Countertransference and the Erotic

Eros is like a huge spark that ignites our passion and then confronts us with the problem of living out this fire in ordinary space and time. What do we each know of this spark, this flame? Who or what was it’s object? Where have we felt this force for unity in ourselves, with another person, with life itself? Where are we unlived erotically? Where are the chinks in our erotic life? In focusing on the erotic in clinical work, we usually begin with the analysand’s transference. I want to explore eros in the life of the analyst for our relation to eros influences the clinical work we do. When eros is constellated, two possibilities of relationship present themselves: to an actual other who must be reckoned with as real, and to a psychic content, equally real, which we do not invent or control. How do we experience this electricity? What is our desire like? What does it take us back to, and toward what unseen purpose does it propel us? Eros brings with it a sense of purpose, of going somewhere important, something that enlists body, soul, and spirit.     

A ten-year prospective study of aggression in a special secure unit for dangerous patients

In a 10-year prospective study inpatient aggression was investigated in a Norwegian special secure unit covering a well-defined catchment area with a population of 240,000. The seven bed special secure unit receives dangerous, psychotic patients for long-term treatment. Only 19 patients were treated during the ten-year study lasting from 1 April 1987 to 1 April 1997. Incidents of aggressive behavior were recorded on the Report Form for Aggressive Episodes by the nursing staff. The study aimed to identify, classify and measure the occurrence of aggressive behavior, as well as the relative frequency of events preceding such behavior. A total of 2021 incidents of aggressive behavior were recorded. Seventy-five per cent of the aggressive acts were verbal or physical threats, while the remaining 25% were physical assaults directed at other persons. Four patients accounted for about 80% of the aggressive encounters. Nursing staff were victims in about 90% of the incidents. Serious physical injury was extremely rare. Situations pertaining to limit-setting and problems of communication accounted for approximately 90% of the precipitants of aggressive behavior. There were no sex differences regarding the occurrence of aggressive behavior.     

Counter-stereotypical impulsivity and violence among African American college men

The study examined the relationship between impulse control and violence in terms of past feelings and acts among African American males enrolled in Historically Black Colleges and Universities. Data were gathered from a sample of 1,874 male undergraduates in eleven colleges and universities with predominantly African-American students. Less than six percent were classified as impulsive, and even less than half of the impulsive males had past feelings and acts of violence. The study offers strategies for impulse control which may help to further minimize incidents of violence on the college campus.     

Partner violence against heterosexual and gay men: Prevalence and correlates

Female victims of intimate partner violence (IPV) have been the focus of a substantial amount of research. However, the subject of male victims of IPV remains a controversial topic, and one which has been comparatively neglected within the literature, despite some findings suggesting that men are victimized by intimate partners at an equivalent, or even higher rate than women. This paper reviews the literature on male victims of IPV, both within opposite and same-gender relationships, focusing on the prevalence and correlates of IPV, as well as exploring the relationship between IPV and ethnicity. According to the literature reviewed, the prevalence of female perpetrated IPV against heterosexual male victims ranges from 0.2% to 93%, homosexual male victimization ranges between 1.8% and 93.7%, and heterosexual female victimization ranges between 1.3% and 86% depending on the type of IPV included, whether the reference period includes the past 12 months, or lifetime experience, and the method used to assess IPV. These data indicate that victimization is as much an issue for men as it is for women. In addition, it appears that men of certain ethnicities may be more at risk than others. Finally, the empirical literature which examines the correlates of male victimization indicates that male victims in heterosexual and gay relationships share many correlates. Unfortunately however, methodological weaknesses in the available literature and a lack of research in some areas restrict the extent to which conclusions can be drawn, and findings generalized. Recommendations for future research are made.     

Indero: Intergenerational Trauma and Resilience between Burundian Former Child Soldiers and Their Children

Since many former child soldiers are aging and having children of their own, this study aimed to understand how the effects of trauma are passed to the next generation. In this qualitative study, semistructured interviews, focus groups, and observations were conducted with 25 former child soldiers and 15 matched civilian parents. Analysis used a grounded‐theory approach. Trauma may be transmitted from former child soldiers to their offspring via (a) the effect on indero (how to raise a child); (b) severe parental emotional distress; and (c) community effects. Incorporating themes of indero values on how to raise children, the effects of parental posttraumatic stress and depressive symptoms on offspring, and the stigma associated with the families of former child soldiers may provide key areas of intervention in mental healing.     

The Five Moral Foundations Sacredness Scale in men in court-mandated treatment for violently abusing their partners

This paper examines the Intimate Partner Violence through the lens of the Moral Foundations Theory in an attempt to better understand the connections between sacredness and violence. Specifically, it aims to explore the usefulness of the Moral Foundations Sacredness Scale in a sample of 300 men convicted of domestic violence and to determine the existence of a distinctive profile based on the degree to which they sacralize the five moral foundations. Results show that the sacredness scale presents the hypothesized psychometric properties to be used in such specific sample. They also show that controlling for gender and political orientation men convicted of domestic violence have a clear tendency to sacralize the five moral foundations. The Authority foundation significantly discriminates between violent and non-violent participants while the Purity foundation emerges as a significant predictor of self-reported behaviors and beliefs tapping violence within the violent group.     

Working with prisoners in a transitional space

In this paper I talk about the potential benefits for offenders of working within the transitional space provided by a discussion group. Through ‘play’ these men have an opportunity to interact and learn to be potent without resorting to omnipotent defences of violence to get their own way. In considering the discussion group within the context of the prison as a whole, I focus on the relationship between staff and prisoners and how this relationship can be managed in such a way as to create more opportunities for thinking, leading to an enhanced focus on rehabilitation.     

Working with Psychosis

This is the first of four papers about working with psychosis in a newly established post of psycho-analytic psychotherapist in an acute psychiatric unit in Australia. In this paper the author gives an account of some early impressions and experiences with staff and patients, particularly connected with an unacknowledged grief in the aftermath of psychosis. The author next discusses some of the psycho-analytic theory about psychosis which he found containing and helped make some sense of his experiences. He then introduces a case study of an exploratory psycho-analytic psychotherapy with a 40-year-old man suffering from a bi-polar disorder. The beginning of the therapy is described when this man revealed feelings of grief and despair about his illness. Being able to face and bear these feelings enabled him to begin to mourn what was irretrievably lost because of his illness and to contemplate what might still be possible. The author describes some of the early themes and one session in detail, and discusses how fluctuations in contact with the client reflect his retreat to a pathological organization in the mind. This psychic retreat was dominated by a psychotic process, and the retreat offered refuge from a dread of fragmentation and the pain of mourning and loss.     

Tactics and empathy: Defences against projective identification

In this paper the author argues that interpretations made when the analyst has not done the emotional work of recognising and bearing what kind of object she has become in the patient's psychic reality will be experienced as empty tactics – even lies – rather than interpretations of integrity. However, interpreting from a position of bearing the truth of the patient's perception will be technically difficult and indicate turmoil as the analyst struggles to take in the patient's view of her. If the analyst avoids integrating her own picture of herself with the patient's picture (despite giving voice to the patient's picture) the split inside the analyst will be felt and intensify the patient's need to split. Vignettes demonstrate how the analyst, believing she is trying to understand, may become a projective‐identification‐refusing object and the issue of the analyst's disclosure of her countertransference is examined. Ultimately, the author argues, a capacity to receive and bear projective identification requires empathy with both patient and analyst‐as‐patient's object, engaged in a process about which both are ambivalent.