Dealing with Object Loss

The nature and outcome of working through an object loss depend on the proportions in which the lost relationship involved developmentally earlier (prestructural) and more advanced (poststructural), aspects. The two groups of elements are dealt with by entirely different methods, which are presented and discussed in this paper. For this purpose, some aspects of internalization are discussed and distinguishing a new form of internalization is proposed. The additional loss of objects following a major one are also briefly discussed.     

Common ground on object use associates with caregivers’ gesturese

Caregivers modify their communication when interacting with infants, and these modifications have been related to children's language development. However, the factors influencing caregivers’ modification of gestures are understudied. This study examined whether infants’ object knowledge, considered as common ground shared with the caregiver, relates to caregivers’ gesturese. Six caregiver-infant dyads were videotaped every two months for 15 min in their homes, from child age 8-to-16 months, while they played with two separate objects (i.e. toys). Results indicated that the changes in infants’ object knowledge were paralleled by associated changes in caregivers’ gestures: parents increased both the amount and the complexity of their gestures.     

Anna Freud and Observation: Memoirs of Her Colleagues from the Hampstead War Nurseries

ABSTRACT

Initially, Anna Freud did not wish to carry out systematic observations; rather, she wanted to be in the field while maintaining an analytical attitude with a free-floating attention. Based on memories of her employees Manna Friedmann, Anneliese Schnurman, Hansi Kennedy, and Joyce Robertson, this article discusses the way in which Anna Freud taught them to observe the children. She also observed those very colleagues who were observing, in order to be able to convey to them, a psychoanalytic view of the children.     

Exercising Theory: A Perspective on its Practice

What is the task of educational theory or philosophy if it is not merely conceived as specification of philosophical doctrines in the realm of education? In my view it is the particular task of educational-philosophical theory to work critically on the historically developed cultural constructs that shape our (educational) experience. Thus, the activity that educational theorists are to perform is the critical reflection of the “limits of our world” by drawing on philosophical references and theories. In this text I describe this activity drawing from my own research practice with a particular focus on its relation to what is called thinking.     

Psychoanalyse und Traumatherapie

The author is of the opinion that for patients with combined traumas of commitment and violence a psychoanalytical long-term treatment which takes into consideration the peculiarities of this group of patients will continue to be the therapy of choice. Special ??trauma therapies?? may be useful after acute traumas and in cases in which external conditions exclude psychoanalytical treatment. Depending on the situation of the individual case, though, specific modifications of the technique may be necessary, which possibly include proven specific trauma therapeutic techniques as parameters. Based on the parallelism of the economic aspect of the trauma and the aspect of object relationship, a decisive role in the therapeutic process befits the recognition of the traumatic reality and the working out of traumatic transference, which, however, must not traumatize under any circumstances. This is accompanied by the restitution of a good interior object, which only becomes possible within a frame giving security and support. The establishment and preservation of this frame may also be due to especially required parameters derived from trauma therapies, the psychodynamic significance of which must be analyzed with the individual patient. The author's approach is clarified by two case vignettes in which the theoretical reflections have led to very different technical procedures. The author comes to the conclusion that the psychoanalytical trauma therapy shows how therapeutic concepts aiming at an optimum result must still be tailored to the individual case.     

?Symbolisierung�� als intersubjektive und intrapsychische Dynamik

Igor A. Caruso (1914?C1981), one of the founders of the International Federation of Psychoanalytic Societies (IFPS) in 1962, began to discuss questions of the interplay of biological, social and evolutional realities and intrapsychic development in the early 1950s with the early Vienna Circle of Depth Psychology. Caruso understood that the specific human ability to transcend the overdetermined biological constitution into a development of consciousness, care and self-awareness is basic for the need and lifelong activity of intersubjective relationship. Sexual and survival drives as the biological basis contain their own transformation as cultural potency within the subject-object relationship. Each act of relationship to things and living objects creates a new reality which is a meaningful symbol for both parts of the relationship in their own individual reality. This new, third, reality gains full effectiveness for both actors as ??symbolic realism?? and initiates the ongoing development. In this understanding psychic development is a process of changing interactive creation and effectiveness, following biological drive dynamics as well as its inherent future transformations by attachment. Symbolization is therefore the main intrapsychic and intersubjective activity of development of object-awareness and self-awareness. Caruso emphasized the meaning of symbol and symbolization as an act of relationship to and within the world and consequently understood psychoanalytical theories as well as a changing symbolization of relationship.     

Soziales Netzwerk Psyche

In six steps I attempt to show how modernized psychoanalysis contributes to a ??social theory of mind?? (Mitchell, pp.?17?f.). First of all, the pluralism of schools is reflecting the lack of a psychoanalytic core theory, a shortcoming which is merely concealed by its conceptional oversupply and can only be overcome by scientific research. Secondly, I suggest to give up the inclination towards deep thinking, typical of our profession always on the lookout for new metaphors of the psyche, and to replace this inclination by the precise observation of interactions. Thirdly, I discuss the suggestion to understand the unconscious as a hidden link between self and the real world, as a relational tendency of the psyche to connect??a legacy of symbiotic experience??the inside with the outside not only in dreams but in reality. This is, fourthly, my understanding of the unconscious drive of human mind to express itself in a social world whose interactive platforms only allow that building of mental structures we call mentalization, according to Fonagy. Fifthly I point out that the monadic theory of mind implicated in classical drive theory is obsolete in a scientific sense in order to plead, sixthly, for a modernization of psychoanalysis replacing its central metaphor of the mental apparatus by that of a mental network: The modernized psyche is nowadays less in charge of managing intrapsychic drive-economy; its main duty in the age of modern reflexivity seems to be the skilful management of self-relation in the broadly stretched network of interpersonal relationships.     

Die DPG-Praxis-Studie

All psychotherapeutic methods must be scientifically evaluated. Empirical evaluation of evidence is a prerequisite for acceptance as scientific psychotherapy as well as for payment by health insurance. Currently the psychotherapy methods accepted within the German health system (behavioural therapy, psychodynamic psychotherapy, and analytic psychotherapy) are reviewed by a governmental evaluation committee concerning evidence, necessity and cost-effectiveness. The DPG practice study has basically two aims: 1) to conduct a large naturalistic study to investigate effectiveness, sustainability and economic aspects of psychodynamic and analytic psychotherapy and 2) to offer a framework for psychoanalytic institutes, members, candidates or groups to realize own research ideas by collecting additional data within the study. The present article describes the background, main research questions, structure and design of the DPG practice study with regard to the evaluation questions.     

?Omnipr?senz��

Excessive urge for free individual development even beyond moral law and social rules is discussed as part of the aftermath of severe political repression and traumatization. It is proposed to describe these phenomena which have not yet been sufficiently considered in the scientific literature as ??omnipresence??. In terms of psychoanalytic understanding these mechanisms result from specific unconscious defense activities. The relationship to other defense mechanisms, e.?g. of anal, phobic, paranoid and manic nature, is outlined, and illustrated by a short case vignette. The article ends with a differentiation between omnipresence as described above on the one hand and the phenomena of media-moderated expansion of individual development and acceleration typically and generally found in postmodern societies, on the other hand.     

Ambivalenz in der psychiatrischen Organisation

For the past 100 years Bleuler??s ambivalence terminology has been applied to many aspects of the psychiatric treatment of patients, particularly in the realm of diagnostics and therapy. It has, however, been adopted in an approach mainly limited to psychopathological phenomena. This article discusses whether advanced concepts of ambivalence can facilitate the analysis of current challenges and problems of institutional psychiatry, placing them in a new light. It describes a wide range of psychiatry-specific ambivalence experiences by investigating the field of activity of individual therapists as well as of interdisciplinary therapeutic teams. Particular attention is given to an ambivalence-oriented perspective of clinic management taking uncertainty and complexity into consideration. In such different contexts modern ambivalence concepts give way to a psychodynamic understanding of clinical areas of conflict, thus extending the possibilities of multimodal therapy. When dealing with complex leadership and planning tasks, sensibility and tolerance towards ambivalence phenomena and conflicts prove to be unusual but valuable problem solving resources.