The Transference is Indeed a Cross: Commentary on Paper by Sue Grand

Sue Grand presents a case of “a near-death clinical impasse,” conjuring “God at an impasse.” She questions the philosophical premises and culture biases that inform the foundations of psychoanalytic theory. She asks how we rewrite “the psychoanalytic subject.” This commentary explores the themes of clinical impasse, psychoanalysis and religion, martyrdom and self-sacrifice, the negative Oedipus or “Jacob complex,” multiplicity of selves, and psychoanalytic witnessing. Most important, it challenges the tendency to polarize the Jewish and Christian narratives such that Judaism is depicted as “this worldly” in contrast to Christianity, which is seen as celebrating martyrdom in identification with Christ. It argues for psychoanalysis to recognize the spiritual value of submission and surrender without splitting them into polar oppositions.     

Min(d)ing Michael Shoshani (Rosenbaum's) Dare to be Human: Introduction

This introduction describes several of the unique features of Michael Shoshani (Rosenbaum's) (2009 Shoshani, M. (Rosenbaum). 2009. Dare to be human: A contemporary psychoanalytic journey, New York, NY: Routledge.  [Google Scholar]) Dare to be Human, a book that features the exceptionally broad and detailed case presentation of the psychoanalytic treatment of Daniel. Access is provided to the overall course of the analysis, samples of process and dialogue, biographical background information about the analyst, and two chapters authored by the patient posttreatment. A summary of the case is provided for those not familiar with the book, and four commentators take up varying aspects of this case presentation.     

Day,Night, or Dawn: Commentary on Paper by Steven Stern

It was in the years immediately following World War II and through the 1950s that the psychoanalytic establishment officially defined psychoanalysis as a subspecialty of psychiatry, and it was in that context of the professionalization of American medicine that they codified the distinction between psychoanalysis and (psychoanalytic) psychotherapy. In this commentary on Steven Stern's “Session Frequency and the Definition of Psychoanalysis,” I deconstruct a series of binaries that was built into the analysis/therapy distinction and that has plagued our discipline. It is argued that psychoanalysis identified itself with the culturally “masculine” and heterosexual values of autonomous individuality (the intrapsychic), while it split off all that was relational and social (interpersonal), marked as “feminine,” homosexual, and “primitive,” onto psychotherapy, which it then devalued. The paper then examines the implications for practice and psychoanalytic education.     

Psychoanalysis in the Workplace: An Introduction

This symposium provides an orientation for psychoanalytic clinicians to the world of psychoanalytically oriented organizational consulting, executive coaching, and related applications of psychoanalysis in the workplace. Psychologists and psychoanalysts have played a significant role in the development of organizational consulting and executive coaching, and many clinicians today express interest in transferring their skills from clinical settings to organizations and corporations. This introduction emphasizes the psychoanalytic clinical skill of ongoing reflection on relational processes and experiences, but it also recognizes that consulting requires additional and highly specific knowledge, skill, talent, and training.     

Psychoanalytic Healing,Love, Life,and Death: Commentary on Paper by Sheldon Bach

In his seminal clinical writings on psychoanalysis, Sheldon Bach transcends the limiting confines of individual and parochial schools of psychoanalysis. Both in “On Digital Consciousness” and in his 2006 Getting From There to Here: Analytic Love, Analytic Process, we see a strong relational dimension in Bach's work (see also Bach 1985 Bach, S. 1985. Narcissistic states and the therapeutic process, Northvale, NJ: Aronson.  [Google Scholar] and 1994), though he comes from firmly within the psychoanalytic mainstream. Bach's writings speak to clinicians across schools of thought, are clinically near to experience and are often moving. While he makes occasional mention of his contemporaries, Bach is grounded in more traditional references and only hints at his intellectual connection to relational and intersubjective theorists. One purpose of this commentary is to reflect on Bach's contribution to contemporary psychoanalysis and to draw out the connections between his work and the work of those within the broader relational and intersubjective community of psychoanalysis.     

Neurophysiological Markers That Predict and Track Treatment Outcomes in Childhood Anxiety

The present study examined the cortical processes that mediate cognitive regulation in response to emotion-eliciting stimuli, before and after anxious children participated in a cognitive behavioral therapy program. Electroencephalographic activity was recorded from anxious children (n?=?24, 8 males) and comparison children (n?=?16, 7 males) at pre-and post-treatment sessions. The change in anxiety T-scores from pre- to post-treatment was used to signify clinical improvement among anxious children (Improvers: n?=?11 vs. Non-improvers: n?=?13). Event-related potential components were recorded while children performed a Go/No-go task using emotional facial expressions. For the P1 component, believed to reflect attention and/or arousal processes, Non-improvers had greater activation levels relative to Improver and comparison groups at both sessions. Greater P1 amplitudes at pre-treatment predicted non-improvement following treatment. For the frontal N2 component, thought to reflect cognitive control processing, Improvers recruited greater activation from pre- to post-treatment, a change in activation that was predictive of treatment outcome. Non-improvers showed increased cortical activation within the time window of the P1, whether at pre- or post-treatment. These data suggest that heightened perceptual vigilance may have led to poorer outcomes. Improvers showed increased prefrontal activation within the time window of the N2 from pre- to post-treatment. These data suggest that increased cognitive control may have led to improved treatment outcomes. In sum, P1 activation may serve as a predictor of treatment outcome, while N2 activation may serve as an indicator of treatment response.     

Understanding Peace within Contemporary Moral Theory

In this essay, I continue Nicholas Wolterstorff’s work of developing a rights-based theory of ethics called eirenéism, which maintains the good life only occurs when justice—as a moral state of affairs where agents enjoy the goods to which they have a right—is achieved. As a result, justice is eirenē (the Greek word for peace). In the process of developing eirenéism I explain how eirenē differs from other conceptions of peace, and I offer several interpretive arguments for how best to understand eirenéism in relation to better-known competing ethical theories, like utilitarianism, virtue ethics, duty ethics, and care ethics.     

Reactive Attachment Disorder following Early Maltreatment: Systematic Evidence beyond the Institution

Reactive Attachment Disorder (RAD) remains one of the least evidence-based areas of DSM and ICD nosology. Recent evidence from severely deprived institutional samples has informed review of RAD criteria for DSM-V; however, this data is not necessarily generalizable to expectable child environments in the developed world. We provide the first systematic study of this important syndrome in maltreated non-institutionalized adolescents from a high-income country. 153 high-risk adolescents in English out-of-home Looked After Care (LAC: mean age 174 months, SD 23, 52 % male) and 42 low-risk (LR) community controls (mean age 168 months, SD 18, 38 % male) were assessed for RAD behaviors. Data on maltreatment and care history were collected from social work reports and concurrent psychopathology from caregiver report. Triangulated data sources informed independent researcher ratings of adaptive functioning. LAC adolescents showed high prevalence of RAD behaviors. Factor analysis showed four symptom groups; Disinhibited Indiscriminate, Attention Seeking, Superficial Relationships and Unpredictability. RAD was associated with multiple maltreatment experience, earlier entry to care and increased rates of psychopathology. Superficial Relationships and Attention Seeking factors showed strong independent association with particularly pervasive functional impairment. Disinhibited RAD behaviors are identifiable with high prevalence in non-institutionalized high-risk adolescents. They are strongly associated with psychopathology and functional impairment. Retention of this subtype in DSM-V is supported. Findings on the inhibited subtype in adolescence are less persuasive. RAD behavior is a relevant marker of developmental impairment, has significant clinical implications and is deserving of further study within non-institutionalized risk populations.     

God,guilt, and logic: The psychological basis of the ontological argument

The most eminent exponents of the ontological argument for the existence of God have been characterized as well by a common emotional ingredient — a concern with individual guilt. Anselm, Josiah Royce, Karl Barth, and Norman Malcolm in their respective ways have made the experience of guilt a central one in their metaphysical standpoints. The hypothesis is therefore advanced that the validity which such thinkers have found in the ontological argument is the expression of a frame of mind which we can call ‘logical masochism'; under the influence of such emotions, the ontologian bows his logical powers submissively before an entity the existence of which he cannot question because of the guilt that such questioning would arouse. Under such social circumstances, on the other hand, as during the eighteenth century, when the psychology of individual guilt subsided, the appeal of the ontological argument likewise declines.     

Group Treatment in Psychotherapy by Robert G. Hinckley and Lydia Hermann

A recently completed clinical trial that investigated the effectiveness of a group-oriented, day treatment program provided an opportunity to pursue a multidimensional approach to the prediction of treatment outcome. The sample consisted of 99 psychiatric outpatients, most of whom had received diagnoses of affective and personality disorders. The predictor variables included a patient personality characteristic (psychological mindedness), a group process variable (patient work), and their interaction. Univariate analyses revealed significant direct relationships between psychological mindedness and both work and favorable outcome, and between work and favorable outcome. Multivariate analyses indicated that psychological mindedness and work had independent significant relationships (additive or interactive) with several of the outcome variables. In combination they accounted for up to a quarter of the outcome variance. The results demonstrate the benefit of using a theoretically consistent multidimensional approach. The time-efficient nature of the predictor measures used in the study make them particularly amenable for use by clinicians and researchers.