R?ume der Gewalt

Violence is everywhere, just as love and the need for sexual satisfaction are omnipresent, nowadays just as it was 1,000 years ago. However, one is taken for granted as a part of fundamental human behavior and needs no explanation, while violence is considered an anomaly which should disappear from our lives. People who live in peace are irritated when they hear of massacres and violent acts which do not occur in their world. They cannot believe that people kill, abuse and sexually assault each other for no apparent reason and that some actually gain pleasure from this. Then the belief that violence is abnormal behavior under any circumstances helps them to imagine its reality as a space in which argumentation triumphs over fists. Humans, however, will not be what they are: they have always been complete. Violence is a human capability: that was always so and everywhere. It is a resource for action which is not only available for everybody but can also be used by everyone. Even the smallest can achieve an increase in power and gain respect by the use of the fists. The source of violence lies in the fundamentals of the powers of imagination. All atrocities can be imagined and what has once become engraved in the memory can never be removed. When one has understood what violence does to man and what man does with violence, it can no longer only be comprehended as an expression of ideas, intentions and programs, as a deviation which can be redressed by moral persuasion but as a consequence of an unlocking of safety measures which protect people from killing and injuring each other. Even in the future violence will be part of our lives. The belief in the healing powers of civilization is nothing more than romantic idealism. It always concerns only situations and people. Undoubtedly a depressing outlook but when one has comprehended that violence is an integral part of life, measures can also be taken to enclose it. Violence is an experience which creates order because death means the end of everything. For dreamers who crave eternal peace, this recognition is depressing but for realists it is a comfort.     

Zur Validit?t des Prognoseinstruments ?Rückfallrisiko bei Sexualstraft?tern“

The Risk for Recidivism in Sexual Offenders (RRS) procedure is an actuarial risk assessment tool designed to predict recidivism in sexual offenders released from prison. So far it is the only tool developed with a German sample and uses a combination of 11 static and dynamic risk markers. The goal of the current study was to test the predictive validity of the 3 RRS prognostic scores in a sample of 104 sexual offenders whose prison files and recidivism data were analysed after a mean period of 8 years after release from a German prison. The H-score of the RRS developed to assess the probability of reimprisonment showed moderate to good predictive power in relation to any new convictions, new convictions leading to a prison term and new convictions for an aggressive or sexual criminal offence. As expected it was not able to predict sexual recidivism which had a base rate of 8.7% in this sample. The S-score and the K-score of the RRS developed to predict this criterion, performed hardly better in this task. These scores showed moderate to good predictive validity only in the small subsample of extrafamilial sexual offenders.     

The Analysis of Preconscious Phenomena and Its Communication

Thoughts and feelings of both patients and analysis may be influenced by perceptions that remain outside of conscious awareness. A preconscious communication exists between patient and analyst. Appreciation of the preconscious elements of communication may enable a better understanding of what may be otherwise experienced as a mysterious occurrence. Transference-countertransference interactions create a place to observe the manifestation of preconscious phenomena. This paper addresses how the analytic method enables the discovery of consciously unrecognized stimuli or selective attention to certain phenomena which have created a sense of the uncanny or surprising. Both intersubjective reflection and more formal, systematic methods, which include logic and reasoning, serve to illuminate these events. The paper discusses and illustrates the role of preconscious communication in the analytic situation and its relation to the analytic process.     

A Specific Developmental Deficit in Obsessive-Compulsive Disorder: The Example of the Wolf Man

In this paper I suggest that the origins of the “contamination/cleaning” form of obsessive compulsive disorder (OCD) include a developmental history characterized by marked overprotectiveness allied with parental failure to respond to core aspects of the child's personal reality. The combined effect of these parental behaviors is likely to impede the establishment of a mature conception of the boundary between inner and outer worlds. The consequence of such a deficiency is the persistence of the magical form of thinking which is essential to the production of OCD. In addition, the individual is left with a disruption of personality development, the main features of which include timidity and falseness. The Wolf Man provides an example of both the characteristic development history in OCD and its consequences. Treatment based on this theoretical background may provide benefit not predicted by current psychoanalytic pessimism.     

Object Relations,Affects, and Drives: Toward a New Synthesis

This paper summarizes my efforts to develop a contemporary psychoanalytic theory of drives, integrating this theory with contemporary affect theory and with psychoanalytic object relations theory. It proposes, in essence, that affects are the primary motivations of behavior, that they include a fundamental communicative function in the infant/caregiver relationship, and that it is the integration of, respectively, positive and negative affects that will crystallize libido and aggression as supraordinate motivational systems or drives. At the same time, insofar as peak affect states organize the internalization of the relationship between self and objects in the form of affect-invested self and object representations, affects are also contributing fundamentally to the organization of an internalized world of object relations, eventually consolidated in the tripartite structure of the mind.

This proposed interrelationship of affects, self- and object representations, and drives rejects the assumption of incompatibility of drive theory and object relations theory and provides potential bridging functions with the neurobiology of affects.     

Diagnose „Gesundheit“

In the early days of psychotherapy diagnoses were seen as unnecessary and even not helpful. After psychotherapy has become a method of medical treatment diagnoses are necessary in order to justify reimbursement of treatment by health insurance. Diagnoses are also useful to guide treatment, help communication between professionals and morbidity statistics. Diagnoses can have negative effects, such as simplification of complex problems, aggravation of normal life experiences or stigmatization and labelling. Therefore, diagnoses should be made when a person is suffering from an illness in order to avoid underrecognition and undertreatment. Similarly, the diagnosis “healthy” is important when no disease is present but only a normal problem in everyday life. To say that a person is healthy is an important and difficult task in all areas in medicine. Therapists must not only know the criteria for illnesses but also those for the spectrum of healthy problems in normal life. This can be done when the psychopathological assessment is professionally precise and makes a differentiation between signs of illness and other negative feelings. Also, normal life events must not be directly translated into illness states. Furthermore, therapists must be aware of their diagnostic preferences and bias. In the training of psychotherapists recognition of healthy states should get as much attention as the diagnosis of illnesses.     

Intuition

At least since the Enlightenment Western thought has been dominated by a skeptical attitude towards intuition, although it is vital for mental and creative functions. In contrast, in recent times, a re-evaluation has emerged. Intuition is now considered by many to be of significant assistance not only in everyday life but also in making complex decisions in business, people management and psychotherapy. This article describes different dimensions of intuition ranging from unconscious intelligence in everyday life through intuitive processes with their connection to the collective unconscious up to its spiritual dimension. The question of how intuition works is extensively discussed. A distinction is made between intuitive work, resonance phenomena and gut feelings. The author concludes that it is not a question as to whether we want to use intuition as a source of knowledge for ourselves but if we recognize and appreciate that we do it constantly.     

Implizites Beziehungswissen

Implicit relational knowing is for the most part procedural implicit knowing. Implicit relational knowing operates outside verbal experience and is mostly expressed in actions and constitutes the ‘how’ of being with others. Interpersonal relationships develop step by step and even subtle behavioral means can be a step. A subsequent step documents how the person interprets the preceding behavior of the other person. According to the Boston Change Process Study Group (BCPSG), implicit relational knowing can change with increasing integration and coherence in the therapeutic process. This enables the patient to bring into the therapeutic relationship even difficult and affectively charged experiences which thus become “relationable” for the patient.