Working through and its various models

Working through is an integral part of the psychoanalytic process, one could even say its epitome. It is therefore always present in the work of an analysis but, depending on the various phases and constraints that arise in that process, changes are brought to its form, to the issues involved in it and to its economic dimension. The author explores three forms or models of how working-through functions in relation to the dominant feature of any given analytical process. In the first of these, the issue that has to be worked over involves insight into a repressed representational complex; in the second, work has to be done on bringing into consciousness drive-related impulses or mental experiences that have until then not been able to be represented, so that the analysis itself is the first occasion on which retroactive [après-coup] processing can be initiated; and in the third, when representation and some kind of symbolization of the subjective experience and the drive-related issues that are part of it have been accomplished, the analysand then has to appropriate these subjectively and integrate them.     

Response to Peter Fonagy

Peter Fonagy highlights the therapeutic efficacy of new experience, 'a way of being with the other', while the author gives priority to interpretation, insight into and the working through of unconscious conflict. The recovery of the repressed memories and fantasies of childhood is now an intermediate goal of psychoanalysis, largely superseded by transference interpretation and genetic reconstruction. Transference, like symptoms, is a return of the repressed. The author believes Fonagy's theoretical and technical focus on the non-conscious, rather than the dynamic unconscious, devalues the persisting influence and pathogenic significance of the infantile unconscious.     

Repression, transference and reconstruction

Whereas Peter Fonagy almost dismisses the importance of repression and the recovery of repressed and suppressed memory, the author believes that the analysis of repression retains importance in clinical psychoanalysis. Transference is a return of the repressed, with repressed memories embedded within a fundamental unconscious fantasy constellation. Moreover, transference is an essential, but not the only, route to the understanding and analysis of the patient. Nor should transference be confused with the real or new analytic relationship. The author does not regard the dynamic unconscious as definitely registered and retrieved in procedural memory, awaiting further research. A focus on the present 'self with other' model of therapeutic action neglects pathogenesis and the importance of childhood and its psychoanalytic reconstruction.     

心理学研究方法的系统分析与体系重构

心理学研究方法在心理学的发展中占有特别重要的地位。当前,心理学研究方法已经成为心理学中的一门重要学科,相关论文和教材很多。本文首先对心理学研究方法的发展进行了简要概述,重点指出了心理学研究方法研究中存在的重大问题,在此基础上,我们对心理学研究方法进行了系统分析,并构建了心理学研究方法的新体系。     

Family Reconstruction

Family reconstruction, as described by Virginia Satir, is important for its transformative possibilities. This therapeutic tool can integrate a person into the historical and psychological matrix of his or her family of origin. This article describes how a reconstruction can be accomplished in three hours by using certain steps and principles. A case study is provided illustrating these steps and principles, including the personal reflections of the participant group.     

Visual Hebb repetition effects survive changes to both output order and concurrent articulation*

Building upon the work of Guerrette, Guérard, and Saint-Aubin [(2017). The role of overt language production in the Hebb repetition effect. Memory and Cognition, 45(5), 792–803. doi:10.3758/s13421-017-0693-4], we examine the effect of output order on the visual Hebb repetition effect. We limit opportunities for forward recall at test by using a novel positional recall procedure, employing non-verbal visual stimuli, and requiring participants to undertake concurrent articulation (CA). During encoding, participants received sequences of six unfamiliar-faces. Every third sequence, participants received the same faces in the same serial order (the Hebb sequence). At test, participants were required to either select the faces in their order of original presentation (SR) or recall the serial position of each individually re-presented face tested in a randomised order (PR). For both recall conditions, and following CA, the Hebb repetition effect persisted, demonstrating that the Hebb repetition effect is not dependent upon forward recall.     

Theorienreduktion in den Sozialwissenschaften. Eine Fallstudie am Beispiel der Balancetheorien

Theory Reduction in the Social Sciences. The example of balance theories. A central topic both in philosophy of science as well as in the empirical sciences is the reconstruction of the relations between theories. In the past comparisons of theories by means of traditional linguistic methods have proved to be extremely difficult and complicated. In this article the reconstruction of intertheoretical relations based on model-theoretical terms is propagated, as formulated within the structuralist view of theories. The efficiency of a model theoretical based comparison of theories is demonstrated by two theory elements from the social science research program of balance theories: The basic element by Heider and the transitivity theory by Holland and Leinhardt. First of all both theory elements are introduced informally and reconstructed in the structuralist format. On the basis of these reconstructions can be shown, that the Heider theory can be formally reduced to the Holland-Leinhardt theory and that the theory younger in history means an improvement. However, an integration of all balance theoretical elements into a theory net is not possible. This revised version was published online in August 2006 with corrections to the Cover Date.     

Speech act conditions as tools for reconstructing argumentative discourse

According to the pragma-dialectical approach to argumentation, for analysing argumentative discourse, a normative reconstruction is required which encompasses four kinds of transformations. It is explained in this paper how speech act conditions can play a part in carrying out such a reconstruction. It is argued that integrating Searlean insights concerning speech acts with Gricean insights concerning conversational maxims can provide us with the necessary tools. For this, the standard theory of speech acts has to be amended in several respects and the conversational maxims have to be translated into speech act conditions. Making use of the rules for communication thus arrived at, and starting from the distribution of speech acts in a critical discussion as specified in the pragma-dialectical model, it is then demonstrated how indirect speech acts are to be transformed when reconstructing argumentative discourse.     

Clinical experiences during the COVID-19 pandemic

Most of the clinical experiences discussed in this article arose from monthly Zoom meetings at Rome’s Italian Centre of Analytical Psychology (CIPA). We set up a discussion group in April 2020, one month after lockdown began in Italy, and these monthly online meetings continue to this day. All senior analysts and analysts-in-training at Rome’s CIPA, whose backgrounds range from child and adolescent psychotherapy to adult psychotherapy and analysis, to sandplay therapy and medicine and psychiatry, have been participating in these meetings. The group discussions focus on the present time and its impact on us, as well as on our relationships with patients. By further developing these reflections during the lockdown in Italy (9 March - 3 May 2020), it is fair to ask whether a sense of unreality, depersonalization, or derealization has occurred, either in the therapist or patient, and if so, whether it is possible that therapists miss the human contact more than clients. We will mainly refer to clinical and personal experiences as our most precious guidelines.     

Biographical truths and their clinical consequences: Understanding ‘embodied memories’ in a third psychoanalysis with a traumatized patient recovered from severe poliomyelitis

The relationship between ‘narrative’ and ‘historical–biographical truth’ in psychoanalytic treatment has become the subject of many controversial debates in recent years. Findings of contemporary memory research have lead to great scepticism as to whether therapists are able objectively and reliably to reconstruct biographical events on the basis of their observations in the therapeutic situation. Some authors even claim that psychoanalysts should concentrate exclusively on observing the here and now of the patient′s behaviour within the transference relationship to the analyst. In this paper it will be discussed whether the baby has been thrown out with the bathwater in this debate. Centred around the insights from a third psychoanalysis with a patient who suffered from a severe case of childhood polio, the hypothesis will be discussed that working through the traumatic experience in the transference with the analyst, as well as the reconstruction of the biographical–historical reality of the trauma suffered, prove to be indispensable for a lasting structural change. Integration of the trauma into one′s own personal history and identity is and remains one of the main aims of a psychoanalytic treatment with severely traumatized patients. The reconstruction of the original trauma is indispensable in helping the patient to understand the ‘language of the body’ and to connect it with visualizations, images and verbalizations. The irreversable wounds and vulnerability of his body as the ‘signs of his specific traumatic history’ have to be recognized, emotionally accepted and understood in order to live with them and not deny them any longer. Another important aspect in psychoanalysis is to develop the capability to mentalize, in other words, to understand the intentions of central (primary) objects related to the trauma. The concept of ‘embodied memory’ might be helpful in understanding precisely in what way ‘early trauma is remembered by the body’. Observing in detail the sensory‐motor coordinations in the analytic relationship enables one to decode the inappropriate intensity of affects and fantasies which match the original traumatic interaction and are revealed as inappropriate reactions in the present, new relationship to the analyst.