Sacrifice: Psychodynamic,Cultural and Clinical Aspects

Noting that the topic of sacrifice has remained largely unaddressed in psychoanalytic literature, the authors offer a discussion of it. Their elucidation of sacrifice opens with the definition and etymology of the word and moves on to the place of sacrifice in various religious traditions. They then summarize Freud's views on the topic and suggest that the subsequent analytic contributions have gone in three directions: the first extends and modifies Freud's proposal of triadic-hostile origins of sacrifice, the second locates such origins in dyadic and loving relations, and the third seeks to synthesize the foregoing trends. The authors then delineate the triad of altruism, masochism, and narcissism that underlie sacrifice. They propose that a spectrum of phenomena, ranging from healthy to pathological, is subsumed under the rubric of sacrifice. They also discuss the significance of such ideas to the conduct of psychotherapy and psychoanalysis.     

The Immigrant, the Exile, and the Experience of Nostalgia

Resulting from a retrospective idealization of lost objects, nostalgia helps the immigrant defend against the aggression resulting from current frustrations. This experience is missing in the exile whose deeply traumatizing departure from his land of origin spoils whatever good memories of that land might exist within him. Retrospective idealization is not possible and the ego is deprived of the nostalgic defense. The psychoanalyst dealing with the immigrant's nostalgia must offer psychic space for its development while keeping an eye upon the hidden transference allusions in the nostalgic pleasure as well as upon its screen functions vis-à-vis aggression in the here and now. Psychoanalytic work with the exile requires a different slant. Empathy with how bad the land of origin was must precede for a long while before defenses against the emergence of nostalgia can be analyzed.     

Psychological trauma reconsidered: Overview and proposed psychotherapy for survivors

Abstract

This paper attempts to establish a conceptual approach to the etiology of psychological trauma. The literature on the subject of the impact of trauma–particularly on the coherent sense of self and effective ego functioning–is reviewed. The case of a young victim of trauma is included to exemplify hew the disruption of social relationships and their internal cognitive representations, through abuse, exploitation, and other acts of unpredictable trauma, can interfere with the normal functioning of personality in the posttraumatic state until an appropriate therapeutic intervention or experience occurs. A construct for the psychotherapy treatment of trauma is suggested.     

Improvements in Unmarried African American Parents' Rapport,Communication, and Problem‐Solving Following a Prenatal Coparenting Intervention

This report examines effects of a coparenting intervention designed for and delivered to expectant unmarried African American mothers and fathers on observed interaction dynamics known to predict relationship adjustment. Twenty families took part in the six‐session “Figuring It Out for the Child” (FIOC) dyadic intervention offered in a faith‐based human services agency during the third trimester of the mother's pregnancy, and completed a postpartum booster session 1 month after the baby's arrival. Parent referrals for the FIOC program were received from a county Health Department and from OBGYNs and Pregnancy Centers in the targeted community. All intervention sessions were delivered by a trained male–female paraprofessional team whose fidelity to the FIOC manualized curriculum was independently evaluated by a team of trained analysts. At both the point of intake (“PRE”) and again at an exit evaluation completed 3 months postpartum (“POST”), the mothers and fathers were videotaped as they completed two standardized “revealed differences” conflict discussions. Blinded videotapes of these sessions were evaluated using the System for Coding Interactions in Dyads. Analyses documented statistically significant improvements on 8 of 12 variables examined, with effect sizes ranging from moderate to large . Overall, 14 families demonstrated beneficial outcomes, 3 did not improve, and 3 showed some signs of decline from the point of intake. For most interaction processes, PRE to POST improvements were unrelated to degree of adherence the paraprofessional interventionists showed to the curriculum. However, better interventionist competence was related to decreases in partners' Coerciveness and Negativity and Conflict, and to smaller increases in partner Withdrawal. Implications of the work for development and delivery of community‐based coparenting interventions for unmarried parents are discussed.