A wonderful journey through skull and brains: The travels of Mr. Gage's tamping iron

Phineas Gage was injured by his tamping iron nearly 140 years ago, and only one similar case has been reported since then. In this paper, the contemporary popular and medical responses to the news of Gage's accident are summarized. An attempt is made to evaluate the contribution of Harlow's treatment of Gage as well as the successive bearings which the case was thought to have on analyses of brain function, aphasia, and frontal lobe function.     

The Evolutionary Significance of the Primary Process—The Freudian Concept and Its Revision

Freud’s Lamarckian beliefs contributed to his theory of instincts, as well as his concepts regarding the unconscious primary process. Freud’s theory of the primary and secondary process is fundamentally biological, as he placed it within an evolutionary context and hypothesized that the two systems were distinguished by free and bound psychic energy. Freud’s distinction between the primary and secondary process is one of the few psychoanalytic theories that has been confirmed by science. We believe that Freud was correct in maintaining that the primary process is of earlier evolutionary origin than the secondary process. But Freud failed to recognize the distinction between primary-process thinking that occurs in dreams and that which occurs in the waking state. In the waking state, the primary process is not wish fulfilling, as Freud believed, but functions as an inference making tool utilizing metaphor and metonymy. As such, rapid, unconscious primary process thinking is at the heart of our survival.     

Freud’s Three Theories of Neurosis: Towards a Contemporary Theory of Trauma and Defense

This paper explores the development of Freud’s thinking on the aetiology of the neurosis. It is shown that Freud in the years 1893 to 1897 formulated three distinct and mutually incompatible theories of neurosis centred respectively on (a) psychic trauma and defence, (b) sexual trauma (seduction), and (c) repressed sexuality (libido). For Freud the decisive step was the shift from the first to the second theory, not from the second to the third. It is examined how Freud gave priority to the libido/fantasy theory until he returned in 1926 to a general trauma theory with his second theory of anxiety. The fate of Freud’s theory of neurosis in later psychoanalytic thinking is described as a process of dilution rather than an exploration of what is right and what is wrong in the theory. It is argued that the basic fault common to Freud’s second and third theories is the insistence on an exclusive sexual aetiology of the neurosis. On the other hand, it is argued that Freud’s first theory, centred on emotional trauma and defence, has turned out to be basically right and is therefore well suited to constitute a basis for a contemporary theory of neurosis (non-neurological mental disorders).     

Dreams,Katharsis and Anxiety

Over the centuries, the importance and the nature of the relationship of “inside” and “outside” in human experience have shifted, with consequences for notions of mind and body. This paper begins with dreams and healing in the Asklepian tradition. It continues with Aristotle’s notions of psuche and how these influenced his conception of katharsis and tragedy. Jumping then to the 17th century, we will consider Descartes’ focus on dreams in his theories of thinking. Finally, we will turn explicitly to Freud’s use of dreams in relation to his theories of anxiety, of psychic processes and of the Oedipus Complex.     

“The primary process”: The vicissitude of a concept

Abstract

During the first twenty years that Freud spent creating his theory, he assumed that most of the functions responsible for creating mental-thought structures were organized according to two different forms or principles of thought. He called these forms “primary process” and “secondary process”. The “secondary process” is identified with rational thinking and the ego, and it is easy to follow the changes that this concept underwent in the works of Freud that followed. The concept of “primary process”, on the other hand, disappeared from his later works with no explanation. This article traces the changes that the “primary process” underwent in Freud's thinking and examines the connection between his analytical technique and his research method. A close study of the changes that the “primary process” underwent reveals that Freud's developmental thought process included concepts whose directional changes may be termed “regressive”.     

Looking for Skinner and finding Freud

Sigmund Freud and B. F. Skinner are often seen as psychology's polar opposites. It seems this view is fallacious. Indeed, Freud and Skinner had many things in common, including basic assumptions shaped by positivism and determinism. More important, Skinner took a clear interest in psychoanalysis and wanted to be analyzed but was turned down. His views were influenced by Freud in many areas, such as dream symbolism, metaphor use, and defense mechanisms. Skinner drew direct parallels to Freud in his analyses of conscious versus unconscious control of behavior and of selection by consequences. He agreed with Freud regarding aspects of methodology and analyses of civilization. In his writings on human behavior, Skinner cited Freud more than any other author, and there is much clear evidence of Freud's impact on Skinner's thinking.     

Attachment Theory, Religious Beliefs, and the Limits of Reason

This paper takes a new look at Freud’s critique of religious beliefs and wishes from the perspective of current attachment theory, particularly with reference to Peter Fonagy. By reconceptualizing Freud’s critique, it can be argued that he anticipated some current empirical studies in religiosity and attachment, and that his critique accurately describes the religiosity of insecurely attached individuals. The paper argues that current social theories, especially as represented in the work of Jürgen Habermas, about religion and its role in politics and the public sphere could benefit from incorporating insights from attachment theory.     

The reception of Freud by the British press: general interest and literary magazines, 1920-1925

A survey of forty-three general interest magazines shows that popularizing materials about psychoanalysis greatly increased in 1920, peaked in 1921, and declined thereafter. The press was more favorable to Freud than has been assumed, for a number of writers accepted his theory of the unconscious and readily acknowledged the curative powers of psychoanalysis. But there was also much hostility to Freud, particularly to his sexual theories. The press was therefore more favorable to Jung and Adler, but especially to the British depth psychologists, who deemphasized sexuality while accepting the theory of a dynamic unconscious.     

Inhibition and the control of behavior. From Gall to Freud via Phineas Gage and the frontal lobes.

In his On the Functions of the Brain and Each of Its Parts, Franz Joseph Gall proposed that significant behaviors resulted from certain independent, irreducible, and fundamental faculties or propensities. There seems to be nothing in his system for explaining how two or more faculties interact, especially how one comes to predominate over another, other than the implicit notion that the stronger will be manifested. This peculiarity of Gall's system is consistent with the predominately "excitatory" physiology of his time in which there was no place for an independent inhibitory process. Despite the experimental demonstration of inhibitory phenonema, the sensory-motor physiological theories in the last three quarters of the 19th century were similarly deficient. The lack is seen most clearly in the experimental and clinical literature on frontal lobe function, especially in relation to the kinds of changes seen in the Gage case. The deficiencies of sensory-motor physiology are also to be found in Freud's model of the mental apparatus and in his concept of inhibition via a lateral cathexis. In the paper an attempt is made to trace the historical sequence of these ideas and to make their experimental and theorectical basis explicit.     

Notes on ‘Bemächtigungstrieb’ and Strachey’s translation as ‘instinct for mastery’

This short paper looks at Freud’s use of the term ‘Bemächtigungstrieb’ and its translation by Strachey as ‘instinct for mastery’ when Freud was describing the motives behind his grandson’s game with the wooden reel and string in Beyond the Pleasure Principle. The word ‘Macht’ [power], which is contained in the word ‘Bemächtigung’ points to Freud’s difficult relationship with Alfred Adler, whose early theories on the aggressive drive and later theories on ‘striving for power’ were initially rejected by Freud. Looking at the changes in Freud’s reception of Adlerian terms, some of which he later integrated into his own theory, throws light on his choice of the word ‘Bemächtigungstrieb’ in 1920, when he was just beginning to introduce his thoughts on the death instinct. A slightly different translation of the word ‘Bemächtigungstrieb’, one which takes these historical and theoretical aspects into account, could make these connections clearer for the English reader.     

Conscious inhibitions: Freud,anti-Semitism,and Hobbesian imagination

This work aims to portray the effects of Freud’s anxiety about anti-Semitic violence on his political theory and metapsychology. Taking as its entry point Freud’s reorientation of anti-Semitism as aggressive action, I argue that Freud’s fear of the violent mob can be located in three interconnected dimensions of his work, all deeply informed by Hobbesian imagination. First, Freud accepted a Hobbesian vision of social antagonism into his political theory; second, he formulated a deeper, more efficient defence mechanism against mob violence with his notion of psychical guilt; third, Freud’s fears penetrated his metapsychology. Suffering from anti-Semitism, Freud was not only quick to accept a Hobbesian perspective – he also reconstructed it to a degree that radically changed its meaning. Freud’s third and most pervasive manoeuvre destabilized one of Hobbes’s fundamental theoretical tenets by suggesting that the Hobbesian State of Nature is inherently a non-human reality.     

Sequential Memory: A Developmental Perspective on Its Relation to Frontal Lobe Functioning

The multidimensional nature of the frontal lobes serves to organize and coordinate brain functionings playing a central and pervasive role in human cognition. The executive processes implicated in complex cognition such as novel problem solving, modifying behavior as appropriate in response to changes in the environment, inhibiting prepotent or previous responses, and the implementation of schemas that organize behavior over time are believed to be mediated by the frontal regions of the brain. Overall, the functioning of the frontal lobes assists individuals in goal directed and self-regulatory behavior. Additional theories of frontal lobe functioning have focused on its involvement in temporal, or time-related domains. The organizational and strategic nature of frontal lobe functioning affects memory processes by enhancing the organization of to-be-remembered information. Among the specific memory systems presumed to be based on anterior cerebral structures is the temporal organization of memory. An essential component of memory that involves temporal organization is sequential ordering entailing the ability to judge which stimuli were seen most recently and the temporal ordering of events in memory. Focal lesion studies have demonstrated the importance of the frontal lobes on retrieval tasks in which monitoring, verification, and placement of information in temporal and spatial contexts of critical importance. Similarly, frontal lobe damage has been associated with deficits in memory for the temporal ordering, or sequencing, of events. The acquisition of abilities thought to be mediated by the frontal lobes, including sequential memory, unfolds throughout childhood, serving to condition patterns of behavior for the rest of the brain. Development of the frontal regions of the brain is known to continue through late adolescence and into early adulthood, in contrast to the earlier maturation of other cortical regions. The developmental patterns of the frontal lobes are thought to involve a hierarchical, dynamic, and multistage process.     

Spiking Phineas Gage: a neurocomputational theory of cognitive-affective integration in decision making

The authors present a neurological theory of how cognitive information and emotional information are integrated in the nucleus accumbens during effective decision making. They describe how the nucleus accumbens acts as a gateway to integrate cognitive information from the ventromedial prefrontal cortex and the hippocampus with emotional information from the amygdala. The authors have modeled this integration by a network of spiking artificial neurons organized into separate areas and used this computational model to simulate 2 kinds of cognitive-affective integration. The model simulates successful performance by people with normal cognitive-affective integration. The model also simulates the historical case of Phineas Gage as well as subsequent patients whose ability to make decisions became impeded by damage to the ventromedial prefrontal cortex.     

‘An unpublished letter by Sigmund Freud on the Shakespeare authorship question’

This article provides the text of the English translation of Sigmund Freud’s previously unpublished 1935 letter to Percy Allen, the only known letter in which Freud expresses his unqualified support for the theory that ‘William Shakespeare’ was the pen name of Edward de Vere, Earl of Oxford (1550–1604). The article summarizes the literature on Freud’s authorship views, showing that scholars who disagree with Freud on this matter have minimized his opinion by pathologizing it, or emphasizing Freud’s reservations about the matter. The prevailing theory as to who wrote Shakespeare, on close examination, turns out to be based primarily on circular thinking, confirmation bias, tradition, authority, groupthink, and enforcement of a taboo against the presentation or objective consideration of conflicting evidence. In addition, it originated before we had a better understanding of the high frequency of anonymous, pseudonymous, and allonymous literature in Elizabethan England. The reputations enjoyed by leading Shakespeare scholars lead nonspecialists to assume that these experts can be trusted to tell us who wrote Shakespeare. Unfortunately, Shakespeare scholars falsely claim absolute certainty that they know that ‘Shakespeare wrote Shakespeare.’ Freud’s dissenting opinion has been supported by increasing evidence since 1935.     

Racial fantasies and the primal scene of miscegenation

The primal scene, theorized by Freud in his case history of the Wolf Man, is a fantasy scenario thoroughly embedded in social relations. While pursuing his analysis of oedipal structures in the Wolf Man's case history, Freud overlooked social relations, downplaying the importance of racial and class difference in the Wolf Man's sexual etiology. In this essay, I trace the circulation of two fantasy structures: 'the primal scene of miscegenation' and 'A black man is being beaten,' both of which structure desire in both Freud 's era and our own. I interpret Fanon's work on racial subjectivity alongside Freud 's theory of fantasy to elucidate the interconnected nature of racial and sexual difference in both Freud and Fanon's theories. The racial fantasies proposed in this essay have application to clinical settings, where they may structure transference and countertransference.     

Ego,self and otherness

The concept of self has been introduced as a core concept in several contemporary psychoanalytical theories. This study undertakes a critical examination of the historical and theoretical presuppositions of the concept of self and its corollary, the object. The proposed thesis is that the concept of self on a theoretical level has grown out of ego-psychology and the ambition is to bring consistency into the ambiguous concept of the ego left by Freud. On a clinical level, the concept of self is seen as an attempt to adjust psychoanalytical theory and technique to what, broadly speaking, we call non-neurotic patients. While the concept of self on a theoretical level dates back to Hartmann, it was left to those following the tradition of ego-psychology to work out the implications for our understanding of the pathology of the self and its proper treatment. The work of Heinz Kohut is seen as an exponent for those analysts who have been wrestling with the task of adjusting psychoanalytical theory and technique to our understanding and treatment of non-neurotic patients. A re-reading of the Freudian concept of the ego allows the author to present an alternative to ego-psychology and self psychology. While the concept of the self implies a re-centred theory of subjectivity, the author points to the de-centeredness of classical psychoanalytical thinking. Freud did not find an independent concept of the self necessary. On the contrary, psychoanalytical theory rejected the idea of the psyche as a complete and unified entity. Defining the ego as a representative of the divided psyche encompassing the other, the author suggests that incorporating contributions from French psychoanalytical thinking and the ideas of Winnicott places the self as a concept in accordance with classical psychoanalytical thinking.     

Frontal lobes and language

Numerous theories discuss the neuropsychological functions of the frontal lobes, most based on some concept of supramodality, and an extensive literature presents the phenomenology and semiology of language and communication deficits after focal brain lesions involving the frontal lobes. Despite this, few attempts have been made to link the clinical phenomenology to a theory. This paper presents (1) a general theory of frontal functions; (2) a brief summary of experimental and anatomical literatures in support of defined frontal functional systems; (3) clinical observations that delineate these functional systems for the specific modalities of language and communication; (4) a review of the available literature supporting the idea of specific modal and supramodal language and communication capacities; (5) hypotheses about the distributed anatomy of these functional systems; and (6) implications for traditional clinical notions of aphasia, particularly in relation to a general theory of frontal lobe functions.     

A misinterpreted psychoanalyst: Herbert Silberer and his theory of symbol-formation

The primary aim of this article is to give a more detailed exposition of the cultural, personal, and theoretical contexts in which the Viennese psychoanalyst, Herbert Silberer's theories were born. When assessing the broader picture that this approach offers, it can be concluded that Silberer was an innovative thinker who inspired several of his contemporaries. Recognized in many respects by the society and scholars of this time, he represented quite a different viewpoint that was significantly influenced by several forms of Western esoteric thinking. Yet his main aim was to contribute to the field of psychoanalysis and develop a theory in which rationalistic psychoanalytic interpretations were combined with nonreductive approaches to mystical experiences. Silberer's name is frequently mentioned in a specific context in which his tragic suicide is emphasized rather than his innovations. Upon evaluating the materials recording Silberer's private life, it seems very likely that his suicide was not triggered by the criticism of Freud alone. Silberer's family affairs, his relationship with his father, and his financial and professional struggles could have all contributed to his tragic decision. This paper contends that Silberer's oeuvre deserves greater attention and must be evaluated based upon its own merit.