Destruction and guilt: Splitting and reintegration in the analysis of a traumatised patient

The author traces in detail how, in the analytic relationship, she was slowly able to read aspects of the trauma as 'quotations' and gradually, through transference, transform them into a symbolic language. Split-off aggression and guilt feelings became progressively accessible to interpretation through transferential projective identifi cations. During his analysis, the patient discovered he was the child of Nazi criminals: on his mother's side they were the third generation; on his father's side, the second.     

Integrating information from two pictorial animations: Complexity and cognitive prerequisites influence performance

Dividing visual attention between spatially distinct sources of information could either be beneficial (if there is too much information for a single visualization) or detrimental (if interrelated information has to be mentally re‐integrated) for learning. We present a new display technology allowing for the presentation of two distinct animations by avoiding split foci of visual attention: learners are able to switch between animations by moving their head. We examined how 84 naïve learners integrated information in three presentation modes: the ‘vexing‐image’ mode displaying two animations, participants being able to switch between them without shifting the visual focus, a classical ‘split‐screen’ and an ‘overlaid’ condition. Results showed that reduced complexity led to higher performance. Further, we showed that participants with high mental rotation abilities were best in the ‘split‐screen’ mode, whereas participants with low mental rotation abilities benefited most from the ‘vexing‐image’. Theoretical and instructional consequences of these findings are discussed. Copyright © 2010 John Wiley & Sons, Ltd.     

Geometry,landmarks and the cerebral hemispheres: 2D spatial reorientation in split‐brain patients

A right‐hemispheric superiority in spatial encoding based on geometric cues has been largely documented in a variety of species, together with a left‐hemispheric specialization for encoding based on landmarks. In humans, hemispheric asymmetries for spatial encoding have been little explored. In this study, we compared a patient with a complete callosal resection (D.D.C.) and a patient with a wide callosal resection saving the splenium (A.P.), with healthy participants. In two 2D versions of the ‘reorientation task’, participants were asked to find the target corner of a rectangle‐shaped environment, by exploiting either geometric information alone or the combination of geometric and landmark information. In Experiment 1, the landmark consisted of a coloured side of the rectangle; in Experiment 2, this cue was replaced by a coloured disc located inside the rectangle. In both experiments, the rectangular shape ensured the geometric cue. D.D.C. was always unable to recall the target, whereas A.P. correctly solved the task when only the geometric information was available, without difference with respect to the controls. Importantly, the performance of A.P. did not differ from controls’ when the right hemisphere was tested with the landmark cues (the task being carried out using the left hand), whereas when the left hemisphere was tested (right‐hand session) his performance was worse than controls’ with the coloured side of the space, but it was better than controls’ with the coloured disc. The results are discussed comparing them with data collected on other species, and with theories of spatial processing.     

ON THE PRESCRIBING ANALYST

The value of medication for some patients in psychoanalysis serves to highlight the potential challenges of the medical analyst and invites exploration into possible motivations for assuming the prescribing role. Prescribing medication is one way in which the medical analyst integrates the dual identities of physician and analyst while dealing with significant cultural influences and intrapsychic tensions. Technical challenges posed by assuming the prescribing role are explored, as are the potential benefits of split treatment. The educational implications of this argument are discussed in relation to identity formation for candidates who are physicians.     

FROM THE SENSES TO SENSE: THE HERMENEUTICS OF LOVE

Abstract. Drawing on philosophy, theology, comparative religion, spirituality, Holocaust studies, physics, biology, psychology, and personal experience, I argue that continued human existence depends on our willingness to reject nihilism–not as an expedient "noble lie" but because faith in a meaningful cosmos and the power of love is at least as validly grounded in human experience as insistence on cosmic indifference and ultimate futility. I maintain that hope will free us to develop nonimperialistic methods of bridging cultural differences by forming a mutually intelligible vocabulary that celebrates diversity, enters the worlds of others in respectful dialogue, and fosters a postmechanistic, organic, ecological, holistic, dynamic, interactive, open-ended model of reality. I lay the foundation for a "hermeneutics of love" to complement Paul Ricoeur's "hermeneutics of suspicion" and invite speculation on the ways science, technology, and society would be transformed if those "glasses of friendship" were widely applied.     

A risk of confidentiality

The concept of confidentiality is examined from its absolute position espoused by some psychoanalysts to the many exceptions to this position allowed by others. The suggestion made in this paper is offered as a psychoanalytic one which urges us to see confidentiality as posing risks in both positions, that is, the absolute and the necessary exceptions. Confidentiality is representative of many, if not all, of the rules and methods that are implicit in the conduct of an analysis and thus may well be taken for granted. The suggestion offered is for a periodic re-examination of the implicit background of psychoanalysis.     

“操作性定义”和“证伪标准”不足以为心理学奠基

在学科的主流叙事中, “科学性”被视为心理学的基本特征。长久以来, 实证主义的方法论为心理学提供了学科精神内涵。具体而言, “操作性定义”和“证伪标准”成为了心理学“科学性”甚至知识的合法性的判断标准。可心理学的这个方法论基础存在几个方面的问题：首先, 并非所有的科学概念都可以给予操作性定义; 其次, 全称存在命题和统计规律无法经验证实和证伪; 其三, 共有的自然科学方法不足以体现心理学的独特价值。因此, 来自于成熟自然科学的方法论并不足以为作为独立学科的心理学奠基, 心理学背后的本体论承诺对本学科的方法选取有自己特殊的要求, 只有本体论承诺才能为心理学作为独立学科提供逻辑起点。重新反思心理学作为独立学科的逻辑基础, 对于解决学科分裂危机具有建设性意义。     

‘Telepathic’ phenomena and separation anxiety

By discussing a treatment characterized by its difficult ending, the author strives to show the dynamic impact of separation on phenomena that can be seen as ‘telepathic’. Led to develop some inalienable attachment to her analyst in the primary transference, the analysand found herself caught up in the contradiction of her visceral dread of dependency, which compelled her to interrupt the work in progress. She then began to work out her analyst's comings and goings and to run into him in public places, as if to be assured of his immovability. This phenomenon arose with high frequency as the effect of some idealization of the maternal object aiming to deny the spatiotemporal gap. The chance that the experience of rejection via indifference may be repeated also entailed the transferential unfurling of a fantasy involving a double, undifferentiation counterbalancing the lived experience of separation. Furthermore, a ‘telepathic’ dream occurred as confirmation of this twin relationship which illustrates the analysand's refusal to renounce her narcissistic object. Projective identifications, agglutinated ego nuclei along with primitive cross‐identifications could, among other concepts, account for such phenomena which are projective in nature yet real all the same. Such mechanisms could have the power to relay thoughts the moment undifferentiated parts of the ego – if not unborn parts of the self – were activated in a potentially symbiotic zone. Marked by a feeling of dispossession, the analyst's countertransference not only seemed to underscore this hypothesis, it also gave a partial explanation for it. Until the analyst could recognize his own nostalgia for a symbiotic relationship, he had to encourage the occurrence of those unexpected meetings which stemmed from a convergence between the transference and the countertransference.