Suicide and the Rorschach: A Rueful Postscript

A review of the Rorschach suicide literature written 10 years ago called for cross validation studies and the use of refined methodology in order to enhance the usefulness of the test as a device for the identification, prediction, and understanding of suicidal ideation and behavior. The present followup review was undertaken and it was concluded that careful and refined research methodology can somewhat enhance sensitivity of the Rorschach to suicidal activity. It was also concluded the replicative research has not supported previously promising Rorschach suicide indicators, suggesting that the Rorschach may be an inappropriate technique for assessing suicidal activity.     

Psychoanalysis and academia: Psychoanalysis at the crossroads between exact and human sciences

Abstract

It is proposed that the mental health crisis in “developed” societies is largely due to the fact that psychology is heavily based upon an exact science model academically, and upon a medical model clinically. Indeed, these models favor an apperception of mental pathologies as essential entities with a biological etiology, and this reification facilitates a process of nonimplication of the sufferer as concerns his condition. The progress in brain sciences holds the promise of acknowledging psychology as an autonomous discipline, properly describing mental logics, which are constrained, but not determined, by brain characteristics; moreover, mental logical operations mandatorily need content from the contingent history of the subject's life to become instantiated. Psychology, then, is at the interface between an exact science and a human science epistemology. Consequently, we need psychologists and clinicians in the field of mental health who can apply a particularized approach to mental distress, who can deal with the personal feeling of nonmastery, who can base their clinical thinking on the patient's story, and who thereby systematically stay away from any essentializing temptation, while simultaneously being aware that the theoretical framework they operate from is embedded in a continuous scientific dialogue. Psychoanalysis is at that crossroads.     

Catharsis: Psychoanalysis and the theatre

The notion of catharsis, in relation to tragedy, was introduced by Aristotle in his work Poetics. Over the centuries, Aristotle's innovative and enigmatic reference to this process has been widely commented on and given rise to intense controversy. In 1895, Freud and Breuer reconsidered this notion in their Studies on Hysteria, where they present the so-called cathartic therapeutic method. It is not, however, this aspect of psychoanalytical theory that the author of this article seeks to elucidate: drawing on a detailed study of the references to tragic catharsis in the work of Freud and Lacan, the author proposes to examine their implications for psychoanalytic treatment.With specific reference to Freud's article Psychopathic characters on the stage (1905) and Lacan's commentary on Sophocles' Antigone (1960), the author argues that catharsis is to be understood not so much as a mechanism of discharge linked to abreaction, but rather as the actual analytic process itself during which the Subject is 'unveiled' and thus faced with the enigma of his own desire.     

Psychoanalysis: The Sacred and the Profane

Colleagues from a variety of perspectives have written about the propensity to enshrine psychoanalytic theory. The meaning of the word “enshrine” is to cherish as sacred an idea or philosophy and protect it from change. In other words, the way we view psychoanalysis, our theories of mind and technique, become holy writ and we have divided the world of theory into the sacred and the profane. This is the kiss of death for theory, which must constantly evolve and change, but comforting for the analyst who believes he is on the side of the right, the sacred. In this paper I will discuss how our propensity to enshrine theory has had a debilitating effect on the development of psychoanalysis and, in particular, as a treatment for the most vulnerable people who seek our help. I also address the idea that movement away from enshrined positions allows us to construct different versions of reality. In this context, the notion of “action at a distance” is presented along with the attendant idea of psychoanalytic entanglement.     

Sleeping Dogs: Psychoanalysis and the Socio-Political

Psychoanalysis deals with what unconsciously mediates our relationship to reality. Our “ordinary clinical terms” (Holmes, this issue) include the press of drives and its fantasy derivatives, the history of early attachment and object relations, lifetime and intergenerational legacies; these are the elements that we assume shape psychic reality. As a discipline we are less likely to interrogate the profound and ongoing ways in which we are spellbound by ideology and are less likely to address racism, homophobia, misogyny, and privilege as central. What I hope to address in this discussion is why considering the socio-political is actually quite complicated for psychoanalysis.