The Problem of Silence: Training Analyses

An unusual set of silences mark the history of psychoanalysis, and the origins of training analysis is notable among them. Organizational trade unionist politics too often substitute for genuine scholarship. The advantages and limitations of the practice of training analysis need to be explored. Both Glover and Lacan pioneered politicization. A variety of authoritarian devices have been operating for suppressing "dissidence." The future of psychoanalysis may depend on the extent to which the political, social, and strictly philosophic sides of psychoanalysis get explored. in proposing that training analysis leads to     

Psychoanalysis,religion, philosophy and the possibility for dialogue: Freud,Binswanger and Pfister

Abstract

This article considers the longstanding disciplinary tensions between psychoanalysis, religion, and philosophy. It argues for a cross-disciplinary understanding of human experience by examining the relationship of Sigmund Freud to his two Swiss colleagues, Ludwig Binswanger and Oskar Pfister. In contrast to Freud's avowed atheism and pronounced ambivalence on philosophy, Binswanger and Pfister both professed a strong religious sensibility and philosophical outlook. The article juxtaposes their theoretical divergences on religion and philosophy with personal interactions and correspondence. The relationship of Freud to Binswanger and Pfister is instructive for understanding the historical and contemporary interaction of psychoanalytic theory and practice with other disciplines and diverse viewpoints. The dialogical spirit that connects the three protagonists constitutes a critical engagement with learning and is essential to psychoanalysis today.     

Couple Psychoanalysis in the United Kingdom: Past,Present, and Future

ABSTRACT

The evolution of couple psychoanalysis in the United Kingdom is historically rooted in, and currently supported by, what might be called the Tavistock tradition, which principally derives from the work of Tavistock Relationships, a London-based organization combining clinical practice, training, and research. Practitioners working within this tradition draw on a range of psychoanalytic theories and differ in the ways they are applied in clinical practice and with different client groups, but they are united by their focus on relationship dynamics and how these can be affected by unconscious processes. This article charts how the main ideas and practices associated with the Tavistock tradition of couple psychoanalysis came into being, describes the conceptual building blocks that provide the platform for current training and practice, and identifies nodal points that might indicate directions of growth in the future.     

Psychoanalysis and Social Work

Abstract

This paper traces the close relationship between psychoanalysis and social work after Freudian theory's dramatic impact on social work practice in the 1920s. It shows how revisions and expansion of psychoanalytic theory beyond its traditional base influenced clinical work during later decades until the 1960s, when society turned its attention to macrosystems intervention and other theoretical frameworks and practice models. The paper considers the impact of this change in emphasis on clinicians, direct practice, and schools of social work. Although it describes the resurgence of direct practice that occurred in the 1970s and 1980s, it discusses the reasons for the greatly diminished role of psychoanalytic theories in social work curricula. It concludes that there is little reason for optimism about psychoanalysis regaining a prominent position within the profession at the present time and comments on some implications of this state of affairs for those committed to advanced clinical training.     

Forum der Psychoanalyse: A journal documenting the “normalization” of the psychoanalytic field in Germany

Abstract

Forum der Psychoanalyse, which holds a firm place in the German-speaking world today, was founded in 1984 in a rugged landscape of psychoanalysis in Germany that was the consequence of the malignant group processes that had occurred between psychoanalytic societies after World War II. The Forum's foundation was guided by the idea of creating a constructive climate between the rivalrous groups and moderating the gap between them, given the increasing recognition of the shared history of psychoanalysis in Germany that had started to take root in the 1980s. Emphasizing the common ground in psychoanalytic theory and practice, the Forum is open to all psychoanalysts, to discussions of the various psychoanalytic trends, and to contemporary interdisciplinary dialogue. It promotes exchanges between psychoanalytic societies, and is also meant as a bridge to the development of psychoanalysis abroad.     

Psychoanalysis and evaluation: a stratified model focused on the uniqueness of the case

ABSTRACT

Objectives: This article addresses the methodological controversies surrounding the issue of how to evaluate the psychotherapies. It proposes to identify the principles of an integrative and stratified model in order to report the results of analytical therapy (its efficacy) based on the very effectiveness of its processes. Thus, the uniqueness of the case is put at the center of the evaluation setting.

Methods: Drawing on science studies, the authors engage in a reflexive exercise on the problem of psychoanalysis’ evaluation based on methodological questions raised in the field over time and current issues related to practice.

Results: First, the regularly asserted opposition between the norms of analytical practice and those governing standard evaluation procedures is reinterpreted as the effect of a lack of intermediate epistemic patterns.

Second, the fundamental principles of an integrative model are considered so as to translate and articulate a set of heterogeneous requirements into distinct strata.

Discussion: Since psychoanalysis is fundamentally a case-by-case practice characterized by inequivalence and unexpectedness, its utmost aim is to use a type of effectiveness based on the singularity of the case. However, this does not prevent it from being evaluable provided that the epistemic levels of the evaluation are clearly differentiated.     

Psychodynamic counselling in an educational setting: Containing,transference and clientele

Abstract

The concepts of containing and transference, as well as the specific nature of the clientele, may, on a first approach, be used to differentiate psychodynamic counselling in an educational setting (PES) from the ‘pure gold’ of psychoanalysis. Further, it is argued that a realistic understanding of PES, given the constraints in which it operates, demands that the psychodynamic practitioner be prepared to cut her procedural cloth in accordance with the demands her clients place upon her. This makes PES a pragmatical practice rather than some lesser cousin of ‘orthodox’ psychoanalysis.     

A Contemporary Notion of Time: Fragments of a Case from Rio de Janeiro

This paper presents vignettes of a case from the city of Rio de Janeiro in which temporality appears as a fundamental issue. Severe difficulties in validating the past and integrating past, present and future reveal pertinent questions on time and the ideal function in the contemporary world. The author underlines the relevance of such questioning for the practice of psychoanalysis today.     

Historiography and psychoanalysis

Abstract

The act of writing the history of psychoanalysis poses crucial questions with regard to the openness of society. This article examines the fundamental issues faced by researchers when they set about writing the history of psychoanalysis in a specific country. The significance of reconstructing features of the psychoanalytical practice is discussed. The opposition that exists between the current academic ideals and those of the psychoanalytic societies is outlined with reference to the changes that society has undergone, particularly during the past 30 years. In this context, the stance maintained by psychoanalysts with regard to psychiatry, academic psychology, and the university education of psychotherapists is defined. Government accreditation processes for psychologists and psychotherapists are likewise illustrated in the light of the opinions held by psychoanalysts at different moments in time.     

the scientific association of the lake of constance psychiatrists 1919-1932 psychoanalytic contributions to the treatment of psychoses

Abstract

From 1919 until 1932, psychiatrists from the mental hospitals near Lake Constance and from the Bellevue-Sanatorium in Kreuzlingen/Switzedand organized regular scientific meetings, where well-known representatives of all the relevant psychiatric and psychotherapeutic schools and important phenomen-ologicai philosophers came together. Getting in touch with psychoanalytical and social psychiatric trends led to a quite lively and fruitful exchange in theory and practice. Through the Reichenau psychiatrist Alfred Schwenninger, Ludwig Binswanger got to know personally the phenomenologic philosophers Alexander Pfander and Edmund Husserl, who also held lectures at meetings there. Hans Wolfgang Maier from the Burghölzli in Zurich and his colleagues from Herisau and Munsterlingen concentrated on the mainly social psychiatric and forensic work diey did. Quite a few of the lectures were published in the TZeitschrift für die gesamte Neurologie und Psychiatrie The paper concentrates on contributions related to psychoanalysis. The Reichenau director Karl Wilmanns showed a sceptical sympathy for psychoanalysis even when applied to schizophrenia. Ludwig Binswanger treated psychotic patients psychoanalytically and tried to combine psychoanalysis, clinical psychiatry and philosophy. Especially phenomenology was for him a fundament of psychopathology. The paper reports in detail some of his contributions at the scientific discussions, theoretical issues as well as issues of a psychoanalytic practice.     

Has Castration Anxiety Anything to Do with Psychoanalysis?

ABSTRACT

Following the idea of Green about whether sexuality is related to psychoanalysis, I begin this article with a question that refers to the title of the work: “Has castration anxiety anything to do with psychoanalysis?” Concerned about the lack of bibliographic reference to the concept of castration anxiety, I make a tour of the notion, taking as its point of departure and arrival the intellectual itinerary of Freud. I continue with a brief review of later authors. Interested in rethinking this issue, I wonder whether castration anxiety is expressed in the same manner in the clinical practice of today. The question does not tolerate a hasty response, so I present two clinical vignettes to call attention to castration anxiety as a central factor in the development and understanding of the clinical practice. The last section refers to the discussion and concluding reflections.     

Looking a Hundred Years Back: Remarks on the Concept of "Wishing" in Psychoanalysis

While the concepts of "wish" and "wish fulfillment" have indeed remained central since the start of classical psychoanalysis, they are only weakly anchored both in theory and practice. It has become common today for psychoanalysts to use the term "to wish" in the sense of "to want" or "to intend." As a first step, it will be emphasized that "wish" should not be constructed along the lines of "intention." An examination of the relationship of "wish" to "wish fulfillment" is then followed by an evaluation of its practical significance for psychoanalysis and for our understanding of mental life in a general sense. Turning to an example dream sequence, we will arrive at the psychoanalytic core of the issue: the assumption of hidden, non-obvious, non-recognizable wish fulfillment scenarios. At this point in the discussion, a method of access will be sketched out - the dramaturgical approach - that, although it makes use of the idea of free association, does so in a manner that diverges from Freud's original recommendation.     

Psychoanalysis and University in Brazil: Possibilities and Limits of This Articulation

The goal of this article is to clarify some of the aspects concerning the academic teaching and research that is carried out in the field of psychoanalysis in the Brazilian Universities, versus the transmission and training in psychoanalytic institutions. The author describes how psychoanalysis is present in the Brazilian university context, from undergraduate to graduate studies, and also points out perspectives regarding the future of psychoanalysis in Brazil.     

Can Psychoanalysis be a Science?

This essay proposes to examine a limited number of critical assessments regarding the scientific status of psychoanalysis with reference to intents and purposes, claims and disclaimers, contrasting views of what constitutes a science and the nature of scientific thinking and how these might apply to psychoanalysis epistemologically. It assumes a certain degree of familiarity with criticisms that have been leveled against psychoanalysis from those who insist on absolutist testing for what some call true science, particularly on the part of those who are not practitioners of the art. It wonders about the concern with scientizing by those who actually practice it, or value it in some way or another. It suggests an open minded approach without premature or even warranted closure on the subject of human beings and of ways of getting to know them, let alone understanding them and perhaps being of help to them.     

Wilhelm Reich in Soviet Russia: Psychoanalysis,Marxism, and the Stalinist reaction

Abstract

In 1929, Wilhelm Reich lectured on “Psychoanalysis as a natural science” before the Communist Academy in Moscow; he was the only Freudian-trained Central European psychoanalyst to do so. That same year, his article “Dialectical materialism and psychoanalysis” was published in the Academy's journal, Under the Banner of Marxism, in both Moscow and Berlin. By this time, Reich's involvement with political activism aligned with the Austrian Communist Party was increasing, while simultaneously psychoanalysis in the Soviet Union was in decline. Our paper places these events in their proper historical context and includes a discussion of the various attempts to determine the compatibility of psychoanalysis and Marxism. We offer analyses of both the article, “Dialectical materialism and psychoanalysis,” and the lecture, “Psychoanalysis as a natural science,” and the reactions to both by Reich's Russian critics. We show the ways in which responses to his lecture foreshadow what becomes the standard Soviet assessment of psychoanalysis. As an appendix to this paper, we provide the first English translation of the Russian account of his lecture, as published in the Herald of the Communist Academy.     

Of “sleep and dream: A psychoanalytic essay' by Joyce McDougall (discussion)

Abstract

The author describes experiences gathered during several years of teaching psychodynamic psychotherapy with psychologists and psychiatrists within a 2-year-training programme in Shanghai, China. Questions and problems of the reception of psychoanalysis – shame, sexuality, harmony, abstinence – as well as the possibilities and limitations of exporting psychoanalysis are discussed. The possible future development of psychoanalysis in China is also outlined.     

The functioning of religions from a modern psychoanalytic perspective

This paper considers the personal psychological development which can take place in the adherents of certain religions, and compares it with the personal development which can take place in a psychoanalysis. The author argues that the preoccupations of different religions are very various, and to understand their functioning it is important to recognise the variety of their goals. Using the Kleinian notion of psychic ‘positions', and with the help of a neuro-scientific model, it becomes possible to conceptualise the psychological effectiveness of both psychoanalysis and the religions, and to relate them intelligibly. There continues, however, to be a radical difference between the ways in which psychoanalysis and the religions cause their psychological effects, which is best seen by considering the nature of their objects.     

Social Work,Psychoanalysis, and Smoke-Filled Rooms

Abstract

This paper describes one social worker's journey from the first days of his social work education to his current experience as a psychoanalyst, and the subsequent transformation of his professional self. The complementary nature of the relationship between social work and psychoanalysis is considered. Through a personal vignette, the author hopes to remind current social work educators about the usefulness of psychoanalytic theory and practice within the context of casework values and principles.     

Some thoughts on moving West

Abstract

This paper outlines an application of psychoanalysis in the tradition of Donald Winnicott in the clinical practice of paediatric diagnostic radiography. A practical way in which psychoanalytic theory may be employed in the care of essentially ‘normal’ children and their parents in the ‘abnormal’ setting of a district general hospital is demonstrated. The themes of holding and the effect of impingements, transitional phenomena and creative apperception and experiencing are addressed. A brief case study of one 15-month-old child is presented.     

Reflections on Psychoanalysis,Peer Review and Evidence

During these times, when society wants "evidence" that treatments are effective, ethical and cost effective, quality assurance and evidence-based medicine have become catchwords. The powers that be place their hopes on them when they find that they have to prioritize forms of treatment. There are different attempts to define these concepts and there are different approaches, most of them based on quantitative studies. This article describes a different approach. It also discusses how you can use the model for peer review among psychoanalytical colleagues as a qualitative study and a base for both quality assurance and a learning process. It also has its place in any formulation of 'evidence' for psychoanalysis and psychotherapy.