PARENTS AND THEIR CHILD AND THE ANALYST IN THE MIDDLE

The first part of this paper explains how the transgenerational mandate influences the mental activity of the child. When a child acts the denied suffering of the parental couple, the analyst risks being imprisoned by the transgenerational mandate. Frequently the analyst is unconsciously asked by the parents to cure without curing because the child's psychological birth, still in the making, threatens the defensive equilibrium of the parents. The analyst is thus caught between the parents and the child and must find his/her own way forward in order to free the child from the burden of the mandate. In the second part of the paper, an analysis of a 5-year-old child is presented. The author shows how a transgenerational mandate may hold a traumatic potential because it can impair heavily the child's capacity to think. The author also describes the way in which she works with the parents and how she manages the setting and the style of the interpretation. She insists in particular on the need to sustain the child's perceptions in order to gradually allow the child to take roots in his/her experiences and therefore develop his/her own identity.     

自我意识的发展与少年期的特点

本文认为自我意识包括自我意向与自我认识辩证统一的两个方面。根据这两个方面矛盾运动的特点,提出划分发展阶段的三项依据:1.独立性与依赖性的相互消长;2.自我认识由感性到理性、由具体到抽象的发展深化;3.自我意向与自我认识发展的不平衡性。作者把自我意识的发展划分为四个阶段,对少年期的阶段特点做了较具体的分析;认为弄清楚这些特点,对于深入探讨自我意识的发展规律,对于改进少年期的教育工作,都有一定的意义。     

NON-DISCURSIVE EXPRESSIVE ELEMENTS AND THEIR ROLE IN THE CONSTRUCTION OF MEANING IN THE ANALYTICAL SITUATION

The author discusses the role of non‐discursive expressive elements in the construction of the analytical situation, using three examples to illustrate the problems with which he is concerned. His claim is that the issue in question necessarily involves the subject of affects, and he proceeds to discuss the difficulties associated with this subject. In addition, he considers the contributions of Green and Imbasciati, and Kleinian developments of this theme, including also the contributions of Bion—in particular the latter's theories concerning thought, in which emotion comes to assume an essential place in the origin of thinking. The author resumes the discussion by taking up his clinical examples, using them to put forward the view that non‐discursive expressive elements may well play a decisive role in the construction of meaning in the analytical situation. He suggests also that the meaning of an emotional experience may be thought of as a construction contributed to by a number of symbolic forms which both interfere with and interact with the symbolic system of language. Following examination of his third example, the author reflects on ‘musicality’, a notion sometimes referred to informally in clinical data in connection with the ‘emotional climate’ of the session. He proposes that the complex problem of meaning in music be extended to cover the construction of meaning in the psychoanalytic setting, and in so doing returns to ideas put forward by Suzanne Langer. His underlying view here is that essential elements of the musical phenomenon and essential elements of particular forms of emotional life give rise to the same emotional matrices—perhaps to what Meltzer calls ‘musical deep grammar’. Finally, the author considers various symbolic forms that contribute to the particular configuration of analytical situations, suggesting that the mental condition of ‘free‐floating attention’ requires the broad availability to the analyst's mind of a multiplicity of symbolic forms, his conversion of these into new expressions of meaning, and the possibility of their verbal communication by him to the patient.     

W. R. D. FAIRBAIRN AND THE PROBLEM OF HOMOSEXUALITY: A STUDY IN PSYCHOANALYTIC PREJUDICE

W. R. D. Fairbairn believed that the psychoanalyst's motivations and theories must ultimately be rooted in a need to resolve personal conflicts. His self‐analytic and other records, now publicly available, indicate how his struggles with unacceptable sexual feelings and their symptomatic manifestations affected not only his theorizing, especially about sexuality, but also his clinical practice, as well as his personal and family life. Fairbairn's case affords a unique opportunity to document the effects of homophobia in a major psychoanalyst.     

PROBLEMS BETWEEN SCIENCE AND THEOLOGY IN THE COURSE OF THEIR MODERN HISTORY

Abstract. It is misleading to speak of warfare between science and Christian theology, as Andrew White did in 1896. White also was mistaken in exaggerating the conflict between the church and Galileo and Copernicus. The more important issue between science and theology has to do with the mechanistic interpretation of nature. When he introduced the principle of inertia in his natural philosophy, René Descartes insisted that God's immutability renders it impossible for God to intervene in the creation. He reduced the idea of God to a deistic notion by speaking of motion exclusively as a property of bodies. Even though Isaac Newton offered a different view, the Cartesian view dominated subsequent thinking. This made dialogue with theology difficult. Michael Faraday, followed by Albert Einstein, introduced the idea of field; bodily phenomena were subordinated as manifestations of fields. The precursor of the idea of field is the Stoic idea of spirit, which is close to the biblical concept of spirit. Thomas Torrance and I have taken this concept of field as an occasion to reopen dialogue. Mechanistic thinking accounts for the tension between Darwinian thought and theology. In principle the tension can be resolved, because the Bible itself asserts that all living things were brought from the earth—that is, organic life emerged from inorganic matter. Thus, emergence, contingency, and novelty are consistent with Darwinian evolutionary thinking. Contingency can be related conceptually to the activity of God in creation.     

OPEN DIALOGUE IN PSYCHOSIS II: A COMPARISON OF GOOD AND POOR OUTCOME CASES

As an approach to treatment of psychosis, Open Dialogue aims to begin treatment within 24 hours of first contact between the health system and the patient or family, and in accordance with social constructionist principles, it includes the family and the social network in open discussion of all issues throughout treatment. As one step toward evaluating the impact of this novel model of care, statistical and qualitative analyses of 78 consecutive first-episode psychotic cases was undertaken, discriminating good from poor outcome cases on the basis of functional and symptomatic criteria. Results suggested differences in the diagnosis and duration of prodromal and psychotic symptoms, as well as in treatment processes in the two groups. Avoiding hospitalization and using anxiolytics instead of neuroleptics were associated with a good outcome. Overall, data bearing on the effectiveness of OD were encouraging, as only 22% poor outcome patients emerged. However, if the possibility for starting a dialogical process is minimal, the treatment may lead to poor outcome, even where this is not predicted by premorbid social and psychological factors.     

NARCISSISTIC DEFENSES IN THE DISTORTION OF FREE ASSOCIATION AND THEIR UNDERLYING ANXIETIES

This paper examines particular distortions in the process of free association characteristics of patients with narcissistic personality disorders. The author proposes that the dominant narcissistic transference developments typical of the early and middle phases of the analytic treatment of these patients are reflected in these distortions of free association. This paper gathers the various patterns that these defensive distortions present, along with technical interventions geared to deal with them.     

MENOPAUSE RESEARCH AND THE DOMINANCE OF THE BIOMEDICAL MODEL 1984–1994

Popular images and stereotypes of women in the menopausal age range are overwhelmingly negative. Because these stereotypes are likely both to influence and to be influenced by published scholarship, it is particularly important to examine conventional knowledge as it has been represented in science-based journals. In an effort to examine the extent and nature of the accepted knowledge base regarding menopause, a survey of both medical and psychological journal articles was conducted for the years 1984–1994. Publication trends revealed a predominance of articles based on a biomedical paradigm and the virtual absence of articles presenting alternative perspectives on midlife. Ten serious methodological problems common to this literature are delineated, including such fundamental errors as failure to acquire baseline data, lack of control groups, vague operational definitions, and blatantly pejorative language. We also discuss conceptual flaws implicit in the predominant paradigm, including the messages that women are different, sicker, and weaker than a normal, male, ideal. Finally, we consider the implications of these social constructions for the political, social, and psychological status of women.