As the wheel turns: a centennial reflection on Freud's Three Essays on the Theory of Sexuality

Freud's theories of psychosexual development, while highly original, were anchored in the explosion of scientific studies of sex in the nineteenth century. Most of these studies were based on masturbation, homosexuality, and deviance, with little attention given to normal sexuality. Around the turn of the century, the narrow interest in pathological sexuality and sexual physiology gradually gave way to a broader interest in normal sexuality. It was in the context of these expanding studies of sexuality that Freud proposed the first psychological view of sexuality, a theory that defined sex as being at the interface between soma and psyche. Libido theory, which Freud developed, is a theory of drives and conflicts. For Freud, libido was the major force in personality development, and he posited sexual conflicts as the heart of neuroses, sexual fixations as the essence of perversions. This article traces the way Freud's libido theory has served as one of the mainsprings in the development of psychoanalytic theory. It also addresses the major revisions that have taken place in libido theory, with a focus primarily on object relations theory, and the impact of culture on the way sex and sexual mores are parsed.     

THE COUNTERTRANSFERENCE: EROTIC,EROTISED AND PERVERSE3

The author begins by drawing attention to the dearth of psychoanalytic theory on the sexual countertransference, which he attributes largely to embarrassment associated with the personal superego and to fear of censure by the psychoanalytic community. After a review of the relevant literature, he points out that the term ‘countertransference’ arose in the context of misbehaviour by the early analysts and that the countertransference was originally seen as something to be controlled and suppressed, partly for the sake of the reputation of psychoanalysis. Theoretical and normative reasons are adduced for the disappearance of sexuality from psychoanalytic scenarios, and the wish for sexual contact with patients is discussed. While it may be deemed perfectly normal for an analyst to have erotic feelings towards patients of either sex, psychopathology is, in the author's view, involved only if he acts out. Clinical illustrations are given of manifestations of the sexual countertransference in its erotic, erotised and perverse forms, which the author considers it important to distinguish. He concludes that the relative absence of theory on the subject means that not enough clinical use is made of the sexual countertransference, which he sees as of great potential value to therapist and patient alike.     

Bridging the Divide

Abstract

Women who consider themselves traditional or conservative in the context of religious practice often experience tremendous conflicts regarding the integration of same-sex emotional and sexual feelings with their religion and spirituality. Current religious teachings about homosexuality make this combination difficult as only heterosexual sexuality within marriage is permitted in most orthodox faiths. Further, the way that spirituality and sexuality are conceptualized as opposing dichotomous categories (e.g., body vs. soul) presents women with a framework where integration does not seem possible. Observant women who come to psychotherapy often experience tremendous distress, guilt, depression, and even suicidality due to the conflict between their sexual feelings and religious doctrine. Relieving the distress, and resolving the conflicts while honoring the emotional complexity of sexual feelings, spirituality, and religious orthodoxy can present tremendous dilemmas for the practitioner as well as the client. Using the example of psychotherapy of an Orthodox Jewish woman who integrated same-sex desire into her life, this article describes psychotherapy process and alternative ways of viewing spirituality and sexuality that permit possible resolutions for clients.     

Introduction Voices The Editors

Postmodern theory and critiques currently exert a considerable influence on psychoanalytic theory, particularly in regard to the revision of a theory of sexuality and gender. This article reviews some of the critiques and alternative views of sexuality proposed by various postmodern theorists such as Butler, Jameson, Baudrillard, and Foucault. After conducting a critical comparison of these critiques and alternatives with contemporary analytic revisionist theory, I contend that, despite the useful aspects of postmodernism's critical cultural perspective, some postmodern positions run directly counter to certain key psychoanalytic tenets about human agency and the existence of an inner psychic world or selfhood. Furthermore, I believe that, despite the laudable politics of many postmodern writers to promote a greater diversity of nonpathologized sexual experience, the atrophied views of agency and selfhood depicted in the postmodern writings reviewed in this essay cannot support an approach that is concerned with clinical treatment or with describing processes of psychological transformation. A case vignette is provided illustrating the main arguments of the paper.     

Has infantile sexuality anything to do with infants?

Classical psychoanalytic theory draws many concepts from mental processes that are assumed to arise in the infant and influence the adult mind. Still, psychoanalytic practice with mothers and infants has been integrated but little within general psychoanalytic theory. One reason is that only few analysts have utilized such practice to further theory. Another reason is that infant therapists tend to abandon classical psychoanalytic concepts in favour of attachment concepts. As a result the concept of infantile sexuality, so central to classical theory, plays an unobtrusive role in clinical discussions on infant therapy. The author argues that infantile sexuality plays an important role in many mother-infant disturbances. To function as a clinical concept, it needs to be delineated from attachment and be understood in the context of mother-infant interaction. Two examples are provided; one where the analyst's infantile sexuality emerged in a comment to the infant. Another is a case of breast-feeding problems with a little boy fretting at the breast. This is interpreted as reflecting the mother's infantile sexual conflicts as well as the boy's emerging internalization of them. Thus, to conceptualize such disorders we need to take into account the infantile sexuality in both mother and baby.     

Love in the counter-transference: The uses of the therapist's excitement

SUMMARY

The psychoanalytic tradition has always had difficulty with the question of the therapist's sexual feelings toward the patient. This paper traces that difficulty: from Freud's original struggle to replace moralism with a psychoanalytic mode of understanding, to the more recent literature on countertransference which still seems particularly averse to the possibility of the therapist's sexual experience. By way of a discussion of a psychoanalytic psychotherapy, I argue for the sometimes central therapeutic role of the therapist's experiencing, and then containing, excitement.     

Space and time in psychoanalytic listening1

The analytic situation is by definition traumatic because it evokes hilflosigkeit, the state of helplessness of the newborn infant, which is the prototype of the traumatic situation, and at the origin of the experience of anxiety. The author addresses the chain of associations between the state of helplessness, repetition compulsion, trauma, infantile sexuality, pleasure and displeasure, which lie at the core of the transference experience, and which find their ultimate expression in the analyst's listening. The discovery of the compulsion to repeat instituted a paradigmatic shift in Freud's formulations, emphasizing the process of repetition of trauma, and instituting a link between the network of concepts indicated above. In the clinical example discussed, the author defines the psychoanalytic process by the primacy of sexuality, the erotic passivation in the transference that evokes the traumatic childhood sexual scene. Sexuality and sexual phantasies are at the centre of the elaboration of meaning. Furthermore, the author distinguishes between two types of interpretations, namely ‘open’ and ‘closed’.     

Sexuality and attachment: a passionate relationship or a marriage of convenience?

The ubiquitous and persistent bodily urges of sexuality and their vicissitudes are explored in this paper, focusing on the complex relationship between libidinal desire and the attachment system, especially the latter's affect-regulating function. This complicated interrelationship is highlighted with clinical vignettes. Implications for transference and countertransference are explored in the discussion of affect regulation and its possible sexual entwining. Clinical data is presented to highlight the plasticity of sexuality. Sexuality's protean nature allows for a reassessment of the case of Little Hans, with emphasis on the unique interconnections between sexuality and the vital need for an attachment relationship. Stressing such interconnections raises important questions about the traditional concept of psychosexual stages.     

Hysterical personality and sexuality of the female

The investigation involved 30 hysterical women, who were interviewed and who completed four questionnaires relating to: psychosexual development; attitude towards sexuality; sexual activity; and reactivity. Dysharmonic sexual development, and low levels of activity and reactivity in their sexual life was revealed. Contrasted with other groupings of female psychiatric patients, from a sexual point of view the female hysterical personality presents a special psychological case.     

Effects of social anxiety and depressive symptoms on the frequency and quality of sexual activity: a daily process approach

Diminished positive experiences and events might be part of the phenomenology of social anxiety; however, much of this research is cross-sectional by design, limiting our understanding of the everyday lives of socially anxious people. Sexuality is a primary source of positive experiences. We theorized that people with elevated social anxiety would have relatively less satisfying sexual experiences compared to those who were not anxious. For 21 days, 150 college students described their daily sexual episodes. Social anxiety was negatively related to the pleasure and feelings of connectedness experienced when sexually intimate. The relationship between social anxiety and the amount of sexual contact differed between men and women—it was negative for women and negligible for men. Being in a close, intimate relationship enhanced the feelings of connectedness during sexual episodes for only individuals low in social anxiety. Depressive symptoms were negatively related to the amount of sexual contact, and the pleasure and feelings of connectedness experienced when sexually intimate. Controlling for depressive symptoms did not meaningfully change the social anxiety effects on daily sexuality. Our findings suggest that fulfilling sexual activity is often compromised by social anxiety.     

The primal scene in cross-species and cross-cultural perspectives

A review of cross-species and cross-cultural research suggests that, throughout most of human behavioral evolution, children may have been enlightened as to the facts of life by observing parental intercourse and then imitating it in sexual rehearsal play in the context of a continuously rising curve of sexual desire and sexual knowledge throughout childhood. Concealment of the primal scene and prohibition of cross-generational, bisexual, and 'polymorphously perverse' childhood sex play may be of relatively recent origin in human cultural evolution, buttressed by the instillation of culturally acquired sexual disgust in sexually conservative cultures. Looking at the primal scene in cross-species and cross-cultural perspectives utilizing the adaptationist framework of contemporary evolutionary biology can challenge normative assumptions that may still be embedded in psychoanalytic theories of species-wide psychosexual development.     

Bare’ing it all for the Camera: Women’s Experience of Having Erotic Photographs Taken

One area in which a change in women’s sexual behavior has been observed is in the growing number of women who are having erotic photographs taken of themselves by professional photographers. The current research is an attempt to learn more about this unstudied phenomenon. In-depth, semi-structured interviews were conducted with 16 women who have had erotic photographs taken by a professional photographer. The interviews were subjected to thematic analysis. The women described the erotic photography experience as having positive implications, such as increased body esteem and feelings of empowerment, as well as giving the women the ability to see themselves as sexual and an opportunity to celebrate their bodies. Having erotic photos taken also provided women with the opportunity to create a sexual image in a photograph on their own terms. The findings provide insight into the changing nature of attitudes about women’s sexuality.     

"I no longer believe": did Freud abandon the seduction theory?

Recent accounts of the seduction theory and the question of its abandonment have emphasized the continuity of Freud's work before and after the seduction theory, claiming that Freud did not abandon his concern with the event of seduction but rather came to appreciate that an understanding of fantasy was also essential. This claim is challenged. It is shown that Freud did abandon the passionate concerns of his seduction theory for the most part; that he left behind his early interest in reconstructing unconscious infantile incest and focused instead on later, conscious seduction; that he at times clearly reduced apparent paternal incest to fantasy; that he turned away from the phenomenology of incest he had begun to develop; and that he theoretically nullified the value of the difference between real and fantasied seduction. It is also shown that, contrary to a persistent concern in psychoanalytic history, attention to actual seduction need not detract from the essential psychoanalytic concern with fantasy and infantile sexuality. Thinking about incest specifically illuminates the capacity for fantasizing, the core of the Freudian psyche. In this way the intuition of the seduction theory that there is something of distinctive psychoanalytic significance about incest finds support.     

Enjoyment of Sexualization and Feminism: Relationships with Sexual Self-Schema and Psychosexual Health

Feminists have debated whether enjoyment of sexualization (ES)—when women find sexualized attention from men rewarding—represents empowerment or patriarchal oppression. The purpose of this study was to investigate the psychosexual correlates of ES—sexual self-schema (SSS) and psychosexual health—among heterosexual college women (n?=?754) and men (n?=?389). Among women, ES was associated with a SSS in which women saw themselves as more heterosexual, more attractive, more open to unconventional sex acts, and having greater sentimentality about romantic relationships. Regarding psychosexual health, ES was not linked with general self-esteem but was associated with higher sexual esteem and lower sexual depression. Among men, ES was not related to SSS or psychosexual health. Overall, among women, ES was linked with positive outcomes, and it may represent women conforming to societal norms and using sexualized attention in order to obtain romantic intimacy. Rather than internalized misogyny, ES may represent an open approach to sexuality in which women take advantage of their sexualized position in society for their own empowerment.     

Males benefit twice—The influence of equity on affective and physical attraction in couples

We examined whether relationship satisfaction mediates the association between perceptions of equity in central areas of a relationship (feelings and attractiveness) and the experience of sexuality in a sample of 93 couples. Results reveal that greater levels of an individual's own relationship satisfaction significantly predict greater levels of an individual's affective and physical sexual attraction. Furthermore, findings also provide some support for the mediating role of relationship satisfaction between an individual's own equity perceptions and an individual's own experience of sexuality within the dyad. Moreover, males benefit from the females' perception of equity in the sense that equity considerations among females significantly contribute to their partners' relationship satisfaction, which, in turn, intensifies their partners' experience of passionate and emotional sex.     

Understanding the Sexuality of Infants Within Caregiving Relationships in the First Year

Infants’ innate joyful sexuality in the 1st year, as well as parental sexuality, are relatively neglected in models of clinical work with infants. We offer a developmental perspective that pays close attention to the body of the infant, in contrast to some psychoanalytic theories that view infantile sexuality as phantasy. With greater awareness of the infant’s body as sexual, therapists could develop a more resonant countertransference and become more aware of the experiences of the infant as subject. Some symptomatic difficulties are described, and the relevance for psychotherapeutic intervention with adults is indicated.     

The embodied self: thinking psychoanalytically in a time of 'science'

Abstract :  In order to be relevant in our 'scientific' times, it is necessary that we psychoanalysts situate our ideas in thoughtful and respectful relationship to neighbouring disciplines such as genetics, cultural studies, and neuro-anatomy. In this paper I suggest that, although psychoanalysis still continues to have valuable contributions to make to the understanding of human sexual experience and behaviour, in order to make these contributions relevant we must tune in with openness to the challenges posed by the unfolding discoveries in the other disciplines that grapple with the arena of human sexuality.
I will suggest ways in which research on sexual desire and gender identity may be assimilated into psychoanalytic thinking and give some examples of its use in analytic practice.     

Psychoanalytische Überlegungen zur Pädophilie

Following the long psychoanalytic tradition in the treatment of paedophiles, in a first step this article tries to define structural components of sexual delinquency that on the one hand correlate with the psychoanalytic model of psychic structures and on the other hand are consistent with the clinical experience of forensic psychotherapeutic practice. In a second step different levels of severity in the structural psychopathology of sexual delinquents are described by taking advantage of the object relationship theoretical conception of personality organisation. Finally, in a third step the psychodynamic features of these patients are highlighted, which have frequently been found and described in the clinical psychoanalytic literature on paedophilia including traumatising mother relationship, narcissistic object choice, inadequate triangulation, self-permuting drive, simulation and disturbance of identification.     

A fresh look at perverse behaviour.

A review of psychoanalytic thinking on perversions is offered and brought up to date with an outline of Kohut's concept of perversions representing sexualization of narcissistic configurations. An emphasis is made on the sexualization of the affects to underscore the structural defect in perverse behaviour. Broad constructions directed to the disavowal of feelings are considered most meaningful in analytic treatment of individuals suffering from sexual perversions.