An Analysis of the Effectiveness of the Intervention

SUMMARY

In this chapter, I examine the specific problem Betty had with her children because, in many ways, it represents the problems most of the volunteers had with their children. Her problem was the most extreme among the participants, and she involved the other volunteers in helping her look for a solution. The vignette that follows comes from my field logs, and it is followed with a layered response from Betty's peers. The vignette offers a close look at Betty's problems with her daughters and the dilemma she experienced in relation to coming to work when her children needed her. Betty told her story to Esther, Dolores, and me one morning in the dayroom.     

Frieda fromm-reichmann,loneliness and deafness

Abstract

This paper explores the rôle that Fromm-Reichmann's parents' adult-onset severe familial deafness may have played in the development of Fromm-Reichmann's career choice and of her charismatic style. She, too, became deaf. Her final paper, “Loneliness” is perhaps her most emotionally evocative work. Perhaps her own increasingly severe experience of loneliness motivated her writing on this theme. Just as she expected self-honesty from her Chestnut Lodge colleagues, this paper demonstrates that she held herself to this same standard. The author urges the deaf community to seek out the newly deaf and to encourage their learning to sign, thus ameliorating the newly deaf individual's loneliness.     

Change,Vulnerability, Fear,and Taking Risks–An Interview with Virginia Satir

SUMMARY

The author addresses the mythic characters of Ulysses and Penelope as archetypes for herself. She reviews divergent attitudes, beliefs and aspirations of her life by detailing an internal conflict between her identification with Ulysses1 adventuresomeness and her reluctant realization that Penelope can also represent her, however much she rejected her for seeming dull and repetitve

In this process the author notes how she constricted her own creativity when she took on uncritically the patriarchal beliefs about the roles of wives and mothers. Nevertheless she wonders whether present-day women's liberation from archaic notions about women inadvertently sacrifices the optimal development of children because of the rigid demands of the work-place.

Finally she experiences the symbolic reunion of Penelope's and Ulysses' different images within herself, and considers how what each represents can have renewed meaning for her as she moves towards the end of her life.     

The Psychoanalysis Between Sándor Ferenczi and Elizabeth Severn: Mutuality,Unconscious Communication,and the Development of Countertransference Analysis

ABSTRACT

The psychoanalysis between Sándor Ferenczi and Elizabeth Severn was characterized by a controversial counterference analysis, in which the analysand, Severn, took an active lead. She can be seen as the co-creator of the Countertransference Analysis. In the two-person analytic dialogue that Severn and Ferenczi created to resolve the intractable therapeutic impasse in their analytic relationship, a dialogue of the unconscious emerged. Severn believed she was attuned to Ferenczi’s unanalyzed countertransference reaction to her. They had a special kind of relationship where attunement was at an unconscious level. In a sustained analytic encounter, she helped Ferenczi retrieve the experience of being sexually abused, which was the unconscious derivation of his negative countertransference to Severn.     

Sense data and logical relations: Karin Costelloe-Stephen and Russell’s critique of Bergson

ABSTRACT

Though scholarship has explored Karin Costelloe-Stephen’s contributions to the history of psychoanalysis, as well as her relations to the Bloomsbury Group, her philosophical work has been almost completely ignored. This paper will examine her debate with Bertrand Russell over his criticism of Bergson. Costelloe-Stephen had employed the terminology of early analytic philosophy in presenting a number of arguments in defence of Bergson’s views. Costelloe-Stephen would object, among other things, to Russell’s use of an experiment which, as she points out, was first conducted by Carl Stumpf. Russell appeals to Stumpf's experiment in his attempt to prove that sense data are terms in logical relations, a thesis presupposed by the project of logical analysis outlined in Our Knowledge of the External World. A reformulated version of Costelloe-Stephen's argument put forth by this paper shows that Russell's argument fails to provide adequate proof for his thesis. Further modifications of the argument can also address a reconstruction (based on contemporary reports) of Russell's reply to Costelloe-Stephen. In his reply, Russell would use, already in 1914, the term ‘analytic philosophy’ in contrasting his and Moore’s approach to a continental one, exemplified by Bergson and Costelloe-Stephen.     

Euthanasia in psychiatry can never be justified. A reply to Wijsbek

In a recent article, Henri Wijsbek discusses the 1991 Chabot “psychiatric euthanasia” case in the Netherlands, and argues that Chabot was justified in helping his patient to die. Dutch legislation at the time permitted physician assisted suicide when the patient’s condition is severe, hopeless, and unbearable. The Dutch Supreme Court agreed with Chabot that the patient met these criteria because of her justified depression, even though she was somatically healthy. Wijsbek argues that in this case, the patient’s integrity had been undermined by recent events, and that this is the basis for taking her request seriously; it was unreasonable to expect that she could start again. In this paper, I do not challenge the Dutch euthanasia criteria in the case of somatic illness, but I argue that both Chabot and Wijsbek are wrong because we can never be sufficiently confident in cases of severe exogenous depression to assist the patient in her irreversible act. This is partly because of the essential difference between somatic and mental illness, and because of the possibility of therapy and other help. In addition, I argue that Wijsbek’s concept of integrity cannot do the work that he expects of it. Finally, I consider a 2011 position paper from the Royal Dutch Medical Association on euthanasia, and the implications it might have for Chabot-style cases in the future.     

Part III: Short Papers from the Course

ABSTRACT

At the end of each class, we ask students to write either an annotated bibliographic essay on a psychoanalytic subject of their choosing or a short paper. We include here three examples of the kind of work we receive. The first is an annotated bibliography written by Monica Black, a drama major, who has been “play-acting” since childhood and who is now a serious actress, exploring the question of “Why Perform?” She wrote the paper when she was a sophomore. The second is written by Becca Stine, a junior creative writing major, who, when she saw Waiting for Godot at the Chicago Shakespeare Theater, had moving insights about her relation with her sister, insights that were enhanced by the psychoanalytic reading we did in relation to the drama. The third, by first-year neuroscience major Peter Lehman, is an annotated bibliography that seeks to understand how neurobiology and psychoanalysis can best intersect.     

The Freud–Ferenczi controversy in light of Emma Eckstein's circumcisio

Abstract

Emma Eckstein's circumcision trauma has been powerfully suppressed, denied, and dissociated from the history of the origins of psychoanalysis. Even though Freud did not categorize it as a trauma, he was deeply impacted by it in the period when he provided psychoanalysis with his foundation. Despite Freud's intellectual erasure of the trauma that Emma experienced, her “cut” never ceased to unconsciously break through Freud's fantasies and discourse, haunting the psychoanalytic building as a veritable ghost. Sándor Ferenczi became the recipient of what Freud could not consider in his own mind, and his revision of the “Bausteine” (building blocks) of psychoanalysis featured an attempt to heal the split embedded in the foundation of psychoanalysis.     

A Narrative Model of Recovery

Abstract

In this paper I defend the suggestion that narratively understanding her experience of rape can help a survivor in her recovery from the harm that she has suffered. Susan Brison defends a similar suggestion, but, I argue, does not get all of the possible mileage out of narrative understanding because she does not explore what she takes to be the necessary features of a successful narrative itself. I hope to supplement her, primarily relational, account with a richer understanding of narratives themselves, as it is only, I argue, through coming to understand the essential characteristics of a narrative that we are able to grasp the particular explanatory force of narratives and, thereby, all of the potential benefits of narratively understanding her experience for a rape survivor.     

False‐self sensitivity to countertransference: Anatomy of a single session

This paper describes how a patient's sensitivity to the counter‐transference sparked a transference regression that generated insight about her core conflict: False‐Self compliance at the expense of her needs for love, emotional support, and nurturance.

My patient's regression was important, first, because it produced symptoms that dramatically illustrated to her how much self‐denial she was willing to exercise to feel needed by others. Previously, such insight had not been effective because of the extraordinary secondary gains of her behavior. This time was more successful because of the ego‐dystonic symptoms that developed, with intense shame and embarrassment. Second, the regression resulted in a transference dream that provided her with new insights into the anxiety she was warding off through False‐Self compliance to the narcissistic requirements of her parents.     

Who,What, When,Where, How,and Mostly Why?

SUMMARY

The death of a client by suicide was very emotionally destabilizing to this therapist. She worked hard to distance herself personally from the pain at first and at the same time she found herself overfocused on the “psychological autopsy.” She had difficulty accepting new clients and wanted to withdraw from a meaningful appointment to a state advisory committee. Only when she was able to identify with the client's pain and realize how that pain touched her own history of loss was she able to grieve productively. She realized that gender was relevant in her identification with the victim and in sorting out each of their histories of loss.     

Between Races and Generations: Materializing Race and Kinship in Moraga and Irigaray

Juxtaposing Cherríe Moraga's Loving in the War Years and Luce Irigaray's Speculum of the Other Woman, I explore the ways that sex and race intersect to complicate an Irigarayan account of the relations between mother and daughter. Irigaray's work is an effective tool for understanding the disruptive and potentially healing desire between mothers and daughters, but her insistence on sex as primary difference must be challenged in order to acknowledge the intersectionality of sex and race. Working from recent work on the psychoanalysis of race, I argue that whiteness functions as a master signifier in its own right, and as a means of differentiation between the light‐skinned Moraga and her brown‐skinned mother. Irigaray's concept of blood deepens Moraga's account of her healing and subversive return to her mother. The juxtaposition of Moraga, Irigaray, and contemporary psychoanalysis of race can allow for a necessary revision of Irigaray's psychoanalysis that acknowledges the ways in which sexual difference is indexed by race and sheds new light on her account of the mother–daughter relation.     

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.     

Dementia–A Spiritual Journey Towards the Divine: A Personal View of Dementia

SUMMARY

This chapter presents a moving account of one woman's journey into fronto-temporal dementia. Bryden grapples with the difficult issues of loss of self and relationship with God. She examines the significance of memory in the Christian journey, and finally, she proposes ways for relating to her as she moves further into dementia. The strategies suggested uphold her as a fellow member of the Body of Christ, where others may become her memory, and where she can still be nurtured through the love of others and feel God's love through them.     

After the Crash:

This article chronicles the journey of a therapist and a lesbian feminist activist over the last thirty years. Her path has taken her through many different therapy experiences: Freudian psychoanalysis, Radical Psychiatry, encounter groups, women's groups, Gestalt Therapy, Feminist Therapy, Reichian Therapy, Bioenergetics, breath and movement therapy, and Integratice Body Psychotherapy (IBP). Synthesizing all she has experienced and studied, the author had developed Feminist Body Psychotherapy (FBT). Today her work integrates FBP with IBP, an approach similar to hers, which she experienced, studied and now teaches in Los Angeles. This article stresses the importance of integrating the body into psychotherapy to heal the mind-body split.     

Short‐term and working memory: Past,progress, and prospects

Abstract

The role of current personal experience in understanding of word meaning was investigated in a patient, WM, who suffers from semantic dementia. The study was prompted by the observation that WM, despite being severely impaired on formal tests of word comprehension and naming, retained a range of vocabulary pertaining to her daily life. If autobiographical experience has a general facilitatory effect, then this should affect which concepts are retained and which lost, but not influence the quality of that conceptual knowledge. Conversely, if personal autobiography has a direct role in investing concepts with meaning, then WM's understanding of nominal terms that she uses spontaneously in conversation ought not to be normal, but should be constrained by the autobiographical context in which she uses those terms. WM could define nouns and noun phrases drawn from her conversational vocabulary, but her definitions had a markedly autobiographical quality. Moreover, WM was extremely impaired in her ability to define new noun phrases, constructed by combining words from her conversational vocabulary (e.g. “dog licence”, constructed from “driving licence” and “dog” “oil field” constructed from “oil” and “field”). It was concluded that WM does not have normal conceptual understanding of nouns and noun phrases that she uses appropriately in conversation. Her understanding is narrow and autobiographically constrained. The findings, which suggest an interactive relationship between autobiographical and semantic memory, have implications for understanding of the progressive breakdown of semantic knowledge.     

Successful treatment of the mother-infant relationship in a mother suffering from severe postpartum depression

This paper discusses the treatment of severe postpartum depression in home-based infant-parent psychotherapy. Severe postpartum depression is examined as a psychiatric disorder in which childbirth is a necessary but insufficient cause. Home-based treatment that involved both mother and infant permitted a more comprehensive approach. By facilitating assessment of the risks to the infant from the mother's impairment by direct observation of the mother-infant relationship, infant-parent psychotherapy helped to avoid an unnecessary hospitalization of the mother in the case example. Instead, treatment helped to build on the ego strengths of the mother in order to stabilize precarious defenses and to support her bonding with her baby.     

Part I: Psychoanalysis and Undergraduate Education

ABSTRACT

Part I consists of two articles by the professors who invented the Chicago course, articulating why they think that teaching psychoanalysis to undergraduates is crucial. Marcia Dobson, who is a clinician along with being a professor of Classics, gives some personal history as to why she is so invested in psychoanalysis and offers a clinical understanding for why she thinks undergraduates need psychoanalysis to help them understand themselves better. John Riker, a philosopher, concentrates on why the conceptual tools of psychoanalysis are crucial for undergraduates as they think about who they are, who they want to be, and how they are going to negotiate adult life.     

Ferenczi's “Confusion of Tongues” Theory and the Analysis of the Incest Trauma

Abstract

The tender-mother transference of Ferenczi's humanistic analytic orientation was as important an advance in pioneering times as was Kohut's selfobject transference in contemporary psychoanalysis. Ferenczi's clinical theory and method began a focus on pre-oedipal experiences, which eventually became an alternate to the oedipal theory. Freud was critical of Ferenczi's formulation, leading a successful attempt to suppress his work and remove it from mainstream psychoanalysis because he believed it was “regressive.” In actuality, Ferenczi's “Confusion of Tongues” theory and “Relaxation Therapy” were prophetic and pioneering attempts to understand and treat the incest trauma (ironically the clinical data upon which Freud founded psychoanalysis 100 years ago). In the case of Miss T., Ferenczi's ideas are applied to the contemporary analysis of the incest trauma.     

The effectiveness of psychoanalysis in a case study using multi‐perspective methodology: Conflict in choosing a partner due to transgenerational mandate

A case study is presented to evaluate the effectiveness of psychoanalysis and the persistence of its benefits 20 years later in a young woman with severe depression, professional inhibition, and difficulties in partner selection due to transgenerational mandate (TGM). The investigation was carried out with psychoanalytic interviews with the patient and analyst, which were evaluated by both psychoanalytic and non‐psychoanalytic judges following a methodology based on one tested in Germany by Leuzinger‐Bohleber et al. (2003). The psychoanalytic treatment began in the early 1980s in Monterrey, Mexico. The study concludes that the psychoanalysis was effective in assisting with the patient's character disorder and partner selection, mainly because of the therapeutic alliance, the analysis of transference and character, and the patient's increased capacity for mentalization as a result of the interpretation of the TGMs.