The crisis of psychoanalysis and psychoanalytical training: The suffering of the candidate on the long road towards qualifi cation1

The author assesses the impact of the so‐called ‘crisis of psychoanalysis’ on the training of candidates, and on those who accompany them through the course. Different causes of the most relevant symptom of the crisis, i.e. the diffi culty of fi nding patients for a four‐sessions‐weekly analysis, are considered. According to the author, analysts themselves must bear some of the responsibility for it. She draws attention to a number of interrelated phenomena, such as: trainees' tension in their encounters with potential analysands, due to awareness of their own needs as trainees; the necessity to accept very disturbed patients whose selection might arouse criticism from the training committee; analyses in which trainees seem to become patients' hostages because of ever‐present fears of interruption; the diffi cult construction of a psychoanalytic identity in trainees who also are in full‐time psychiatric practice; trainees' profound uncertainty about the future both of psychoanalysis in general and their own careers in particular. In agreement with Kernberg, the author stresses the importance of considering the ‘crisis of psychoanalysis’ as a phenomenon whose development may be infl uenced by the analysts themselves.     

Attachment theory and psychoanalysis Some remarks from an epistemological and from a Freudian viewpoint1

The author examines Bowlby's attachment theory and more recent versions of it from an epistemological viewpoint and subjects it to questioning on whether they are in line with central concepts of Freudian psychoanalysis. He argues that Bowlby's basic tenets regarding attachment theory, which later attachment theorists never seriously questioned, do not conform to scientifi c standards, and that psychoanalytic issues such as the dynamic unconscious, internal confl icts, interaction of drive wishes and the role of defence in establishing substitutive formations are either ignored or not treated in suffi cient depth. In the light of this, Fonagy's assertion that psychoanalytic criticism of attachment theory arose from mutual misunderstandings and ought nowadays to be seen as outdated is reversed: psychoanalytic criticism can only be regarded as outdated if either basic tenets of Freudian psychoanalysis, or attachment theory or both are misunderstood.     

Being a psychoanalyst: An everyday audacity1

This paper is the work of fi ve psychoanalysts who came together as a group in order to refl ect on their work as analysts. How are we analysts to identify the unconscious resistances that may sometimes hold us back from offering psychoanalysis to some patients? Do these resistances sometimes hamper the inner freedom that we require in order to maintain a psychoanalytic focus once that process is under way? How do we manage from time to time to overcome these resistances or, better, make use of them in order to develop our understanding of the unconscious dynamics that create the link between analyst and patient? The authors discuss these issues with particular reference to clinical situations taken from classic psychoanalytic treatment cases during which the analyst had to fi nd within him‐ or herself the audacity to be a psychoanalyst. Each clinical situation is different: preliminary interviews, in the course of the actual treatment, issues that emerge in the training of candidates. One of the signifi cant features of this group lies in the fact that the participants are at different stages in their development as psychoanalysts (student, associate member, full member, training analyst). This means that their experiences complement one another and encourage a discussion of issues such as how psychoanalysis can be passed on, and the relationship between supervisor and supervisee.     

Mutant Spiritualities in a Secular Age: The ‘Fasting Body’ and the Hunger for Pure Immanence

This article will explore the ‘return of the repressed’ of secular materialism, in the form of ‘mutant spiritualities’, with a particular focus on the significance of the fasting body, once an accepted product of ascetic spiritual practice, and now cultivated by those seeking a range of experiences; including the anorexic, the model or celebrity trading in beauty and elegance, and those in search of a new age spiritual enlightenment. I argue that further exploration of the range of contexts in which the fasting body is cultivated reveal that what is desired is a lost experience of the body as an expanded field of energetic confluences, an assemblage of affects in the manner of Deleuze and Guattari’s ‘body without organs’. Such an experience of the body is termed as expanded, light and even ecstatic by those following fasting regimes, in that it overcomes the experience of the body as ‘heavy’, burdensome or limiting. The word ecstasy derives from the Greek ‘ekstasis’, meaning to stand outside oneself. Through a textual analysis of web content of cyber communities dedicated to these food practices, I suggest that fasting expresses a hunger for ‘self transcendence’ as pure immanence, that is both subversive of secular materialism and limited by narcissistic pathology.Jo Nash, PGDip Ed, PhD (Psychotherapy Studies), MA., BA (Hons) has taught on the Masters in Psychoanalytic Studies at the University of Sheffield since 1998 and became Course Director in October 2001. Before becoming an academic she worked in mental health services for over 15 years as a student nurse, social worker, advocate, trainer and researcher. She is currently working on a series of essays on the application of psychodynamic theory to the study of social processes, in relation to new spiritualities, religion and political processes, and gender and mental health. Correspondence to Dr Jo Nash, Mental Health Section, School of Health and Related Research, University of Sheffield. Regent Court, 30 Regent Place, Sheffield, UK: S1 4DA. J.T.Nash@shef.ac.uk She can be contacted by email at J.T.Nash@shef.ac.uk     

Is There an Ethics of Diabolical Evil? Sex Scandals, Family Romance, and Love in the School & Academy

This essay attempts to examine the difficult question of sex scandals both in public school settings and in the academy. It raises issues over the way authority in the classroom is unequally exercised by both male and female teachers in terms of power and seduction. However, the Law remains explicit when it comes to judging who is at fault within a-student relationship that collapses into the bedroom. The ethics that surround such sexual affairs is raised through the psychoanalytic and philosophical writings of Jacques Lacan. The essay ends by offering a surprised perspective over the question whether an ethics of diabolical evil is possible, given that such affairs are differentiated as post-Oedipal relationships where age differentiations have become blurred.     

TERMINATION OF A FE/MALE TRANSSEXUAL PATIENT'S ANALYSIS: AN EXAMPLE OF GENERAL VALIDITY

The author describes the termination of an analysis, which, while relating to the particular case of a male-to-female transsexual patient, may be relevant to all analysts, particularly those whose patients need to integrate disavowed and split-off parts of themselves. The patient had undergone sex-change surgery at the age of 20. Having lived as a woman thereafter, she had asked for analysis some twenty years later. The author, who discussed the first three years of that analysis in an earlier paper, as well as her hesitation about undertaking it, considers that its termination after seven years illustrates not only the specific problems posed by transsexuals but also the general ones presented by 'heterogeneous patients'. To the best of her knowledge, this is the first published case history of a transsexual patient who has undergone surgery. In the author's view, the patient has acquired a new sense of internal unity based on a notion of sex differentiation in which mutual respect between the sexes has replaced confusion and mutual hate, and her quality of life has improved. On the general level, this termination shows how the reduction of paranoid-schizoid anxieties and the reintegration of split-off parts of the personality lead, as the depressive position is worked through, to a better toleration of internal contradictions, a new sense of cohesion of the self and a diminution of the fear of madness.     

On Paulo Freire's Debt to Psychoanalysis: Authority on the Side of Freedom

Paulo Freire's major work, Pedagogy of the Oppressed, owes adebt to psychoanalysis. In particular, as this paper argues,Freire's account of teacher authority needs to be understoodthrough psychoanalytic sensibilities. Paulo Freire maintains thatteacher authority can be ``on the side of freedom.' This is ahighly charged claim given that liberalist traditions generallycast authority as the enemy of freedom. Breaking with liberalunderstandings of authority, Freire's ``authority on the sideof freedom' is a matter of maintaining the delicate psychicbalance that leads neither to domination nor to submission.This paper investigates how such an authoritative balance functions.     

Transformations of early infantile experiences: A 6-month-old in psychoanalysis

The aim of the paper is to study the theoretical and technical tools for psychoanalysis adapted to an infantile analysand's requirements. The author presents the case of a 6-month-old boy with his mother in psychoanalytical sessions four times a week; the analysis was terminated after six weeks. After the fi rst two sessions the disturbances between the infant and the mother disappeared from everyday life but continued with increasing intensity as an emotional storm in the sessions during three weeks up to a 12-day break. During and after the break everyday life continued without disturbances. After the break the emotional storm continued in the sessions but abated and was replaced by playing. The infant's creation of a fort-da game with his pacifi er indicated a transformation of the mental functioning. The analysis could then be terminated. The study of the process indicates good reasons to adapt psychoanalytical concepts to the prerequisite of the infantile personality and to use the concepts of unconscious, infantile repression, substitute formation, return of the infantile repressed, infantile transference, splitting, xKy, reverie and containment as some of the theoretical tools for understanding the infantile personality in a clinical psychoanalytical setting.     

'This is not psychoanalysis': On the stony way of the Danish Psychoanalytical Society

When Freud founded the International Psychoanalytical Association (IPA), he wanted a network of local groups responsible for psychoanalytic training. The groups would function as ‘headquarters whose business it would be to declare: All this nonsense is nothing to do with analysis; this is not psychoanalysis. Today, with psychoanalytic pluralism, Tuckett (in press) has asked ‘Does anything go? He has pointed out that the psychoanalytic community has been increasingly willing to accept within its ranks apparently very varied approaches to theory and practice, and that this increasing diversity has many negative consequences for psychoanalytic institutions and especially for training schemas. The aim of this paper is to give an example of psychoanalysis that ‘did not go’, and how that led to a shaky start for the new Danish Psychoanalytical Society, with confusing boundary relations between psychoanalysis and psychotherapy and no training institute. Beginning with the written psychoanalytical contribution of the three founders of the Danish Society, the paper will try to identify factors that contributed to the ‘shaky start’. The paper will also examine how stones were removed from the path, thus paving the way for the members of the Society to discover ‘competent psychoanalysis’.     

Hans Loewald: A radical conservative

Hans Loewald's work was relatively marginalized in its day and it is little known outside the United States. It is, however, assuming increasing importance in American psychoanalysis. Loewald's attractiveness as a theoretician is due, in no small part, to his rigor and synthetic reach. He is able to accomplish the difficult feat of remaining non-sectarian and systematic at the same time. Indeed, Loewald's work contains an integrative vision that is unusual in today's fragmented psychoanalytic world. This author tries to show how Loewald attempts to reconcile many of the rigid oppositions that often become reified in analytic controversies: structural theory versus relational psychoanalysis, traditionalism versus revisionism, oedipal versus pre-oedipal, modernist versus postmodernist and hermeneutical versus scientific. The article examines how Eros, understood in terms of the psyche's synthetic strivings, plays a major role in Loewald's theory. The author also situates Loewald's position within contemporary psychoanalytic discussions of epistemology. These discussions tend to criticize the objectivism of modern science-and analysis in so far as it models itself on science-and stress countertransference and the subjectivity of the analyst. Loewald's argument, however, runs in the opposite direction. Because of his concern with the autonomy and individuality of the patient, he is concerned with the clinical dangers rising from an overemphasis on the subjectivity of the analyst.