And who thinks on the baby? Thoughts on the method of infant observation

Abstract

After the method of infant observation, as developed by Esther Bick, and its significance for psychoanalytic training have been outlined, the method is critically assessed. The suggestion is then made that infant observation should be supplemented by video-analytic infant observation. Finally, thoughts on modifications of the process of infant observation are presented.     

A training analysis for psychoanalytic psychotherapists

For historical reasons, psychoanalytic psychotherapy has been regarded as a second-class treatment in comparison with psychoanalysis, and standards for training in it have lagged behind those for psychoanalysis. However, psychoanalytic psychotherapy is the treatment of choice for many healthier (or higher-level) patients who cannot receive analysis for any reason, and also for a large population of more-disturbed patients who are not appropriate for psychoanalysis. Mastering techniques of psychoanalytic psychotherapy may be as difficult as mastering those of psychoanalysis, and should require comparable theoretical training, supervision, and personal treatment. This "development lag" in the training of psychoanalytic psychotherapists has taken place for several reasons: (1) Psychoanalytic ideas first emerged in America in the context of a new movement toward an electric, but dynamic psychiatry from which psychoanalysis had to establish its separate identity. (2) Psychotherapy was associated with techniques of suggestion and manipulation from which psychoanalysis wished to separate. (3) Because psychotherapy was seen as an inferior form of therapy which required little training, institutes were slow in being established, and reluctant to require a "training analysis." It is suggested that with the full training of psychoanalytic psychotherapists, this discipline may be regarded as a profession comparable to psychoanalysis. It is further suggested that the optimal treatment for the full training of the psychoanalytic psychotherapist is psychoanalysis, and that a "training psychotherapy" is not an adequate substitute, but may provide a transitional step to resolve initial resistances and to prepare the therapist for a training analysis.     

Psychoanalysis and Epistemology: The Interrelation Between Clinical Work,Culture and Metapsychology

The paradigmatic theory of modern epistemology holds psychoanalysis in its scientific statute. Even if there is no explicit epistemology in the Freudian writings, it is undeniable that the genesis of psychoanalysis has a rigorous dialetic between theorization and clinical observation. Metapsychology is an organized and consistent set of concepts, capable of explaining and coordinating the analytical experience. It is through metapsychology that clinical work encounters the possibility of universalization, while metapsychology finds the possibility of fulfillment in clinical work. Clinical experience also confirms the interrelation between psychopathology and culture. Modern times have brought about new versions for psychopathological symptoms, which, in turn, have special effects on the narcisistic personalities and the manifestations of anxiety, giving place to different neurotic configurations.     

Mind the baby: The role of the nanny in infant observation

The influence of nannies and other significant caregivers on a child's psychological and emotional development may be profound and if unrecognized may contribute to psychopathology in adulthood. However, the significance of the nanny has been relatively neglected within the psychoanalytic literature. In this paper I will discuss the impact of early caregivers other than the biological mother on the psychic development of the child, and the role of the nanny within the family dynamics as a figure attracting powerful unconscious phantasies and unwanted projections. These ideas will be illustrated by a detailed account of a year‐long observation of an infant who had a succession of several different nannies in her first three months before her parents employed a more permanent nanny. It is proposed that the baby's emerging attachments to her two primary caregivers, mother and nanny, developed in parallel and influenced each other, with observable impact on her behaviour and developing personality. The paper concludes with a review of the place of infant observation within psychoanalytic training and how the experience of witnessing the earliest infant‐caregiver relationships in an extra‐analytic setting both refines understanding of developmental theory and builds a foundation for psychoanalytic practice.     

War,revolution, and psychoanalysis: Freudian thought begins to grapple with social reality

Psychoanalytic theory and practice have been affected by external events as well as by internal development. Specifically, the period of the Great War and its aftermath was a turning point in the history of psychoanalysis. These experiences emphasized the inadequacy of the libido theory alone, accelerated Freud's impetus toward metapsychology, and encouraged the articulation of theories of innate destructive urges, of ego instincts, of the superego, and of social interaction. Discussionsof war neuroses, of aggression and the death instinct, of the reality principle, and of the mechanisms of social psychology undermined Freud's original biologism in favor of a social-scientific approach. Psychoanalytic theory began to take more account of social experience and was profoundly changed in the process.     

Infant observation: A range of questions and challenges for contemporary psychoanalysis1

The author attempts to integrate several perspectives within the field of infant observation that reflect the analyst's personal experience as a clinician, as a professor at the analytic institute and as a researcher in the field of psychoanalysis. Can infant observation contribute to analytic technique, theory and training? If so, what would be the nature of such contribution? To answer these questions, the author reviews the literature on infant observation from Freud to the present, highlighting Latin American contributions to this subject. She makes reference to the role of technological innovations, which have allowed videotaping, repeated observations, temporal segmentation and computerized programs, thus giving rise to microanalytic research. This discussion prompts the question about the contributions made by systematic research to clinical practice. To tackle this question, the author presents both a clinical vignette taken from her personal experience, and the current debate on this subject as it appears in the work of Daniel Stern and André Green. Finally, she presents some conclusions that are part of an ongoing debate in the psychoanalytic field.     

A relational model of inquiry and truth: The place of psychoanalysis in human conversation

A challenge is offered to the characterization of psychoanalysis as suffering from potentially fatal epistemic flaws and needing to ground itself in the language of hermeneutics, neuropsychology, or infant observation in order to survive. Psychoanalytic truth is neither made up nor discovered. Psychoanalytic propositions are true in the important sense of being the most useful statements we can make right now about the nature and functioning of the human unconscious. Psychoanalytic theories evolve through rational critical discourse just as theories evolve in all fields of science and scholarship.     

The Radical Empiricism of Contemporary French Phenomenology

This paper suggests that one single thread characterizes the developments of French phenomenology that occurred after 1990 in the wake of Merleau-Ponty's and Levinas's major contributions. Janicaud in 1991 had already identified one global trend in French phenomenology and believed it was possible to unite the thoughts of Levinas, Henry, Marion and Chrétien under the common banner of “theological phenomenology.” However, his analysis seems to fail to account for deeper-seated affinities that exist between French phenomenologists such as Marion, Lacoste, Chrétien, Richir, Depraz, Romano – and Benoist for part of his work. This is the reason why, although the present paper does agree with Janicaud's idea that the French authors who define themselves as phenomenologists share some common ground, it defines this common trend quite differently, i.e., as a form of epistemological realism that ultimately manifests itself as a radical empiricism.

Consequently, the present study will state and defend three hypotheses: (1) contemporary French phenomenology professes a form of realism of experience, which is the true rallying point (space of exchange) of otherwise differing elaborations; (2) this type of epistemological empiricism, by virtue of its radicality, implies a problem that threatens to drive phenomenology towards its own dissolution, because as it precipitates in fine the dilution of philosophical discourse into a multitude of other discourses; (3) this variant of empiricism shows that, within its strictly defined viewpoint, there is scarcely any difference between French phenomenology and a certain part of French analytical philosophy. All three hypotheses lead to the same conclusion: the determination of the defining aspect of contemporary French phenomenology entails, beyond the apparent, misleading, and futile quarrel of paradigms, to bring to light a common space for contemporary French philosophy, which, from both perspectives, can be conveyed by the single term “to show.” It is, in fact, the elevation of “to show” to the detriment of “to demonstrate” that seems to ensnare thinkers within an impasse.     

Louis Sander and Contemporary Psychoanalysis: Nonlinear Dynamic Systems,Developmental Research,Clinical Process and the Search for Core Principles

ABSTRACT

Louis Sander’s cutting-edge approach drew on infant observation research; nonlinear dynamic systems theories; and current biology, physics, and other hard sciences. From this vantage point, he rethought the psychoanalytic approach to psychic structure, motivation, and therapeutic action. He opened a window for a broad and inclusive relational metapsychology of the highest order, updating Freud’s project of linking psychoanalysis with scientific paradigms. Sander emphasized the dynamic relationships between elements in systems, innovating in both method and content. This article offers an account of Sander’s broad and deep integration of psychoanalysis and developmental research.     

Symposium on The Ego and the Id after fifty years. The need for a new general theoretical frame of reference for psychoanalysis.

This paper briefly discusses some of the serious problems in current psychoanalytic metapsychology and the need for a new general theoretical frame of reference. It highlights the lack of explanatory power and the primitive nature of current metapsychology. The paper suggests the usefulness of an information processing and systems model which is consistent with neurophysiology.     

Choosing the realist framework

There has been an empiricist tradition in the core of Logical Positivism/Empiricism, starting with Moritz Schlick and ending in Herbert Feigl (via Hans Reichenbach), according to which the world of empiricism need not be a barren place devoid of all the explanatory entities posited by scientific theories. The aim of this paper is to articulate this tradition and to explore ways in which its key elements can find a place in the contemporary debate over scientific realism. It presents a way empiricism can go for scientific realism without metaphysical anxiety, by developing an indispensability argument for the adoption of the realist framework. This argument, unlike current realist arguments, has a pragmatic ring to it: there is no ultimate argument for the adoption of the realist framework.     

Fight the power: the limits of empiricism and the costs of positivistic rigor

A summary of the influence of positivistic philosophy and empiricism on the field of psychology is followed by a critique of the empirical method. The dialectic process is advocated as an alternative method of inquiry. The main advantage of the dialectic method is that it is open to any logical argument, including empirical hypotheses, but unlike empiricism, it does not automatically reject arguments that are not based on observable data. Evolutionary and moral psychology are discussed as examples of important fields of study that could benefit from types of arguments that frequently do not conform to the empirical standards of systematic observation and falsifiability of hypotheses. A dialectic method is shown to be a suitable perspective for those fields of research, because it allows for logical arguments that are not empirical and because it fosters a functionalist perspective, which is indispensable for both evolutionary and moral theories. It is suggested that all psychologists may gain from adopting a dialectic approach, rather than restricting themselves to empirical arguments alone.     

Humor and Counseling: Close Encounters of Another Kind

The basic premise of this article is that humor has a place in counseling. The paper touches on some of the more prominent theoretical explanations of humor, presents assumptions that seem pertinent to any rationale for using humor in counseling, points out the reasons counselors may have overlooked its value, and considers the uses and abuses of humor. Finally, the implications of using humor, both in terms of training and research, are considered, and a five-point scale for assessing its effectiveness in counseling is presented.     

Aesthetic Experts,Guides to Value

A theory of aesthetic value should explain the performance of aesthetic experts, for aesthetic experts are agents who track aesthetic value. Aesthetic empiricism, the theory that an item's aesthetic value is its power to yield aesthetic pleasure, suggests that aesthetic experts are best at locating aesthetic pleasure, especially given aesthetic internalism, the view that aesthetic reasons always have motivating force. Problems with empiricism and internalism open the door to an alternative. Aesthetic experts perform a range of actions not aimed at pleasure. Yet their reasons for acting are aesthetic. Since aesthetic values figure in aesthetic reasons, we can read a nonempiricist theory of aesthetic value off aesthetic experts’ reasons for acting.     

Psychoanalytic training today.

Psychoanalytic education in the United States faces multiple challenges as we enter the last decade of this century. (1) Changing interest and career path patterns for psychiatrists have resulted in fewer medical applications for psychoanalytic training. (2) Increased opportunities for full psychoanalytic training of nonphysicians have resulted in increased applications from highly skilled clinicians who often have more clinical experience than their medical colleagues. (3) Increased enrollment of women candidates has required rethinking of progression requirements, in light of their combined careers as professionals and mothers. (4) Independent institutes not accredited by the American Psychoanalytic Association compete for applicants while maintaining training standards that require less time and immersion in psychoanalytic theory and practice. (5) Economic factors increasingly influence the desirability of prolonged psychoanalytic training and the availability of suitable analysands for control analyses. (6) Evolution of theory and practice and the emergence of "new schools" of psychoanalytic thought have rendered the previous psychoanalytic landscape dominated by drive theory and ego psychology more multifaceted and less uniform. The American Psychoanalytic Association and its institutes attempt to understand these changing patterns and take them into consideration in the design and implementation of psychoanalytic training programs. Only one aspect of this complex situation will be described in this work, the current state of psychoanalytic training in the 28 institutes accredited by the American Psychoanalytic Association. Although the data available at this time leave unanswered many important questions about the philosophies that organize the content and emphases of the curriculum in different institutes, much has been learned about the overall structure of psychoanalytic training programs.     

Psychoanalysis and self psychology: a metapsychological essay with a clinical illustration

This paper is an attempt to evaluate critically some theoretical and clinical consequences of the psychoanalytic psychology of the self in its broad, supraordinate position. From this either-or position, advocated by Kohut and his followers, self psychology corrodes some of the most central explanatory concepts of psychoanalysis--conflict, transference, and resistance. In an extensive case illustration, I have tried to show the conceptual and technical impoverishment of the self-psychological views with respect to the concepts of organization in conflict, in defense, and in development, and with respect to the role of aggression and to the concepts of transference and resistance. These consequences of the supraordinate self-psychological viewpoint are related to its overt attack on metapsychology, which is linked to an epistemological fallacy as a consequence of the exclusive use of empathy and introspection with grave consequences for our explanatory power, i.e., a fundamental confusion between the realms of content and of function. This also implies an obstacle in the systematic study of self-deception and a threat to psychoanalysis defined as the study of human behavior considered from the viewpoint of conflict. Finally, an attempt is made to integrate the views of Kohut with those of Winnicott and of classical metapsychology.     

James Astor in conversation with Warren Colman

In this interview with Warren Colman, James Astor speaks about his development as a Jungian analyst from his own experience of personal analysis in the 1960s to his recent retirement from clinical practice. The discussion covers his long association with Michael Fordham, the child analytic training at the SAP, the infant observation seminars with Fordham and Gianna Henry through which Fordham was able to make new discoveries about infant development, his experience of supervision with Donald Meltzer and the development of his own thinking through a series of papers on the analytic process, supervision and the relation between language and truth. The interview concludes with reflections about the legacy of Michael Fordham and the future of analytic work.     

Observations of families in structured interactions: Parenting therapists provide reliable ratings of mothers' parenting

The reliability of observations of parenting by parenting therapists was assessed. An important predictor of externalizing behavior in children is quality of parenting. Data were videotapes of structured interactions in families with a child age 8–12 years referred to the evidence based Parent Management Training Oregon (PMTO) treatment program for child behavior problems. The therapists had clinical PMTO training but no training in systematic observation. PMTO observational coders with specific coder training were included as a reference for the therapists. Five therapists and two coders observed videotapes of 10 families and performed global evaluations of mothers' parenting skills. They used the coder's impression measure used in PMTO research. Scores were analyzed in a generalizability theory framework for the two groups of observers separately. Both observer types reliably rank‐ordered the mothers and assessed the level of parenting skills. PMTO therapists without coder training provided reliable ratings of parenting constructs relevant to the clinical PMTO program in a manner comparable to that of the trained reference coders.     

Current comments on Freud's treatment of "The question of lay analysis"]

The author gives a review on Freud's basic thoughts on lay analysis from 1926 and proceeds with the question why the Deutsche Psychoanalytische Vereinigung (German Psychoanalytic Association) admits only such candidates for psychoanalytic training who are physicians or psychologists. This corresponds with the policies of German health insurance agencies, which include only physicians directly or psychologists indirectly in their plans. He suggests that this attitude derives from a limited view of psychoanalysis, for which he names three different reasons: historical, institutional, and those that grow out of the specifics of psychoanalytic practice.