

Aesthetic experience

An initial clinical question, ‘Why does an analysand talk about his/her relationship with an aesthetic object?’ opens an investigation into the nature of aesthetic experience. Three principal aspects of the psychoanalytic approach are presented: sublimation, a Freudian concept concerning the vicissitudes of the drives; reparation, a Kleinian concept linked to depressive anxiety; and transformation, a concept of object‐relations theory about primitive ego‐states. The article discusses the psychic function of aesthetic feelings in mastering anxiety as related to ego, id and superego. The transformation of the experience of passivity is a common link underlying these aspects. Such transformation relies on tolerating ambiguous and contrary feelings within the self, fostered by contact with an aesthetic object. This balance can, however, be upset: two excessive forms of aesthetic experience ensue, namely, fascination and bewitchment. The first belongs to the experience of awe; the second can lead to claustrophobic anxiety. The initial clinical question requires an elaboration of aesthetic transference, a variant of the narcissistic transference, whereby the analysand invites the analyst to share his/her internal state as a common unspoken object.     

Analyzing intrapsychic conflict: compromise formation as an organizing principle

The author highlights the idea that analysts' recognition of intrapsychic conflict and compromise formation provides them with a most effective way to formulate their patients' problems. A clinical illustration is presented, with attention to the analyst's use of these concepts during the course of the patient's treatment. The author discusses ways in which his thinking about intrapsychic conflict, compromise formation, and unconscious fantasy informs his approach to clinical work. He emphasizes that viewing compromise formation as the organizing principle of much of mental life gives analysts an effective way to understand the underlying structure of the psychic phenomena in which they are interested.     

Fact and fantasy in the seduction theory: a historical review

This article surveys Freud's various versions of the seduction theory, from 1896 to 1933. It is concluded that the seduction theory had never been based on the patients' direct statements and conscious recall of seduction by the father in early childhood--unlike what Freud was to state much later (1933). This early seduction was mostly reconstructed by Freud from the patient's verbal material and behavior in treatment (including memories of sexual experiences from later childhood) which he interpreted as disguised and incomplete "reproductions" and reenactments of the original seduction trauma. Further, the external trauma was never meant to account by itself for the later neurotic symptoms. The "delayed action" of its unconscious memory, producing the repression of an event from the time of puberty, was a necessary part of the process. Thus internal psychic transformations and conflicts, anticipating Freud's later emphasis on fantasy and psychic reality, were already an intrinsic part of the seduction etiology of 1896. It is also noted that the father played no central role in the original theory as presented in 1896; it is only in the letters to Fliess that the father emerged as the prime seducer. The implications of this clarification of the seduction theory for the understanding of the changes and continuity in the development of Freud's theories are highlighted; their relevance to ongoing issues in psychoanalysis about the role of external trauma, fantasy, and reconstruction are briefly examined.