On the Future of Group Therapy Theory

The author presents a hypothetical view of group therapy theories as they may evolve over the first decades of the New Milennium. Looking at the problem of prediction from the standpoint of postmodernism and social constructivism, the importance of these perspectives as frameworks of the social sciences is emphasized. The influence of general systems theory, Foulkesian group analysis, object relations theory, self psychology, cognitive-behavioral psychology, and neuropsychiatry are briefly examined with respect to the expected evolution of increasingly sophisticated, detailed, and nuanced theories of group psychology and group psychotherapy.     

Stumbling along in the Countertransference: Following Up Enactments with Balanced Therapeutic Interpretations

In the course of a psychoanalytic treatment, many clinical situations create countertransference pulls or invitations to participate in enactments of various degrees. In these projective identification-based transferences, the patient is often successful in drawing the analyst into archaic object relational patterns of acting out. During these moments, the analyst must struggle to find a way to stay therapeutically balanced. The urge to rush to judgment with punitive, seductive, rejecting, controlling, or manipulative comments rationalized as interpretations must be managed. If these unavoidable countertransference enactments are managed and studied, they can provide useful information about the patient's internal struggles and can show the way to making more helpful and more therapeutic interpretations. Case material is used for illustration.     

Clinical applications of Matte Blanco's thinking

Ignacio Matte Blanco (1908–1995) left very few specific indications about the applications of his theoretical notions to his interpretative style. The author shows how he uses Matte Blanco to formulate some of his own interpretations. The first part of the paper uses clinical vignettes to illustrate some of Matte‐Blanco's concepts. Their theoretical vocabulary is thus made explicit. Then two psychoanalytic sessions are discussed at greater length, together with one from a therapy, so that the use of Matte‐Blanco's notions can be seen clearly, allowing for a fresh perspective on areas of psychoanalytic theory, particularly dreams, psychopathology viewed according to the proportions of asymmetrical and symmetrical functioning in the patient's bi‐logical mental system, the multidimensionality of the unconscious, the structural unconscious, the emotion‐thought relationship, projective identification, resistance, and negative therapeutic reaction. The practical consequences of all this are elaborated, particularly the ensuing possibility of ‘thinking with the patient' in the session. This enables the patient to introject a form of mental functioning in which the asymmetrical mode is not invaded by the symmetric mode (a parallel can be seen here with the Bionian concept of dialogue between the psychotic and non‐psychotic parts of the mind).     

Some observations on the process of mourning

The main proposal of this paper is that normal mourning is not completed after six months to a year or two as suggested in earlier literature, but may bring about a permanent alteration of psychological structures that affect various aspects of the mourning persons’ lives. These structural consequences of mourning consist in the setting up of a persistent internalized object relationship with the lost object that affects ego and superego functions. The persistent internalized object relationship develops in parallel to the identification with the lost object, and the superego modification includes the internalization of the value systems and life project of the lost object. A new dimension of spiritual orientation, the search for transcendental value systems, is one consequence of this superego modification.     

On the benefits of thinking unconsciously: Unconscious thought can increase post-choice satisfaction

This work compares conscious thought and unconscious thought in relation to quality of choice. Earlier work [Dijksterhuis, A. (2004). Think different: The merits of unconscious thought in preference development and decision making. Journal of Personality and Social Psychology, 87, 586-598] has shown that people make better choices after engaging in unconscious thought (i.e., unconscious activity during a period of distraction) rather than in conscious thought. However, the evidence was obtained for choices between hypothetical alternatives with quality of choice operationalized normatively. As quality of decision is essentially subjective, in the current experiment participants chose between real objects with quality operationalized as post-choice satisfaction. In a paradigm based on work by Wilson and colleagues [Wilson, T. D., Lisle, D., Schooler, J. W., Hodges, S. D., Klaaren, K. J., & LaFleur, S. J. (1993). Introspecting about reasons can reduce post-choice satisfaction. Personality and Social Psychology Bulletin, 19, 331-339], participants were briefly presented with five art posters, and chose one either (a) immediately, (b) after thorough conscious thinking about each poster, or (c) after a period of distraction. Participants took their favorite poster home and were phoned 3-5 weeks later. As hypothesized, unconscious thinkers were more satisfied with their choice than participants in the other two conditions.     

The Case Study of Jacob: Childhood Sexual Abuse and the Limitations of the Holding Environment

Childhood sexual abuse and trauma influence relational development in significant ways. Notable among them are the development of a patient's internal object world, fantasies, and sense of self. Dynamic formulations and holding techniques are used to identify, process, and alter fractured relational dynamics. However, the use of such techniques may also influence a patient's narrative process, pulling them away from the realities of their life as lived. Using the case study method, focusing specifically on the patient's narrative development, this article examines the impact of analytic framing on a patient's experience of child sexual abuse and trauma.     

Avoiding Authoritarianism: On the Problem of Justification in Contemporary Critical Social Theory

Abstract

Critical social theories look critically at the ways in which particular social arrangements hinder human flourishing, with a view to bringing about social change for the better. In this they are guided by the idea of a good society in which the identified social impediments to human flourishing would once and for all have been removed. The question of how these guiding ideas of the good life can be justified as valid across socio‐cultural contexts and historical epochs is the most fundamental difficulty facing critical social theories today. This problem of justification, which can be traced back to certain key shifts in the modern Western social imaginary, calls on contemporary theories to negotiate the tensions between the idea of context‐transcendent validity and their own anti‐authoritarian impulses. Habermas makes an important contribution towards resolving the problem, but takes a number of wrong turnings.     

Drives and objects - notes on the change of drive theory

Freud’s drive theory has been questioned since the 1940s when Fairbairn created a metaphor of the mind that is not based on the tripartite model and drive theory. His work inspired others to elaborate on the significance of internal object relationships. According to the object relation theory, internal object relations are dynamic structures capable of generating meanings and action. Consequently, two distinct metapsychologies were created.The aim of this article is to show how the interaction of theories has initiated revisions of classic drive theory. Freud’s concept of drive and three synthesizing viewpoints between the two perspectives are discussed. Otto Kernberg addresses affects as a primary motivational system; the mother–infant relationship organizes affects to drives. Joseph Sandler adheres to classic drive theory but proposes that the ego’s attempt to protect the mind against psychic pain is as important as drive derivatives in motivating the mind. Laplanche proposes that the unconscious of the care-giving adult is the crucial factor for the constitution of an infant’s unconscious and drives. For Freud and Klein, drive is inherent. Contemporary writers, like Loewald and Laplanche, conceive drive as a function of the mind that is born out of the same matrix of interaction with the other elements of the mind.     

Variations of the past. Reflections on memory in contemporary psychoanalysis

In Jewish thought, contradictory positions may be legitimate. This is seen in Freud´s position in relation to tradition and memory: remembrance is valuable, but so is a movement forward. The main claim of this paper is that psychoanalysis in this respect has changed. While in especially the early Freudian position, one could see a stress on the importance of going back to earlier times, object relation theory mainly stresses the importance of facilitating new functions. This change has been especially clear during the last two decades. As cases of example, the use of neurocognitive models in psychoanalysis as well as Fonagy’s theory are discussed. The consequences of the shift from a bidirectional to a unidirectional, forward-looking, psychoanalysis, are discussed.     

On the Significance of Difference‐Making Principles

It has been claimed that difference‐making plays important roles in both metaphysics and epistemology. The idea is that facts often make a difference to other facts. Thus, causes are said to make a difference to their effects, and the world is thought to make a difference to what is believed. One way to cash out this idea is in terms of the notion of counterfactual dependence between the facts in question. It has recently been objected by some philosophers, however, that the counterfactual‐dependence account misrepresents the difference‐making idea, prompting them to offer a different, weaker construal of the idea in question, which, they claim, illuminates a number of problems in both epistemology and metaphysics. This article, while acknowledging that the difference‐making idea is a genuine constraint on some of our concepts, challenges the claim that the weaker interpretation has significant philosophical potentials and, having delineated its real function, spells out the lessons that should be drawn from its failure.     

Towards the logic of projective identification

This paper is devoted to the ‘logic of the unconscious’ and its application to the analysis of projective intentionality in psychoanalysis.Subjective assumptions concerning the existence and identity of intentional objects are often unconscious. They result from personal experience through its assimilation and transformation in further psychological (e.g. defensive) processes. Formal aspects of these subjective assumptions and their influence on our judgment and action have been studied by a number of psychoanalytic authors, in particular by Silvano Arieti, Ignacio Matte-Blanco and their followers who tried to develop ‘logic of the unconscious’. My project consists in the reformulation, clarification and elaboration of the logic of the unconscious using contemporary modal and relevant logics, in particular Graham Priest's logic of intentionality. An important advantage of this logic is that it allows for truth indeterminacy and paraconsistency of the propositional content of intentional states. In this article I explore the logic of projective identification, which I assume plays the central role in the logic of the unconscious.Special attention is given to the logical analysis of the notion of an internal object, and to a logical reconstruction of the fantasy of projective identification.     

From bastion to enactment: The ‘non‐dream’ in the theatre of analysis1

In this paper, the author's objective is to discuss models that express what occurs in the analytical situation. He demonstrates how early models relating to painting and sculpture, to history and archaeology, develop into other models that refer to the relationship between two people. He studies in depth the Barangers analytical eld with its obstructive bastions as a background to understanding what is currently valued as intersubjectivity in psychoanalysis. The container contained model and the phenomenon of recruitment are also discussed. The author uses clinical material to demonstrate how these models are linked to enactment, and a study of this concept provides evidence of the importance of the visual image, the dream and non‐dream, the affective pictogram, as privileged aspects for the understanding and evolution of thought in the analytical process. Its importance leads to a proposal of a model that uses the theatre as a metaphor for the analytical process. In this model, analyst and patient both participate as characters in the scenes, and simultaneously as their co–authors. The analyst should also be responsible for the direction of scenes, as well as acting as critic. His task is to prevent obstructive conspiracies (the non‐dream) and new meanings for the scenes, thus allowing the development of new scenes and plots, and the enlarging of the mental universe.     

Uncovering the diverse cultural bases of social identity: Ingroup ties predict self‐stereotyping among individualists but not among collectivists

On what basis do people form their social identities? To investigate this issue, the present research investigates cross‐cultural differences in self‐stereotyping, a key outcome of social identification. In particular, the research tests the hypothesis that ingroup ties are a stronger predictor of self‐stereotyping among people from individualist cultures than among people from collectivist cultures. In Study 1, university students (N = 117) completed measures of ingroup ties and self‐stereotyping with respect to an intimacy group (family and friends). Consistent with predictions, ingroup ties significantly predicted self‐stereotyping among individualists but not among collectivists. Study 2 (N = 104) found a similar pattern of results among members of the global internet community who considered either an intimacy group (their friends), a task group (their work group) or a social category (their gender). These results indicate that people in individualist cultures are more likely than those in collectivist cultures to base their social identities on ingroup ties. The implications of these results are discussed in relation to self‐categorization theory's depersonalization account of social identification.     

On fascination and fear of annihilation

In this paper fascination phenomenologically is described as a state of radically being captured by an imposing object. What is left of the impoverished and paralysed subject clings to the exclusive fascinating object. Fascination is the eye of the storm of extreme ambivalence towards an exclusive object: being the only remaining object it is necessary for living in an object world, but at the same time it is threatening to life by absorbing the subject totally. So the subject is sucked in by a yet frightening object. From a metapsychological point of view fascination is understood as the congealed result of excessive projective identification and a strong confusional state connected with it: the subject empties itself so much in the object that it comes to stand for the subject. The fascinating object embodies in a condensed way – as a special form of a bizarre object – split off unconscious threatening material. So fascination is linked to the Kleinian theory of anxiety. Two clinical vignettes illustrate how states of fascination can be understood as an ultimate defence against unconscious menacing material welling up. The hypothesis is developed that fascination points to a revelation of fundamental psychic truth that promptly cramps the subject because the reintegration of it is felt as annihilating. In the vignettes this takes the form of a ‘transformation in hallucinosis’. Fascination is at the same time ‘the moment of truth’ and possibly a serious obstruction of the analytic process. This unconscious truth seems to concern primitive ‘superego violence’. The challenge consists in thawing the frozen fascinating object by linking it to other material.     

Bridging the reductive and the synthetic: some reflections on the clinical implications of synchronicity

When Jung introduced the concepts of synchronicity and the psychoid unconscious, he expanded analytical psychology into decidedly uncanny territory. Despite the early interest shown by Freud, anomalous phenomena such as telepathy have become a taboo subject in psychoanalysis. Today, however, there is an increasing interest in thought transference and synchronicity, thus opening the way for a fruitful exchange between different psychoanalytical schools on their clinical implications. I propose to examine some of the ambiguities of Jung's thinking, to clarify how we define synchronicity, the relationship between synchronicities and parapsychological events, and their clinical significance. At the present moment, we are still unsure if such events should be considered as normal and a way of facilitating individuation, or as an indication of psychopathology in the patient or in the analyst, just as we are uncertain about the particular characteristics of the intersubjective field that can lead to synchronicities. Making use of the typology of mind‐matter correlations presented by Atmanspacher and Fach, and the distinction they draw between acategorial and non‐categorial states of mind, I will use two clinical vignettes to illustrate the different states of mind in analyst and analysand that can lead to synchronicities. In particular I will focus on the relationship between analytical reverie and synchronicity.     

From mimesis to agency: Clinical steps in the work of psychic two‐ness1

In this paper, through the study of the clinical process of a girl starting treatment at the age of 3 years 10 months, who was thought of as a dummy by her family and who came for consultation when the assumed genetic aetiology was questioned, the authors build upon Tustin's contributions on the context of togetherness and the crisis of two‐ness, and upon Eugenio and Renata Gaddini's on the precursor object. The mimetic phenomena enacted with an older brother and at the kindergarten are found to result from cumulative trauma at her contacting a loving but mind–blind mother. After an initial stage of transference autism, enactment in the session of the traumatic situation was the first step in surmounting her autistic pseudo–stupidity. Mimetic transference dynamics took place principally at the level of the gaze, leading to the unfolding of the work of two–ness to a differentiation from the analyst as psychic breast, on the road to symbol formation and personal agency.