The role of childhood sexual seduction in the development of an erotic transference: Perversion in the psychoanalytic situation

Abstract

Based on Ferenczi's Confusion of Tongues theory of trauma we proposed the following hypothesis: “An erotic transference is an enactment in the here-and-now of the psychoanalytic situation of a childhood seduction of sexual trauma”. We delineate the relational approach to the analysis of the incest trauma, both theoretically and clinically. The concept of enactment helps us understand the emergence of the incest trauma in the psychoanalytic situation as an indication of an earlier childhood experience. Three clinical examples are discussed which illustrate ways of using the hypothesis within the analytic process. The clinical examples demonstrate the value of enactments that are contained in the unconscious communication that the erotic transference represents.

Rachman AWM et al. Die Rolle sexueller Verführung in der Kindheit bei der Entwicklung einer erotischen Übertragungsperversion in der psychoanalytischen Situation

Basierend auf Ferenczi′s Konfusion der Zungen Trauma Theorie schlugen wir die folgende Hypothese vor: Eine erotische Übertragung ist eine Inszenierung im Hier und Jetzt der psychoanalytischen Situation einer Kindheits Verführung als sexuellem Trauma. Wir entwerfen den relationalen Ansatz theoretisch und klinisch in Bezug auf die Analyse des Inzest Traumas. Das Konzept der Reinszenierung hilft uns das Auftauchen des Inzest Traumas als ein Anzeichen einer früheren Kindheitserfahrung in der psychoanalytischen Situation zu verstehen. Es werden drei klinische Beispiele diskutiert, die die Wege illustrieren, die Hypothese innerhalb des analytischen Prozesses anzuwenden. Die klinischen Beispiele zeigen den Wert von (Re-) Inszenierungen, die in der unbewußten Kommunikaton enthalten sind, welche die erotische Übertragung repräsentieren.

Rachman A WM et. al. El rol de la seducción sexual infantil en el desarrollo de una transferencia erótica: perversión en la situación analítica.

Basado en la teoría del trauma de la confusión de lenguas de Ferenczi, proponemos la siguiente hipótesis: una transferencia erótica es un enactment en el aquí y el ahora de la situación analítica del trauma de la seducción sexual infantil. Trazamos la aproximación relacional del análisis del trauma del incesto. El concepto de enactment nos ayuda a entender la emergencia del trauma del incesto en la situación psicoanalitica, como indicación de una experiencia infantil temprana.

Se presentan tres ejemplos clínicos que ilustran formas de uso de la hipótesis desde el proceso analítico. Estos ejemplos clínicos demuestran el valor de los enactments contenidos en la comunicación inconsciente que representa la transferencia erótica.     

Searching for the enriching sense of otherness: The psychoanalytic psychotherapist as a meaning-bearing other

Abstract

This paper is a theoretical and clinical examination of the patient's search for the otherness of the therapist as a prerequisite for change and development in relational psychoanalytic psychotherapy. A basic assumption is that being in a relationship as well as being a personal self, is to be understood, as being with a “meaning-bearing other”; that is, someone who allows for the possibility of meaningful thoughts and feelings, either through an actual communicative presence or as a consciously, prereflective, or unconsciously imagined communication partner. The term “meaning-bearing other” is used to differentiate distinct, although often synchronic, modes of relatedness. The need for intersubjective “depth”—that is, to discover the otherness of the other, and for oneself to be recognized as an experiencing subject—is regarded as a main motivational force. Winnicott's, as well as Sullivan's developmental approaches, Mitchell and Aron's views on psychoanalytic interaction, and Heidegger and Gadamer's phenomenology and hermeneutics are used as theoretical points of reference for the present discourse. The theoretical points of view are examined and discussed through excerpts from twice-a-week psychotherapy with a six-year old girl.     

Seduction,date rape,and aborted surrender

Abstract

This paper clarifies the dual-layered nature of the “demon lover complex,” with its background of both pre-Oedipal trauma and Oedipal-level desire. It draws on an object relations understanding of the unconscious and dissociated addiction to an internal demon object that has derivations in the personalities of the actual parents, and in the internalization of these parents. The dramatic case of early trauma compounded by adult date rape trauma serves to illustrate how a “developmental mourning process” in treatment can resolve such trauma. It also illustrates how reparation with the mother that partially heals pre-Oedipal trauma cannot immunize anyone against Oedipal-level attractions to a “demon lover” father, as represented in a displacement, resulting in victimized behavior, and in an aborted surrender to heterosexual desire. However, this victimization can be resolved, as seen in the clinical illustration, when the psychoanalyst has an understanding of the mourning process in developmental terms, working with a natural interaction between mourning and transference evolutions in treatment. The case also demonstrates the transitional object role of the psychoanalyst who is involved with the healing of pre-Oedipal trauma through mourning.     

Interpretive acting-out: Unavoidable and sometimes useful

Abstract

Using one detailed case presentation, this paper examines the clinical hardship of making accurate and helpful interpretations that do not become part of the patient's defensive system. The author argues that interpretive acting-out is inevitable in the psychoanalytic process. But, if properly monitored, understood, and contained, these interpretive enactments can sometimes actually be a profit to the overall treatment. Issues of projective identification, countertransference, and the importance of realizing our transference role in the patient's changing phantasies are discussed throughout the case material.     

Sleep Symptoms as a Partial Mediator Between Combat Stressors and Other Mental Health Symptoms in Iraq War Veterans

Sleep symptoms are a prominent feature of mental health disorders like PTSD and depression. However, it is unknown whether sleep symptoms mediate the relationship between combat stress and these disorders. We examined the mediating role of sleep symptoms on the relationship between combat stress and PTSD; and the relationship between combat stress and depression using data from 576 Army veterans of the Iraq War surveyed in 2004. Correlational analyses revealed that when insomnia was included in the model, the correlation between combat stressors and other depression symptoms decreased by 65%; and when nightmares were included in the model, the correlation between combat stressors and other PTSD symptoms decreased by 69%. We replicated these analyses using individual items assessing PTSD and depression and found that the insomnia and nightmare items had the largest and second largest mediation effect between combat stressors and PTSD and depression symptoms. Our result support the theory that sleep symptoms contribute to the development and/or maintenance of other mental health symptoms and that early treatment of sleep symptoms may mitigate the other mental health consequences of combat stress.