Infantile sexuality and Freud's legacy

The topic of sexuality and infantile sexuality, though less frequently discussed by psychoanalysis in recent decades, has received renewed attention for some years. The intention of this paper is to share some reflections around the role of infantile sexuality in our thinking, how we encounter it in our work with patients and in clinical material. Through reference to questions put forward by Freud (1905) in Three Essays, this paper takes into consideration some areas of the debate that has developed on the subject of infantile sexuality, starting from Freud's original intuition, including various hypotheses on the genesis of the sexual drive. The author will concentrate on two specific points. Firstly, how infantile sexuality – as a permanent dimension of the subject's existence – unfolds in the relationship and is deeply influenced by it. And that is how in childhood and adolescence, infantile sexuality ushers in parental sexuality – just as, in the case of our patients, infantile sexuality ushers in the analyst's sexuality. The second point pertains to the temporal dimension within which infantile sexuality is inscribed. The hypothesis that the author proposes is that infantile sexuality may be understood in the specific time of psychoanalysis [Nachträglichkeit], distinct and different with respect to the linear, evolutionary dimension.     

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.     

Infantile sexuality: Its place in the conceptual developments of Anna Freud and Donald W. Winnicott

This essay explores the place of infantile sexuality in the theories of Anna Freud and Donald W Winnicott. Both Anna Freud and D.W. Winnicott incorporated and at the same time changed the classical psychoanalytic account of infantile sexuality and the instinctual drives. Whilst Anna Freud remained closer to her father's original conceptualization, she developed a multidimensional model of development which gave the drives a foundational status whist also maintaining their significance in giving meaning and texture to children's subjective experience. Winnicott also retained much of S. Freud's original theorizing except that in a fundamental way he turned it on its head when considering earliest development. For him the establishment of the self was paramount, and the drives and infantile sexuality merely served to give substance to that self.     

A reconsideration of Freud's essays on sexuality and their clinical implications

This paper considers some of the concisely presented material of the second of Freud's Three Essays on the Theory of Sexuality (1905a), on "Infantile Sexuality." The author puts forward the view that infantile sexuality may be thought of not simply as an immature stage that must be passed through, but also as a pool of psychic experiences upon which mature personality organization can continually draw, in dynamic oscillation among different mental positions. The link between infantile sexuality and the structuring of the psychic apparatus, discussed in the first and third of the Three Essays ("The Sexual Aberrations" and "The Transformations of Puberty"), raises questions that are still open to further research.     

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.     

Trieb und Instinkt

To say that human beings also have a self-preservation instinct just as animals is only meaningful in the sense of attachment and affection mediated by mutual communication. It is from the beginning covered up by the truly human sexual phenomena of seduction and narcissistic reciprocity. Beside that we have a sexual drive which has a more important, not to say, decisive role from birth until puberty. This latter is the subject of psychoanalysis because it is anchored in the unconscious. Finally, we also have an (innate, endogenic) sexual instinct which appears in puberty persisting the whole adult life and meets at its appearance the infantile sexual drive which was existing all the time. It is very difficult to give an epistemological definition of the (innate) sexual instinct because it does not manifest itself in a pure form, but only in unclear transactions with infantile sexuality dominating the unconscious. The subject of psychoanalysis is the unconscious and the unconscious is itself the sexuality sensu Freud, the pre-, para- or genital infantile sexuality. The sexual has its origins in the phantasy which is naturally anchored in our body.     

Infantile bisexuality and the 'complete oedipal complex': Freudian views on heterosexuality and homosexuality

In the psychoanalytical discussion of what is 'mature' sexuality we speak of the 'genital' stage and the 'resolution' of the oedipal complex in the form of identification with the parent of the same sex and a heterosexually-directed object choice. A close reading of Freud's texts about sexuality shows that such a normative view cannot be corroborated by his viewpoint. He suggests that infantile sexuality is bisexually orientated, the final object choice due to repression of either homosexual or heterosexual desires. As Freud puts it, genital heterosexuality occurs out of necessity for procreation. In order to enrich the present psychoanalytical discussion about homosexuality and bisexuality the author returns to Freud's theories in this context.     

Using psychoanalytic concepts to inform interpretations and direct interventions with a baby in working with infants and parents

Abstract

How can some classical Freudian concepts such as defense, transference, infantile sexuality, and the role of the body ego and superego in the first year of life be applied to help the analyst working with parent–infant dyads? The case of a newborn that could not look at her mother, who did not feel empathy towards this child conceived as a result of an egg donation, was understood using Winnicott’s notion of early superego and the lack of libidinal pleasure. The notion of defenses towards primitive anxiety and the role of unconscious maternal functioning were helpful in helping the child as well as the parents to regulate their interactions.     

“Ghosts in the Psychoanalytic Nursery”: Response to Lieberman & Harris

In this discussion, I elaborate on the question of why fear, per se, has been relatively absent from psychoanalytic dialogues, and of how to think about the relative primacy of fear, aggression, and infantile sexuality. In response to Harris, I consider some of the ways that contemporary neuroscience and evolutionary theory deepen this discussion. And, following Lieberman, I reflect on why it can be so difficult to hold and process our patients’ fear and trauma.     

Infantile sexuality, gender identity, and obstacles to oedipal progression

Contrary to when it was first proposed, infantile sexuality nowadays is accepted as an important part of child development. However, Freud's views on masculine primacy and feminine inferiority are seen to be incomplete and inaccurate not only because they over-emphasize sexuality and sexual anatomy, but also because they neglect aggression, object relations, ego and superego functioning, and the sense of self. Infantile sexuality is therefore reconsidered within the broader perspective of gender identity. Within this broader perspective, normal and aberrant sexual development is discussed, and new ideas are offered about familiar concepts such as castration anxiety and penis envy.     

A new look at the vulnerability of puerperal mothers — A clinical study of two inpatient families at the Cassel Hospital

SUMMARY

The paper reviews some previous writings by Dr. Tom Main and Dr. Peter Lomas about the work of the Cassel Hospital with puerperal mothers. It goes on to describe the case histories and treatment of two patients recently treated with their families. The emphasis is on actual material produced in therapy but with reference to other aspects of the much wider treatment structures employed by the Cassel, for example the nursing and the community. Important aspects focussed upon include the essential experience of good mothering in becoming a mother, how closeness to the infantile impulses and urges of a real baby can lead to profound measures of identification and projection, and the effects of motherhood on femininity and sexuality.     

L’abord de la sexualité par les professionnel·le·s de santé en oncologie : une revue de la littérature

The improvement in medical techniques has drastically modified the practice of care in oncology. Supportive care, geared towards supporting patients with chronic illnesses, now occupies a greater place alongside treatments aimed at survival. These changes have conducted some health care professionals to be more interested in patients’ quality of life and, in particular, to the impact of cancer on sexuality. Repercussions on sexuality are actually one of the most problematic aspects of patients’ quality of life post cancer. The aim of this paper is to draw up a review of the English and French literature on this “new” concern which still seems to raise many challenges in practice. Our review emphasizes that despite the recognition of the importance of addressing sexuality issues post cancer in oncology, in their practices, physicians as the nurses alike find it difficult to address. In addition, it underlines that the dominant social representations of sexuality – in terms of gender, sexual orientation and age – have permeated health care professionals’ subjectivities and, at the same time, influence how sexuality is address and interfere with a systematic discussion of these issues throughout the care process. Our discussion tackles the lack of psychologists, both in research and clinic, regarding these issues. Finally, our conclusion highlights the contributions of psychology facing issue posed by sexuality in oncology.     

Early infantile development as reflected in the psychoanalytical process: steps in integration

The contention of this paper is that early infantile development is reflected in the infantile part of the transference. When it is well integrated it gives rise to an underlying non-verbal communication which gives a depth to other communications. When not integrated it gives rise to acting in as a primitive mode of communication. When this is understood the primitive experience can be integrated, symbolized and partly at least verbalized. The development of the infantile part can be followed in the fluctuating moves towards integration. Two examples are given. In one case I show how many analytical understanding leads to the integration of a split off primitive pre-verbal experience and the connexion of such integration with the development of speech. I also show how a failure of understanding on the analyst's part, repeating a developmental failure can affect this process adversely. In the second case I show integrative processes connected with weaning and the integration of the weaning process with genital sexuality.     

Improbable Possibilities

Whether or not a woman can “choose” her sexuality has been subject to debate because it contests essentialist notions of sexuality as fixed and determined early in life. This article explores the variabilities among women in sexual object choice and expression and elaborates on the claim that women's sexuality is fluid. It does so by presenting a summary of interviews with women of all sexual orientations who do, in fact, experience their sexuality as a conscious choice. Their own words reveal the plasticity of sexual attractions, experiences, and identities and the more fluid sexuality that emerges as a result. The article also highlights the importance of considering cultural and historical context—specifically the contemporary feminist movement—as it affects the range of possibilities in women's construction of their sexual desire and identity.     

"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.     

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’.     

Freud's view of hysteria in light of modern trauma research

Freud's earliest notion of the aetiology of hysterical symptoms was based on his hypothesis on the importance of trauma dissociation, upon which he began to construct his first theory of neurosis. Soon, his conception of trauma narrowed to apply only to sexual trauma, and later only to childhood experiences of sexual abuse by the father. He substituted these earliest variations on a theory of neurosis with the libido theory due to his discovery of infantile sexuality, the poor treatment results he had with hysteric patients, the frequency of hysteria symptoms, the difficulties he had in distinguishing between his patients' internal and external realities and the ambiguous nature of the reasons behind the patients' problems, presumably due to repression. Recent trauma research, however, has rediscovered trauma dissociation, which is separate from repression. This has led to a new theoretical understanding of trauma-originated dynamics and the development of corresponding treatment interventions. In this paper, the author analyzes the development of Freud's conceptions of hysteria in the social-clinical cultural context of his period, as well as the reasons which led Freud to abandon the notion that trauma dissociation was an underlying cause of hysteria symptoms.     

FREUD'S LETTERS TO FLIESS: FROM SEDUCTION TO SEXUAL BIOLOGY, FROM PSYCHOPATHOLOGY TO A CLINICAL ANTHROPOLOGY

The author describes the development of Freud's theory of neurosis from 1892 onwards, starting with his distinction between the actual neuroses and the psychoneuroses and his discovery of a specific, sexual aetiology for both, until which point it remained limited to pathology. The problem of the aetiology of perversion, however, confronted him with a paradox within the theory of seduction: how can an infantile sexual pleasure produce unpleasure when it is remembered at the time of puberty? This problem could not be solved within the framework of the seduction theory because the asexuality of childhood was essential to this theory. For an answer Freud had to turn to biology. He considered that the transformation of an infantile pleasure into unpleasure presupposed an organic repression of non‐genital sexual pleasure. This hypothesis of organic repression radically changed the anthropological claim of Freud's theory. As long as he was looking for a specific aetiology of neurosis and perversion, Freud's theory remained restricted to pathology. However, when he introduced infantile sexuality and its organic repression as universal organic processes, the strict distinction between normality and pathology could not be maintained. The author concludes that by turning to sexual biology, Freud transformed psychopathology into a clinical anthropology.     

Linking Sexuality and Spirituality in Childhood: Beyond body‐spirit dualism and towards an education of the inspirited sensual body

The literature on spirituality in education and sexuality education rarely, if ever, examines the links between sexuality and spirituality. This problem is rooted in the body-spirit dualism that has permeated, and continues to permeate, Western culture. Although a growing number of authors refer to the importance of the so-called 'body-spirit/ mind connection', the dominant perspective remains dualistic. The body continues to be perceived as an object or commodity, as something to be escaped. This paper suggests that body and spirit, sexuality and spirituality, are not separate tandem realities or expressions of higher and lower realms, but rather are two mutually enriching aspects of whole persons. A spiritual-sexual life finds its fulfilment in a deeper and more fully integrated engagement with 'the pleasures of the flesh', and the path to a richer integration of sexuality and spirituality begins in infancy through an education of the inspired sensual body.     

Passions in girls and women: toward a bridge between critical relational theory of gender and modern conflict theory

This paper considers (1) some aspects of the lack of dialogue among psychoanalytic schools; (2) Brenner's (1982) conception of drives and drive derivatives as inextricably linked to relationships, and some of its less-appreciated implications; (3) the debate over the importance of childhood sexuality in mental life; (4) the attempts by relational theorists to address and reintegrate the role of sexuality and gender, particularly in the study of feminine psychology; (5) the problematic role of aggression in psychoanalytic theories of women; (6) the avoidance by both men and women of women's passions and their anatomical loci, especially the clitoris, whose only function is the provision of pleasure; and (7) the suggestion that an integrated theory, including an understanding of the role of the body as well as of the passions and the defenses against them, results in the most effective clinical psychoanalytic approach. It then suggests that a bridge could be built between a relational point of view that takes into consideration the role of bodily experiences, and a classical point of view in which drive is seen as inextricably linked to relationships from birth on.