The compulsion to confess and the compulsion to judge in the analytic situation

In this paper the author shows that human beings have two quasi‐instinctual primitive tendencies – namely, the compulsion to confess and the compulsion to judge (to condemn or to absolve). These compulsions are originally unconscious and become conscious during the course of the analytic process. The compulsion to judge is a natural consequence of the compulsion to confess. These two tendencies are intensified by the analytic situation. The patient has a compulsion to confess to the analyst and to himself, and likewise the analyst has a compulsion to confess to himself and to the patient. The patient therefore has a compulsion to judge himself as good or bad and to judge the analyst as good or bad while, on the other hand, the analyst has a compulsion to judge himself as good or bad and to judge the patient as good or bad. The task of analysis is to make both patient and analyst conscious of their compulsions to confess and to judge (to condemn or to absolve). The compulsion to judge in the analyst, particularly if unconscious, may give rise to mistakes in diagnosis, technique, treatment, and the assessment of analysability. The requirement of analytic neutrality in the analyst constantly conflicts with his compulsion to judge. If we are profoundly involved in our patient's dramatic conflict, we are bound to pass a judgement (condemnation or absolution); however, when we judge, we are not neutral and therefore become incapable of intellectual consciousness of the patient's conflict. Conversely, if we do not judge, we are neutral, but are then relatively uninvolved in the patient's conflict and are hence virtually unable to achieve emotional consciousness. The author attempts to show that neutrality cannot and must not be a preconstituted attitude in the analyst, but can and must be a point of arrival following a profound, intensely felt existential experience based on an attitude of non‐condemnation and non‐absolution.     

Revisiting the destiny compulsion

This paper is an attempt to deal with some questions raised by the so‐called ‘compulsion of destiny’ constellation. In presenting the standpoints of Freud and of psychoanalysts who after him were concerned with this problematic, the author takes the view that several aspects of the configuration merit further discussion. Accordingly, the dynamics of repetition compulsion, the complexity of the projective strategy, the coexistence of passive and omnipotent trends are considered. Concerning compulsive repetitions the dimension of drive intrication is underlined, thus moderating the understanding of this clinical entity as mainly related to death drive trends. Projection is understood as serving complex psychic demands. The coexistence of passive and omnipotent trends is envisaged, as manifested in phantasies of submission / participation of patients to a force that exceeds human limitations. For certain cases the consonance of somatic and psychic experiences is noted. Finally, elements from the material of two cases are presented which pertain to the problematic of the compulsion of destiny in which random events are submitted to heavy psychic necessities.     

How to Speak “Counselnese”

The origin of “Counselnese,” the limited professionl language spoken by counselors, is examined. All fourteen words in the language are defined and misconceptions cleared up.     

Formation in the Worlds of Theological Education: Moving from “What” to “How”

Abstract. Theological educators in church and academy alike continue to ask, “What is formation for ministry?” Dissatisfaction has increased within all participants of theological education – faculty, students, administrators, pastors, and church professionals. Temporarily postponing the “what” of formation, this article explores the dissatisfaction with formation language in terms of one critical dissonance: the improbable quest for a pastoral identity amidst the observable reality of multiple identities, chosen and imposed. A constructive response crafted by identities‐in‐practice, as configured by disciplined spiritual stewardship, gives both critical and contemplative guidance for a fuller participation by all in Christian formation. Formation then becomes defined with a publicly theological coherence: the “shaping‐being‐shaped” primarily by the Holy in the worlds mutually configured within improvised, risked service.     

Response to “Exploring the Religious-Spiritual Needs of the Dying”

This commentary compares Smith's work to classic value clarification, addresses issues of counselor judgement and informed consent, and outlines further exercises based on near-death experiences.     

The Counselor's “Duty to Warn”

In the wake of the Tarasoff case in California other state courts have interpreted the legality of a helping professional's duty to warn.     

A Response to My “Critics”

This essay is a response to comments made by Shane Fhelan, Cheshire Calhoun, and Naomi Scheman on my book The Play of Reason: From the Modern to the Postmodern (1999). I reiterate my belief that we best approach the issue of consensus and dissension in second’ Order justifications of social and political claims not philosophically but sociologically, politically, historically. I suggest similar approaches for dealing with the question of meaning. This mow signals an endorsement not of indifference but rather of commitment and humility.     

Commentary on “Trauma to the Psyche and Soma”

This case report addresses assessment and treatment considerations for a patient suffering from posttraumatic stress disorder (PTSD) in the context of mild traumatic brain injury and ongoing pain. Management of this case is based on the application of evidence-based therapy, and of cognitive behaviour therapy, for PTSD reduction. Assessment and treatment approaches recognize that delivery of treatment requires modification to allow exposure therapy for individuals who are partially amnesic of their traumatic experience. Further, administering exposure and cognitive therapy for patients with cognitive impairment requires specific means of treatment delivery to allow adequate compliance with therapy tasks. This case highlights that evidence-based approaches can be usefully applied to complex presentations but they may require modifications that recognize obstacles associated with comorbid conditions.     

“No More” leads to “Want More,” but “No Less” leads to “Want Less”: Consumers' counterfactual thinking when faced with quantity restriction discounts

The current research examines the impact of point‐of‐purchase (POP) discounts on consumers' counterfactual thinking (CFT). Study 1 reveals that consumers tend to engage in upward CFT (what might have been better) rather than downward CFT (what might have been worse) in response to POP discounts. Study 2 shows that upward CFT depends on how the discount information is framed. A discount with a lower‐quantity restriction (e.g., “X % off if you buy at least Y items”) leads consumers to counterfactually wish to buy more, but a discount with an upper‐quantity restriction (“X % off – limit Y items per customer”) leads consumers to wish to buy less. Study participants in both conditions report they would buy the same POP‐suggested amount, but for completely opposite reasons. In Study 3, this convergence effect in purchase quantity disappears when the maximum and minimum restrictions are lifted, suggesting that quantity restrictions in POP discounts guide quantity decisions. Copyright © 2011 John Wiley & Sons, Ltd.