Ending With Options

No matter what has come before, if the ending of the analytic relationship is not managed sensitively, much good may be undone. Analytic endings are emotionally challenging for analysts as well as patients. What was missing from the classical approach, at least as interpreted by Freud's American disciples, was appreciation of the personal relationship (Flank, 2006 Frank, K. A. 2006. Toward conceptualizing the personal relationship in therapeutic action: Beyond the “real” relationship.. Psychoanal. Perspectives, 3: 6–43.  [Google Scholar]). In a relational view, the ending must be considered uniquely and mutually negotiated as part of a relationship that is both technical and personal. Accordingly, both permanent separation and separation with possible return are seen as just two of many possibilities for ending that the pair may co-create. Other options must also be considered.     

Transference Focused Psychotherapy for Patients with Comorbid Narcissistic and Borderline Personality Disorder

Clinical experience involving the treatment of patients with comorbid borderline and narcissistic personality disorders suggests that this patient population is among the more difficult to treat within the personality disorder spectrum. In this article, we present refinements of Transference Focused Psychotherapy (TFP) based on our clinical experience with and research data on patients with comorbid narcissistic personality disorder/borderline personality disorder (NPD/BPD). We briefly review object relations formulations of severe narcissistic pathology, as well as recent research in attachment and the allied concept of mentalization, which have provided a new lens through which to view narcissistic disorders. The research findings from two randomized clinical trials demonstrating the efficacy and effectiveness of TFP are presented. The data from the two Randomized Clinical Trials (RCT) allowed for the study of the characteristics of the subgroup of borderline personality disorder patients who have comorbid NPD/BPD. Findings on comorbidity, attachment status, capacity for mentalization, and level of personality organization of borderline patients with comorbid NPD/BPD, compared with borderline patients without comorbid narcissistic pathology (BPD), are presented. Clinical implications of the observed group differences are discussed, with a focus on refinements in the technique of TFP. Clinical case material is presented to illustrate the specific challenges posed by narcissistic patients to carrying out TFP in each phase of treatment.     

Beyond the Mainstreams

My interest in the theory and art of psychoanalysis is traced to some of its sources—my childhood and expulsion from Germany in the late 1930s, my experience as a member of a discriminated-against minority, my nonacceptance as a psychologist by American psychoanalytic societies, my invitation to participate in the development of self psychology, and my fortuitous encounter with personal and professional friends who have contributed to the scope of my psychoanalytic endeavors (e.g., to my abiding interest in research and, in particular, the empirical studies of the early mother–infant dyad). I offer this account as evidence of the varied and creative opportunities that await psychoanalysts not outside but beyond the mainstream of American psychoanalysis.     

Creativity,perversion and the violations of expectations

Abstract

Violations of expectations provide a motive for both creativity and perversion. The term “violations of expectations,” derived from empirical studies of early development, includes surprise, shock, betrayals of trust, as well as the possession of extraordinary talents. In the creative area, violations of expectations are illustrated through aspects of the life and work of Marc Chagall and Richard Wagner, and in perversion through the lives and actions of serial killers.

Lachmann FM. Kreativität, Perversion und die Verletzungen von Erwartungen

Verletzungen von Erwartungen liefern ein Motiv für beides: Kreativität und Perversion.Diese Benennung, aus empirischen Untersuchungen früher Entwicklung abgeleitet, schließt sowohl Überraschung, Schock, Verrat von Vertrauen ein wie auch die Verfügung über außergewöhnliche Talente. Im kreativen Bereich werden Verletzungen von Erwartungen durch Aspekte von Leben und Werk von Chagall und Richard Wagner illustriert und im Bereich der Perversionen durch Leben und Aktionen von Serien-Mördern.

Lachmann FM. Creatividad, perversión y violación de las expectativas.

La violación de las expectativas provee un motivo para ambas, la creatividad y la perversión. Este término, derivado de estudios empíricos sobre el desarrollo temprano, incluye sorpresa, shock, revelación de la verdad, así como la posesión de talentos extraordinarios. En la creativa violación de expectativas se ilustran aspectos de la vida y del trabajo de Marc Chagall y Richard Wagner y en la perversión a través de sus vidas y acciones de asesinos en serie.     

Methods for second order meta-analysis and illustrative applications

This paper presents methods for second order meta-analysis along with several illustrative applications. A second order meta-analysis is a meta-analysis of a number of statistically independent and methodologically comparable first order meta-analyses examining ostensibly the same relationship in different contexts. First order meta-analysis greatly reduces sampling error variance but does not eliminate it. The residual sampling error is called second order sampling error. The purpose of a second order meta-analysis is to estimate the proportion of the variance in mean meta-analytic effect sizes across multiple first order meta-analyses attributable to second order sampling error and to use this information to improve accuracy of estimation for each first order meta-analytic estimate. We present equations and methods based on the random effects model for second order meta-analysis for three situations and three empirical applications of second order meta-analysis to illustrate the potential value of these methods to the pursuit of cumulative knowledge.     

Task conflict,information processing,and decision-making: The damaging effect of relationship conflict

A popular theoretical assumption holds that task-related disagreements stimulate critical thinking, and thus may improve group decision making. Two recent meta-analyses showed, however, that task conflict can have a positive effect, a negative effect, or no effect at all on decision-making quality (De Dreu & Weingart, 2003; De Wit, Greer, & Jehn, 2012). In two studies, we built upon the suggestion of both meta-analyses that the presence of relationship conflict determines whether a task conflict is positively or negatively related to decision making. We hypothesized and found that the level of perceived relationship conflict during task conflict (Study 1), and the actual presence (vs. absence) of relationship conflict during task conflict (Study 2), increased group members’ rigidity in holding onto suboptimal initial preferences during decision making and thus led to poor decisions. In both studies the effect of relationship conflict on decision making was mediated by biased use of information.     

Reciprocity and Rivalry: A Critical Introduction to Mimetic Scapegoat Theory

This paper presents a critical overview of René Girard’s mimetic theory, identifies several concerns about the adequacy of mimetic theory’s account of human agency and interdependence, and suggests ways this account might be clarified and enhanced. We suggest that mimetic theory tends to reify or hypostatize the core reality of mimetic desire, which sometimes is spoken of as a kind of trans-individual entity that directs human action, no doubt because of Girard’s concern to avoid any taint of individualism or subjectivism. We argue, however, that hermeneutic and dialogical philosophies like those of Hans-Georg Gadamer and Mikhail Bakhtin explicate profound human relationality and interdependence in a way that obviates individualism without overriding or obscuring personal responsibility. The concern of many Girardian theorists that hermeneutic philosophy covers over or even rationalizes conflictual and violent human dynamics, we contend, is unfounded. However, we insist that most contemporary social theory, including hermeneutic thought, fails to do full justice to the challenges posed by envy, enmity, and scapegoating violence in human affairs and to the struggle for a good or decent life that mimetic theory richly portrays. Thus, we explore some of the possibilities for a fruitful cross-fertilization of mimetic theory and hermeneutic/dialogical viewpoints. Similarly, we argue that recent work on virtue ethics in theoretical psychology contains rich resources for elaborating what would be involved in a so-called “positive” or “creative” mimesis that moves beyond the destructive kinds of mimetic entanglement upon which Girardian thought has tended to concentrate. Finally, we suggest that any effort of this sort to clarify what Girard terms our “interdividual” human reality and to investigate positive mimesis would be greatly assisted by Eugene Webb’s delineation of a fundamental kind of “beneficient motivation” or positive “existential appetite,” a third species of human desire in addition to the two that Girard clearly identifies, namely finite needs and the kind of insatiable, artificial craving that the term mimetic desire usually designates.     

The location problem in social ontology

Mental, mathematical, and moral facts are difficult to accommodate within an overall worldview due to the peculiar kinds of properties inherent to them. In this paper I argue that a significant class of social entities also presents us with an ontological puzzle that has thus far not been addressed satisfactorily. This puzzle relates to the location of certain social entities. Where, for instance, are organizations located? Where their members are, or where their designated offices are? Organizations depend on their members for their existence, but the members of an organization can be where the organization is not. The designated office of an organization, however, need be little more than a mailbox. I argue that the problem can be solved by conceptualizing the relation between social entities and non-social entities as one of constitution, a relation of unity without identity. Constituted objects have properties that cannot be reduced to properties of the constituting objects. Thus, my attempt to solve the Location Problem results in an argument in favor of a kind of non-reductive materialism about the social.     

McColl and Minimization

In 1952, Quine showed that the problem of reducing a propositional formula to a simplest normal equivalent can be solved in two steps, viz., (i) express the given formula, Φ, equivalently as the disjunction of all its prime implicants, and (ii) find all non-redundant disjunctions of the latter that are equivalent to Φ (Quine 1952 Quine, W. V. 1952. ‘The problem of simplifying truth functions’. American Mathematical Monthly, 59: 521–531. [Taylor &; Francis Online] , [Google Scholar]). However, it seems not generally known that an ingenious form of the same two-step process was published by Hugh McColl in 1878.