The problem of self-disclosure in psychoanalysis

The problem of self-disclosure is explored in relation to currently shifting paradigms of the nature of the analytic relation and analytic interaction. Relational and intersubjective perspectives emphasize the role of self-disclosure as not merely allowable, but as an essential facilitating aspect of the analytic dialogue, in keeping with the role of the analyst as a contributing partner in the process. At the opposite extreme, advocates of classical anonymity stress the importance of neutrality and abstinence. The paper seeks to chart a course between unconstrained self-disclosure and absolute anonymity, both of which foster misalliances. Self-disclosure is seen as at times contributory to the analytic process, and at times deleterious. The decision whether to self-disclose, what to disclose, and when and how, should be guided by the analyst's perspective on neutrality, conceived as a mental stance in which the analyst assesses and decides what, at any given point, seems to contribute to the analytic process and the patient's therapeutic benefit. The major risk in self-disclosure is the tendency to draw the analytic interaction into the real relation between analyst and patient, thus diminishing or distorting the therapeutic alliance, mitigating transference expression, and compromising therapeutic effectiveness.     

Followup in psychoanalysis: clinical and research values

Psychoanalysis has never developed a tradition of systematic followup study to evaluate outcome and to improve technique and theory for a variety of reasons, partly theoretical, stemming from the conception of the unfolding transference neurosis and its analytic resolution as the precondition for cure, and partly historical, having to do with the happenstance of its development as a private practice-based discipline and training outside of the academic setting. Freud, however, was never bound by such strictures and published whatever post-treatment data he acquired on all his best-known case histories. But following Freud most analysts, with some notable exceptions, eschewed followup activity as unanalytic. It is this tradition that more recent studies like those of Pfeffer in New York and the Psychotherapy Research Project of The Menninger Foundation in Topeka have squarely challenged. Data are presented from the Menninger project dealing specifically with the impact of routine planned followup on issues of treatment termination and resolution and on the nature of the post-treatment period. The degree and kind of patient cooperation with the followup inquiry, the impact of followup on treatment termination and resolution (both impeding and facilitating), and the role of followup intervention in relation to return to formal post-treatment therapy (or consolidating against it), are all discussed.     

The problem of real trauma and the future of psychoanalysis

Abstract

Contemporary psychoanalysis emphasizes the role of “real” trauma, as it is well shown by recent sociological and theoretical developments (such as Kohut's Self psychology, object relation theory, renewed interest in Ferenczi's and Sullivan's contributions, etc.). To understand more clearly these developments, the author traces again the steps laid down by Freud in building the psychoanalytic edifice. The renewed interest in the environment, in real traumas, and in the vicissitudes of object relations could be a “paradigm change” in psychoanalysis: a return to Freud's original seduction theory. This development is seen as related to the difficulties of Freud's drive theory.     

The history of Russian psychoanalysis and the problem of its periodisation

The formation and spread of the psychoanalytic teaching of Sigmund Freud and his followers is one of the most significant events in the life of the spirit in the twentieth century. The recognition of this as an historical fact--irrespective of its relation to Freud and his ideas--assumes of course and need to gain a proper understanding and appropriate interpretation of psychoanalysis in all its dimensions. Generally speaking, the history of psychoanalysis and the psychoanalytic movement has been researched quite fully, although for a variety of reasons and circumstances there are a number of gaps in it. Perhaps the most important of these is the history of Russian psychoanalysis, which has developed within a country where, at the beginning of the century, Freud's works were translated and published in a most effective and representative way, and where psychoanalytic ideas drew a response both from specialists and among the public at large, although in content and inclination the Russian mentality did not at heart suit a psychoanalytical treatment of man and his culture.     

Freud, psychoanalysis and the psychosomatic problem

According to the author an unbroken hallucination of the pleasure principle is underlying the vision of mankind as in biotechnical medicine as well as in a concept of science that is reduced to technical progress. Psychosomatics is to overcome the false rationality of such thought.     

From nature in love: The problem of subjectivity in Adorno and Freudian psychoanalysis

This paper investigates the potential of the concept of sublimation for thinking subjectivity at the intersection of psychoanalysis and critical theory. I first rehearse a recent argument by Whitebook that Freud’s notion of sublimation presents a nonviolent integration and expansion of the ego, which can mediate the modern dichotomy between the rational subject and nonrational impulse and desire. On this view, sublimation turns subjectivity into a site of possibility in the context of modern, rationalized thought and society. I then argue that the concept of sublimation offered to critical theory in this form is insufficiently developed. Both Freud and Adorno analyze a deep-seated destructiveness of the modern subject, which turns up right at the heart of attempts to mediate the dichotomies of rationalized modernity. What is needed to counter this problem is a theory of love in which love is not separated from, but, rather, correlated with drive and desire, and can thereby get on a level with the unconscious or unacknowledged, impulsive nature of death-bearing subjectivity in enlightened modernity. A central conception in Kristeva’s development of Freudian psychoanalysis, the idea of transference love, delivers such a theory and thereby develops the concept of sublimation in the way that is needed at the intersection of psychoanalysis and critical theory.

The aim of psychoanalysis

The changing aims of psychoanalysis are discussed with reference to Money-Kyrle's paper on the subject. The theory of dammed-up libido, the theory of moral conflict and the theory of misrepresentations and perversion of reality which he described, all imply different aims. It is argued that, in addition, the theory of projective identification leads to a radical change in the aim of treatment which can now be formulated in terms of helping the patient regain lost parts of the self.     

The translational metaphor in psychoanalysis

The translational metaphor in psychoanalysis refers to the traditional method of interpreting or restating the meaning of verbal and behavioral acts of a patient in other, presumably more accurate terms that specify the forces and conflicts underlying symptoms. The analyst translates the clinical phenomenology to explain its true meaning and origin. This model of analytic process has been challenged from different vantage points by authors presenting alternative conceptions of therapeutic action. Although the temptation to find and make interpretations of clinical material is difficult to resist, behaving in this way places the analyst in the position of a teacher or diagnostician, seeking a specific etiology, which has not proven fruitful. Despite its historical appeal, I argue that the translational model is a misleading and anachronistic version of what actually occurs in psychoanalysis. I emphasize instead the capacity of analysis to promote the emergence of new forms of representation, or figuration, from the unconscious, using the work of Lacan, Laplanche, and Modell to exemplify this reformulation, and provide clinical illustrations of how it looks in practice.