Peter Heller's a Child Analysis with Anna Freud: the significance of the case for the history of child psychoanalysis

A Child Analysis with Anna Freud, a collection of Anna Freud's detailed case notes of her treatment of the young Peter Heller between 1929 and 1932, was first published in English in 1990. Not only does this work give us direct access to Anna Freud's ways of thinking and working at a crucial period in the early history of child analysis; it is also one of the few records of an adult reflecting in depth on the experience of being in analysis as a child. Yet to date this work has received little attention in the psychoanalytic literature. In an attempt to redress this neglect, the Heller case study is placed in the context of Anna Freud's emerging ideas about child analysis. In particular, its significance in the development of her psychoanalytic thinking is investigated in the light of her 1927 book, The Technique of Child Analysis.     

Otto Rank and man's urge to immortality

Otto Rank, one of Sigmund Freud's original followers, posited the existence of an "urge to immortality" as man's deepest drive. In his Psychology and the Soul, Rank traced the desire for immortality through four historical eras, with particular emphasis on the creativity of the hero and the artist. By the end of his life, Rank had not only repudiated orthodox psychoanalysis and developed then abandoned a psychology of the will, he had moved "beyond psychology" to a religious view of history and the nature of man.     

Attachment and sibling rivalry in Little Hans: the fantasy of the two giraffes revisited

Freud's interpretation of Little Hans's "phantasy of the two giraffes" is pivotal to his oedipal analysis that Hans has inchoate desires for sexual intercourse with his mother. Bowlby argued that Freud's focus on his oedipal theory led him to ignore preoedipal attachment-related factors that have equal plausibility in explaining the clinical data. However, Bowlby did not attempt to apply the attachment perspective to the interpretation of Hans's fantasies that form the core of the case material. A microanalysis of Hans's giraffe fantasy and the evidence used to support Freud's claims about it yields an attachment-based sibling rivalry account arguably of greater explanatory power than the oedipal account. Consistent with Bowlby's hypothesis, the evidence suggests that Hans's giraffe fantasy is about the sibling rivalry triangle involved in caregiver attachment access, rather than (or in addition to) the oedipal triangle. The issue of multiple levels of meaning and the methodological challenges raised by multiple determination is also considered. The giraffe fantasy's attachment-theoretic explanation encourages a rethinking of this classic case and strengthens Bowlby's claim that the case is fruitfully viewed from an attachment perspective.     

On the vicissitudes of Freud's early mothering. I: Early environment and loss

Utilizing case examples and published accounts of Freud's infancy, I attempt to demonstrate that an upheaval in Freud's life, with a desperate turning to his mother and to oedipal issues, was the result of the loss of his nurse.     

Little Hans and Freud's self-analysis: a biographical view of clinical theory in the making

For nearly a century, Freud's "Analysis of a Phobia in a Five-year-old Boy" has been read mainly--if often critically--with Freud's conscious aim in mind: providing evidence for the central importance of oedipal conflict. Material recently released by the Freud Archives casts new light on Freud's treatment of Hans's mother, Olga Graf (nee H?nig)--which began at the height of his self-analysis in 1897--and of Hans himself. Read in the enriched context of new information from Eissler's interviews with Max Graf and Herbert Graf, two texts--Freud's 1897 letters to Fliess and the 1909 case history--illuminate possible personal motives for Freud's insistence on the primacy of oedipal conflict.     

Freud's struggle with misogyny: homosexuality and guilt in the dream of Irma's injection.

The highly condensed dream element trimethylamin is central to the dream of Irma's injection. After a brief review of the medical literature on timethylamine (TMA), it is suggested that two important meanings of this chemical and its properties lie in its disguised reference to disparaging views of women, as well as to Freud's homosexual connection to Wilhelm Fliess. Freud's misogynistic and homosexual impulses were stimulated by Fliess's recent surgical error committed while operating on Freud's patient Emma Eckstein. Evidence is presented that the collaboration between Freud and Fliess in performing an aggressive act toward a woman was for Freud an enactment of a childhood situation in which he and his nephew John had ganged up on John's sister Pauline. The later relationship between Freud, Jung, and Sabina Spielrein is seen as an additional reenactment of this childhood triangle. An examination of Freud's associations to and analysis of the Irma dream, as well as some of his later relationships with women, indicates that guilt and the wish to make reparation were also prominent themes in Freud's inner life.     

Leonardo's phantasy and the importance of Freud's slip: The role of the analyst's phantasies in applied psychoanalysis and in the analytic relation

In his paper on Leonardo, Freud made a slip. Referring to the bird which, according to one of Leonardo's memories, tossed its tail into the painter's mouth many times when he was a child, Freud replaced 'kite' with 'vulture'. It is widely accepted that this slip doesn't signifi cantly damage the whole of Freud's constructions on the paper, nevertheless, the part of his considerations relating to the meaning of 'vulture' should be discounted. In the author's view, this part of the Leonardo paper is necessary. Thanks to the slip Freud was able to reach a comprehension which otherwise would have been unattainable. Interpretation based on the vulture made possible the confi guration of a mother as 'daughter of the wind', as was the case not only with Leonardo's mother but also with Freud's. Interpretation of Leonardo's phantasy was achieved through Freud's unconscious identifi cation with Leonardo and the slip adequately interpreted becomes the evidence of this. Through identifi cation, Freud succeeded in making sense of Leonardo's memory but also in realising an indirect virile possession of his own 'winged' mother. Freud's position as interpreting subject in his paper on Leonardo also has more general value: the analyst's knowledge about the 'other' has a very important basis in the indirect expression of his unconscious wishes within the fi eld of sense. The author uses clinical material in order to show how the analyst's phantasies play an important role in analytical interpretive work.     

Freud, Dora, and the maid: a study of countertransference

Early advances in psychoanalytic knowledge, profound though they were, were incomplete structures to be built upon, modified, and partially discarded. In addition to errors due to insufficient knowledge, Freud's difficulties with Dora stemmed from countertransference. Dora's transference included an identification with a governess/maid. Important oedipal role played by a nursemaid in Freud's life made him vulnerable to being left by Dora. The maid, Monika, "the prime originator" of Freud's neurosis, seduced him, chastised him, and taught him of hell. In his self-analysis she was associated with Freud's mother who left him when she gave birth to his sister. When he was two and a half years old, Monika was discharged and jailed for stealing. I suggest that Freud's attraction to Dora revealed itself in his libidinal imagery of the treatment and his premature sexual interpretations, the effects of which he misjudged. Defending against his attraction, he pushed her away from him, did not act to keep her in analysis or allow her to reenter analysis later. In addition, since Dora had left him as he must have felt his childhood nursemaid had, he reacted as if she were that maid. Hurt, saddened, and angered, he used reversal and deserted her, thus damping his feelings.     

The puzzle of Freud's puzzle analogy: Reviving a struggle with doubt and conviction in Freud's Moses and monotheism

In this paper the author points to a puzzle raised by Freud's contradictory use of an analogy of a jigsaw puzzle. She shows how, through the attempt to resolve this puzzle, meanings and implications of Freud's difficult struggle with his search for truth in Moses and monotheism come alive, both in Freud's writing and in the author herself. Central to this struggle is an encounter with the sources of doubt and conviction that ultimately allows one to embrace ideas experienced as true, although they are not demonstrable evidentially. The paper sheds light on the importance of Moses and monotheism as a theoretical text that reflects on developments in Freud's thinking on truth, and the possibility, dangers and inherent difficulties of grasping it.     

An event in medical life,or the advent of a belief?

Freud's ambivalent relations with medicine are well known. Based on his relatively unknown text, A religious experience, published in 1928, the authors present an analysis of the internal reasons for this conflict. Responding to a letter from an American doctor, who tells him about his reactions to an autopsy and the influence it had on his religious faith, Freud suggests an analysis that leads him to make a surprising slip. This slip reveals the conflicts inherent in the practice of autopsy, considered as a peculiar event in medical training that puts a strain on the future medical practitioner's subjectivity. Based on the analysis of unconscious impulses and fantasmatic activity, the authors demonstrate that Freud's theory is still surprisingly relevant today in the light of testimonies from contemporary doctors confronted with autopsy during their training or daily practice.     

Technique and countertransference in Freud's analysis of the Rat Man

Freud's records of his treatment of the Rat Man constitute a unique document in the history of psychoanalysis. Through the years different analysts have used these records to support different theories about analytic technique. Certain non-interpretive interventions of Freud's have especially aroused their interest, and many reasons have been put forward to "explain" Freud's behavior. One reason never yet advanced and documented is that a countertransference tension may have been involved in one of these instances. This is surprising, since countertransference is a necessary part of every analysis. Evidence is presented that Freud's behavior may indeed have been under the sway of countertransference. Some recently discovered details concerning his early life are discussed as constituting a plausible background for ths countertransference enactment.     

Neurotic and narcissistic transferences in Freud's relationship with Josef Popper.

An analysis of Freud's avoidance of meeting with Josef Popper is offered which suggests that Freud's idealization of Popper was related to an unconscious fear of being attacked by him. This view is compared and contrasted with the concept that Freud had a "mirror transference" to Popper, as proposed by Wolf and Trosman (1974). The choice of focusing on either narcissistic or neurotic mechanisms in this psychobiographical inquiry is discussed and related to similar choices that commonly occur in clinical work.     

The psychopathology of everyday Vienna: Psychoanalysis and Freud's familiars

This paper examines the parapraxes made by, to or about Jewish-identifi ed individuals discussed by Freud in Psychopathology of everyday life. Each of these errors and slips is occasioned by what he terms a 'mésalliance' between a Jew and a Gentile. Such incidents of distorted language betray unresolved ambivalences and unformulated anxieties endemic to Jewish-Gentile interaction in Freud's Vienna. First, the disturbed relationships between German-speaking Gentiles and their threatening Doppelgänger, the Jews, are analyzed by means of Freud's analysis of the 'uncanny' and an examination of the particular restrictions placed upon the 'offi cially' emancipated Jews in the Habsburg Empire, especially with regard to intermarriage. Then, the paper turns to Freud's discussions of explicitly Jewish-identifi ed individuals and their limitation to illustrating parapraxes associated with what should be the most pleasurable and intimate relationships between Jew and Gentile, namely sexual and connubial relations. His focus upon this confl icted conjunction diagnosed the intrinsically problematic character of Jew-Gentile interaction in his Vienna.     

"Totem and Taboo" in a latency boy.

Against the background of Freud's "Totem and Taboo" the case of a seven-year-old boy is discusses, focusing on his identification with a cat. Guided by Freud's dialectic thinking and his discussion of the phenomena of patriarchy and matriarchy, one is led to contemplate the totemism of a matriarchally oriented boy. The attempt to understand this child's pathology is based upon the concept of the specificity of a developmental phase. In the light of anthropological data, clinical phenomena are evaluated ontogenetically, in analogy with the recapitulation hypothesis.     

"Worthless female material": nursemaids and governesses in Freud's cases

The figure of the governess, central in Freud's own history, is present in most of his cases. Freud described his nursemaid as "the prime originator" of his neuroses. Well after Freud's abandonment of the seduction theory, female servants were consistently portrayed as seducing boys, while their relationship with girls consisted of identification and rivalry. The role of Freud's own surrogate mother in his life and writing is examined, and two cases, Lucy R. and Dora, are looked at through the lens of female caretaking. A review and integration of relevant literature is followed by an exploration of the perplexing adherence in Freud's writing to the reality of seduction by a governess, even after he had abandoned the seduction theory. It is argued that it is in the figure of the female maid that the "shadowy" early history of Freud's mothering experiences may actually be engaged, however indirectly and unconsciously. This figure, and Freud's powerful, problematic identification with her, is a thread that when pulled helps unravel struggles in Freud's early theoretical development around issues of female sexuality and analytic authority. Revisiting Lucy R. and Dora provides a new perspective on Freud's difficulty with maternal transferences, and restores to their original importance his "worthless" governesses, those first analysts.     

The choice of a name: "Dora" and Freud's relationship with Breuer

I have suggested that Freud's choice of the pseudonym Dora for his eighteen-year-old hysterical patient, Ida Bauer, was over-determined. Dora, it seems likely, was named not only after Freud's sister's nursemaid, as Freud himself explained, but also after Dora Breuer, Josef Breuer's youngest daughter. This theory is based on an examination of the similarities in the lives and symptoms of Anna O. (Breuer's famous hysterical patient of 1880-1882) and Dora; on an analysis of the transferences and countertransferences in the cases of these two young women; and on evidences of the persistent significance of Josef Breuer in Freud's life after 1895. These specific inquiries also call attention to the nature of hysteria at the end of the nineteenth century and to the ever-present complexities of the physician-patient relationship.     

Freud's theory of paranoid delusion based on the Schreber case contrasted with related theories

The historic importance of Freud's analysis of the Schreber case is acknowledged, even though the theory it expounds is largely disavowed. The theory ascribes the cause of paranoid delusion to homosexual impulses unresolved in infancy or early childhood. This paper summarizes Freud's monograph on Schreber and contrasts his theory with the views of various revisionists. The writers focus on the Freudian concept of projection, which is intended to explain how much meaning can become reversed under the impetus of stress, and the reversal lead to delusional thinking. Based on their work in family therapy, where they observed one form of pathogenic relating termed learning to be possessed, the writers concluded that this form was also based on a type of projection which could culminate in delusional ideation. A relationship between learning to be possessed and H. S. Sullivan's theory of paranoid transformation is described. A learning factor is present in several of the psychological theories advanced to explain delusion, and the factor is akin to if not identical with Freud's concept of projection.Gerald Zuk, PhD, is in private practice at 25316 Pacy Street, Santa Clarita, California 91321-3343. Carmen Zuk, MD, is a child psychiatrist-partner affiliated with the Southern California Permanente Medical Group at its psychiatric clinic in Van Nuys, California. Both may be reached by telephone at (805) 252-7702.     

Sigmund Freud and the diagram-maker school of aphasiology.

Published 100 years ago, Freud's monograph on aphasia, Zur Auffassung der Aphasien, is an incisive analysis of the so-called diagram-makers, those aphasiologists who would reduce brain and language to simple schemes of circumscribed cortical centers linked by unidirectional subcortical pathways. Chief architects of the diagram-maker school were Wernicke and Lichtheim, and their formulations of conduction aphasia and the transcortical aphasias were particular targets of Freud's trenchant criticism. Freud argued against functional differentiation within left hemisphere perisylvian language regions, and he suggested that traditional aphasic syndromes were artifacts of lesions that included cortical language regions and deeper white matter pathways not directly involved with language. He provided an innovative classification of aphasia based on types of associations presumed to be affected. Freud, however, failed to adduce new clinical or pathological observations; he was perhaps unnecessarily harsh in challenging authorities in the field of aphasia; and his theory had to compete with a straightforward and already entrenched anatomical view of language representation. Despite Freud's lucid argumentation, his carefully crafted monograph was never widely noted.     

Freud's Little Oedipus: Hans as exception to the oedipal rule

Freud's "The Analysis of a Phobia in a Five-Year-Old Boy" is regarded by Freud and by analytic readers and commentators as a prototype of his conception of the oedipus complex. A literary methodology is used to show that the interpretation of the oedipus complex at work in Freud's text in fact differs from Freud's standard view of it. While studying the paper as text, not as case report, may obscure or distort some clinical matters, it is valuable in that it makes legible a sort of theoretical unconscious in the text. In contrast to Freud's typically tragic view of the oedipus complex (in the tradition of ancient Greek tragedy), the Hans study evokes a comic vision (in the tradition of Greek New Comedy). This comic vision allows Hans a happy imaginative ending to the oedipal dilemma, challenges certain epistemic pretensions, and emphasizes the oedipus complex as a set of abiding existential questions. Given the deep link between Freud"s oedipus concept and a tragic view of human life, this departure in the Hans paper is a fascinating anomaly.