The exclusion of psychoanalysis and psychodynamic psychotherapy from the publicly financed medical health sector in Sweden

Abstract

Schreber's fantasy of turning into a woman to be fertilized by God and produce a new race of mankind was a major motive for Superintendent of Sonnenstein, Dr Guido Weber, to maintain that Schreber was a case of chronic and incurable paranoia and unfit for life in society, failing to see the difference between the concrete and the metaphorical. Schreber not only proved Weber wrong, but prophetically anticipated a number of issues in current awareness of gender psychology and gender roles in society.

In Schreber's system the two principal elements of his delusions (his transformation into a woman and his favored relation to God) are linked by the assumption of a feminine attitude towarh God. It will be our task to show that there is an essential genetic relation between these two elements. Otherwise we shall be like a man holding a sieve under a he-goat while some one else milks it. Sigmung Freud     

Making Music Together: Discussion of Gianni Nebbiosi’s “The Smell of Paper”

Finding life in our patients is a common goal for analysts. Historically this project had been defined as one of freeing unacceptable impulses from their imprisoning defenses with the analyst, via interpretation, then contrasting the patient’s internal fantasied reality with “actual” reality. Untangling fantasy from reality could free the impulses to provide energy for more realistic projects. This imagery stands in stark contrast to the fluidity of a contemporary relational conceptualization of human experience where our inner experience is now understood to be the lens through which we construct our vision of external reality, always a subjective perception. Clinical change—finding life—now depends more on the activation of a generative intersubjective process between patient and analyst, which contributes to the expansion of the patient’s subjective experience. Gianni Nebbiosi’s use of music and of mime to help him feel his way into his patient’s and ultimately into his own similarly defended experience demonstrates the creativity and idiosyncratic clinical approaches that emerge from a contemporary relational orientation. This orientation recognizes the analyst’s subjectivity as a fundamental tool of clinical change—a vehicle through which any theoretical approach will necessarily be shaped. Differing approaches to a clinical situation do not always simply reflect theoretical disagreements; they may also reflect the expression of the particular subjectivity of the analyst.     

Knowing that I didn't know: preschoolers' understanding of their own false belief is a predictor of assents to fictitious events

The present study examines the relation between children's theory of mind abilities and their tendency to assent to fictitious events when questioned repeatedly across interviews. Children between the ages of 3 and 6 years were interviewed individually either four or seven times about a fictitious and a real staged event, and in addition given a false belief test as well as a fantasy‐reality distinction test. Children's performance on the false belief task addressing the understanding of their own false belief was a better predictor for assents to false events than was understanding the false belief of another person, age, number of interviews and performance on a fantasy‐reality distinction task. Children's memory for a staged event showed that repeated questions across interviews was related to a decrease in correct assents to having experienced a staged event, an increase in wrong yes‐responses about touch and erroneously mentioning names of children who had not been present during the staged event. Copyright © 2005 John Wiley & Sons, Ltd.     

The brunhilde fantasy freud's countertransference in the analysis of elma

Abstract

The authors start from the hypothesis that there existed a “blind-spot” in Freud's countertransference in his analysis of Elma, an ex-patient of Sandor Ferenczi. In their search for support for this idea, they review the correspondence between Freud and Ferenczi contemporary to Elma's treatment in addition to works by Freud on theory and technique. They believe to have found therein several facts which support the above idea: for instance, the diagnosis of “dementia praecox” that Freud formulated in his first interview with the patient; and some of the vicissitudes of the treatment, in particular, the circumstances which determined its termination. The Brunhilde fantasy, which Freud attributes to Elma in a letter to Ferenczi, enables them to penetrate further the possible relationship between this “blind-spot” and details of Freud's life and childhood as revealed in his self-analysis.     

Shame and Guilt: The Psychology of Sacramental Confession

Abstract

Altered states challenge an individual's established construction of reality, the personalized mythology by which one operates. Sometimes those altered states offer a glimpse into aspects of being that the mythology is unable to embrace. Experiences of this nature may challenge the prevailing mythic structure. This confrontation between the established construction of reality and the view provided in the altered state may inspire a profound and wholesome shift in the person's sense of being, or it may lead to destabilizing conflicts with previously unquestioned belief systems and patterns of behavior. This article discusses the lure—and the dilemmas — of attempting to incorporate directly into one's life the raw creativity of a powerful and inspiring altered state, the challenges of reconciling such experiences with one's existing mythology, and it presents a framework for facilitating such a reconciliation.     

The Cocreation of Fantasy and the Transformation of Psychic Structure

This author argues that therapeutic action in child psychoanalytic psychotherapy rests with the creation and transformation of fantasy through play, which in turn shifts psychic structure. The paper details the treatment of an eight-year-old girl whose mother's inability to playfully participate in the inner world of her child interfered with the child's development of a fantasy life. The author suggests that the introduction of objective reality (i.e., interpretations that link the child's play with the real world) potentially impinges on and interferes with the transformational processes of fantasy. Developing the capacity to distinguish reality from fantasy does not take place through a forced accommodation to reality, but rather through the expansion of fantasy and a widening of the realm of the imagination. The elaboration of fantasy in concert with a parent or analyst is what builds the child's capacity to differentiate reality from fantasy.     

Luther and Shankara: Two Ways of Salvation in the Indian Context

Abstract : This article compares and contrasts the soteriology of Reformer Martin Luther with Advaita philosopher Shankara. Luther's emphasis on the communication of attributes (communicatio idiomatum) in the two natures of Christ gets doubled in faith, where the indwelling Christ takes on our human nature while giving the believer the fruits of his divine nature, such as eternal life. Conversely, our human finite history replete with suffering is taken up into the divine life, dignifying what is mundanely human. In the Indian tradition of the Upanishads and nonduality in philosophy, Shankara seeks the union of the Self (atman) with the highest reality, the Absolute (Brahman). The realization of the oneness of Self with Brahman requires the shedding of all historical or personal attributes. The result is that the suffering of oppressed untouchables and other lower castes is dubbed unreal. A healthy soteriology in the context of Indian spirituality—a Dalit soteriology—could benefit from Luther's exchange of attributes, because the mundane sufferings of humble people are dignitifed by receiving a place in God's reality.     

Transcendental Relationships? A Theological Reflection on Cybersex and Cyber-relationships

Abstract

Cybersex, i.e. sexual interactions through new media such as chat clients or email, is a phenomenon that combines two important developments of contemporary society: its increased mediatization through communication and information technologies (ICT), and the new importance that sexuality seems to have in many people's lives. Rather than an opposition between the offline and online world, a closer look at cybersex activities reveals a continuity between "real" and "virtual" realities. This paper proposes a theological reflection on some aspects of cybersex that have an immediate bearing on theological anthropology and its thinking about human existence in relation to a transcendent reality, God: the role of imagination, the relationship between body and mind, the transformed understanding of space and time and the dimension of play and fantasy in cybersex.     

Fantasies that Light Up Reality: Keeping the “Old Flame” Lit: Reply to Commentaries

In response to Foehl's phenomenological perspective that an underlying unity and interconnectedness does away with the need for any kind of distinction between reality and fantasy, the author argues for maintaining this very distinction. The author then uses his notion of fantasy in revisiting Hirsch's treatment of Angela and makes the case that the absence of desire on the analyst's part and the impasse that persisted is partially a result of not sufficiently reviving, altering, and joining the respective fantasies of analyst and patient that existed in isolation of each other throughout the analysis.     

ON LOVE AND MELANCHOLIA IN MARGUERITE DURAS'S AUTOFICTION

In the Durassian melancholic atmosphere, past and present, fantasy and reality come together as one. This paper addresses the themes of love and destruction in Marguerite Duras's life that pervade her oeuvre, allowing us to discern a melancholic structure within her autofiction. Writing down her melancholia—the impossible mourning of a loved object—Duras captures nothingness and loss—in order not to die of love. In a constant exchange with her readers, she searches for herself and delivers herself to her readers. This renewable creative process of writing enables her to engage in an ongoing experience of identity reconstruction, in a way similar to the patient in psychoanalysis re‐creating his/her life's fiction.     

Subjection and Companionship: The French Reformed Marriage

Abstract

This paper examines the relationship between Reformation ideals of gender and sexuality with the reality of Reformed life in France in the late sixteenth century. Centring on the theory and practice of marriage, the paper examines Jean Calvin's discourse on marriage, noting his significant departure from pre-Reformation concepts of sexuality and his affirmation of companionship in the conjugal bond. Yet, the author also highlights the significant complications with, or even detractions from, this model inherent in Calvin's theology of the Fall, and his understanding of ‘subjection'. These strands of Reformed theory are then compared with two cases drawn from the registers of the consistories, or church courts, of two Protestant towns in southern France, in 1578 and 1595. The findings suggest that ideas of subjection and companionship, though helpful perhaps in the theory of marriage, rarely began to encompass the colourful and messy realities of daily life among the Huguenots.     

Death,Myth and Reality in C.S. Lewis

C.S. Lewis's life and writings were profoundly shaped by his childhood experience of his mother's death. It is significant that the young hero's dying mother is mentioned at the very beginning of the first book of the Narnia sequence (seeThe Magician's Nephew.)., which in more general terms offers a mythopoeic version of the Christian interpretation of death. Lewis had a keen awareness of the power of myth (he would not have denied that the Christian gospel is myth). However, it was in the experience of the death of his wife (recounted inA Grief Observed) that he felt confronted by reality in a way that shook his faith to its foundations. This article will explore the tension between myth and reality in Lewis's attempts to write, as a Christian, of the experience of death.     

The Nature of the Transference Between Anna Freud and Melanie Kleins: Learning from the Controversies

As we work through our theories, we rejoice in discovering the logic of concepts and their articulation in clinical experience. Such joy hides other movements, in which the only stakes are demands for love, sexual curiosity and the satisfaction of hate, transferred from infancy to others worlds, idealised or despised. When we participate in our psychoanalytical institutions, we feel pride or even vanity to be participating in the great historical movement of psychoanalysis. This conceals the working of transference in our institutional life; transference which is crudely sexual at its origins, and implies maternal, paternal or fraternal objects. This is its constraining power. We should be fully aware of this, as Strachey or Balint have already shown, in order to attenuate the violence of transference and stimulate our creativity. Anna Freud and Melanie Klein's controversies had a reality of their own. This reality was quickly forgotten and trapped in various conflicts, as those existing between Jones and Freud or between Glover and the rest of the British Psychoanalytical Society of his times. These re-elaborations gave rise to ideological elements, which have ever since pervaded the history of psychoanalytical theory, influencing psychoanalytical methods and clinics. It is important for us today to elucidate these ideologies in order to improve our achievements.     

Noah's Ark,Mt. Meru,and the God of the Rainbow

The warning is clear: Unless human beings reach a change of civilization in the ecological sense within the next ten years, we will not have a future—any future. However, a change of civilization does require a change of religious beliefs as well. As Lynn White Jr. asserted many years ago, our present science and technology are so tinctured with orthodox Christian arrogance toward nature that no solution for our ecological and economic crises can be expected from them alone. “Since the roots of our trouble are so largely religious,” as White assures, “the remedy must also be essentially religious.” Still, where do we begin? The author is convinced that any ecological reconstruction of Christian theology and missiology must begin with the Scripture. A solid re‐reading of the Bible will do. This is the reason why the author revisits the well‐known story of Noah's ark to reveal the inconvenient truth almost verbatim – the truth that the Noah's Ark is the story of God's new covenant of life with not only human beings but also with the Earth, represented by the animals from the ark. After scrutinizing the creation stories in Genesis 1 to 9, comparing in particular the two different commandments of God in Genesis 1 and Genesis 2, as well as in Genesis 1 and Genesis 9, the author confirms that a just and sustainable future can only be built upon the biblical God of the rainbow, who shows no favor to human beings, and who makes a new covenant of life with all flesh. What we need is a new vision of Christian beliefs and discipleship that honors God, values the Earth, and emphasizes humility [humus] of humanity [humus], concludes the author.     

Religion as Attractor,Process, and Biology

Science and religion contend for the world's allegiance. Scientists are bewildered by people's acceptance of some seemingly irrational values and judgments endorsed by religion. They argue strenuously with people about the common good and systemic consequences of actions, but are trumped by religious nostrums. Why? Science and religion both arise from our bewilderment with the complexity of our lives. At their roots they are vital, necessary, liberating, and complementary processes. So, why the perceived conflict? Experiences of universal unity arise naturally in deep meditative states. What does this recently demonstrated biological fact tell us about our tendencies to religious belief?     

Jesus and Evolutionary Psychology,Two Agendas

Abstract

Transhumanism is a term used to describe the enhancement of human life through technology, seeking to overcome biological limits. Teilhard de Chardin has been described as a transhumanist, but a closer examination of his ideas reveals his distinction of ultrahumanism, a deepening of the whole evolutionary process in and through the human person. This paper examines ultrahumanism and Teilhard's vision of technology in the evolution of religion.     

JAMES B. ASHBROOK AND HIS HOLISTIC WORLD: TOWARD A “UNIFIED FIELD THEORY” OF MIND,BRAIN, SELF,WORLD, AND GOD

James B. Ashbrook's “new natural theology in an empirical mode” pursued an integrated understanding of the spiritual, psychological, and neurological dimensions of spiritual life. Knowledge of neuroscience and personality theory was central to his quest, and his understandings were necessarily revised and amplified as scientific findings emerged. As a result, Ashbrook's legacy may serve as a case example of how to do religion‐and‐science in a milieu of scientific change. The constant in the quest was Ashbrook's core belief in the basic holism of brain, mind, personality, the nature of reality, and the underlying reality of God.     

Seeing Things Unseen: Fantasy Beliefs and False Reports

Whereas past research has demonstrated that children's beliefs about the real world can influence their memory for events, the role of fantasy beliefs in children's recall remains largely unexplored. We examine this topic in 5- and 6-year-olds by focusing on how belief in a familiar fantasy figure, namely the Tooth Fairy, is related to children's memory for their most recent primary tooth loss. Although children who fully believed in the reality of the Tooth Fairy provided more voluminous and complex accounts than those with less strong beliefs, they also provided the most fictitious reports, frequently characterized by claims of hearing or seeing the Tooth Fairy. Belief in the Tooth Fairy did not affect the accuracy of children's reports of the mundane elements of their tooth loss, and many fantastic claims were linked to real events. Exposure to seemingly tangible evidence of the Tooth Fairy's existence was associated with the provision of fantastic claims.