The analyst's excitement in the analysis of perversion

The author believes that unconscious sexual excitement in the transference and countertransference is an especially problematic aspect of the analysis of perverse character pathology and that perverse sexual gratifi cation deserves a more prominent position in the clinical theory of analyzing perversion than that which has been assigned tacitly through analysts' routine focus on the defensive and destructive dynamics of perversion. He presents clinical material from the analysis of a perverse patient that illustrates the role of excitement in the transference perversion established in this analysis; and he asserts that gratifying perverse enactments occurring in the transference perversion can appear not only as conscious or unconscious excitement in the transference but also, at times most clearly, as the analyst's excitement. The author suggests that using a clinical theory that supports the analyst in understanding his excited responses as perverse countertransferences-i.e. evoked excitement complementary to the sexual component of a perverse transference-will assist him in locating and thinking about gratifying, perverse excitement in the transference where it is most usefully analyzed. Finally, he discusses some of the reasons why analysts might deny, suppress or otherwise avoid perverse countertransferences and in so doing contribute to sustaining perverse resistances.     

Thoughts on Rigoletto

The author discusses the traditional interpretations of the principal dramatis personae in Verdi's Rigoletto, suggesting that the opera expresses the composer's unconscious but highly perceptive and intuitive exploration of: (i) paranoid and perverse father-daughter oedipal dynamics as enacted between Rigoletto and Gilda; (ii) a folie-à-deux sado-masochistic relationship between Rigoletto and the Duke; (iii) the avoidance of conscious guilt and responsibility for Rigoletto's part in the tragedy through the rejection of insight achieved via massive projection, an addiction to mania, and perversion. In this respect Rigoletto is compared with King Lear. Some technical aspects of Verdi's compositional style employed to portray the contrasting characters of the protagonists are analysed. The paper also touches on Verdi's own possible unconscious (as well as conscious) investment in this particular opera, noting similarities between Verdi's portrait of the tragic, hunchback jester and his own self-depiction. The author notes similarities and contrasts between his analysis of the opera and recent papers by Hudson (1992),Tarnopolsky (1995)and Bergstein (2003)on the same subject.     

Why perversion?: False love and the perverse pact1

In this paper, the author works with the awareness that perversion is a socially, historically and theologically loaded term, at the same time as it may be the latest frontier in psychoanalysis, both clinically, and in relation to contemporary art and culture which emphasize the perverse. Positioning itself against tendencies to deny the existence of a category of perversion or, inversely, to abuse it for the power that accrues from the act of diagnosing, she also points to other liabilities in the history of the treatment of this term, such as the narrowing down of perversion to the exclusively sexual domain, or, alternatively, the overextension of it to polymorphously erotic practices that enhance sexual excitement. The paradoxes of perversion and the difficulties of distinguishing the perverse from the non‐perverse are addressed. The case is also made that, in order to understand perversion, one must unlink it from the narrow notion of sexual practice and see what is involved on a deeper level an approach initiated when psychoanalysis turned to perversion as a defense against psychotic anxieties, and began considering the necessary place of perversion in the transference countertransference. Two features common to both sexual and non‐sexual perverse relations are the seductive and bribing aspects of perversion, and its means‐ends reversal. Perversion is a haven for the disguising of hatred and suspicion as excitement and (false) love. Displaced child and beating father, entitled child and seductive mother, are both prototypes of psychoanalytic refiection on parents who excite, deceive and corrupt their children and establish perverse pacts with them. The notion of the perverse pact is foregrounded in Alice's analysis, where first the resurrection and then the dismantling of such a pact were effected through various analytic means.     

Psychoanalytic perspectives on paraphilias and perversions

Since Freud’s exposition of the nature of perversion in his seminal work, Three Essays on the Theory of Sexuality there has been a multitude of rich and varied explorations of human sexual fantasies and behaviours that are considered as perversions within the psychoanalytic literature. However, with more recent societal shifts towards the acceptance of sexual orientations and practices which would previously been categorized as deviant, perversion has become a pejorative term seen as stigmatizing and debasing those whose sexual preferences do not conform to the traditional norm. In this paper I argue that certain psychoanalytic concepts of perversion retain utility in how we might think about and help individuals whose sexual desires and practices cause distress to themselves and/or others, particularly in the realm of intimate relationships. Historical and contemporary theories about the nature and origins of perverse fantasies and behaviour are presented and explored, focusing on how perversion may be conceptualized as a defence against early anxieties and disturbances in the mother–infant relationship. Such ideas inform a psychoanalytic approach to the treatment of perversions, particularly in consideration of transference and countertransference dynamics. The ideas in this paper are based on my work at the Portman Clinic in London, UK.     

THE WIDENING SCOPE OF INDICATIONS FOR PERVERSION

Much has changed in clinical practice and theory that bears on the diagnosis and treatment of perversion since Freud's Three Essays on the Theory of Sexuality (1905). Definitions of perversion have been freed from assumptions of a heterosexual normality and from moralistic interpretations. The authors endorse the current emphasis on aggression and early narcissistic problems and include the notion of splitting and sexualized scenarios in their definition of perversion. They present several vignettes of male and female patients to demonstrate the debts owed to Freud's theories and the way in which their thinking differs. They emphasize the understanding of the transference‐countertransference picture and the patient's management and control of excitement.     

A metasynthesis of published case studies through Lacan's L‐schema: Transference in perversion

Transference in perversion is characterized by specific problems such as a defiant and polemic attitude, erotic transference, projections, and aggression. Such transference poses particular problems in the treatment of perversion and might render analytical work with these patients impossible. The authors propose that Lacan's L‐schema can contribute to separating productive from counterproductive aspects of transference as it distinguishes between an Imaginary and a Symbolic dimension in transference. In this meta‐synthesis of 11 published case studies on sexual perversion, patterns of transference are analysed. On the Imaginary dimension, the authors found that patients with perversion tend to (un)consciously engage the analyst in a relationship characterized by identification, fusion and rivalry. On the Symbolic dimension, they found that perverse patients are able to question their motives, lapses, symptoms, and subjective identity. The thematic analysis revealed the importance of the position of the analyst in this work, which is described within the L‐schema as being the representative of the otherness in the Other. Implications for clinical practice and recommendations for further research are outlined.     

A psychoanalytical phenomenology of perversion1

After stating that the current tasks of psychoanalytic research should fundamentally include the exploration of the analyst's mental processes in sessions with the patient, the author describes the analytical relation as one having an intersubjective nature. Seen from the outside, the analytical relation evidences two poles: a symmetric structural pole where both analyst and patient share a single world and a single approach to reality, and a functional asymmetric pole that defines the assignment of the respective roles. In the analysis of a perverse patient, the symmetry‐asymmetry polarities acquire some very particular characteristics. Seen from the perspective of the analyst's subjectivity, perversion appears in the analyst's mind as a surreptitious and unexpected transgression of the basic agreement that facilitates and structures intersubjective encounters. It may go as far as altering the Aristotelian rules of logic. When coming into contact with the psychic reality of a perverse patient, what happens in the analyst's mind is that a world takes shape. This world is misleadingly coloured by an erotisation that sooner or later will acquire some characteristics of violence. The perverse nucleus, as a false reality, remains dangling in mid‐air as an experience that is inaccessible to the analyst's empathy. The only way the analyst can reach it is from the ‘periphery’ of the patient's psychic reality, by trying in an indirect way to lead him back to his intersubjective roots. At this point, the author's intention is to explain this intersubjective phenomenon in terms of metapsychological and empirical research‐based theories. Finally, some ideas on the psychogenesis of perversion are set forth.     

孤芳自赏还是乐于助人?员工自恋对亲社会行为的影响

本研究通过整合自恋双元理论和特质激活理论, 探讨欣赏型自恋、敌对型自恋对员工亲社会行为的影响机制, 深入分析了员工关系趋近型动机和关系回避型动机的中介作用以及任务相互依赖性的调节作用。通过对来自员工-同事二阶段配对的235份数据进行分析, 结果发现: 欣赏型自恋对员工亲社会行为具有显著的正向影响, 敌对型自恋对员工亲社会行为具有显著的负向影响; 关系趋近型动机在欣赏型自恋与员工亲社会行为之间发挥着中介作用, 关系回避型动机在敌对型自恋与员工亲社会行为之间没有发挥中介作用; 任务相互依赖性不仅正向调节欣赏型自恋与员工关系趋近型动机的直接效应, 而且还正向调节着欣赏型自恋通过关系趋近型动机对亲社会行为的间接效应。     

Female perversion: scenes and strategies in analysis and culture

The author presents some ideas derived from observation in analysis about differing positions of Freud and Jung on perversion and about probable differences in perverse structural elements of women in contrast to men. In general perversion is understood as a defence of the self; in particular with women it is seen as a defensive way of achieving a false wholeness, a pseudo-androgyny. A case study describes the unfolding of a perverted transference. The importance of reaching the analyst and being understood by the analyst through projective identification is stressed. Quite often a sexually abusing mother seems to play an important role in generating female perversion; the implications in analysis are discussed as well as some ideas about culture and gender.     

Witch-mother is which? The potential role of the analyst in facilitating authentic motherhood

Abstract

This paper explores challenges in the treatment of women suffering from disturbances in maternal identification. A review of the psychoanalytic and developmental literature focuses on the frequent finding of early-onset mother–daughter relational disturbance involving maternal narcissistic fragility and exaggerated dependency needs, intergenerational trauma, and related psychopathology including mutual affect dysregulation. A case example of a young woman with a severe anxiety disorder is presented and discussed to illustrate the challenges to the traditional psychoanalytic technique. This patient avoided pregnancy into her late thirties and entered analysis with feelings of inauthenticity, characterological masochism, and a “secret mission” to unmask the witch recurring in her dreams. Through an elaborate working-through of negative maternal transference, the analyst and patient saw through the birth of the patient’s authentic self, a new approach to her career, her relationships with men, and her anticipation of the birth of a child by the sixth year of treatment. The author posits that psychoanalytic technique benefits from contemporary, attachment, and trauma research that supports the analyst’s playing a more active role in approaching, co-regulating, tolerating, and integrating avoided affects and memory traces that are associated with early-onset relational disturbances worsened by the effects of violence, maltreatment, and loss.     

FILM REVIEW: Dogville: A parable on perversion1

The authors approach Lars Von Trier's fi lm Dogville in the light of contemporary psychoanalytic concepts on perversion. The perverse functioning appears at three levels in the fi lm. First of all in the content of the story: a seemingly masochistic victim stirs up the sadism of the people around her before the scenario turns full circle. As for the formal aspects, the producer subtly hides some data with the result that our perception of reality is distorted. Finally, the viewer is led fi rst to identify with a moral position before becoming, through identifi cation, an accomplice of the sadistic triumph of the so‐called victim.     

Pentheus rather than Oedipus: On perversion,survival and analytic ‘presencing’1

Following an introductory review of the main developments in the psychoanalytic thinking on perversion, the author focuses on her own understanding of perversion and its treatment, based on the psychoanalytic treatment of patients with severe sexual perversions. This paper uses the term ‘autotomy’ (borrowed from the fi eld of biology) to describe perversion formation as an ‘autotomous’ defence solution involving massive dissociative splitting in the service of psychic survival within a violent, traumatic early childhood situation; thus, a compulsively enacted ‘desire for ritualised trauma’ ensues. The specifi c nature of the perverse scenario embodies the specifi c experiential core quality of the traumatic situation. It is an actual repetition in the present of the imprint of a past destructive experience which is pre‐arranged and stage‐managed; it thus encounters haunting scenes of dread or psychic annihilation while, at the same time, controlling, sanitising and disavowing them. Hence, the world of severe perversion is no longer oedipal, but rather the world of Pentheus, Euripides's most tragic hero‐a world dominated by a mixture of a mother's madness, devourment, destruction and rituals of desire. According to this view, the (diffi cult) psychoanalytic treatment of perversion focuses on patient‐analyst interconnectedness‐brought about by the analyst's ‘givenness to being present’ or ‘presencing’‐at a deep, primary level of contact and impact (the emphasis being on the ontological dimension of experience). This evolving therapeutic entity creates and actualises a new, alternative experiential‐emotional reality within the pervert's alienated world, eventually generating a change in the perverse essence. The author illustrate this approach with three clinical vignettes.     

On the psychodynamics of collecting1

The urge to collect is a ubiquitous phenomenon which has anthropological, sociobiological and individual psychodynamic roots, but occurs far more frequently among men than women. The author examines the reasons for this gender difference and defi nes systematic collecting to distinguish it from addictive, obsessive and messy collecting, and from related phenomena such as perversion. The mode of collecting and choice of object are important indicators as to the unconscious psychodynamics of a collector and offer opportunity to describe his structural level. Collecting ranges across a broad spectrum, from an ego‐syntonic integrated mode, i.e. sublimation, to a neurotic defence against pre‐oedipal or oedipal traumas and confl icts. Alongside this drive‐theoretical approach, object and Kleinian theory are also applied to the understanding of collecting. Collecting represents a specifi c form of object relating and way of handling primary loss trauma, which is different from addiction, compulsion, or perversion. Under certain circumstances collecting can also result in a successful Gestalt or way of life. The paper concludes with a case study showing how collecting develops from a pre‐oedipal to a more integrated oedipal mode during the course of the analysis, which is refl ected in changes in the transference.     

Perverse thought

Based on Bion's work on the 'psychotic and non-psychotic parts of the personality', the author hypothesises the existence of a special type of thought disorder known as 'perverse thought'. First the author presents an overview of the major contributions to the concept of perversion that have a bearing on 'perverse thought'. These include Freud's splitting and disavowal concepts, Klein's projective identification concept, Bion's - K link and Meltzer's transference perversion. Then, by means of a case study and some vignettes, the author illustrates how this thought disorder is configured within the analytic process. The author focuses on three main aspects of this pathology: the specific modality of projective identification in a perverse scheme, the lie and some important clinical events that reveal an attack against knowledge through the formation of the - K link. Perverse thought is an important resistance mechanism in the analytic process. Its clarification is essential, given that its main objective is to attack the knowledge process, and therefore truth, in order to pervert the analytic relationship.     

Female exhibitionism: identification, competition and camaraderie

The ancient figure of Baubo plays a pivotal role in the Greek myth of Demeter and Persephone with an exhibitionistic act that brings Demeter out of her depression. The Baubo episode raises questions about the meaning of female exhibitionism, suggesting divergences from earlier psychoanalytic conceptualizations as either a perversion or a compensation for the lack of a penis. In line with contemporary thinking about primary femininity, such as that of Balsam or Elise, the authors propose a more inclusive understanding of female exhibitionism, which would encompass pleasure in the female body and its sexual and reproductive functions. They argue that female exhibitionism can reflect triangular or "oedipal" scenarios and the need to attract the male, identification with the mother, competition or camaraderie with other women, a sense of power in the female body and its capacities, as well as homoerotic impulses. The authors posit a dual early desire and identification with the mother that underlie and characterize female sexual development. The authors present clinical data from adolescent and adult cases of female exhibitionism which illustrate these Baubo-like aspects and discuss the technical issues that are involved in such cases.     

Creativity,perversion and the violations of expectations

Abstract

Violations of expectations provide a motive for both creativity and perversion. The term “violations of expectations,” derived from empirical studies of early development, includes surprise, shock, betrayals of trust, as well as the possession of extraordinary talents. In the creative area, violations of expectations are illustrated through aspects of the life and work of Marc Chagall and Richard Wagner, and in perversion through the lives and actions of serial killers.

Lachmann FM. Kreativität, Perversion und die Verletzungen von Erwartungen

Verletzungen von Erwartungen liefern ein Motiv für beides: Kreativität und Perversion.Diese Benennung, aus empirischen Untersuchungen früher Entwicklung abgeleitet, schließt sowohl Überraschung, Schock, Verrat von Vertrauen ein wie auch die Verfügung über außergewöhnliche Talente. Im kreativen Bereich werden Verletzungen von Erwartungen durch Aspekte von Leben und Werk von Chagall und Richard Wagner illustriert und im Bereich der Perversionen durch Leben und Aktionen von Serien-Mördern.

Lachmann FM. Creatividad, perversión y violación de las expectativas.

La violación de las expectativas provee un motivo para ambas, la creatividad y la perversión. Este término, derivado de estudios empíricos sobre el desarrollo temprano, incluye sorpresa, shock, revelación de la verdad, así como la posesión de talentos extraordinarios. En la creativa violación de expectativas se ilustran aspectos de la vida y del trabajo de Marc Chagall y Richard Wagner y en la perversión a través de sus vidas y acciones de asesinos en serie.     

A case of phallic-narcissistic personality

A case of phallic-narcissistic personality is presented to demonstrate the intermingling of oedipal and narcissistic transferences and to suggest a therapeutic rationale for the analytic treatment of similar cases. The therapeutic approach to dealing with the narcissistic configurations involves: Empathic and receptive listening to the patient's material relating to and reflecting narcissistic motifs. This early objective extends only to gaining access to the detailed scope of the narcissistic material in its multiple aspects. Clarifying and identifying the relevant narcissistic configurations, both superior and inferior aspects, so that the patient becomes increasingly aware of their pervasive influence, and increasingly able to identify the respective motifs. Interpretively linking the narcissistically inferior and superior configurations into a common gestalt, so that the patient comes to understand that these opposing aspects are mutually linked, defensively interconnected, and reciprocally reinforcing. Identification and interpretation of interlocking patterns of projection and introjection, particularly as they reflect and express narcissistic configurations. Modification of patterns of projection and introjection through the medium of the ongoing interaction (partly interpretive, partly extra-interpretive) that characterizes the relationship between analyst and patient. Patient projections are thus modified and replaced by more autonomous and adaptive introjections derived from the analytic relation that facilitate the alteration of pathogenic narcissistic formations.     

Janine Chasseguet-Smirgel and psychosexuality - a reminder

Janine Chasseguet-Smirgel, who would have turned 90 this year, had a passion for truth that placed her work at the very heart of psychoanalysis. Never leaving the field of Freudian analysis she explored the inevitable difficulties, due to our premature birth, to become moral subjects. Psychoanalysis was to her, as it was to Freud, a psychology of conflict. She was suspicious of seemingly optimistic views which saw conflict as created between the potentially free subject and one repressive external system or another. Freedom is always limited in psychoanalysis. In an attempt to follow the line of thought in her vast production the article touches upon her critique of Freud’s so called phallic monism, the significance of both parents’place in the psyche, the question of “Falsehood”, perversion as a dimension of the human psyche, and her concerned view on the situation of Western thought today. The author suggests that we might benefit from her radical Freudian stance in a time when the view on truth is undergoing many unfathomable transformations. Perhaps Chasseguet-Smirgels thought can also be an important reminder about the foundations of our work; not just sexuality, not just mental acts but their specific relationship to each other     

The importance of degree versus type of maltreatment: a cluster analysis of child abuse types

The author conducted secondary data analysis of 3 previously reported studies (D. J. Higgins & M.P. McCabe, 1998, 2000b, 2003) to examine whether respondents are best classified according to their experience of separate maltreatment types (sexual abuse, physical abuse, psychological maltreatment, neglect, and witnessing family violence) or whether their experience reflects a single unifying concept: child maltreatment. The author conducted a cluster analysis of the combined dataset followed by a confirmatory discriminant function analysis. Finally, the differences in psychological adjustment between those classified into the 3 different clusters were examined as a test of the 3-cluster solution. The best cluster analysis solution grouped individuals according to the degree to which maltreatment behaviors were reported. Individuals classified into the high maltreatment cluster had significantly more adjustment problems than those in either the moderate or the low maltreatment clusters. The results showed that it may be more meaningful to talk about the degree of maltreatment (frequency and/or severity) experienced by the child rather than about the type.