The Limits of Social Construction: Commentary on Paper by Cynthia Dyess and Tim Dean

The insufficiencies that Joan Copjec finds in the work of Judith Butler are the same kind Dyess and Dean want to alert us to in relational psychoanalysis. Two dangers of this nature are reification (that is, the relational position's becoming “the Book”) and a flirtation with superficiality (a potential outcome of believing that all experience can be understood in the terms of social relatedness). Theorizing “the impossibility of meaning” may be a first step in addressing these problems without having to limit the terms of the discussion to nature and nurture, or essence and social construction. But the idea of the Real is inextricably interrelated with, and mutually defined by, other parts of Lacan's theory. And so, if we simply import into relational psychoanalysis Lacan's conception of the Real, we are mixing apples and oranges and thereby risking conceptual confusion. We should instead use Lacan's idea as inspiration for the construction of a conception of “the impossibility of meaning” that can be used in theorizing the particular kind of problems relational psychoanalysis sets itself.     

“It's A Long Way …” to Contemporary Psychoanalysis: Training Experience in Self Psychology,Intersubjectivity, and Relational Psychoanalysis

The successful experience with a Jungian analyst, research work on international economic interdependence, and the failure of a classical analysis were the preliminary steps toward the discovery of Kohut's self psychology. The comparison of epistemological principles in Jung and in Kohut and the discovery of the relational nature of experience formed the background of my professional attitude as an analyst. After an unsatisfactory, but “orthodox” supervision, training in self psychology, intersubjectivity, and relational psychoanalysis at Isipsé made it possible to integrate all previous experiences in a complex and, at the same time, clinically coherent framework.     

Day,Night, or Dawn: Commentary on Paper by Steven Stern

It was in the years immediately following World War II and through the 1950s that the psychoanalytic establishment officially defined psychoanalysis as a subspecialty of psychiatry, and it was in that context of the professionalization of American medicine that they codified the distinction between psychoanalysis and (psychoanalytic) psychotherapy. In this commentary on Steven Stern's “Session Frequency and the Definition of Psychoanalysis,” I deconstruct a series of binaries that was built into the analysis/therapy distinction and that has plagued our discipline. It is argued that psychoanalysis identified itself with the culturally “masculine” and heterosexual values of autonomous individuality (the intrapsychic), while it split off all that was relational and social (interpersonal), marked as “feminine,” homosexual, and “primitive,” onto psychotherapy, which it then devalued. The paper then examines the implications for practice and psychoanalytic education.     

Innen, Außen, Zwischen

The so-called “intersubjective turn” (or “relational turn”) in psychoanalysis is closely associated with the work of Winnicott. It was him who added a new dimension to the psychoanalytic theories of a separate inner world, a dimension focussing on the mediating processes between the separate spheres of psychic and external reality: a space between subject and object, drive and civilisation, Ego and reality — the “potential space” that unconsciously connects our self to the Other as well as to a shared physical and social world we live in. Winnicotts paradoxical notions of the self are traced in this paper and unwrapped from their often enigmatic, developmentally and epistemologically confusing veils: the infant who does not exist without a holding mother; who is not aware of his/her being held because of its evidence, and only has an experience when falling; who him-/herself creates that reality which is already there; who must destroy the object in order to use it; who can only be alone when another person is present. The author, starting from apparently narcissistic phenomena of the media society, rehabilitates the term of “in-between” in contemporary psychoanalytic discussion which for a long time was considered as suspect, as being part of a “non-psychoanalytic” superficial social psychology (as the intersubjective, the interpersonal or the interactive). Under the strong influence of Winnicott, and overarching the different schools, contemporary psychoanalysis is focussing on intersubjectivity and relationality. The paper is an appeal for reformulating classical intrapsychic concepts — including the theory of the unconscious—in intersubjective terms, thus unfolding a relational approach inherent in Freud’s metapsychology.     

“They Go Too Far”: Reply to Review Essays by Lewes and O'Connor

Kenneth Lewes and Noreen O'Connor share little common ground in their discussions of Lesbian Lives. They agree that it represents, in Lewes's words, “important trends in psychoanalysis and more general intellectual discourse” (“the developing discourse on homosexuality, the ascendancy of feminist ideas within psychoanalysis, … the shift … from classical drive theory to … more … relational approaches, and the influence of postmodern social and literary thought”). But whereas O'Connor welcomes a text she sees as offering “critiques of traditional psychoanalysis's binary theorising of gender and sexuality,” Lewes finds that Lesbian Lives presents “certain questions and difficulties, especially to those who, like myself, espouse theoretical and political allegiances quite different from them.” This article responds to several of Lewes's distortions and misreadings, including his allegations that the authors believe they can “conduct therapy without theory or value” and that they “insist on the essential sameness of people who are heterosexual and homosexual.” Lewes also wrongly attributes to the authors a simplistic belief in “sexual fluidity” and the “multiplicity of selves.” Instead, the text of Lesbian Lives in various ways encourages psychoanalysis to incorporate into its developmental models what it has learned clinically about the multiple dimensions of subjective experience.     

The Experience of Another Body on Our Body in Psychoanalysis: Commentary on Paper by Jon Sletvold

The current challenge of complexity requires that we overcome the mind–body dichotomy in order to find a more holistic way to explore human experience. Contemporary relational psychoanalysis tries to get past the overemphasis placed on language, and to include the development and promotion of a greater awareness of the bodily experience of the patient and analyst, with respect to their “bodies as they relate to each other.” We especially agree with Sletvold about the notion that psychoanalysis has a great deal to learn from the performing arts in terms of engaging in emotional communication and therefore of training the body to express emotions. This is true in particular for the “arts of time”: music, dance, acting. Unlike Sletvold, we keep the relational standpoint as a point of departure rather than as a point of arrival of processes. According to us, imitation is not the result of induction; rather it is a process whereby we discover and rediscover, that is, we find again the remains of the effects of another body on our body. In clinical praxis we should learn how to allow an ongoing dialectic between the implicit and the explicit. Finally, we underscore that we find the training program proposed by Sletvold original, innovative, and stimulating.     

African indigenous games: Using Bame Nsamenang’s Africentric thoughts to reflect on our heritage,pedagogy, and practice in a global village

As we go global and begin to make early childhood practices universal, certain aspects of communities remain fixed in deep realms of their everyday living and can only be accessed by those who believe in it. Believing in it requires having faith in a practice that will always be better than what others bring as “best practice”. This is because that aspect is what defines who you are and changing it amounts to removing a piece of you with the intention of replacing it with an “artificial part”. This may be the case with African indigenous games that have been played in various settings to define the Africanness of given communities. The values that these games bring to the Africans as they try to hold on to what belongs to them, is discussed in this paper. Bame Nsamenang used such thoughts to propel the Africentrism philosophy to direct thoughts into values that are African in nature, even when there are no clear boundaries of African in Africa. This article focuses on Nsamenang’s Africentric arguments in line with promotion of African indigenous games as a heritage, pedagogy, and a practice.     

Relational Psychoanalysis: A Review

Relational psychoanalysis, a relatively new and evolving school of psychoanalytic thought, is considered by its founders to represent a “paradigm shift” in psychoanalysis. The relational approach, initiated by the publication of Jay Greenberg and Stephen Mitchell's book, Object Relations in Psychoanalytic Theory in 1983, has developed into a movement with its own substantially separate literature. This paper reviews both the history and theoretical origins of the relational movement, as well as important theoretical premises and viewpoints now associated with the relational school.     

Hermeneutics,history, and d’où parlez vous? Paul Ricoeur and Tsenay Serequeberhan on how to engage African philosophy from a Western context

This article presents a possible method to engage African thought from a Western context. It does so by first showing the need for such an engagement by arguing that philosophical research is dominated by Western normativity: in phenomenology, for example, questions and answers gathered in this method more often than not ignore other cultures and perspectives, thus yielding results that only reflect a Western historico-cultural context. In order to open this normativity to other encounters, this article presents a dialogue between Ricoeur’s hermeneutic phenomenological method and Serequeberhan’s African hermeneutics. The upshot of this dialogue is that it presents a way for thinkers in a Western context to engage African thought without dominating or otherwise “recolonising” said thought.     

Contexts,Polarities, and Pluralism. Discussion of Slochower’s “Going Too Far: Relational Heroines and Relational Excess”

In her searching paper “Going Too Far: Relational Heroines and Relational Excess,” (this issue) Slochower finds the potential for excess as inherent in any psychoanalytic theory. I argue that context is key in understanding this phenomenon within relational psychoanalysis; what she describes may not be the case for other theories. The beginnings of relational theory as a movement, generational and radical, could lead to therapeutic overconfidence or certainty around countertransference insights and disclosures. Slochower sees an abundance of certainty in this stance, as well as pressure for premature mutuality. As a complement or balance to this intense mode of interpersonal engagement, Slochower elaborates her own work on holding, wherein the analyst “brackets” her experience and respects the patient’s need for privacy and nonimpingement. Uncertainty is an affirmative stance in letting the patient’s inner life come into being. There are a number of polarities in Slochower’s paper—between mutuality and privacy, certainty and uncertainty, and in the origin story of relational psychoanalysis between relational and classical theories. I argue that pluralism offers a path forward from polarities to a rich complex world of multiple possibilities and recognition of different minds and theories.     

“淑女之争”与“君子协议”:回眸英国精神分析学会的“论战”

20世纪40年代,英国精神分析学会内部爆发一场影响全世界精神分析学发展的"战争"。以Anna Freud和Melanie Klein各自为首的精神分析师团体围绕潜意识幻想、本能与力比多以及精神分析培训与教学等一系列主题展开激烈争论,即历史上著名的"Freud-Klein论战"。这场"论战"就精神分析培训问题达成协议,并直接导致克莱因学派、维也纳学派和独立学派三"组"鼎立的英国精神分析时局。"论战"促使了客体关系精神分析与自我心理学的分离,推动了精神分析研究从驱力模式向关系模式的范式转变,奠定了后续精神分析运动发展的格局。     

Adaptation of CBT for Traumatized South African Indigenous Groups: Examples from Multiplex CBT for PTSD

This article describes how Culturally Adapted Multiplex CBT, a treatment that emphasizes somatic processing and emotion regulation, was adapted for a traumatized South African indigenous group, the Sepedi. A model of psychopathology is presented, the Multiplex Model of Trauma-Related Disorder, which depicts the processes that generate multiple comorbidities and prominent somatization in minority, refugee, and other non-Western populations. The nine dimensions of Culturally Adapted Multiplex CBT are discussed, and so too the “cultural adaptation diamond.” Concepts such as “explanatory model bridging” are presented. A culturally sensitive assessment measure of local somatic complaints and cultural syndromes (the Sepedi Symptom and Syndrome Addendum, or Sepedi SSA) is detailed, as well as how CBT techniques were implemented with this group—for example, modification of culturally specific catastrophic cognitions, doing exposure (e.g., interoceptive exposure), teaching attentional control and mindfulness techniques, and teaching “loving kindness.” Case examples with clinical outcomes are provided to further illustrate how Multiplex CBT was adapted for the South African indigenous group.     

African Dreamers and Healers

The author spent five summers in South Africa, doing a cross-cultural study of the indigenous healers among the Zulus in Natal Province, near Durban. She compared the indigenous healers, the isangomas, with a second and seemingly evolving group of healers in the Zulu culture, called prophets. The prophets are connected with a powerful, breakaway Christian movement in South Africa and other parts of Africa that is known as the African Independent Churches or AIC. In this article she shares the conclusions of her research and her comparison of the ways the Zulu healers interpret and value dreams and how Jungian analysts might interpret similar dreams. She sought to identify and understand how the Zulu god-image might be in flux as the Zulu culture is changing in response to other cultures, in particular, the more powerful Western European culture with its advanced technology. Relying on Edward Edinger's conceptualization of the consequences of the destruction of the god-image, she concludes that, in this case, instead of the “cup being broken,” it could be that the “cup is changing its shape.”     

Some Current Trends of Christianity in Africa

This article examines three trends in current African Christianity. Its denominational fragmentation is currently marked by the coexistence of three major groups: the “churches that emerged from the apostolic process of Christian antiquity”; the “churches born from Western missionary processes”; and the “African revivalists” (African initiated churches and African Pentecostal churches). The African revivalists are characterized by doctrinal and institutional creativity that largely draws on Africa's historical trajectory, with its challenges of a sociocultural, identity, and economic nature. This “fragmented African Christianity” inevitably has a diverse view of African cultures, ranging from a positive viewpoint on one end of the scale and radical rejection on the other, and including various patterns of taking over Christian heritage with the goal of giving new value to the formally scorned African identity. This diversity of attitudes in turn prompts overall judgments on Christianity in Africa, which range from praise to suspicion regarding the pertinence of this religion on the continent. This complex shape of current African Christianity is not an obstacle to the Ad Gentes mission, whose current dynamism is increasingly marked by the phenomenon of African emigration. All of this represents a great challenge for ecumenism, because a trend toward a “religion market” is taking the lead over collaboration and search for Christian unity. This is why it is important to recognize the quality of this African missionary Christianity, whose fragmentation is quite original.     

Liberal democracy: An African critique

Despite the end of the Cold War and the ascendancy of liberal democracy, celebrated by Francis Fukuyama as “the end of history”, a growing number of scholars and political activists point to liberal democracy’s inherent shortcomings. However, they have tended to dismiss it on the basis of one or two of its salient weaknesses. While this is a justifiable way to proceed, it denies the searching reader an opportunity to see the broad basis for the growing rejection of liberal democracy among African political theorists. Consequently, in this article, I argue that from an African perspective, the almost hegemonic status of liberal democracy can be challenged on at least five grounds, namely logical inconsistency, impracticability due to the largely communalistic outlook of many Africans, inconsistency between affirmation and action, violation of the right to ethnic identity, and the moral imperative to assert the right to cultural emancipation. I conclude by calling upon African and Africanist political theorists to utilise indigenous African political thought, coupled with emancipatory aspects of political thought from other parts of the world, to design practicable models of democracy for contemporary African states. I further conclude that in order to promote genuine inter-cultural dialogue on democratisation, people from Western cultures ought to acknowledge the equality of all cultures, and to recognise that systems of governance are part and parcel of those cultures.     

An African therapy in dialogue with Freudian psychoanalysis

This article summarizes and compares selected characteristics of Freudian psychoanalysis and of African psychotherapy. The author concludes that the Freudian emphasis on the individual and the African therapy's emphasis on the community may both lead to the positive restoration of both therapies' clients.     

Psychoanalyse und Psychotherapie, Bildung und Erziehung

Psychotherapy and psychoanalysis form a contrast – in particular in German-speaking countries – comparable to that between education and “Bildung”: psychotherapy and education intentionally and purposefully influence the patient or pupil whereas psychoanalysis and “Bildung” pursue the ideal of a development process which is to a great extent free from outside influences. The present paper aims to show that these seemingly contrasting pairs have been artificially differentiated into extremes. Both are supposed to solve the following paradoxes: the educational paradox “How is freedom possible under constraint?” and the psychoanalytical paradox “How is independence possible under dependency?” It might, however, be possible to overcome the unfruitful contrast in both cases and to keep the feared paradox in abeyance.     

The Paradoxical Place of Enactment in Psychoanalysis: Introduction

Ringstrom's “comparison of relational psychoanalysis and intersubjective systems theory” exhibits a category mistake that renders the core of his argument logically incoherent.     

Relational ecologies of psychotherapy: The influence of administrative attachment on therapeutic alliance

There is now vast and multi-faceted empirical literature on the impact of relational dynamics in psychotherapy, and relationality is a central theme within contemporary psychoanalytic theories. Yet, there is virtually no literature addressing the relational dynamics around outpatient psychotherapy that influence the wider therapeutic alliance, that is the relational dynamics that unfold between clients and administrative office staff in making initial contacts and appointments, completing paperwork, negotiating payment, discussing insurance coverage, working through crisis calls, and the myriad of other forms of interaction which serve to form the relational ecology of psychotherapy. Milieu therapy or the use of supportive and structured therapeutic environments has been given significant attention in inpatient settings; however, administrative relational factors or administrative staff characteristics have seemingly been ignored in outpatient psychotherapy and psychoanalysis literatures. Many outpatient clinical practice settings involve multiple levels and dimensions of relationality between clients, administrative personnel, and therapists which shape the potential for secure continuous containment and various forms of attachment to psychotherapeutic space. In this paper, we describe several clinical illustrations of relational dynamics between clients and office staff which influence therapeutic alliance and outline the contours of our emerging idea of administrative hospitality based on relational psychoanalysis, attachment theory, symbolic anthropology, and stigma research. In doing so, we draw on our collective experience working in several outpatient clinics and insights from our current context in an urban outpatient training clinic which emphasises psychodynamic practice. Our goal is not a comprehensive analysis of the relational ecology of psychotherapy but to offer an initial exploratory account of some of the administrative relational dynamics in and around outpatient psychotherapy which go beyond the therapist-client dyad. The anthropological concept of liminality is connected to relational psychoanalytic theories to describe the important dynamics of transitional space in an overall process of relational transformation.     

“To learn healing knowledge”: Philosophy,psychedelic studies and transformation

“Philosophical learning” may be summarised in Sobiecki’s fitting catchphrase “to learn healing knowledge”. This catchphrase is taken from an article on the use of psychoactive plants among southern African diviners. In the spirit of this link, I aim to challenge contemporary negative attitudes to the topic of psychedelics, and argue that there are good reasons for philosophers to pay attention to the role that the psychedelic experience can play in promoting philosophical perception. I argue first that the results of some contemporary studies affirm the benefits of psychedelic use in an “orchestrated guided experience”. Secondly, I argue that the aims of such “orchestrated guided experiences” are consonant with the nature of philosophical learning. Philosophy, understood as a learning practice, has a strong historical precedent and ties to contemporary indigenous cultural practices. Here I cite research into the use of psychedelics and the Eleusinian Mysteries at the origin of Western philosophy. Numerous cultures, ancient and contemporary, venerate psychoactive substances as agents of learning, healing, and transformation. Thus, contemporary mainstream philosophy may have opportunities to learn, or relearn, from southern African indigenous cultural practices. Considering the positive light in which the topic of psychedelics will be painted, I will conclude by suggesting that psychedelics have the potential to play an important role in fostering the deeply transformative “philosophical learning” that is the condition for positive social change. This makes the topic of psychedelics worthy of philosophical reflection.