Thalamic fear

This paper suggests that some neuroscience concepts particularly concerned with brain pathways in trauma and fear, as well as the neurobiology of emotion, provide an additional vertex to the psychoanalytic understanding of patients' material. The role of the body has been neglected in psychoanalytic thought and formulations in favour of purely ‘mental’ experience. The paper attempts to show how neuro-psychoanalytic understanding, which is conveyed to patients through interpretation, can increase their depth of understanding. Different types of memory are delineated and the paper describes a simplified schema of emotional processing, drawing on Damasio's distinction between emotion as an instinctual body based experience and its mental representation as feeling. Clinical examples are used to illustrate the usefulness of the distinction. The concept of emotional regulation is discussed as well as showing how its failure is associated with the appearance of persecutory superego structures.     

A slow unfolding – at double speed: reflections on ways of working with parents and their young children within the Tavistock clinic's under fives service

This paper describes clinical work carried out as part of the Tavistock Clinic Under Fives Service, which offers brief focused psychoanalytically based interventions to families with young children, as well as longer-term work. It elaborates psychoanalyst Annette Watillon's idea that it is the dramatic way in which children enact their (and their family's) predicament in the consulting room which speeds up the process of change. The author clusters clinical cases into three categories, each cluster representing a different kind of ‘dramatic’ enactment and leading to a different kind of intervention relating to the therapist's role, the structure of the interventions and the ‘ports of entry’ for the work. The categories are defined as: ‘child-led drama’ with the therapist in the role of ‘therapeutic observer’; ‘internal parental drama’ with the therapist in the role of ‘therapeutic consultant’; and ‘external parental drama’ with the therapist in the role of ‘therapeutic modulator’. The author defines these categories, illustrating each category with clinical examples.     

ON “POLYGAMOUS ANALYSIS”

The close relationships among Ferenczi’s analysands at the time the Clinical Diary was written are explored, and their potential influences on their analyses are discussed. It is suggested that the fact that “a virtual group” emerged in this context may have sabotaged to some extent Ferenczi’s clinical work, because this setting did not allow the open joint exploration possible in an actual analytic group, and at the same time stood in the way of achieving “a background of safety” fostered by the privacy and confidentiality of a fully individual analysis. Several examples are given of situations that may have made analysands feel betrayed or abandoned by the divided loyalties of their analyst, and may have created painful splits in Ferenczi’s own countertransferences.     

Identifying with the Other—A Conflictual,Vital Necessity: Commentary on Paper by Jay Frankel

Frankel's paper is related to issues in the study of multiple personality, as well as to the dilemmas of identification in psychoanalytic training. The main point raised in this discussion is that the generalization that all identification is related to fear is untenable and that a continuum should be recognized between identification with the other in a close relationship as a constructive building block of one's identity and a traumatic identification with the aggressor that results in alienation.     

Determinants of Property Crime Among Illicit Opiate Users Outside of Treatment Across Canada

Criminal activities account for a major proportion of the social costs related to illicit drug use. This article examines the factors contributing to property crime activity among a community sample of 653 untreated regular illicit opiate users in 5 Canadian cities (OPICAN study). Multivariate analyses showed the frequency of heroin, cocaine, and crack use, gender, housing status, and past criminal justice involvement as predictors of property crime. Furthermore, crack use had a significantly different impact on property crime depending on housing status and city. These findings underline the need for targeted intervention efforts toward a reduced crime burden.     

No effects of eye movements on the encoding of the visuospatial sketchpad and the phonological loop in healthy participants: Possible implications for eye movement desensitization and reprocessing therapy

Horizontal eye movement is an essential component of the psychological intervention “eye movement desensitization and reprocessing” (EMDR) used in posttraumatic stress disorder. A hypothesized mechanism of action is an overload of the visuospatial sketchpad and/or the phonological loop of the working memory.     

Sándor,Gizella, Elma: A biographical journey1

In recent years, particularly with the publication of the Freud‐Ferenczi correspondence, it has become clear that the rich theoretical dialogue between Freud and Ferenczi, a dialogue that may be seen as constitutive for psychoanalytic discourse in recent decades, was intensely intertwined with their complex personal relationship. Two women‐Gizella Pálos, who eventually became Ferenczi's wife, and her daughter Elma, who was both Ferenczi's and Freud's analysand, and with whom Ferenczi fell in love‐played a crucial role in shaping the Freud‐Ferenczi relationship. Their own voices, however, have so far been barely heard. This paper is a preliminary report of a biographical research project which aims to complete the puzzle, by getting to know better Gizella, Elma and their family, with the help of numerous original sources, many of them unpublished till now. The emerging picture tends to confirm Ferenczi's initial view of Elma as a person of depth and integrity, rather than Freud's view of her as fundamentally disturbed; countertransference‐love, it is suggested, may have facilitated fuller perception rather than clouding it. The question of the impact of Elma's ‘confusion of tongues’ with Ferenczi and with Freud on her subsequent life is also discussed.     

Old Age,Finitude and Meaning: Reflections on the Care of Older Adults Based on Logotherapy

Due to the steady increase in the number of older adults among the Brazilian population, the aim of the present article is to reflect on the care provided to the elderly based on Viktor Frankl’s logotherapy as an alternative approach to understanding more deeply what this life stage means. For this purpose, demographic data on the population of older adults are provided, together with distinct views on aging and its relationship to the quality of life. Next, logotherapy, from its conceptions about the relationship of the person to finitude and to the person’s possibilities for existence, is presented as a psychological theory likely to improve the understanding of aging and to represent a possible approach to the care of older adults. Based on an understanding of humans as beings of power and therefore as self-transcendent and endowed with the will to meaning, the possibility of psychology investing in the relationship with alterity as the grounds for interventions targeting older adults is emphasized.     

Pitfalls on our “New Royal Road”: Commentary on Paper by Joyce Slochower

In discussing Joyce Slochower’s paper “Going Too Far: Relational Heroines and Relational Excess,” (this issue) the author welcomes its self-critical emphasis, suggesting that analysts from all schools of thought benefit more from noticing the risks and pitfalls in their own approach—thus becoming able to improve their own clinical work—than from polemically highlighting what is faulty in other, competing approaches. Such polemics run a risk of their own: turning our theoretical homes into theoretical fortresses, and blocking richer communication among analysts. He shares the concern about some specific attributes of relational and intersubjective clinical work but relates many of the issues raised by Slochower to tensions and dilemmas present in older models of the analytic relationship as well, offering examples from the work of Freud, Ferenczi, Balint, Winnicott, and Racker.