Desire and the female analyst

The literature on erotic transference and countertransference between female analyst and male patient is reviewed and discussed. It is known that female analysts are less likely than their male colleagues to act out sexually with their patients. It has been claimed that a) male patients do not experience sustained erotic transferences, and b) female analysts do not experience erotic countertransferences with female or male patients. These views are challenged and it is argued that, if there is less sexual acting out by female analysts, it is not because of an absence of eros in the therapeutic relationship. The literature review covers material drawn from psychoanalysis, feminist psychotherapy, Jungian analysis, as well as some sociological and cultural sources. It is organized under the following headings: the gender of the analyst, sexual acting out, erotic transference, maternal and paternal transference, gender and power, counter-transference, incest taboo - mothers and sons and sexual themes in the transference.     

THE EFFECT OF THE ANALYST'S GENDER AND OTHER FACTORS ONPOST-TERMNATION PATIENT-ANALYST CONTACT: CONFIRMATIONBY A QUESTIONNAIRE STUDY

This questionnaire study was designed to confirm and further explore an earlier finding of a gender difference in post-termination patient-analyst contact, as well as to assess whether practices regarding post-termination contact have changed in the five-year interval since the first study. The hypothesis that women analysts are more likely to have post-termination contact with their analysands than men analysts was confirmed by the present study. Analysts who report thinking frequently about their most significant analyst are contacted by a much larger proportion of prior patients than those who rarely think about their analyst. Further, women analysts are more likely to feel they benefited from the analysis they consider their most significant analysis, and to feel positively about that analyst. In 1994, analysts were much more accepting of and more likely to propose post-termination contact than in 1989. What the analyst reports he/she says to the patient is associated with the likelihood of such contact.     

The threat of male-to-female erotic transference

Vignettes from an ongoing psychoanalysis with a patient, Michael, are presented to illustrate the various dimensions of the erotic transference at different phases of the treatment. The relation to power, the experience and expression of aggression, how these may be organized by gender, and the female analyst's countertransference are discussed as potentially fostering or inhibitory in the development of an erotic transference. Traditional sociocultural gender stereotypes kept alive in fantasy can cause female analysts to subtly foreclose the impending threat of an intense erotic transference with male analysands due to a fear of outwardly directed male aggression. It is suggested that the maternal/containing transference can be unconsciously fostered by both analyst and analysand to defensively avoid expression of the aggressivized erotic transference in its full intensity. Similarities and differences in cases of sexual boundary violations with opposite-gender pairings are discussed.     

The Princess and the Penis: A Post Postmodern Queer-y Tale

This paper explores whether postmodern gender theory can fully account for how a “cis” gender (gender and biology match) therapist works with a “trans” gender patient in a relational way. Inspiring contemporary queer theory exists courtesy of experts in the field, but how does a nongender expert deal with the complicated enactments that occur when patient transitions her gender from female to male and then decides to become pregnant? It is suggested that this case may more accurately represent an example of a post-postmodern analysis, in that it holds the dialectic of constructed gender within the realities of a social system that remains deeply gender binaried.     

The female psychoanalyst in the movies

The last five decades of the American cinema have produced a remarkably consistent stereotype of the female analyst. In films such as Spellbound (1945), Knock on Wood (1954), Sex and the Single Girl (1964), They Might be Giants (1971), and The Man Who Loved Women (1983), women analysts are swept away by countertransference love that leads them to become sexually or romantically involved with their male patients. In stark contrast to the data from studies of patient-therapist sexual involvement, there are more than twice as many films portraying unethical sexual behavior on the part of a female analyst as there are films depicting similar countertransference acting out by a male analyst. Moreover, a stable relationship with a man and a successful analytic practice never coexist for any woman analyst in the cinema. Neither does a female analyst ever successfully treat a male patient in the American cinema unless she falls in love with him. On the contrary, the male patient is more likely to cure his female analyst. Clinical reports from cross-gender analyses are useful in understanding these cinematic myths.     

"This strange disease": adolescent transference and the analyst's sexual orientation

The treatment of adolescents by gay analysts is uncharted territory regarding the impact of the analyst's sexuality on the analytic process. Since a core challenge of adolescence involves the integration of the adult sexual body, gender role, and reproductive capacities into evolving identity, and since adolescents seek objects in their environment to facilitate both identity formation and the establishment of autonomy from primary objects, the analyst's sexual orientation is arguably a potent influence on the outcome of adolescent development. However, because sexual orientation is a less visible characteristic of the analyst than gender, race, or age, for example, the line between reality and fantasy is less clearly demarcated. This brings up special considerations regarding discovery and disclosure in the treatment. To explore these issues, the case of a late adolescent girl in treatment with a gay male analyst is presented. In this treatment, the question of the analyst's sexual orientation, and the demand by the patient for the analyst's self-disclosure, became a transference nucleus around which the patient's individual dynamics and adolescent dilemmas could be explored and clarified.     

The body one has and the body one is: Understanding the transsexual’s need to be seen

The transsexual individual confronts the analyst with a disturbing otherness. How this otherness is understood, that is, how the analyst ‘looks’ at the patient through her distinctive theoretical lens impacts, in turn, on the patient’s experience and what transpires between them. In this paper the author outlines a developmental model rooted in attachment and object relations theory to provide one alternative way of ‘looking’ at some of these patients’ experiences in the clinical setting. It is suggested that in some cases of transsexuality the primary object(s) did not mirror and contain an early experience of incongruity between the given body and the subjective experience of gender: it remains unmentalized and disrupts self‐coherence leading to the pursuit of surgery that is anticipated to ‘guarantee’ relief from the incongruity. Through an account of work with a male to female (MtF) transsexual who underwent surgery during her five years of psychotherapy, the author explores how a focus on the transsexual’s experience of ‘being seen’, that is, of being taken in (or not) visually and mentally by the object in their state of incongruity, affords another window through which to approach the transsexual’s experience in the transference–countertransference dynamics.     

On Trygve Braatøy’s concept of analytic love. An assumption on the actuality of one of the pioneers in Norwegian psychoanalysis

Is analysis still a cure of love? And is the analyst’s love and warm feelings for his patient a prerequisite for doing psychoanalysis? Trygve Braatøy addresses these complex matters in his book from 1954. The concept of love and its relation to sexuality is discussed, and how to understand love in the analytic setting. His points of view are compared with Freud’s and those of some second-generation analysts, his Norwegian colleagues and contemporary analysts, as well as modern writers. Braatøy defines himself as a true Freudian, but his clinical theory regarding love and countertransference has strong resemblances to Rank and Ferenczi and his followers, both in Europe and USA. Braatøy sums up that the therapist’s capacity to love and have a surplus of warmth ought to be the most prominent factor when selecting candidates for psychoanalytic training. Braatøy is a modern writer, with his ideas founded on clinical experience and intuition.     

Finding our way in perplexity: the meanings of sex in the analysis of a gay man.

As preconceptions about the meaning of sexual orientation are increasingly abandoned, analysts are left with the question of how these matters are to be addressed in clinical work. These problems are explored as they emerged in analytic work between a "gay" man and a "straight" analyst. Emphasis is placed on how the search for personal meaning is impacted by the intellectual and social context inhabited by analyst and patient.     

The Colonized Mind: Gender,Trauma, and Mentalization

The question of how gender and trauma may impact one another is explored through detailed clinical material from the author’s work with a patient contemplating, and then beginning, a transition from female to male. The author explores what happens when a mind is colonized rather than mentalized. The term colonize is used to describe the unconscious use of a child’s mind to store unprocessed trauma from an earlier generation. The author describes destabilizing feelings of uncertainty, shame, and anxiety in both patient and analyst at various points in the treatment.     

When Does Gender Count? Further Insights into Gender Schematic Processing of Female Candidates' Political Advertisements

In this study we explored viewers' responses to advertising by female political candidates. Gender schema theory provided the basis for developing a better understanding of the circumstances when voters evaluate female candidates and how cognitive representations of what women are like influence viewer responses. Results showed general support for the predictions derived from gender schema theory. That is, participants did seem to rely on gender schema in making judgments, a form of inference making known as “default processing,” when information was absent. Results also indicated that participants relied more on gender schematic processing when the advertisement elicited positive emotions and less on gender schematic processing when exposed to an attack ad. For comparison, viewers' responses to male candidates' political advertising were also examined. We conclude with a discussion of the implications of these findings for political campaigns.     

Gender role conflict: The interaction of gender,gender role,and occupation

One hundred forty-nine middle class individuals (69 males and 80 females), approximately 80% of whom were Caucasian, participated in the present study. The study was designed to test the hypothesis that individuals whose gender role and occupation did not match (i.e., feminine individuals in predominantly male occupations or masculine individuals in predominantly female occupations) would experience more gender role conflict than individuals whose gender role and occupation matched. The hypothesis was supported. A feminine gender role predicted higher gender role conflict in predominantly male occupations, and lower gender role conflict in predominantly female occupations than a masculine gender role. A masculine gender role predicted the lowest gender role conflict scores in predominantly male occupations, and the highest in predominantly female occupations. Furthermore, higher masculinity scores were related to greater gender role conflict for females than males in more predominantly male occupations.     

Medical students' and residents' gender bias in the diagnosis, treatment, and interpretation of coronary heart disease symptoms.

Two competing hypotheses explaining gender bias in cardiac care were tested. The first posits that women's coronary heart disease (CHD) symptoms are simply misinterpreted or discounted. The second posits that women's CHD symptoms are misinterpreted when presented in the context of stress. In two studies, medical students and residents randomized to 2 (male vs. female) x 2 (stress vs. nostress) experiments read vignettes of patients with CHD symptoms and indicated their diagnosis, treatment, and symptom origin interpretation. Both studies disconfirmed the first hypothesis and strongly supported the second. Only when stress was added did women receive significantly lower CHD diagnoses and cardiologist referrals than men and did the origin interpretation of women's CHD symptoms (e.g., chest pain) shift from organic to psychogenic. Neither participants' gender nor their attitude toward women influenced assessments.     

Countertransference and the female triangular situation3

This paper represents an attempt toward reconciling contemporary changes in psychoanalytic understandings of female development, particularly in respect to separation issues, with their clinical applications to female patients. Psychoanalytic thinking typically has categorized separation conflicts as pre‐oedipal, but the authors suggest that these are an integral part of the triangular situation of the girl. The authors argue that an allegiance to erroneous theory and/or individual blind spots have led to the infantilization, pre‐oedipalization or cultural stereotyping of females, which constrains the effectiveness of their analyses. The authors present a selected review of the literature on gender‐based countertransference biases in both male and female analysts, with reference to female ‘oedipal’ material. Analytic case material of two women is presented which demonstrates how theoretical misperceptions and countertransferences to triangular separation conflicts can produce an impediment to progression in analysis.     

The unfolding and healing of analytic boundary violations: personal, clinical and cultural considerations

Jungian analysts are not exempt from an unconscious engagement in a group complex. The author hypothesizes that there is a silent, dark legacy of belief in the superiority of men's judgment and the inferiority of women's, left by Jung, that has had a wounding impact on some Jungian analysands. Conscious and public mourning may be needed to heal our cultural complex. The author, a woman, traces the origins of her own patriarchal complexes and reveals how in her first analysis these mingled with the patriarchal complex shared by Jungian institute, her two male analysts and their former analyst, a pillar of the institute's community. Her first analyst aborted her analysis to begin a personal partnership with her. Her second analyst unconsciously colluded with the first analyst in not exploring this outcome as a violation. This resulted in a second compromised treatment. The senior analyst who had been these two analysts' own analyst was consulted, and he too failed to address the transgression. After experiencing severe symptomatology, the patient entered a third analysis with a woman where transference and regression were the focus. Eventually, meaning was found in the confrontations with the particular Jungian organization and its ethics committee, who acknowledged the first analyst's behaviour to be unethical. The author sees this process as a paradigm for the enactment and healing of a group complex.     

Why the bride wears white: Grounding gender with brightness

Two studies examine the grounding of gender by the alignment of the female–male with the bipolar dimension of light–dark (most likely due to sexual dimorphism in skin pigmentation). We hypothesized and showed that in a speeded classification task male names are processed faster when they are presented in a black typeface (Exp. 1) or a dark color (Exp. 2) than when they are presented in white or a light color, with the opposite pattern for female names. The applied relevance of these findings is investigated in study 3 where lightness and darkness of consumables are revealed to drive gender specific preferences for foods and drinks, with the lighter consumables being female and darker ones being male preferences. Study 4 shows that gender preferences for consumer goods are uniformly driven by whether the good is in black or white, the former being male and the latter being female preference. The implications of these findings are discussed for theory formation in relation to the grounding of abstract concepts and in terms of how to design targeted marketing of products.     

A Mind of Her Own: Effects of Need for Closure and Gender on Reactions to Nonconformity

Research on opinion deviance suggests thatconformity and agreement with the established majorityis generally valued in groups. The present studyexamines how motivations for cognitive closure mayinfluence reactions to conforming and deviating membersbased on accessible gender role expectations. Caucasianmales and females participated in a group discussionwith confederates who either conformed or deviated from the majority opinion. Results showed thatgroup members motivated to reach cognitive closurenegatively evaluated female opinion deviants relative toconformists. However, contrary to previous research findings, they did not derogate male deviants.Motivation to avoid closure led to different evaluativepatterns by male and female evaluators. In addition toimportantly modifying results obtained by Kruglanski and Webster (1991) regarding closure motivationand conformity versus deviance, the current results arealso informative regarding gender role expectations andintra-group interactions. Limitations and implications of these results are alsodiscussed.     

Young Children's Sensitivity to Speaker Gender When Learning From Others

This research explores whether young children are sensitive to speaker gender when learning novel information from others. Four- and 6-year-olds (N = 144) chose between conflicting statements from a male versus a female speaker (Studies 1 and 3) or decided which speaker (male or female) they would ask (Study 2) when learning about the functions of novel objects. Some objects were in gender-typing colors (light pink or navy blue), and some were in a gender-ambiguous color (yellow). The results indicated that children did use speaker gender to guide their learning, by either consistently choosing to agree with the speakers of their own gender or making choices that are associated with gender stereotypes about color. The findings are discussed in relation to how in-group preference and stereotype attributions might influence children's learning from others.     

The mental pain of the psychoanalyst: A personal view

Abstract

Mental pain is a common concern of psychoanalysts in their professional life. Combining her clinical experience with previous contributions by others, the author presents a personal overview of the patient-triggered mental pain of the analyst. Countertransference is considered to be the major source of the analyst's work-derived mental pain. This type of mental pain is not to be avoided or discarded by the analyst. Rather, the analyst will benefit from tolerating and even welcoming professional mental pain: in most cases, mental pain will bring with it rich clinical material that, upon interpretation, will help him or her to offer previously intolerable contents back to the patient in a transformed version that now becomes acceptable. The analyst's mental pain may emerge in his dreams; clinical examples of this phenomenon are presented. It is suggested that there is an increased chance of the analyst undergoing mental pain when treating patients suffering from severe psychopathology, and a clinical case is reported to illustrate this assertion. The author proposes that a lifelong effort is to be expected from analysts in terms of enhancing their threshold of tolerance to professional mental pain. In situations of mental pain, analysts must be particularly aware of the need to modulate their interpretations before transmitting them to the patient. The capacity of analysts to transform their mental pain (Ta, according to Bion) will depend on the plasticity of their container functions, the quality of their transformation abilities and, in particular, their threshold of tolerance to mental pain.