Taking time: the tempo of psychoanalysis

In this article the author argues that in order to be psychoanalysis, the 'here and now' technical approach needs to be firmly grounded theoretically and technically in a practice that includes the notion of reverie or its equivalent. The author has argued previously that the analyst's theory is the essential 'third' of the two-person analytic situation. She now suggests that it is specifically the theories of temporality and the attitude of 'evenly suspended attention' or its more contemporary development, 'reverie', that are the crucial aspects of that theory. She refers to these essential aspects as the 'theory in practice' in so far as they are more than a technical approach or a theory of practice but reflect directly a particular analyst's internalisation of the whole psychoanalytic theoretical corpus. While she believes this to be an essential component in any true psychoanalysis, in developing her argument the author looks at situations in which the analyst is particularly prone to forgo this temporal aspect, as is the case when patients show an absence of symbolic thinking within the analytic situation. In fact, with those patients reverie and the visual images it produces within the analyst's mind offer perhaps the only hope of a meeting ground between the concrete and the symbolic and the possibility of avoiding an impasse. Impasse, she suggests, has at its root the absence of reverie as a third and temporal element, inevitably giving rise to concrete thinking on the part of patient and analyst and so to a situation that cannot evolve.     

Transforming feminine categories: genealogies of virginity and sainthood

The categories of virginity and sainthood, often used as norms of femininity, are historically and contextually constructed. Genealogies of these categories reveal definitions of female subjectivity in accordance with male desires. Traditional conceptions of virginity have implications for theories of female development and sexuality, conceptions of the psychoanalytic process, and theories of social symbolism. Notions of virginity as an unblemished state, the first penetration by a penis as an irrevocable transformation to womanhood, and defloration as a developmental milestone in female sexuality derive from male fantasies of female purity that translate into justifications for social structures of control and ownership. While fantasies of sainthood played significant roles in the work of both Sigmund and Anna Freud, their images of saints, which they did not analyze, were unconsciously shaped by a Victorian sensibility. Because the psychoanalytic legacy is androcentrically informed, analysts may be hampered in their efforts to treat the pathologies of perfection that continue to plague women. Contesting and unsettling conventional epistemological assumptions open up the categories of virginity and sainthood to images and representations of female autonomy and integrity. The critical analyses offered here contribute to theories of the plasticity of gender and the social construction of femininity.     

A revolution of the mind: some implications of George Hogenson's ‘The Baldwin Effect: a neglected influence on C.G. Jung's evolutionary thinking’ (2001)

George Hogenson's 2001 paper ‘The Baldwin Effect: a neglected influence on C.G. Jung's evolutionary thinking’ developed the radical argument that, if archetypes are emergent, they ‘do not exist in the sense that there is no place that the archetypes can be said to be’. In this paper, I show how Hogenson's thinking has been seminal to my own: it is not just archetypes but the mind itself that has no ‘place’. The mind is a dynamic system, emergent from the cultural environment of symbolic meanings to which humans are evolutionarily adapted. Drawing on the work of philosopher John Searle, I argue that symbols constitute the realities that they bring forth, including the imaginal realities of the psyche. The implications for clinical work include a rejection of structural models of the psyche in favour of the emergence of symbolic realities in the context of psychoanalysis as a distributed system of cognition.     

The rooting of the mind in the body: new links between attachment theory and psychoanalytic thought

The relationship between psychoanalysis and attachment theory is complex indeed. A brief review of the psychoanalytic literature as it concerns attachment theory and research, and of the attachment literature as it pertains to psychoanalytic ideas, demonstrates an increasing interest in attachment theory within psychoanalysis. Some of the difficulties that attachment theory faces in relation to psychoanalytic ideas are traced to its links to the now dated cognitive science of the 1960s and 1970s. Today, however, a second-generation cognitive neuroscience seeks neurobiologically plausible accounts in which links with brain and body are seen as shaping mind and consciousness, which increasingly are seen as "embodied", as emerging from or serving the needs of a physical being located in a specific time, place, and social context. This idea has also been at the core of much psychoanalytic thinking, which has historically affirmed the rootedness of symbolic thought in sensory, emotional, and enacted experience with objects. Now neurobiological advances supporting the concept of embodied cognition offer an opportunity to forge powerful links between the hitherto separate domains of attachment theory and psychoanalysis. Speculations about the nature of language are presented that emphasize the origin of internal working models (and of representations in general) in early sensorimotor and emotional experiences with a caregiver. It is argued that language and symbolic thought may be phylogenetically and ontogenetically embodied, built on a foundation of gestures and actions, and are thus profoundly influenced by the experience of early physical interaction with the primary object. Finally, the clinical and research implications of these ideas are discussed.     

The psychoanalytic dictionary: a position paper on diversity and its unifiers

An attempt is made to create a conceptual housing for an increasingly common stance among clinicians who willingly draw from diverse theories as they seem applicable to the immediate clinical moment. The working clinician generally does this without regard to questions of eclectic contradiction or of whether concepts can be extricated from the theories in which they are embedded. The metaphor of a psychoanalytic dictionary is used to create this conceptual housing. Within this metaphor, a psychoanalytic alphabet, vocabulary, and grammar are defined, as well as a set of core assumptions that gives some shape to the boundaries of the psychoanalytic language. Diversity is located in the preferred alphabets and vocabularies of varied psychoanalysts, and unifiers are found in the grammar and core assumptions of the language. Questions regarding internally inconsistent eclecticism and extricability are discussed. The integrative concepts chosen here (among the many that are possible)--concepts defining a shared view of how mind works--are found in such familiar ideas as displacement, condensation, over-determination, and multiple function.     

Idealization and external symbolic storage: the epistemic and technical dimensions of theoretic cognition

This paper explores some of the constructive dimensions and specifics of human theoretic cognition, combining perspectives from (Husserlian) genetic phenomenology and distributed cognition approaches. I further consult recent psychological research concerning spatial and numerical cognition. The focus is on the nexus between the theoretic development of abstract, idealized geometrical and mathematical notions of space and the development and effective use of environmental cognitive support systems. In my discussion, I show that the evolution of the theoretic cognition of space apparently follows two opposing, but in truth, intrinsically aligned trajectories. On the epistemic plane, which is the main focus of Husserl??s genetic phenomenological investigations, theoretic conceptions of space are progressively constituted by way of an idealizing emancipation of spatial cognition from the concrete, embodied intentionality underlying the human organism??s perception of space. As a result of this emancipation, it ultimately becomes possible for the human mind to theoretically conceive of and posit space as an ideal entity that is universally geometrical and mathematical. At the same time, by synthesizing a range of literature on spatial and mathematical cognition, I illustrate that for the theoretic mind to undertake precisely this emancipating process successfully, and further, for an ideal and objective notion of geometrical and mathematical space to first of all become fully scientifically operative, the cognitive support provided by a range of specific symbolic technologies is central. These include lettered diagrams, notation systems, and more generally, the technique of formalization and require for their functioning various cognitively efficacious types of embodiment. Ultimately, this paper endeavors to understand the specific symbolic-technological dimensions that have been instrumental to major shifts in the development of idealized, scientific conceptions of space. The epistemic characteristics of these shifts have been previously discussed in genetic phenomenology, but without devoting sufficient attention to the constructive role of symbolic technologies. At the same time, this paper identifies some of the irreducible phenomenological and epistemic dimensions that characterize the functioning of the historically situated, embodied and distributed theoretic mind.     

Utopic ideas of cure and joint exploration in psychoanalytic supervision

The idea of the decisive and complete cure is deeply rooted in our unconscious and in the sacral roots of symbolic healing. Double sets of private theories of cure can frequently be found among patients in psychoanalysis and their analysts. The utopian cure involves a profound transformation of the personality by way of deep regression. The idea of an attainable and more limited cure includes new ways of managing old problems. The actual ongoing treatment is then seen as the 'next-best solution'. The utopian fantasy of creating 'the new person' by means of 'proper' psychoanalysis or analytic training has far-reaching consequences for psychoanalytic education and supervision. Our awareness of the inevitable temptation in the 'utopian state of mind' can help us to trace and focus on utopic elements in the supervisory process. Exploration of utopic ideas of all the three parties involved can itself be a fruitful and stimulating way of working in supervision. An important aim of psychoanalytic supervision is to promote a distinct state of mind that can counterbalance utopic ideas and counteract the phenomenon of a 'false analytic self'.     

I Am,You Are,We … Are … Us! Discussion of “Culturally Imposed Trauma: The Sleeping Dog Has Awakened: Will Psychoanalysis Take Heed?” by Dorothy Evans Holmes,Ph.D.

Psychoanalysis is practiced in context. How relevant are our theories in addressing the psychological impact of disruptive, traumatizing effects of socio-cultural events? This is one of the many critical questions raised by Dr. Holmes in her very telling essay. Particularly on the question of race, Dr. Holmes outlines the shortcomings of our theories, but also challenges what she perceives as the reluctance of psychoanalytic training Institutes to address the traumas of race and racism. This discussion expands on Holmes’s position to wonder whether all psychoanalytic theories are equally remiss, and whether Institutes and psychoanalysts’ perceptions of, and responses to, social trauma are shaped by their particular theoretical orientation. Specifically, this discussion focuses on differences in orientation between Classical psychoanalysis and Interpersonal/Relational theories of mind. The author identifies Sullivan, Fromm, Ferenczi, and others as early psychiatrists and psychoanalysts for whom interpersonal and cultural contexts were central to their theories of human development.     

Three Views of Otherness

In this article, I retrace a development in psychoanalytic conceptions of the experience of otherness from narcissistic loss to enjoyment of difference and argue that the latter conception of otherness in terms of difference involves a subtle but important ambiguity. In one sense, difference remains compatible with the objectification of the other; I therefore propose that the experience of otherness is an experience of the freedom of the other, which is not compatible with objectification. And I show how certain basic affective interpersonal attitudes (such as feeling jealous or feeling self-conscious) presuppose an experience of others as free.     

Phantastic objects and the financial market's sense of reality: a psychoanalytic contribution to the understanding of stock market instability

This paper sets out to explore if standard psychoanalytic thinking based on clinical experience can illuminate instability in financial markets and its widespread human consequences. Buying, holding or selling financial assets in conditions of inherent uncertainty and ambiguity, it is argued, necessarily implies an ambivalent emotional and phantasy relationship to them. Based on the evidence of historical accounts, supplemented by some interviewing, the authors suggest a psychoanalytic approach focusing on unconscious phantasy relationships, states of mind, and unconscious group functioning can explain some outstanding questions about financial bubbles which cannot be explained with mainstream economic theories. The authors also suggest some institutional features of financial markets which may ordinarily increase or decrease the likelihood that financial decisions result from splitting off those thoughts which give rise to painful emotions. Splitting would increase the future risk of financial instability and in this respect the theory with which economic agents in such markets approach their work is important. An interdisciplinary theory recognizing and making possible the integration of emotional experience may be more useful to economic agents than the present mainstream theories which contrast rational and irrational decision-making and model them as making consistent decisions on the basis of reasoning alone.     

Psychoanalytic Treatment: Thick Soup or Thin Gruel?

One way to evaluate a psychoanalytic theory is to picture a therapist with that theory in his mind and imagine what happens when we fold him into the basic soup of psychoanalytic procedure. Because the background forces of analytic treatment are so influential, the practical outcome cannot be predicted from the details or the validity of the theory alone. Thus, we should not assume that newly discovered items of neurophysiology and infant observation are ever what is actually being dealt with in psychoanalysis. To illustrate this principle, I select two recent theories derived from observational studies, and explore the likely effects that a therapist's belief in them would have on seven dimensions of the psychoanalytic situation. Theories set the therapist's attitude, the attitude affects the background forces, and the total effect of all of that constitutes the significance of the theories for psychoanalytic treatment.     

The Understanding and Treatment of Immigrant Trauma Survivors: Finding the Right Mix

This paper reviews attempts by three authors to describe psychoanalytic conceptualizations and treatment of torture victims. It argues that because the transference-countertransference configuration with immigrants who have not suffered torture is very similar to that of torture survivors, that no special diagnostic categories, theories, or treatment methods are needed to work with torture survivors. Second, the paper contends that newer psychoanalytic paradigms such as Hoffman's Social Constructivism may assist clinicians to capture the richness and complexity of clinical work with torture survivors better than do traditional analytic conceptions such as neutrality. Via an analysis of the three papers in this volume, I conclude with a consideration of the strengths and the weaknesses of the field of cross-cultural psychotherapy in general.     

The effects of feature-label-order and their implications for symbolic learning

Symbols enable people to organize and communicate about the world. However, the ways in which symbolic knowledge is learned and then represented in the mind are poorly understood. We present a formal analysis of symbolic learning-in particular, word learning-in terms of prediction and cue competition, and we consider two possible ways in which symbols might be learned: by learning to predict a label from the features of objects and events in the world, and by learning to predict features from a label. This analysis predicts significant differences in symbolic learning depending on the sequencing of objects and labels. We report a computational simulation and two human experiments that confirm these differences, revealing the existence of Feature-Label-Ordering effects in learning. Discrimination learning is facilitated when objects predict labels, but not when labels predict objects. Our results and analysis suggest that the semantic categories people use to understand and communicate about the world can only be learned if labels are predicted from objects. We discuss the implications of this for our understanding of the nature of language and symbolic thought, and in particular, for theories of reference.     

Psychoanalysis: The Sacred and the Profane

Colleagues from a variety of perspectives have written about the propensity to enshrine psychoanalytic theory. The meaning of the word “enshrine” is to cherish as sacred an idea or philosophy and protect it from change. In other words, the way we view psychoanalysis, our theories of mind and technique, become holy writ and we have divided the world of theory into the sacred and the profane. This is the kiss of death for theory, which must constantly evolve and change, but comforting for the analyst who believes he is on the side of the right, the sacred. In this paper I will discuss how our propensity to enshrine theory has had a debilitating effect on the development of psychoanalysis and, in particular, as a treatment for the most vulnerable people who seek our help. I also address the idea that movement away from enshrined positions allows us to construct different versions of reality. In this context, the notion of “action at a distance” is presented along with the attendant idea of psychoanalytic entanglement.     

LISTENING AND SPEAKING PSYCHOANALYTICALLY ‐ WITHWHAT IN MIND?*

In this paper, the proposition is developed that multi‐model thinking with respect both to theories of mind and to theories of technique has always been implicitly present in psychoanalytic practice as a response to the demands of the clinical moment. But this has gone unnoticed and untheorised, in part because it is hidden in general considerations regarding tact, timing and (less discussed) variations in voice tone and also because our psychoanalytic practices, without our awareness but as adaptations to the clinical moment, do not always match our theories. The author offers reasons from the broad culture of psychoanalysis why this is so. He also offers a conceptualisation and a strategy for raising the implicit and untheorised to heightened levels of awareness; he does this by highlighting the place of patient characteristics as the underpinning of theory variation and the place of a vast array of clinical possibilities as the backdrop of analytic listening. Clinical examples are used throughout.     

Society’s Symbolic Order and Political Trials: Toward Sacrificing the Self for the “Big Other”

The need to establish a borderline between legitimate and illegitimate political trial is one of the central societal discourses. In this paper the author claims that the issues are complex and that a political trial can remain legitimate as long as it is not dealing with a confrontation with the symbolic order on which the society (and the court itself) is founded and as long as the subject (or action) it is dealing with does not threaten the symbolic order’s (or the “Big Other”) existence. When the symbolic order’s existence is in danger, the court is bound to participate in an act of “sacrifice” that is intended to protect the “order.” The author uses Jacques Lacan’s psychoanalytic theory of the “Big Other” (and its development to ideological-political terms) in examining three categories of sacrifice. Through these categories the author claims that in extreme cases of confrontation with the existence of the symbolic order, the court cannot remain objective and it would be difficult to justify the trial as legitimate (especially in historical perspective).     

Learning Theory and Vocational Decisions

The theme is proposed that a learning theory of vocational behavior could contribute to both understanding and theory development in the area of vocational decisions. The discussion includes a definition of vocational decisions and specification of three functions of a theory. The functions are explanation, prediction, and control. The developmental, psychoanalytic, and trait approaches to theories of vocational decisions are contrasted with a learning approach in terms of the definition of decisions and the functions of theories. An example of vocational counseling illustrates the application of learning concepts to vocational decision behavior. The major advantages of a learning theory approach are that it has the potential for both accurate prediction and extensive control of decisions.     

Psychotherapy and its alternatives: Commentary on a critique

In this commentary, Michael Rustin reviews the articles in the symposium, outlining their main aims and arguments. He goes on to provide some critical reflections, asking questions about the key concept of the ‘therapeutic state’. He notes that little attention is given to psychoanalytic or other psychological theories of the mind, as distinct from the biological models which are the main object of criticism in the symposium. He argues that just as it is justifiable and useful to take account of theories of the mind in considering issues of mental health and therapy, so it is desirable also to take account of the structures of society which have responsibility for generating conditions of mental well- or ill-being, and to reflect on how these may be changed. The commentary argues that the counter-cultural and somewhat ‘post-modern’ critical approach which informs the symposium can only form part of a sufficient response to the problems which the symposium identifies.