The perversion of language in the analyst's activity: Navigating the rhythms of embodiment and symbolization

Abstract

In this short text, the problem of how “the talking cure” itself can become a perverse relation is considered and illustrated with a brief clinical vignette. Contributions coming from the work of Stern in infant research and Lacan in post-Freudian thought illuminate the potential for experience to be split off through the use of language itself. These perspectives are brought to bear on thinking about representation, splitting, and perversion as a basis for considering a clinical instance in which patient and analyst enact a perverse relation constituted by the way in which the patient uses the analyst's language to construct a sado-masochistic perversion of the treatment process. Within the clinical episode, Stein's reformulation of perversion, informed by Ogden's observations and expanding Stoller's earlier contribution, provides a basis for considering how the analyst was able to use attention to the body-based countertransferential experience to repair a sense of “erasure” that was being accomplished for both analyst and analysand through the enactment.     

Conceptualization of hostile psychopathy and sadism: Drive theory and object relations perspectives

Abstract

Turkel A.R. The Gender of the Analyst. Int Forum Psychoanal 1992;l:ll-19. Stockholm. ISSN 0803-706X

The importance of understanding the gender-related aspects of our clinical work should not be underestimated. The problems associated with the choice of the analyst by gender are explored with particular focus on three therapeutic dyads: women treating women, women treating men, and men treating women. While the analyst's gender may contribute to resistance and to negative transference, it may also facilitate treatment. Research studies are examined and clinical material is utilized to illustrate the major points.     

From “disciplined subjectivity” to “taming wild thoughts”: Bion's elaboration of the analysing instrument

Abstract

Freud encouraged the analyst to use his unconscious “as an instrument of the analysis,” but did not elaborate on how this should be done. This recommendation opened the door to a consideration of unconscious communication between the analyst and patient as an intersubjective exchange. Both Wilfred Bion and Erik Erikson emphasised the importance of the analyst's intuition, and the author compares and contrasts these two approaches. Erikson advocated a more cautious attitude regarding the analyst's subjectivity, while Bion promoted a broader application of the analyst's various private reactions to the analysand. A brief vignette from the analysis of a five-year-old boy is offered to illustrate the importance of the analyst's reveries, the mutual process of containment and transformation between analyst and patient, and the co-creation of an analytic narrative.     

On paradoxes and the experience of duality

Abstract

Opposing attitudes, emotions, or perceptions of self and other that set the stage for experiences of duality influence our interactions and self–other schemas. The experience of duality that has been conceptualised as “conflict,” “self state,” and “paradox" in psychoanalytic theory has been extensively considered, particularly in terms of its manifestation in transference–countertransference relations and in the analytic material from patients' experiences. They have not, however, been compared and contrasted as entities that lead to similar kinds of experience. Scant attention has been paid, moreover, to paradox as a mental organisation that underlies certain experiences of duality. The concept of paradox has thus been emphasised and developed in this paper.     

A Review of: “Woolfolk,R. L., & Allen,L. A. (2007). Treating Somatization: A Cognitive-Behavioral Approach.”

A 5-year old subject was treated for molestation-induced behavior problems consisting of excessive verbal ruminations and concamitant negative emotional responding. Treatment invovled utilization of a modified operant DRO procedure using the subject's mother as primary behavior change agent. Data based observations predicated on home-environment and generalization probe sources demonstrated dramatic reductions in problem behaviors targeted for intervention. Treatment gains remained stable over a 12-month period as indicated by extended follow-up assessment queries.     

A Review of: “Hollander,M. (2008). Helping Teens Who Cut: Understanding and Ending Self Injury.”

Based upon informal observation of adverse effects arising during behaviorally oriented parent-training programs, 119 parents attending such programs answered a structured questionnaire regarding six specific adverse effects. Each of the “side effects” were reported by a substantial portion of the participants. In most cases, the severity of effects was not extreme. The mean number of side effects reported by each parent was 1.70. Based upon these findings, clinicians conducting such parent-training programs are encouraged to provide content material to prevent or ameliorate these adverse effects.     

A Review of: “Kennedy-Moore,E., & Lowenthal,M. S. (2011). Smart Parenting for Smart Kids: Nurturing Your Child's True Potential.”

Behavioral procedures aimed at decreasing disruptiveness through increasing self-evaluative skills and programming generalization in a class of disruptive retarded children were examined. Phases of the study included: (a) baseline; (b) systematic feedback; (c) a token economy; (d) matching of teacher's ratings by students; (e) four fading phases during which progressively fewer students were required to match the teacher; (f) self-evaluation during which each student received the amount of points self-allotted regardless of teacher's ratings; (g) doubling of point costs of back-up reinforcers ("Inflation"); (h) complete removal of back-up reinforcers ("Points Only"); and (i) return to baseline conditions. The class was observed 5 days per week dueing a morning experimental period and several times per week in the afternoon as a measure of generalization. Additional measures of generalization included days when the token program was not in effect ("Off Days") and when the class was taught by a substitute teacher. Behavior was recorded according to an interval sampling observational code. The results showed that systematic feedback was effective in significantly reducing disruptiveness with even greater reductions resulting from the token program and the subsequent matching and fading phases. Decreased levels of disruptiveness were maintained throughout self-evaluation and the phases which followed. Decreased levels of disruption also generalized to afternoon sessions, to days when the experimental procedures were not in effect, and to self-evaluate, the class initially matched the teacher's ratings with about 50% accuracy. This gradually increased to consistently above 90% during the latter phases. The study demonstrated that retarded children can learn to accurately observe and veridically evaluate their own behavior, and that this has beneficial effects in terms of decreased disruptiveness.