THE ‘MEDEA FANTASY’: AN UNCONSCIOUS DETERMINANT OF PSYCHOGENIC STERILITY1

The author begins by pointing out that myths have always been powerful vehicles for the projection of ubiquitous unconscious fantasies. Having noted the importance of certain male protagonists of the Greek myths in Freud's theories, she observes that their female counterparts exert an equal fascination and suggests that the Medea myth as recounted by Euripides can be invoked to elucidate a central unconscious fantasy found to underlie the psychogenic frigidity and sterility of several of her female patients. The manifestation of this ‘Medea fantasy’ is illustrated by a clinical account in which a dream is analysed. The author next summarises the Medea story as told by Euripides and attempts a psychoanalytic interpretation of it. She draws attention to features of the ‘unconscious truth’ inherent in the myth that were shared by all the members of her group of patients. A case history then shows how the progressive understanding and working through of the Medea fantasy led to a change in the analysand's experience of femininity and enabled her to have children. It is postulated that both early infantile sexual fantasies and repressed memories of early objectrelations traumas such as maternal depression combine with ubiquitous bodily fantasies to produce the unconscious Medea fantasy.     

Unconscious fantasy (or phantasy) as clinical concept

A clinical phenomenology of the concept ‘unconscious fantasy’ attempts to describe it from a ‘bottom‐up’ perspective, that is, from the immediate experience of the analyst working in session. Articles of psychoanalytic authors from different persuasions are reviewed, which taken as a whole would shed some light on how the concept of unconscious fantasy takes shape in the analyst's mind during the session with the patient. A clinical phenomenology in three steps is described. Each step is illustrated by clinical material. Current controversies around the concept of unconscious fantasy (or phantasy) are still trapped in the discussion about if and how they are really unconscious. The strategy to describe from a ‘bottom‐up’ perspective the process of how the analyst's mind embraces the idea that an emerging phenomenon in the relationship with the patient can be defined as ‘unconscious fantasy’, allows us to elude the question as to whether or not we believe that unconscious fantasies exist at all, since we are neither required to assert or deny such a prior existence in order to describe the process of elaboration which, in the end, does formulate a fantasy as fantasy.     

THE SEDUCTIVE SUPEREGO: THE TRAUMA OF SELF-BETRAYAL

The author describes a pathological manifestation of the approving superego that functions as a perversely seductive superego. In this process, the seductive superego rationalises and makes ego-syntonic a gratification of forbidden wishes that will result in unconscious punishment. The author argues that the seductive superego torments the self by teasing it with the presence of a tantalising but forbidden object of desire and then by inflicting shame on the self for its timidity, which prevents it from pursuing the object in spite of the dangers. He suggests that the seductive superego inflicts a betrayal trauma upon the self by unconsciously actualising a sado-masochistic fantasy of seduction, surrender and betrayal, along with a humiliating punishment for surrendering.     

The screen function of unconscious fantasy

Although being a fundamental concept in psychoanalysis, fantasy is an ambiguous term. It covers a vast field of conscious and unconscious phenomena, from daydreaming, the manifest narration of the patient’s world of imagination to unconscious fantasy and primal fantasy. Further, it introduces the delicate alternatives of imaginary versus real, subject versus object and internal versus external. Following Freud’s reflections on the ambiguity of fantasy, we arrive at an idea introduced by Freud himself, but elaborated years later by Lacan. Fantasy, accordingly, is seen as a screen which both reveals and conceals. Our aim is to demonstrate, theoretical as well as clinical, how unconscious fantasy serves as a window into not only repressed wishes and conflicts, but also the most primary scenes where the subject may not even have a specific place. Simultaneously, it is the site of protection and defence, including projection and denial, but also repetition of what we will call the identical. A clinical case will be presented to illustrate our theoretical ideas and their clinical implications.     

Transformations of unconscious fantasy in art

Unconscious fantasy is conceptualized as a representation for drive-related, conflict-laden, wish-fulfilling views of human experience. These are usually related to sexuality, and refer to birth, intrauterine existence, primal scene, castration, and seduction. Unconscious fantasy may be transformed into works of art through a variety of artistic means. The employment of formal means for the representation of fantasy may be the product of an endopsychic perception. Thus, structural attributes of the psyche may also find representation. An example is used from the creative process in the construction of a novel by Henry James, The Spoils of Poynton. In the process of fulfilling artistic purposes in the construction of his plot, the author made use of derivatives of unconscious fantasy which surface in the process of creation. The work of art is the integration of unconscious derivatives which become transformed into artistic structure.     

AFFECT,SYMPTOM, FANTASY,DREAM: CLINICAL AND THEORETICAL CONSIDERATIONS

A symptom being studied in the process of analysis can be seen as not unlike the unconscious affect it sprang from. The author presents a case in which a symptom, premature ejaculation, was analogous to the unconscious affect of guilt, which itself seemed to be a premature defensive transformation of a deeper current of anger. Guilt was interpreted as if it were a psychic premature ejaculation, a defensive derailment of anger. Fantasy and dream seemed to be engaged in similar transformations, with a fantasy of “premature incarceration” not unlike the symptom itself in its analogous functioning. Analysis of affect, symptom, fantasy, and dream in complex, integrative analytic process led not only to resolution of the symptom itself, but also to a deeper understanding of the mind's complex functioning in general.     

The Cocreation of Fantasy and the Transformation of Psychic Structure

This author argues that therapeutic action in child psychoanalytic psychotherapy rests with the creation and transformation of fantasy through play, which in turn shifts psychic structure. The paper details the treatment of an eight-year-old girl whose mother's inability to playfully participate in the inner world of her child interfered with the child's development of a fantasy life. The author suggests that the introduction of objective reality (i.e., interpretations that link the child's play with the real world) potentially impinges on and interferes with the transformational processes of fantasy. Developing the capacity to distinguish reality from fantasy does not take place through a forced accommodation to reality, but rather through the expansion of fantasy and a widening of the realm of the imagination. The elaboration of fantasy in concert with a parent or analyst is what builds the child's capacity to differentiate reality from fantasy.     

Attachment-dissociation network: some thoughts about a modern complex theory

The paper revises the complex theory in the light of modern infant research, neurosciences and object relation theory. The author takes up Jean Knox's idea to understand complexes as analogies to the internal working models of attachment theory. The author proposes to understand complexes as dissociated sub-networks out of the network structure of the psyche; these sub-networks contain the internal working models, the characteristic affects and unconscious expectation phantasies. With this network model one can try to understand severe defensive organizations in some patients as a pathological organization of different complexes. This is illustrated by a clinical example.     

Sexual metaphor and the language of unconscious phantasy

This paper investigates the attempt to find a 'bedrock' for psychic life in the idea of unconscious phantasy. Through a detailed examination of the development of the concept of unconscious phantasy, especially in Kleinian discourse, it is argued that unconscious phantasies are inherently metaphorical and have no 'concrete' existence in the unconscious. The use of unconscious phantasy as metaphor enables a 'two-way' form of interpretation that describes sexual behaviour and fantasy in terms of object relations (interpreting 'away from sex', while simultaneously describing object relations in terms of the sexual body (interpreting 'towards sex').     

Fantasy,defense, and the representational world

This paper discusses the manipulation of mental representations, particularly in relation to the psychoanalytic concepts of conscious or unconscious fantasy. A distinction is made between the unconscious phenomenal (experiential) aspect of representations and the nonexperiential, quasi-structural aspect. The concept of the representational world is described and elaborated, and its development is seen as a consequence of the infant's interaction with itself and the external world. Processes such as identification and projection can be seen in terms of changes in self and object representations, and the same is true for all the mechanisms of defense. The content of unconscious wishes is transformed, by use of such mechanisms, into representations that are acceptable to consciousness. Major transformations of unconscious representational content occur in the process of creating unconscious (preconscious) fantasy, and further transformations are frequently needed before such (preconscious) fantasies are permitted access to consciousness. The concept of projective identification is considered in the light of the ideas put forward in the paper.     

Psychic trauma and traumatic object loss

Psychoanalysis began with the concept of psychic trauma, which was subsequently not clearly differentiated from traumatic object loss or from unconscious conflict and fantasy. Psychic trauma is investigated in relation to unconscious conflict, with and without concurrent object loss. The syndromes of PTSD, uncomplicated by object loss, of traumatic bereavement, and of relatively nontraumatic bereavement, though often interwoven and inseparable, are all different. The significance of the loss, sociocultural factors, and group process influence individual responses to trauma and traumatic bereavement. There are specific neurobiological and psychological sequelae of traumatic experience. Clinical applications are noted.     

Facilitated and real trauma in the psychoanalysis of children of Holocaust survivors

The author investigates the effect of retraumatization on the children of Holocaust survivors who have appropriated their parents' trauma through unconscious identification. The author proposes that the working through of the real trauma results in a mitigation of the transmitted trauma in the psychic reality and mobilizes the work of mourning that facilitates the mastery of the real as well as the transmitted trauma. Two case examples are cited as illustration.     

A modest proposal: (re)defining unconscious fantasy

The author argues that unconscious fantasy, properly defined, necessarily represents the three-dimensional intersection of wishful thinking (fantasy), veridical perception of the environment (reality), and the naive cognition of childhood. It is proposed that, although attachment theory developed out of the intent to capture the unalloyed reality of dyadic experience, that experience is inextricably entangled with the other two components, wishes and naive cognition, and furthermore, that the behavior of children in the attachment paradigm can only be accounted for by positing the existence of underlying unconscious fantasies. In making these arguments, the author also addresses the development of unconscious fantasies and their relationship to compromise formations and trauma.     

The relevance of attachment theory to a contemporary Jungian view of the internal world: internal working models, implicit memory and internal objects

In this paper I examine the various meanings of the term 'internal object' and the differences between various theoretical models for the formation of internal objects. I suggest that the idea in attachment theory of 'internal working models' emphasizes the internal world as one consisting of unconscious internalized patterns of emotional relationships. The term 'internal object' lacks this clarity and the different meanings it carries within differing theoretical frameworks are a source of confusion. I describe the role implicit memory plays in the formation of 'internal working model's and suggest that these offer us an alternative explanation for unconscious fantasy and for object relationships to that of instinctual drives. This model is then brought to bear on contemporary Jungian concepts of the internal world, with a suggestion that, seen in this light, Jung's formulation of the concept of the complex has many features in common with the 'internal working model' of attachment theory.     

Repression, transference and reconstruction

Whereas Peter Fonagy almost dismisses the importance of repression and the recovery of repressed and suppressed memory, the author believes that the analysis of repression retains importance in clinical psychoanalysis. Transference is a return of the repressed, with repressed memories embedded within a fundamental unconscious fantasy constellation. Moreover, transference is an essential, but not the only, route to the understanding and analysis of the patient. Nor should transference be confused with the real or new analytic relationship. The author does not regard the dynamic unconscious as definitely registered and retrieved in procedural memory, awaiting further research. A focus on the present 'self with other' model of therapeutic action neglects pathogenesis and the importance of childhood and its psychoanalytic reconstruction.     

Mainstream body‐character breach films and subjectivization

The authors analyze a unique cinematic corpus – ‘body‐character breach films’ (one character, initially played by a certain actor, occupies the body of another character) – demonstrating Lacan's notion of traversing the fantasy, both on the level of the films’ diegesis and that of spectatorship. Breaching the alliance between actors and their characters perturbs the viewer's fantasy of wholeness enabled by this very alliance. Consequently, a change in subject/spectatorial position in relation to the lack in the Other is induced, enhanced through the visualization of various scenarios of unconscious fantasies (mostly incest). These are meant to unsettle the spectator into an awareness of how a conscious fantasy conceals another unconscious fundamental fantasy, thereby encouraging a change in spectatorial position (from ‘perverse’/fetishistic to ‘neurotic’). Conflating this change with Lacan's notion of traversing the fantasy, the authors contend that mainstream cinema has the capacity to induce a process of subjectivization (assuming responsibility for one's own desire). This process is contingent on four conditions: identification with the protagonist's fantasy to conceal the lack in the Other; dissolution of this fantasy, initiated by the body‐character breach; rhetorical strategies (the coding of unconscious scenarios cinematically); and an ethical dimension (encouraging the subject/spectator to follow her/his desire).     

Unconscious fantasy: a once and future concept

The concept of unconscious fantasy should be retained as fundamental to any psychoanalytic approach. The concept is reexamined in the face of two challenges: today's theoretical pluralism and the recent integration of findings from academic research. The first section reviews post-Freudian theoretical contributions to Freud's original concept, concluding that in its evolved form it is flexible enough to serve multiple perspectives. The second section examines four features identified with primary process thinking, demonstrating that a model of early mentation based on adult dream work cannot be supported by research on early development. However, the contemporary concept of unconscious fantasy is compatible with research findings from child development studies and cognitive neuroscience, permitting psychoanalysts to enter dialogue with those fields. Our contribution is not the posit of a new form of thinking (primary process) but an understanding of how general cognitive processes are enlisted for motivated purposes.     

A NEW READING OF THE ORIGINS OF OBJECT-RELATIONS THEORY

The author presents a reading of Freud's 'Mourning and melancholia' in which he examines not only the ideas Freud was introducing, but, as important, the way he was thinking/writing in this watershed paper. The author demonstrates how Freud made use of his exploration of the unconscious work of mourning and of melancholia to propose and explore some of the major tenets of a revised model of the mind (which later would be termed 'object-relations theory'). The principal tenets of the revised model presented in this 1917 paper include: (1) the idea that the unconscious is organised to a significant degree around stable internal object relations between paired split-off parts of the ego; (2) the notion that psychic pain may be defended against by means of the replacement of an external object relationship by an unconscious, fantasied internal object relationship; (3) the idea that pathological bonds of love mixed with hate are among the strongest ties that bind internal objects to one another in a state of mutual captivity; (4) the notion that the psychopathology of internal object relations often involves the use of omnipotent thinking to a degree that cuts off the dialogue between the unconscious internal object world and the world of actual experience with real external objects; and (5) the idea that ambivalence in relations between unconscious internal objects involves not only the conflict of love and hate, but also the conflict between the wish to continue to be alive in one's object relationships and the wish to be at one with one's dead internal objects.