Space and time in psychoanalytic listening1

The analytic situation is by definition traumatic because it evokes hilflosigkeit, the state of helplessness of the newborn infant, which is the prototype of the traumatic situation, and at the origin of the experience of anxiety. The author addresses the chain of associations between the state of helplessness, repetition compulsion, trauma, infantile sexuality, pleasure and displeasure, which lie at the core of the transference experience, and which find their ultimate expression in the analyst's listening. The discovery of the compulsion to repeat instituted a paradigmatic shift in Freud's formulations, emphasizing the process of repetition of trauma, and instituting a link between the network of concepts indicated above. In the clinical example discussed, the author defines the psychoanalytic process by the primacy of sexuality, the erotic passivation in the transference that evokes the traumatic childhood sexual scene. Sexuality and sexual phantasies are at the centre of the elaboration of meaning. Furthermore, the author distinguishes between two types of interpretations, namely ‘open’ and ‘closed’.     

On the need of fundaments in psychoanalytic thinking

The questions concerning the foundations of psychoanalytic knowledge have been pressing from the beginning. Beside as a therapeutic practice, Freud conceived psychoanalysis as a science, maintaining that like other sciences psychoanalysis should have sound empirical and conceptual fundaments. Freud claimed that there is an inseparable bond (ein Junktim) between cure and acquiring knowledge in psychoanalysis. One of his aims in developing a metapsychology (analogously to metaphysics) was to explicate the conceptual structure of psychoanalytic knowledge. After Freud psychoanalysts have not reached a consensus in the questions concerning the foundations. What kind of foundations does psychoanalytic knowledge need? Are they to be found from the psychoanalytic practice and research on the couch, or rather from metapsychological constructions? In what way should psychoanalysis rely on external scientific research? The article addresses these questions, arguing that even though psychoanalytic work and knowledge do gain justification from various external sources, in the end psychoanalysis stands on its own foundations. It is further argued that especially under the prevailing plurality of theoretical and clinical approaches, psychoanalysis does not have – and does not need – a foundation that could not be further questioned. Thus a coherentist picture of psychoanalysis is defended.     

Unconscious conflict in the light of contemporary psychoanalytic findings

In considering unconscious conflict, the author looks at the influence of contemporary psychoanalytic findings on the formulation and treatment of various psychopathologies. Technical considerations related to furthering the understanding of unconscious conflict are addressed, with attention to the roles of drives and affects, and to the influence of deficit theories and other developments on current psychoanalytic thinking and practice. A brief clinical illustration is included.     

The language of empathy: an analysis of its constitution, development, and role in psychoanalytic listening

Viewed from an epistemological perspective, empathy in psychoanalytic practice is described as that aspect of a specialized attentional stance that opens channels of interaction facilitating the formation of a trusting bond and enabling one to gain access to the emotional qualities of another's experience. A literature overview traces the origins of the concept in Freud and its role in psychoanalytic listening (including its controversial, divisive evolution in our field). Empathy is then examined from a semiotic-developmental framework. Its constitutional origins, differentiated forms, and distinctive purpose in clinical discourse are discussed. A developmental line is proposed, and clear distinctions are drawn between empathy in everyday life and its specialized technical application in clinical work.     

Acting,feeling and thinking: psychoanalytic psychotherapy with Tracey

This paper consists of a case study and commentary which formed a part of the inaugural lecture in a series entitled ‘Working with Psychosomatic Issues’*. The audience consisted of psychoanalytic, body psychotherapy and integrative practitioners. The presentation was divided into three parts, (1) an outline of philosophical themes that inform perspectives on health, illness and psychosomatic phenomena, (2) the case study reproduced below and (3) a summary of Winnicott's work (1960, 1966, 1988) on ‘the indwelling of the psyche in the soma’. The case study describes work with a young woman who harms herself through self-hitting and, in addition, expresses other physical manifestations of psychological distress. The core approach of the practitioner is psychoanalytic. The work is informed also by postmodern sensibilities and phenomenological themes.     

Pure-tone perception and ear advantages in dichotic listening

A same-different matching task was used to investigate how subjects perceived a dichotic pair of pure tones. Pairs of stimulus tones in four frequency ranges (center frequencies of 400–1,700 Hz), with separations between 40 and 400 Hzt were tested. Five types of test tones were matched to the stimulus pair: the stimulus pair presented again (control) or crossed over (same tones, different ears), the geometric mean of the two tones, or a binaural tone of the low or high tone of the pair. In the lowest frequency range and the highest with maximum separation, the crossed-over test tones were perceived as different from the same stimulus tones. A bias for perceiving the higher tone of a pair was evident in the frequency ranges with separations of 40-200 Hz. In the lowest frequency range, the bias was for perceiving the higher tone in the right ear. This restricted ear advantage in the perception of pure tones was not significantly related to the right-ear advantage in dichotic word monitoring.     

Speech and music draw attention to the right ear in stereophonic listening

This study investigated whether right-handed subjects would prefer the right ear for normal speech and the left ear for musical stimuli. Right-handed college students (9 women and 2 men) were presented two stereophonic tape recordings, one of normal speech, the other of nonlyrical, orchestral music. Subjects used an attenuator to match the intensity of signals in the left and right earphones. The subjects consistently favored the right side in both conditions. These findings are inconsistent with those of other researchers, such as Segalowitz and Plantery. However, the findings support the 1980 research of Porac, Coren, and Duncan, offering perceptual evidence of a general right-ear bias in right-handed subjects.     

Delving into psychoanalytic texts: the notion of the reading third

In this article I introduce the notion of the reading third, which evolves during the reading process. The idea came to my mind while studying Wolfgang Iser’s theory of the reading process, and already knowing about Thomas Ogden’s concept of the analytic third: What is experienced, shaped and understood while reading a text? The notion of the reading third is based on psychoanalytic theory and method like just Ogden’s concept, and on the aesthetic response theory of Iser. Elaborating the reading third, I combine two modes of reading: one understanding and interpreting, and one floating and experiencing mode. To these modes I add two different understandings of truth. The first mode is connected to a traditional, objective and visible truth. The latter mode relies on Wilfred Bion’s concept of O, a special kind of evasive, ephemeral truth. The reading third takes and loses form as one reads, accentuating reading as a highly creative activity, where each reading elicits different understandings, experiences and truths. I give examples of such a way of reading psychoanalytic texts like those of Bion and a work of fiction, Henry James’ short novel The Turn of the Screw.     

Problems in contemporary psychoanalytic theory: II. Lines of advance

In the theoretical development to come in psychoanalysis, an "inclusive" strategy is recommended, allowing for conflicting points of view to exist side by side waiting for a new integrating theory to emerge. Until such a theory is at hand, the term "psychoanalysis" will remain a rather loose heading for several psychoanalytic subcultures. It is argued, both clinically and theoretically, in favour of giving the organizing function of the ego a central position in the forthcoming theory. Some consequences of this "organizational" point of view are discussed in relation to: ( a ) diagnostic classification, ( b ) the distinction between psychoanalysis and psychoanalytically oriented psychotherapy, and (c) the theoretical language of psychoanalysis. In conclusion som requirements for a future theory of psychoanalysis are proposed.     

Fried and Freud on the Acropolis; on duality in the base of psychoanalytic thinking

Freud was conflicted in relation to his religious background. On the one hand, he was very clear on his adherence to a scientific Weltanschauung. On the other, he was fascinated by the Moses figure and one may see a Judaist structure in his way of thinking. The aim of this paper is to reflect on this conflict and the question of faith in psychoanalysis. After looking at object and method in religion and psychoanalysis, the authors go into the concept of ‘psychic reality’ and its change in the history of psychoanalysis. Through an analysis of Freud’s A Disturbance of Memory on the Acropolis and the function of literature, it is claimed that faith may be seen as a condition for the sense of experiential reality.     

The effect of memory load on the right ear advantage in dichotic listening

The right ear advantage (REA) observed in dichotic tests was further investigated to examine the effects of memory load on the task. Memory load was operationally defined as the duration of time wherein subjects were asked to retain the stimuli, with no rehearsal, prior to recall. The delay periods interpolated between dichotic stimulation and recall were: no delay, 5, 10, and 15 sec delay. There was a significant REA in the no delay condition. The conditions with interpolated delay periods showed a substantial loss in overall accuracy, and at 15 sec delay showed a strong REA. The results offer suggestive evidence for a lateralized memory mechanism for storing speech sounds.