Perversion: a clinical possibility

Abstract

Clinical work with perverse patients presents numerous difficulties to psychoanalysis, be that due to the characteristics typical of the perverse structure, which is founded on the mechanism of disavowal, or to the inefficiency of neutrality and free association in this kind of practice. A study of existing literature on the subject and a thorough examination of their own clinical findings led the authors to propose a different kind of strategy for dealing with transference that would make clinical work with these patients plausible and indicate options for the paralyzing position that is imposed on the analyst by the perverse patient in order to derange the analytic process. By proposing an alternative for the “semblance subject-supposed-knowledge,” the authors defend the idea that clinical work with perverse patients is possible, resulting in a subject less captive of the phantasmagoric scene.

Drummond S et al. Perversion: eine klinische Möglichkeit

Klinische Arbeit mit perversen Patienten bildet zahlreiche Schwierigkeiten für die Psychoanalyse, sei es wegen der Eigenart der perversen Struktur, welche durch den Mechanismus der Verleugnung begründet wird oder sei es wegen der Ineffektivität der Neutralität und freien Assoziation bei dieser Art von Praxis. Ein Studium der vorhandenen Literatur über das Thema und eine gründliche Überprüfung eigener klinischer Befunde führte die Autoren dazu, eine unterschiedliche Art von Strategie des Umgangs mit Übertragung vorzuschlagen. Das würde klinische Arbeit mit diesen Patienten plausibel machen und auf Optionen für die paralysierende Position hinweisen, die dem Analytiker durch den perversen Patienten aufgebürdet wird, um den analytischen Prozess zu stören. Ein Alternative für das “semblance subject-supposed knowledge” vorschlagend, verteidigen die Autoren die Idee, daß klinische Arbeit mit perversen Patienten möglich ist, mit dem Ergebnis eines Subjekts, welches weniger durch die phantasmagorische Szene gefesselt ist.

Drummond S et al. perversión: una posibilidad clínica.

El trabajo clínico con pacientes perversos presenta numerosas dificultades para el psicoanálisis, puede ser debido a las características típicas de la estructura perversa, fundamentado en le mecanismo de repudio, o debido a la ineficacia de la neutralidad y asociación libre en este tipo de práctica. Un estudio de la literatura existente sobre el tema y un examen completo de los hallazgos clínicos, llevó a los autores a proponer un tipo diferente de estrategia para el manejo de la transferencia, que pudiera hacer posible el trabajo clínico con estos pacientes, también indicar opciones para la situación de paralización que estos pacientes imponen al analista para desorganizar el proceso analítico. Con la proposición de una alternativa para la “semblance-subject-supposed knowledge(apariencia del sujeto-supuesto saber),” el autor defiende la idea de que el trabajo clínico con pacientes perversos es posible, resultando un asunto menos cautivo de la escena fantasmagórica.     

'To Paint the Portrait of a Bird': analytic work from the perspective of a 'developmental' Jungian

Jungians who are trained in the so-called 'Developmental School' straddle the two worlds of psychoanalysis and classical Jungian thinking. This is not always an easy position in which to be, but if the tensions can be held it is potentially a rich and creative way of working. In this paper I attempt to explore this position using the poem, 'To Paint the Portrait of a Bird' by Jacques Prévert as a metaphor for the analytic endeavour. From this perspective I hope to illustrate the importance of being able on the one hand to hold and maintain a clear frame for the careful and detailed exploration of the transference within which the more malign aspects of the psyche might be expressed, and, on the other, to allow the alchemical process of mutual transformation that lies outside the conscious understanding of the analytic couple.     

Why Ferenczi today? The contribution of Sándor Ferenczi to the understanding and healing of psychic suffering

A society undergoing rapid change, which doubts its own possibilities of survival, calls into question the worth of psychoanalytical theory and practice. The author emphasizes that the Ferenczian clinical evolution could be a source of inspiration for reinvigorating our trust in the prodromes of the Freudian paradigm, and thus for relaunching the authoritativeness of our thought and our psychotherapeutic method. In this light the author examines the affective and cognitive qualities that render Ferenczi a mentor of our possible future development, taking into consideration the following aspects: the communicative and intersubjective perspective that denotes Ferenczi's thought since his first writings; the receptive, reflective, and self‐reflective capacities which have progressively accompanied his own commitment and clinical attitude; and his elective work on trauma and “the traumatic”, including the algogenic messages transmitted during the healing process by analysts in fear (and perhaps terror) of their own regression and countertransferential catastrophe. In particular, these last events (central in the Ferenczian vision) are today specifically stimulated by new forms of pathology which search for, with our help, a resolution of the apathetic pain and the tearing apart of the identity that characterize the suffering of patients.     

Affective forecasts and the Valentine's Day shootings at NIU: People are resilient,but unaware of it

People overestimate the extent to which emotion-producing life events affect subsequent affect. However, research has yet to conclusively demonstrate that this phenomenon occurs following significant trauma affecting entire communities, or whether it applies to predictions of discrete emotions. Exploring such issues, student reports of emotion states were collected both before and after the oncampus Valentine's Day, 2008 shootings at Northern Illinois University (NIU). A separate group of students not on campus when the shootings occurred provided emotion state reports and predictions of the emotions they would expect to experience 2 weeks after a shooting occurred. Examination of these data suggests that: (1) emotion states of NIU students reflected resilience, and (2) students made affective forecasting errors indicating that this resilience was unexpected. These data confirm results of prior affective forecasting studies, extending them to cases of traumatic experiences, and suggest that such studies can expand their focus to explore specific post-event emotions.     

Black and white fire: the interplay of stories,imagination and children's spirituality

This paper explores the potential for using narrative to foster children's spiritual growth. It discusses the nature, origin and appeal of story and presents theoretical perspectives which form a rationale for using non‐sectarian children's, adolescent and young adult literature for spiritual development. Such books avoid church‐and‐state controversies while providing a fresh approach to educators where religious and spiritual education are mandated.     

Affect in the eyes: explicit and implicit evaluations

The present study investigated whether another individual’s gaze direction influences an observer’s affective responses. In Experiment 1, subjective self-ratings and an affective priming paradigm were employed to examine how participants explicitly and implicitly, respectively, evaluated the affective valence of direct gaze, averted gaze, and closed eyes. The explicit self-ratings showed that participants evaluated closed eyes more positively than direct gaze. However, the implicit priming task showed an inverse pattern of results indicating that direct gaze was automatically evaluated more positively than closed eyes were. Experiment 2 confirmed that the opposite patterns of results between the two tasks were not due to differences in presentation times of the gaze stimuli. The results provide evidence for automatic affective reactions to eye gaze and indicate a dissociation between explicit and implicit affective evaluations of eyes and gaze direction.     

Where we live: some dilemmas and technical issues for the child psychotherapist in interpretative work with looked-after and adopted children

This paper addresses, from a Kleinian perspective, some of the dilemmas and technical issues faced by the child psychotherapist in work with looked-after and adopted children. A selective review of psychoanalytic literature focusing on the use of transference and countertransference is given. Clinical material provides some examples of different kinds of interpretation, and of the importance of timing and emotional resonance in the interpretations.     

Biographical truths and their clinical consequences: Understanding ‘embodied memories’ in a third psychoanalysis with a traumatized patient recovered from severe poliomyelitis

The relationship between ‘narrative’ and ‘historical–biographical truth’ in psychoanalytic treatment has become the subject of many controversial debates in recent years. Findings of contemporary memory research have lead to great scepticism as to whether therapists are able objectively and reliably to reconstruct biographical events on the basis of their observations in the therapeutic situation. Some authors even claim that psychoanalysts should concentrate exclusively on observing the here and now of the patient′s behaviour within the transference relationship to the analyst. In this paper it will be discussed whether the baby has been thrown out with the bathwater in this debate. Centred around the insights from a third psychoanalysis with a patient who suffered from a severe case of childhood polio, the hypothesis will be discussed that working through the traumatic experience in the transference with the analyst, as well as the reconstruction of the biographical–historical reality of the trauma suffered, prove to be indispensable for a lasting structural change. Integration of the trauma into one′s own personal history and identity is and remains one of the main aims of a psychoanalytic treatment with severely traumatized patients. The reconstruction of the original trauma is indispensable in helping the patient to understand the ‘language of the body’ and to connect it with visualizations, images and verbalizations. The irreversable wounds and vulnerability of his body as the ‘signs of his specific traumatic history’ have to be recognized, emotionally accepted and understood in order to live with them and not deny them any longer. Another important aspect in psychoanalysis is to develop the capability to mentalize, in other words, to understand the intentions of central (primary) objects related to the trauma. The concept of ‘embodied memory’ might be helpful in understanding precisely in what way ‘early trauma is remembered by the body’. Observing in detail the sensory‐motor coordinations in the analytic relationship enables one to decode the inappropriate intensity of affects and fantasies which match the original traumatic interaction and are revealed as inappropriate reactions in the present, new relationship to the analyst.     

Communicative action,the lifeworlds of learning and the dialogue that we aren't 1

Abstract

The first section of the paper reviews the kind of action which unfolds in Plato's Republic, and argues that, from Book II onwards, its character shifts from a genuine dialogue (communicative action) to a more manipulative kind of intercourse (strategic action). While the former kind of action was characteristic of the educational activities of the historical Socrates, the case is made that this kind of action became largely eclipsed in Western education and superseded by the strategic concerns to which Platonist conceptions of learning gave prominence. The Platonist legacy, it is pointed out, had a decisive impact on Western conceptions of learning, even beyond the Enlightenment. These conceptions were largely custodial rather than emancipatory in character. An argument is presented in thirteen steps in the second section of the paper, to establish the case that the kind of action which properly describes the experience of teaching and learning is that of a cultural courtship. A distinction is drawn between honourable and dishonourable forms of courtship, the honourable being a candidate for defence in universalist terms. The practical import of the distinction is considered. Under the title ‘The Dialogue that we Aren't’, the third section reviews postmodern objections ‐ particularly those of Lyotard ‐ to the kind of argument made in the thirteen steps, and the concluding section considers Habermas’ later theories in relation to my own ‘universalist’ argument.     

Jumping to interpretations: social anxiety disorder and the identification of emotional facial expressions

A small body of research suggests that socially anxious individuals show biases in interpreting the facial expressions of others. The current study included a clinically anxious sample in a speeded emotional card-sorting task in two conditions (baseline and threat) to investigate several hypothesized biases in interpretation. Following the threat manipulation, participants with generalized social anxiety disorders (GSADs) sorted angry cards with greater accuracy, but also evidenced a greater rate of neutral cards misclassified as angry, as compared to nonanxious controls. The controls showed the opposite pattern, sorting neutral cards with greater accuracy but also misclassifying a greater proportion of angry cards as neutral, as compared to GSADs. These effects were accounted for primarily by low-intensity angry cards. Results are consistent with previous studies showing a negative interpretive bias, and can be applied to the improvement of clinical interventions.     

The Means of Prosperity: The Neo‐Pentecostal Interpretation of the Lord's Supper in Nigeria

This article investigates the Nigerian neo‐Pentecostal reinterpretation of the sacrament of the Lord's Supper using the lens of the prosperity gospel. This article describes the neo‐Pentecostal view of prosperity as an integral part of salvation, and shows how this impacts its hermeneutics of the Lord's Supper as the means of prosperity. The article argues that such neo‐Pentecostal reinterpretation does not distort the traditional significance of the Lord's Supper, but expands and complements it. As a result, Lutherans may have much to learn from the neo‐Pentecostal view of the Lord's Supper.     

Children's understanding of the war in Iraq: views from Britain and Bosnia

Sixty‐one children (aged 9–17) from the United Kingdom (31) and Bosnia (30) were interviewed about the war in Iraq. Significant differences emerged in their views of the war. The Bosnian children were more affected by the Iraq War, more aware of who is involved in it, had different views about its causes, viewed the consequences of the war with greater gravity, and expressed a greater desire to end war and have peace. Two factors which might account for these differences – recent Bosnian history and the nature of media representations of the war in the two countries – are discussed.     

Being, thinking, creating: when war attacks the setting and the transference counter-attacks

When trauma enters into the reality of the analyst and of the analysand, when it attacks the setting, what becomes of the analyst’s role? How can transformations be brought about? With reference to three clinical situations, the author attempts to explore how the articulation between transference and countertransference – the inter‐relation – structures the situation; the analyst must remain in his or her role as analyst through managing to create and to reflect upon the clinical aspects of that situation when faced with the unpredictability of what war brings in its wake. It then becomes possible to see how the work of the negative can be confined to the outer limits of the setting.     

Sabina Spielrein: out from the shadow of Jung and Freud

Abstract: Since the 1982 publication of Aldo Carotenuto's book, A Secret Symmetry: Sabina Spielrein Between Jung and Freud, there has been renewed interest in the life and work of Sabina Spielrein. She was Jung's first psychoanalytic case at the Burghölzli Hospital in 1904, and was referred to several times in The Freud/Jung Letters. Spielrein recovered, enrolled in medical school, and went on to become a Freudian analyst. Her most famous paper, published in 1912, ‘Destruction as a cause of coming into being’, was referred to by Freud in 1920 in relation to his Death Instinct theory. In the few Freudian publications on this controversial theory since 1920, Spielrein's contribution is consistently omitted. Jung also neglected to refer to her ‘Destruction’ paper in his early 1912 version of ‘Symbols of transformation’, even though he had edited her paper and had promised to acknowledge her contribution. He did refer extensively to Spielrein's first paper, her medical thesis, ‘On the psychological content of a case of schizophrenia’, published in 1911, as yet unpublished in English. In her paper Spielrein sought to understand the psychotic delusions of Frau M, a patient at the Burghölzli, much in the style of Jung's ‘Psychology of dementia praecox’ (1907). The purpose of this paper is to explore to what extent Spielrein's Frau M paper, and its companion ‘Destruction’ paper, make an original contribution to both Jung and Freud's emerging theories on the possible creative versus destructive outcomes of neurotic or psychotic introversion, culminating in Jung's concept of the ‘collective unconscious’ (1916) and Freud's concept of a ‘Death instinct’ (1920).     

From horror to ethical responsibility: Carl Gustav Jung and Stephen King encounter the dark half within us,between us and in the world

This paper explores the experience of horror. The term is usually understood collectively to refer to experiences of terrorism, racism and other conflicts; however, the paper explores the equal horror for the individual of facing deep and painful psychic contents and traumatic experiences. The paper explores the way that both C.G. Jung, through analysis of the psyche, and the author Stephen King, through his horror novels, have accepted and explored the experience of encountering ‘the dark half’ or ‘It’ that is the other within themselves, forming images and symbols capable of linking their personal experience to that of the collective. This encounter is transformed, as far as Jung is concerned by analytical psychology and for King by fiction, through an attitude of active imagination. This led both men to developing an ethical responsibility towards the images of the unconscious, as well as the personal and collective contents of human life. The paper depicts how encountering the ‘dark half’, through Jung and King can provide a Jungian analyst with a special attitude with which to deeply explore and ethically process the experience of horror in different fields, including therapeutic practice, analytical training and in the traumatic and conflictual facing of the other, with which, today as always, the world presents us.     

Learning from the patient: The East,synchronicity and transference in the history of an unknown case of C.G. Jung

This article presents the history of one until now unknown case of C.G. Jung: Maggy Reichstein. Born in Indonesia in 1894 in a very aristocratic family, she brought her sister to Zurich to be treated by Jung in 1919, and later she herself was in analysis with him. Jung used her case as example in his lecture in 1937 on the realities of practical psychotherapy, relating it to the process of transference and countertransference. Jung deepened his studies in Eastern psychology after a series of dreams she had, which culminated in the Yoga Kundalini Seminars. She was also the case presented in his article of 1951 on the concept of synchronicity. Jung wrote that her case, concerning synchronicity, remained unique in his experience. Jung also published some of her mandalas. He considered her able to understand his ideas in depth. Reichstein was for Jung an important case, which challenged and triggered his interests in different subjects.     

Distinct emotional abilities converge: Evidence from emotional understanding and emotion recognition through the voice

One key criterion for whether Emotional Intelligence (EI) truly fits the definition of “intelligence” is that individual branches of EI should converge. However, for performance tests that measure actual ability, such convergence has been elusive. Consistent with theoretical perspectives for intelligence, we approach this question using EI measures that have objective standards for right answers. Examining emotion recognition through the voice—that is, the ability to judge an actor’s intended portrayal—and emotional understanding—that is, the ability to understand relationships and transitions among emotions—we find substantial convergence, r = .53. Results provide new data to inform the often heated debate about the validity of EI, and further the basis of optimism that EI may truly be considered intelligence.     

Destruction and guilt: Splitting and reintegration in the analysis of a traumatised patient

The author traces in detail how, in the analytic relationship, she was slowly able to read aspects of the trauma as 'quotations' and gradually, through transference, transform them into a symbolic language. Split-off aggression and guilt feelings became progressively accessible to interpretation through transferential projective identifi cations. During his analysis, the patient discovered he was the child of Nazi criminals: on his mother's side they were the third generation; on his father's side, the second.