Transference and “The Rebbe” Idiographic and Nomothetic Factors in the Psychoanalysis of Lubavitch Chassidim

The Lubavitch Chassidim are one of several ultra-orthodox groups within Judaism. Their central focus is on their leader or Rebbe, who is seen as not only the possessor of all wisdom but also having supernatural powers. In working therapeutically with Lubavitch, one needs to distinguish if the beliefs of the individual are unique to them or reflect the belief system of the community. If the former, then it obviously needs to be analyzed. If the latter, then it is seen as an identification with the group and reflective of the need for group cohesion and often a regulator of self-esteem. The following article demonstrates these factors.     

Psychoanalytic attitudes towards homosexuality: An empirical research

Homosexuality is a challenging subject for the psychoanalytic community, which is now rethinking some of its basic theoretical and institutional assumptions. In recent decades psychoanalytic theory has changed, and the classical psychosexual model has been challenged. After a short review of major psychoanalytical theories of homosexuality, the authors focus on the existence of contrasting attitudes towards homosexuality. This plurality of theories and their clinical and institutional consequences stimulated the authors to investigate the relationship between the individual analyst's theoretical model and his/her clinical practice. The authors present the results of empirical research conducted in the Italian psychoanalytic community on the attitude of psychoanalysts towards homosexuality and the implications for cultural, theoretical and institutional issues. A questionnaire was sent to 600 psychoanalysts (206 of which responded), members of the five main Italian psychoanalytic institutions. First, analysts' personal characteristics and preferred theoretical models were investigated. Second, the respondents responded to statements eliciting their theoretical and clinical approach towards homosexuality. Results indicate that: a) cultural and theoretical background influences the analysts' attitudes towards homosexuality more than gender; b) there is a discrepancy between analysts' theoretical position and their clinical practice; and c) IPA institutes are more discriminatory towards homosexual colleagues than are Jungian ones.     

Homosexuality: Coming out of the confusion

The author asserts that earlier theoretical assumptions contribute to the conceptual confusion about homosexuality in much contemporary psychoanalytic research. Bergeret's article, recently published in this Journal , is exemplary of this confusion. The author refutes his contention that homosexuality is not 'true' sexuality but merely a defensive, narcissistic fixation away from, or a nearly psychotic denial of, heterosexuality. He then clarifies specific areas of conceptual confusion regarding homosexuality still prevalent in psychoanalytic discourse that derive from earlier theoretical premises. These areas of confusion include manifest versus latent homosexuality, narcissism and bisexuality, oedipal dynamics and development, and transference and technique.     

Psychoanalysis and homosexuality: do we need a new theory?

No need exists, it is argued, for a new psychoanalytic theory of homosexuality. Certainly psychoanalysis should not be expected to generate such a theory using its own methodology alone. The preoccupation with producing such a theory avoids more important questions about psychoanalytic theory building raised by an examination of the long relationship between psychoanalysis and homosexuality. These questions concern the problems related to using psychoanalytic methodology (1) to construct categories (including the categories normal and abnormal), (2) to construct causal theory (the problems include the limitations of psychoanalytic developmental theory and a long-standing confusion between psychoanalytic developmental theory, psychoanalytic genetic reconstruction, and psychodynamics), and (3) to identify "bedrock." Finally, the question is addressed of what might be needed that is new in the psychoanalytic approach to homosexuality.     

Child psychoanalysis and obsessive-compulsive symptoms: the treatment of a ten-year-old boy

Obsessive-compulsive symptoms have long held interest for psychoanalysts. Currently, pharmacological and behavioral treatments are commonly viewed as the standard of care, and psychoanalytic clinicians are often uncertain of how best to approach these patients. The successful two-year psychoanalytic treatment of a ten-year-old boy with obsessivecompulsive disorder, who remained symptom-free eight years after termination, is reported. While this is but a single case, its outcome implies that for some patients psychoanalysis may be the treatment of choice.     

The third in mind

Various aspects of the occult as they relate to psychoanalysis are discussed in this article. Drawing on both Freud's writings and Granoff and Rey's (1983) work on the occult in Freudian thought, the author considers the concept of co-thinking and its manifestations in clinical work. The psychoanalytic third is viewed in the context of the occult element known as thought transference, or thought transmission, and is also considered as it bears on psychoanalytic supervision.     

Psychodynamic counsellor training integrating difference

Abstract

Psychodynamic counselling has been criticized for being inflexible, authoritarian, antiquated and unresponsive to the issues of modern-day society. Psychodynamic counsellor training is sometimes seen as a poor relation of ‘proper’ psychotherapy therapy training. This article is written by two psychodynamic counselling course trainers who have wresded with the above criticisms and who have striven to deliver a training course that is coherent in its adherence to a psychodynamic counselling model but which embraces equal opportunities issues and takes account of a diverse society. The article focuses on ways in which sexual identity, race and culture are integrated into the course curriculum and indeed into the course philosophy and community. Traditional psychoanalytic interpretations of homosexuality are challenged and multicultural counselling ideas are merged with psychodynamic counselling theory and skills.     

Therapeutic technique in psychoanalysis and psychoanalytic psychotherapy.

As the distinctions between what we consider to be psychoanalysis and what we consider to be psychoanalytic psychotherapy have become more uncertain and more blurred, it follows that it is equally difficult to designate the techniques that would be appropriate and specific for each modality. The problem has been compounded by the fact that in recent years psychoanalysis in the United States has become considerably less homogeneous than in the past and the ego-psychological structural model is no longer the only point of view in the psychoanalytic marketplace. Further, with alterations in the criteria for analyzability, cases which, generally, had not been viewed as suitable for analysis, have been appearing with increasing frequency on psychoanalysts' couches. We have also recognized that the degree of congruence between our expectations from and the results of psychoanalytic treatment was often less than anticipated. It appears that analysts have become considerably less arbitrary about what psychoanalysis is and how a psychoanalysis can be carried out. The author is unable to delineate one technique that is intrinsic to and limited to psychoanalysis. There are, however, differences in degree and emphasis in the ways in which various techniques are applied in the therapy of psychoanalysis as compared to the therapy of psychoanalytic psychotherapy. Special attention is given to the role of a psychoanalytic process and the central place the analysis of resistance plays in psychoanalytic therapy.     

Homosexuality,the Halacha,and the helping professions

The position of Jewish writings on homosexuality is the topic of inquiry. Overt homosexuality, child homosexuality, and lesbianism are examined in the light of Jewish Halacha (law). Though Talmudic writings view homosexuality with severe disapproval, a sprrit of tolerance and compassion is also voiced in them. It is suggested here that Jewish law placed overt homosexuality in the category of illness to evoke compassion for it Halachic insights also suggest that homosexualities be viewed differentially. Activities involving minors and lesbians are not given equal weight in the realm of retribution. There are efforts to obviate social stigma. Prevention and rehabilitation are given major concern. To conclude the article, the role of the Jewish religious practitioner and his responsibilities vis-à-vis the homosexual client are given a brief examination.     

The psychoanalytic perspective of adolescent homosexuality: a review

Psychoanalytic theory asserts that adolescent homosexuality is the result of unresolved infantile conflict experienced during the Oedipal and pre-Oedipal periods, in which inadequate object relations and identifications with parents predispose the individual to homosexuality in adolescence. Classical psychoanalytic thought emphasizes the importance of drives and defenses in the formation of homosexuality, while more contemporary approaches understand adolescent homosexuality from a psychosocial and early developmental perspective. In addition to childhood predispositions, the various developmental tasks of adolescence influence the degree and course of homosexuality. This article notes the different types of homosexuality that emerge in adolescence which are influenced by different psychodynamic conditions in each stage of adolescence. Changing developmental roles in relation to individuation, object relations, identification, and identity formation are a few of the factors that contribute to adolescent homosexuality.     

The psychogenesis of the ego: notes on Freud's 'case of homosexuality in a woman'

This paper examines Freud's (1920) case study 'The psychogenesis of homosexuality in a woman' in the light of the second topography that was being elaborated in his theoretical writing at that time. The analysis of the ego and its defence mechanisms, which was to become such an important part of clinical technique in Anglo-American psychoanalysis, psychoanalytic psychotherapy and psychodynamic counselling, is not set out explicitly in any of Freud's case studies. However, in this last case study presented by Freud, it is possible to see how an attention to family dynamics, Oedipal structures and patterns of identification set the stage for the new notion of the ego to emerge. This 'turning point' in theory and clinical technique is also, in this case, intimately related to theories of sexuality, and Freud's own assumptions about homosexuality and heterosexuality are considered here in relation to his account of the ego.     

A contemporary integration of modern and postmodern trends in psychoanalysis

Postmodernism has appeared on the psychoanalytic horizon and with it brought change and some confusion. Although many link or even conflate it with relational and intersubjectivity theory, those views are as subject to a postmodernist critique as other analytic orientations. Postmodernism can also be seen as usefully informing the concepts of psychoanalytic narrative and psychoanalytic space. It should not be viewed as an organized theory or movement that would entirely replace modernist ideas in psychoanalysis. Indeed, valid critiques of both modern and postmodern psychoanalytic positions have been advanced. In this climate the need for a viable integration remains urgent. Bruno Latour's development of the concept of hybrid structure as a way of dealing with the same kind of impasse in the field of science studies is presented, along with its applicability to the dilemma faced by psychoanalysis.     

Comments on the Ikonen and Rechardt papers on the death drive and the origin of shame

In this paper, psychoanalysis is viewed as a method in opposition to the reigning spirit of our age with its demands for fast and measurable results. The concept ?the psychoanalytic room” is introduced in order to grasp the uniqueness of psychoanalysis and how it distinguishes itself from what is ordinarily held to be included under the category of work. The psychoanalytic room is explored in both a concrete and metaphoric sense and is discussed in relation to the concept of time, reality, Ogden's concept of the analytic third, and, inspired by Winnicott, children's play. The playroom of the child and its similarity with the analytic room is illustrated by the book ?Benny's Bathtub” by the Danish author Flemming Kvist Møller.     

Wilhelm Reich and Anna Freud: His expulsion from psychoanalysis

This article describes the growth of hostility towards Wilhelm Reich in the psychoanalytic community over his Marxist ideology and activism as well as disagreements over the death instinct. It brings to the fore the behind the scenes political manipulations between Ernest Jones and Anna Freud to effect the expulsion of Reich both from the Vienna and Berlin local psychoanalytic societies and from the International Psychoanalytic Association (IPA). It describes Reich's reactions to these events and the pressure placed on other psychoanalysts to stop supporting him and also the revision of history about the expulsion. It discusses the use of the term "crazy" as it was used in the psychoanalytic movement. Further the article discusses personality attributes of Anna Freud leading to counter-transference possessiveness to children and women, especially patients. It briefly touches on the attitudes of both Sigmund and Anna Freud toward sex and how this furthered the clash with Reich. It discusses the similarity between Anna's actions toward the Burlingham children and what happened to the children of Reich.     

Shīʿa neo-traditionalist scholars and theology of homosexuality: review and reflections on Mohsen Kadivar’s shifting approach

This article explores how Shī?a neo-traditionalist scholars have formed views on the issue of homosexuality by applying Shī?a Islamic version of ijtihād. This theme will be investigated with reference to Dr Shaykh Mohsen Kadivar’s shifting approaches on homosexuality. In response to questions he received from 2006 to 2014 from Shī?a grassroots Muslims, Kadivar passed through three stages in his view of the issue of same-sex relationships moving from a harshly punitive to a merely tolerant and finally a more moderate position, albeit one that did not incorporate human rights. This article explores how Kadivar began by upholding an Islamic traditionalist homophobic view towards homosexuality in which same-sex relationships are perceived as a threat to Muslim societies so are, therefore, prohibited (?arām) and must be severely punished. Equally, it also explores how Kadivar developed a more tolerant perspective, by rejecting the traditional punishments of homosexuality, and then advocated a moderate view, by conceding that homosexual Muslims should have general civil rights. Although Kadivar is still reluctant to accept homosexual individuals as being permitted to fulfil their sexual desires and needs as their basic human rights, this article argues that a deeper reading of Kadivar’s scholarship demonstrates that his theological repertoire is extensive enough to have the capacity to permit practicing homosexuality in Islam. Kadivar seems to be sufficiently self-aware to recognize this capacity which initiated to develop and progress his Islamic approach on this issue since a decade ago, albeit slowly.     

When We Were Comrades Together: A Note on the Language of Assessment

From a psychoanalytic perspective, the assessor is seen as more than a gatherer of data; he or she is viewed as a source of information independent of the tests as well as a potential vehicle of change. To effect these functions, the assessor needs to pay close attention to the language he or she uses in interaction with the patient. In this article, I present a case and then discuss it in terms of the role of language in the assessor-patient relationship: specifically, how the language used facilitated the establishing of a working alliance, the promoting of a meaningful dialogue, and eventually led to a deeper understanding of the patient.     

When we were comrades together: a note on the language of assessment

From a psychoanalytic perspective, the assessor is seen as more than a gatherer of data; he or she is viewed as a source of information independent of the tests as well as a potential vehicle of change. To effect these functions, the assessor needs to pay close attention to the language he or she uses in interaction with the patient. In this article, I present a case and then discuss it in terms of the role of language in the assessor-patient relationship: specifically, how the language used facilitated the establishing of a working alliance, the promoting of a meaningful dialogue, and eventually led to a deeper understanding of the patient.     

Neue Entwicklungen in der allgemeinen psychoanalytischen Psychosomatik

Psychoanalysis has played a pivotal role for developments in psychosomatics both on a conceptual and an institutionalization level. In contemporary psychosomatics there is a focus on conceptual models that concentrate on psychic structure, the processing of emotions and embodiment. Alongside these, the questions arise on how psychoanalytic views on psychosomatic disorders in a more classical sense will develop further and their relevance for current developments. This article gives a brief historical overview of some central concepts in psychoanalytic psychosomatics and shows how these are resumed in what can be distinguished as six aspects of contemporary psychoanalytic psychosomatics. This is demonstrated by a brief case report. The article closes with some proposals for the clinical practice.     

'This is not psychoanalysis': On the stony way of the Danish Psychoanalytical Society

When Freud founded the International Psychoanalytical Association (IPA), he wanted a network of local groups responsible for psychoanalytic training. The groups would function as ‘headquarters whose business it would be to declare: All this nonsense is nothing to do with analysis; this is not psychoanalysis. Today, with psychoanalytic pluralism, Tuckett (in press) has asked ‘Does anything go? He has pointed out that the psychoanalytic community has been increasingly willing to accept within its ranks apparently very varied approaches to theory and practice, and that this increasing diversity has many negative consequences for psychoanalytic institutions and especially for training schemas. The aim of this paper is to give an example of psychoanalysis that ‘did not go’, and how that led to a shaky start for the new Danish Psychoanalytical Society, with confusing boundary relations between psychoanalysis and psychotherapy and no training institute. Beginning with the written psychoanalytical contribution of the three founders of the Danish Society, the paper will try to identify factors that contributed to the ‘shaky start’. The paper will also examine how stones were removed from the path, thus paving the way for the members of the Society to discover ‘competent psychoanalysis’.     

Borderline Personality Disorder and Posttraumatic Stress Disorder: Time for Integration?

The increasing prevalence of borderline personality disorder (BPD) and posttraumatic stress disorder (PTSD) diagnoses among women illustrates problems and limitations of the medical model system (Diagnostic and Statistical Manual of Mental Disorders, fourth edition; American Psychiatric Association, 1994). In particular, diagnoses of BPD continue the trend of overpathologizing women's issues and reinforcing a patriarchal system of diagnosis and treatment. A PTSD diagnosis, with similar criteria, is preferred for traumatized women because it portrays them in a more positive context. This article explores the overlapping relationship between BPD and PTSD and critiques how both are viewed within the mental health community. Previous research on BPD and PTSD is explored, as well as concerns and limitations regarding both diagnostic categories.