Sadomasochism, sexual excitement, and perversion

Sadomasochism, an ingredient of infantile sexuality, is an essential part of normal sexual functioning and love relations, and of the very nature of sexual excitement. Sadomasochistic elements are also present in all sexual perversions. Sadomasochism starts out as the potential for erotic masochism in both sexes, and represents a very early capacity to link aggression with the libidinal elements of sexual excitement. Sexual excitement may be considered a basic affect that overcomes primitive splitting of love and hatred. Erotic desire is a more mature form of sexual excitement. Psychoanalytic exploration makes it possible to uncover the unconscious components of sexual excitement: wishes for symbiotic fusion and for aggressive penetration and intermingling; bisexual identifications; the desire to transgress oedipal prohibitions and the secretiveness of the primal scene, and to violate the boundaries of a teasing and withholding object. The relation between these wishes and the development of erotic idealization processes in both sexes is explored in the context of a critical review of the pertinent psychoanalytic literature.     

Von der Triade zum triangulären Raum

The concepts of oedipal triangle and early triangulations emphasize the significance of triadic relational experiences as well as corresponding phantasies for the psycho-sexual development and for mental functioning in psycho-analytic view. The connection of these triadic concepts with a symbolic and cultural framework leads to a fourth pole. It is only through this extension of the triad by a fourth pole to which the triadic scene is relating to that we can speak of a “triangular space” (Britton). By this turn of the existing two-dimensional concepts of triangulation into a three-dimensional space of imagination the experience inside the triad is becoming connected with the outside world. Thus the familiaristic reduction of thinking in the two-dimensional triangle father-mother-child is suspended in favour of a view which makes it possible to describe aspects of therapeutic triangulation more precisely.     

Some relations between the negative Oedipus complex and aggression in the male

The conflictual problems that accompany the Oedipus complex, in both its positive and negative (normal and inverted) forms, have long been recognized. It has also been well established that normal and pathological identifications derive from bisexual tendencies and from the complications of early life experiences that reinforce love or hate toward father and mother respectively. In the male, two mechanisms that can operate to bring about a predominant feminine identification and hence a negative or inverted Oedipus complex have been described. First, there is that of a primary identification with the mother, and the seeking of the father as object, with castration anxiety as a consequence. Alternatively, the sequence has been considered to involve positive oedipal wishes with mother as object; accompanying castration anxiety based on expectation of punishment; submission in a negative oedipal position as an attempted defense, only serving, however, to reinforce castration anxiety; and ultimately, a reversion to reactive aggression against the father. The links between unconscious homosexuality and paranoia in light of the foregoing dynamics have been indicated. The influence of preoedipal experience has long been presumed, though not systematically traced. With the advance of understanding of the earliest phases of childhood development, further clarification has become possible. Several factors are discussed in this paper, with illustrative clinical material. Included are the parental roles in perpetuating infantile conflicts of each libidinal phase, and in progression from symbiosis to successful separation-individuation. The resultant difficulties in ego development and in the establishment of mature object relations are described. The subsequent problems in mastering the tasks of the oedipal phase are detailed, showing the effects in terms of alternating positive and negative oedipal strivings. The adolescent-phase struggles are touched on, including the unrealistic ego-ideal structuring based on the negative oedipal stresses. Finally, the relation between unconscious homosexuality, beating fantasies, and paranoia is discussed, with the implications regarding aggression and its effects on psychopathology.     

Isakower-like experience on the couch: a contribution to the psychoanalytic understanding of regressive ego phenomena

Since Isakower's original contribution of 1938, Isakower phenomena have been viewed as primitive experiences involving maternal breast, womb, and face imagery. This clinical report harks back to the less well-known hypothesis with which Isakower concluded his paper: he suggested that these perceptual experiences are related to childhood oedipal masturbatory fantasies at the time of going to sleep. In this paper four Isakower-like phenomena experienced by a patient on the couch are reported in the dynamic context in which they occurred. It is argued that these phenomena constitute a type of regressive ego experience that defends against oedipal conflict.     

Orientations of psychotic activity in defensive pathological organizations

The author reviews some clinical experiences of the treatment of personality disordered patients suffering from internal domination of ego functioning by a defensive pathological organization. In particular, the function and purpose of perverse, sadistic attacks by the organization on the ego are considered and questions pertaining to technique are raised. It is suggested that different forms of sadistic, subjugating activity by pathological organizations may denote differences in intent borne of the type and severity of the psychopathology of the individual. Patients with severe narcissistic psychopathology for whom object contact has become associated with the arousal of intense psychotic anxieties seem more likely to be subjected to an invasive, annihilatory imperative by the pathological organization, the purpose of which appears to be to obliterate the experience of contact with any differentiated object, to avoid emotion and to use coercion to enforce a primitive identification by the ego with the psychotic organization in the mind. Certain patients with less severe narcissistic psychopathology, yet for whom object contact can also be associated with the arousal of psychotic anxieties due to intense or persistent conflict with the object, sometimes expressed as organized sadomasochistic clinging to a punishing and punished object (for example, in certain borderline or depressed patients) exhibit sadistic attacks that serve less to annihilate object contact and more to intrusively control and punish the object. Observations of these phenomena have been made by a number of psychoanalysts in recent decades and these contributions are discussed. This paper is addressed primarily to the implications for technique with such patients, particularly a need for triangulation of their experiences of oppression in order to loosen the controls over the ego by the pathological organization.     

Narcissism, hypochondria and the problem of alternative theories

This paper is an experiment in conceptual integration and clinical theory testing. Its argument is that narcissism and sexual object love develop from a single source and continue to interact during childhood development and adult life (Freud) and that drives in their oedipal and other formations are not merely disintegration products of narcissism (Kohut). Material from two analyses, supplemented by material from two others, indicate that narcissistic injury was a significant factor in the neuroses of these patients but that aggressive and libidinal conflicts were also decisive such that their hypochondriac symptoms were compositions of their interacting causality. As a result these neuroses are negative instances of Kohut's theory of narcissism. The hypochondriac symptoms as they emerged could not have had the structure and dynamics they actually had nor could the analytic process these patients underwent have achieved the far-reaching and durable amelioration of these symptoms that occurred. On the positive side, these analyses are but two inductive instances that support Freud's theory. However, one major difficulty of the faddishness of psychoanalytic theorizing is that much of worth is lost from general theories that turn out not to be supportable. The clinical material from these two cases which disprove basic elements of self-psychology metapsychology also require adjustments to classical theory that integrate the contributions of self-psychology to psychoanalytic clinical theory.     

Early object loss and denial. Developmental considerations.

The psychoanalytic treatment of a young woman whose father had been killed in a concentration camp when she was four years old serves to illuminate certain aspects of libidinal and ego development, particularly as it touched on the effects of losing one's father just before entering the oedipal phase and on the defensive use of denial in lieu of mourning. Further consequences of the patient's loss are seen in the extent to which it influenced the self-image, sexual identity formation, and superego functioning, especially with regard to the role of guilt.     

The absence of the father.

The author discusses the role of the father in early development through the concept of triangulation. Three male patients are presented who seemed to lack images and memories of their fathers and experienced them as absent, despite their physical presence during childhood. In these men, the oedipal phase appeared skewed and a dyadic relationship with the mother dominated the material. They reported a lack of a sense of masculinity and a phobic concern about the dangers of male violence, along with feelings of specialness and grandiosity. Analytic data suggested that the image of an absent father reflected a process akin to splitting of the ego, in which the significance of the father was disavowed and the patients fantasized a special role with their mothers; via projection, the fathers reappeared as dangerous intruders. It is proposed that this structure derives from a specific developmental situation in which a disturbed parental relationship has impaired the father's position as a "third" in the early triangle. The child's sexual and aggressive tensions cannot be contained in his fantasies of the couple and must be projected outside. The absent father returns in the transference, where the analyst is reexperienced as useless and absent and as a threat to the specialness of the dyad, thereby recapitulating the predicament of the child.     

Structural Determinist Aspects of Depression in Freud's “Mourning and Melancholia”

This article examines Freud's theory of depression based on his paper “Mourning and Melancholia” from the structural determinist paradigm. The reality of depression lies in the underlying structure of the mind in which Freud's libidinal drives and topographical structure of mind bring forth conflicts in relation to an object. Freud delves into the fundamental causes of depression and points out that loss of object, regression of libido into the ego, and ambivalence cause hidden conflicts, which manifest themselves as depressive symptoms and feelings. William Styron's Darkness Visible is used to illustrate its relevance to the structural determinist aspects of Freud's psychoanalytic theory of depression.     

MOURNING,DREAMING, AND THE DISCOVERY OF THE OEDIPUS COMPLEX

The author argues that the structure of mourning and the structure of the Oedipus complex are triadic, the latter being obvious and easy to conceptualize, while the former is quite subtle. When it is the father who is mourned, the son must repeatedly invoke the dead object so that libidinal cathexis can be reinvested in living objects. Such was the situation in which Freud found himself in 1896 when his father died—the triadic nature of the Oedipus complex ironically not yet discovered by him. In the author's belief, Freud's mourning and his attendant rich dream life occurring between 1896 and 1897 gave him access to the unconscious raw material that would eventually help him conceptualize the triadic structure at the instinctual core of the Oedipus complex.     

Regressive experiences in Vietnam veterans: Their relationship to war,post-traumatic symptoms and recovery

Regression has been commonly associated with war and postwar symptomatology. Posttraumatic symptoms have been considered regressive when manifested by chronic dependent behavior or outbursts of primitive, aggressive behavior. Recovery from regressive symptoms may in itself induce regressive experiences since recovery necessarily leads to another change in ego boundaries; rigid or fused boundaries becoming realigned, intact, and flexible. Recovery therefore requires a stable and trusting therapeutic relationship to gradually permit such changes. Psychological treatment of Vietnam veterans often has occurred in phases with immediate management of regressive symptoms occurring during early phases and induction of regressive states has often occurred during late phases to facilitate integration of split-off traumatic experiences and emotions.     

Aspects of psychoanalytic theory: drives, defense, and the pleasure-unpleasure principle

Freud explained certain fundamentally important aspects of mental motivation by assuming the existence of two drives, one libidinal and the other aggressive/destructive. Elements of this theory that seem invalid are identified and discussed, and revisions are proposed that appear to have more validity and greater clinical usefulness.     

The uses of moral ideas in the mastery of trauma and in adaptation, and the concept of superego severity

The power of moral ideas, here equated with superego strength, has been explained in increasingly complex terms over the course of the development of psychoanalysis. At first regarded mainly as useful in opposing oedipal instinctual demands, morality came to be seen also as opposed to aggressive wishes while at the same time capable of gratifying aggressive and libidinal forces. In this paper, I discuss the contribution to the strength of morality that comes from the effects of painful ("traumatic") experiences and from the use of moral ideas for social, adaptational purposes. In addition I consider the possibility that unchanging moral ideas can have changes in function in clinical work. A case is presented to illustrate these points.     

The creative thinking and ego functioning of children

Abstract:

One hundred highly creative children and 100 uncreative children were selected from a sample of 1,450 fifth‐ and sixth‐grade children. They were identified with the the Torrance Tests of Creative Thinking (TTCT). Comparisons revealed significant differences in terms of quantity and quality of primary process content. The creative children gave not only more primary process ideation, but the quality was (a) significantly more libidinal than aggressive, (b) more regressive (greater DD), and (c) showed more effective use of regression in the service of the ego (calculated by using the popular response to score defense effectiveness). There were no sex differences in the TTCT scores or the primary process content, but girls gave more libidinal content and boys gave more aggressive content.     

On the psychodynamics of collecting1

The urge to collect is a ubiquitous phenomenon which has anthropological, sociobiological and individual psychodynamic roots, but occurs far more frequently among men than women. The author examines the reasons for this gender difference and defi nes systematic collecting to distinguish it from addictive, obsessive and messy collecting, and from related phenomena such as perversion. The mode of collecting and choice of object are important indicators as to the unconscious psychodynamics of a collector and offer opportunity to describe his structural level. Collecting ranges across a broad spectrum, from an ego‐syntonic integrated mode, i.e. sublimation, to a neurotic defence against pre‐oedipal or oedipal traumas and confl icts. Alongside this drive‐theoretical approach, object and Kleinian theory are also applied to the understanding of collecting. Collecting represents a specifi c form of object relating and way of handling primary loss trauma, which is different from addiction, compulsion, or perversion. Under certain circumstances collecting can also result in a successful Gestalt or way of life. The paper concludes with a case study showing how collecting develops from a pre‐oedipal to a more integrated oedipal mode during the course of the analysis, which is refl ected in changes in the transference.     

Triadic reality and the capacity to love

The author describes the concept of triadic reality, which he sees as a necessary prerequisite to healthy negotiation of the oedipal phase. Without positive representations of both parents individually-and, significantly, of both parents together in relation to the child-the child is hampered in her efforts to achieve a sense of triadic reality, resulting in difficulties in self representation and in object choice, as well as a limited capacity to love. A detailed case report is presented, highlighting relevant aspects of the author's work with a patient named Marielena.     

Permeability and Demarcation in the Psychoanalytic Process Functions of the Contact‐Barrier1

Introjection, identifi cation and projection are concepts that designate processes in which something is being put into or taken out of something else. These processes presuppose the overcoming of some form of separation between two entities. The permeability or impermeability of a fi ctive boundary between the representations of subject and object set the emotional tone of their coexistence. There are moments of complete diffusion, in which subject and object can no longer be differentiated, and moments of autistic enclosure in which the individual can no longer be reached at all. Permeability and demarcation result from the processing of stimuli carried out by the ‘contact‐barrier’, as an ego function. Stimuli of internal, libidinal or aggressive origin, as well as ‘im‐pressions’ of external origin, are classifi ed and processed with the aid of various kinds of factors arising from coagulated object‐relational experiences. Whereas for Freud the contact‐barrier regulates the quantity of energy and founds a topographical structure, Bion understands the contact‐barrier as a psychic function that simultaneously regulates boundary demarcation and making contact. In the psychoanalytic process, the contact‐barrier created by patient and analyst regulates the events in the transference and countertransference. An awareness of the struggle for contact and demarcation at the dynamic boundary representations that are constantly being recreated by both partners in the analytic process may be helpful in our clinical work. The author presents an examination of the ways in which patient and analyst make contact and demarcate the boundaries, which provides a better understanding of the dynamics of transference processes. He demonstrates this in relation to clinical material.     

Narcissism and superego development

To elucidate the role of the superego in th maintenance of narcissistic equilibrium, we reviewed Freud's ideas about narcissism and the superego as well as the relevant theories of Kohut, Kernberg, and certain ego psychologists. These latter authors offer an alternative mode of understanding narcissism more consistent with Freud's structural theory, one in which signal affects and superego functioning play a central role in normal development and in the pathogenesis of narcissistic disturbances. Early steps in superego formation were then examined schematically to elucidate the interaction of environmental influences and emerging psychic structure. We suggested that the first step in a developmental line toward superego formation is based on the affective qualities experienced in the course of self-object differentiation. Subsequent steps examined were introject and ego-ideal formation; compliance with th object; compliance with the introject; identification with the introject and the ego ideal; and finally, with oedipal resolution, the integration of superego nuclei into a progressively structuralized autonomous superego system. This system achieves growing independence from the drives and from pressures from early introjects during the course of latency, and functions to maintain the demands of the conscience and the standards of the ego ideal; rewards or punishments result when these demands and standards are or are not met. The final stage briefly considered here was the revision, modification, and elaboration of moral codes and the ego ideal as part of the adolescent process. Narcissistic vulnerabilities at various stages were pointed out in an attempt to stress that a particular clinical picture in later phases of development or adulthood may derive from any of several development points of origin and from one or more etiological factors.     

Three strands of narcissism.

The development of narcissism is usually studied from the standpoint of the drives, or more specifically of the libido. This paper considers narcissism from the standpoint of the ego and seeks to delineate separate developmental lines. From this point of view, a variety of forms may be distinguished which are ordinarily structured during the oedipal period. It is postulated that narcissism cannot be considered as truly separable from the vicissitudes of the love and hate of objects. This formulation makes possible consideration of recent observations concerning the 'narcissistic personality' without requiring major new economic, structural, or dynamic metapsychological constructs.     

The danger in deception: oedipal betrayal and the assault on truth

Certain potential precursors to heterosexual women's experience of partner infidelity are explored as these dynamics unfold within the oedipal crisis-the "betrayal" by the oedipal objects. As each child moves into the oedipal phase, he or she comes to recognize not only desire for the mother, but the mother's desire for the father. A doubling of this experience of "deception," encountered first in relation to the mother, and then repeated with the father, may be especially pronounced for a girl, as she is likely to inhabit more fully her bisexual potential in negotiating the expected shift of object choice from mother to father. "Deceived" by her primary maternal oedipal object, a girl sets forth toward her paternal oedipal object with "fidelity" already an issue, and with faith in her mind's ability to determine reality already shaken. Undermined trust in self and other is the context in which she begins the oedipal relation to her heterosexual object. This path is quite distinct from that traveled by the heterosexual boy. Clinical material illustrates the assault on one's mind, on one's confidence to determine what is true, that is a central aspect of both oedipal and adult betrayal.