THE USE OF THE ANALYST AND THE SENSE OF BEING REAL: THE CLINICAL MEANING OF WINNICOTT'S “THE USE OF AN OBJECT”

“The Use of an Object and Relating through Identifications” (1968) represents Donald Winnicott's theoretical and clinical legacy. The author develops this concept from a clinical point of view, through the analysis of a woman with psychotic functioning. He reflects upon the dramatic quality of risks inherent in the processes linked to the use of the object with seriously disturbed patients. He explores different meanings of the analyst's survival, linking it to the analyst's response. The processes of the use of the object—that is, the encounter between the patient's potential destructiveness and the analyst's capacity to respond through his own judicious subjectivity—let the patient experience the analyst's capacity to keep his own subjectivity, authenticity, and creativity alive. It is starting from the traces of this live object that patients gradually form their own personal sense of being real.     

Thoughts on representation in therapy of Holocaust survivors1

This paper presents the problems of representation and lack of representation in treating Holocaust survivors, through clinical vignettes and various theoreticians. The years of Nazi persecution and murder brought about a destruction of symbolization and turning inner and external reality into the Thing itself, the concrete, or, in Lacan’s words, ‘The Thing’. The paper presents two ideas related to praxis as well as theory in treating Holocaust survivors: the first is related to the therapist’s treatment of the Holocaust nightmare expressing the traumatic events just as they happened 63 years previously; the second deals with the attempt at subjectification, in contrast to the objectification forced by the Nazis on their victims.     

Aims in parent work: a brief qualitative survey

Child psychotherapists’ views of the treatment aims of parent work in a community Child and Adolescent Mental Health Service (CAMHS) were explored. Parent work undertaken by the child psychotherapy team in one calendar year was analysed. The parent worker was asked to describe the primary aim of the work for each case. The resulting thematic analysis found that the main aims of parent work were: increasing empathy with the child; decreasing enmeshment; and containing anxiety. Linking with Alvarez’s notion of a hierarchy of interpretative approaches, the study’s findings suggest that there are parallel ‘levels’ of intervention in parent work, where therapists work in ways appropriate to the parent’s psychological functioning.     

Anxiety symptom interpretation and performance expectations in high-anxious,low-anxious,defensive high-anxious and repressor individuals

To date, no research has investigated score predictions and anxiety interpretation in high-anxious, low-anxious, defensive high-anxious and repressor individuals. This study examined Eysenck’s (1997) predictions for cognitive biases on future performance expectations in all four groups. This study was conducted in an ecologically-valid sporting environment. Competitive shooters completed the Marlowe–Crowne Social Desirability Scale and the Sport Anxiety Scale prior to a major competition. Percentile splits identified the four defensiveness/anxiety groups. The modified Competitive Sport Anxiety Inventory-2 was used to assess the intensity and direction of anxiety prior to competition. Participants predicted their expected shooting score. The hypothesis that repressors would interpret their anxiety as more facilitative to performance compared to low-anxious individuals was partially supported. Repressors were more optimistic in their performance prediction in contrast to defensive high-anxious performers who, in turn, were more pessimistic compared to the other two groupings. High-anxious performers, contrary to predictions, demonstrated optimism in their future performance. The findings of this study corroborate the theoretical predictions and the evidence from previous studies with sport performers. Future research should continue to investigate the influence of cognitive biases on performance predictions in sporting environments using Weinberger et al.’s classifications.     

The translational metaphor in psychoanalysis

The translational metaphor in psychoanalysis refers to the traditional method of interpreting or restating the meaning of verbal and behavioral acts of a patient in other, presumably more accurate terms that specify the forces and conflicts underlying symptoms. The analyst translates the clinical phenomenology to explain its true meaning and origin. This model of analytic process has been challenged from different vantage points by authors presenting alternative conceptions of therapeutic action. Although the temptation to find and make interpretations of clinical material is difficult to resist, behaving in this way places the analyst in the position of a teacher or diagnostician, seeking a specific etiology, which has not proven fruitful. Despite its historical appeal, I argue that the translational model is a misleading and anachronistic version of what actually occurs in psychoanalysis. I emphasize instead the capacity of analysis to promote the emergence of new forms of representation, or figuration, from the unconscious, using the work of Lacan, Laplanche, and Modell to exemplify this reformulation, and provide clinical illustrations of how it looks in practice.     

Theoretical trajectories: Dreams and dreaming from Freud to Bion

This paper aims at comparing Freud's and Bion's conceptual models on dreams and dreaming. Beyond both authors’ shared disposition vis‐à‐vis problems posed by knowledge, a critical gap opens regarding their differing clinical practices. It is hypothesized that their ideas do not belong to irreconcilable paradigms, but that there are continuities besides discontinuities more frequently highlighted between Freudian statements on psychic functioning – described in his theory on dreams – and Bion's findings in his development of both the original theory and the connections between dreaming and thinking. Firstly, Freud's and Bion's epistemological sources are examined as well as their creative use and historical environment. Then certain general theoretical and clinical issues are considered concerning their theories on dreams, the evolution of their ideas and corresponding clinical contexts. In a third section, their confluences and dissimilarities are dealt with, including clinical vignettes belonging to the authors to illustrate their interpretative modes of working. This is meant to show both an implicit theoretical–clinical complementarity and the fact that, though their routes bifurcate about the function of dreams, there remain connecting paths. Lastly, the final remarks review certain issues that have frequently been controversial between these lines of thought.     

Jung, the trickster writer, or what literary research can do for the clinician

This paper aims to show how literary scholarship can contribute to clinical debates by offering different methods of reading and interpreting works by Jung. Firstly, as texts form much of the means by which Jungian ideas are transmitted and worked upon, literary research offers methods of examining the way we read for authority and orthodoxy. Secondly, it is invaluable to look at the way in which Jung actually wrote. Jung portrays a dynamic psyche in action in his writings. His works are not only about a creative archetypal psyche, they enact and perform this creativity in the way in which he uses words. The rich playfulness demonstrated in The Collected Works is an example of a writer as a mythmaker of the psyche, one who absorbs unconscious creative energies into his writing in ways that dissolve modernity's cultural boundaries of science and art. In addition, the aesthetic component in Jung's writing is not a decoration of his ideas. Rather, his 'literary' qualities are themselves forms of argument about the fragile state of modern subjectivity. Using his essays on 'Synchronicity', and the 'Trickster', the paper will show these works to be responses to three related crises that still face clinicians and scholars today: the problematic role of the hero myth as an individuation narrative, the nature of 'science', and the crisis of western modernity itself in desperate need of psychic healing. The paper will show that where writing on synchronicity aims to individuate science by adding a 'feminine' Eros to its Logos biases, the Trickster essay is designed to ameliorate modernity by providing frameworks to make visible marginal or excluded material. In these works Jung tries to rejuvenate the modern world by re-connecting traditional symbolic systems with the psyche through myth as a language of psychic relating.     

Gender-related inequalities in the division of family work in close relationships: A social psychological perspective

We offer a social psychological perspective on gender-related inequalities in close relationships and integrate two lines of research that have focused on the intrapersonal perceptions and interpersonal consequences respectively of the gendered division of labour. We start with a brief summary of research on gender-related inequalities in the division of labour and discuss prior explanations and paradigms. We then address the extent to which spouses consider the division of labour as fair and the factors that contribute to perceptions of (un)fairness. Central to our argument is the distributive justice framework (<citeref rid="b76">Major, 1987</citeref>, <citeref rid="b77">1993</citeref>; <citeref rid="b113">Thompson, 1991</citeref>) which claims that fairness judgements are affected by people's wants and values, comparison standards, and justifications. In the following section, we address the question of whether dissatisfaction over the division of labour causes relationship conflict and how couples manage these conflicts. The main argument is that conflict over the division of labour generally comprises an asymmetrical conflict structure (with wives as complainants and husbands as defenders of the status quo), which elicits asymmetrical conflict interaction patterns (i.e., demand/withdraw interaction) that result in asymmetrical outcomes (i.e., status quo maintenance). Finally, we summarise the main conclusions and address contributions to theory and research as well as directions for further research.     

Playing the game the child allots

This paper explores the relationship between play and interpretative verbalization in child analysis. Through examination of a clinical case, the paper distinguishes between two different modes of interpretative interventions in play. It is the contention of the paper that the analyst’s capacity to tolerate tension and respond to the roles the child assigns him widens the area of play, facilitating a space for thinking through. Interpretation is formulated in two distinct ways: (a) interpreting from the context of the roles the analyst assumes within play, respecting the games and facilitating the patient’s understanding; (b) interpreting at a distance from play, on the one hand distinguishing the area of play, and on the other hand analyzing that which occurs verbally and non‐verbally.     

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.