The descent into suicide

Suicidal breakdown requires attention both to attack upon the self (ego) as aggressive forces are unleashed against it by the superego, but also to the phases of self-breakup (ego regression) that follow. Less attention has been directed to ego-regression in suicide than to superego-directed assault on the ego in the psychoanalytic literature; this paper directs attention to the phenomena of ego failure and disarticulation of the self-representation. Clinical study of suicidal patients shows four aspects of suicidal collapse as ego loosens: affective flooding, desperate maneuvering to counter the resulting mental emergency, loss of control as the self begins to disintegrate, and grandiose magical scheming for mental survival as the self-representation splits up and body jettison becomes plausible. These phenomena are discussed theoretically in terms of failed affect regulation, ego helplessness, narcissistic surrender, breakdown of the representational world, and loss of reality testing.     

FILM REVIEW: Dogville: A parable on perversion1

The authors approach Lars Von Trier's fi lm Dogville in the light of contemporary psychoanalytic concepts on perversion. The perverse functioning appears at three levels in the fi lm. First of all in the content of the story: a seemingly masochistic victim stirs up the sadism of the people around her before the scenario turns full circle. As for the formal aspects, the producer subtly hides some data with the result that our perception of reality is distorted. Finally, the viewer is led fi rst to identify with a moral position before becoming, through identifi cation, an accomplice of the sadistic triumph of the so‐called victim.     

Primo Levi’s bearing witness and the reinterpreted past: post‐truth and the authoritarian other

The stark realism of Primo Levi’s experiences of the Shoah is considered in light of the current political climate in which the authoritarian other induces a divergence between reality, a state of things as they actually exist or existed, and truth, that which to some extent accords to reality. In this paper I will consider how truth becomes divorced from reality by considering Giegerich’s interpretation of Plato’s Parable of the Cave, arguing that truth is affected by perception and belief. After addressing ‘truth’ in justice, analytic work and the family, the post‐truth phenomenon is discussed and defined as a force erosive to reason and sensibility; its general purpose is to avoid doubt and anxiety. The past is interpreted and re‐interpreted to advance multiple geopolitical interests. Levi warned, in 1976, that the authoritarian state considers it quite permissible to alter the perception of what is true.     

目标预知对路径整合的影响

本研究采用头盔式虚拟现实与返回起点或路标的路径完成任务, 通过指导语来调控被试对于返回位置的预知, 检验目标预知对人类路径整合的影响。实验结果表明, 对于返回起点这一目标的预知可以使被试有效地忽略由于路标出现或路标数量增加而导致的干扰, 而对于返回路标这一目标的预知程度越高, 可以促使被试做出更准确的反应。这样的结果体现了目标预知作为一种非感知觉因素对于人类路径整合的影响, 也体现了人类路径整合的策略性和灵活性。     

Manipulating body representations with virtual reality: Clinical implications for anorexia nervosa

Anorexia nervosa patients exhibit distorted body-representations. Specifically, they represent their bodies as larger than reality. Given that this distortion likely exacerbates the condition, there is an obligation to further understand and, if possible, rectify it. In pursuit of this, experimental paradigms are needed which manipulate the spatial content of these representations. In this essay, I discuss how virtual reality technology that implements full-body variants of the rubber-hand illusion may prove useful in this regard, and I discuss some issues related to the clinical application of this method.     

Influence of cognitive stance and physical perspective on subjective and autonomic reactivity to observed pain and pleasure: An immersive virtual reality study

Observing others’ pain may induce a reaction called personal distress that may be influenced by top-down (imagine self or other in pain, i.e., self- vs other-oriented stance) and bottom-up (physical perspective of those who suffer, i.e., first vs third person perspective- 1PP vs 3PP) processes. The different contributions of these processes have not been teased apart. By capitalizing on the power of Immersive Virtual Reality, we explored how behavioural (subjective ratings) and physiological reactivity (skin conductance reactivity, SCR) to pain and pleasure delivered to an avatar was influenced by Cognitive stance and Physical perspective. Taking an Other-Oriented stance leads to attributing higher congruent valence (i.e. pain rated as unpleasant and pleasure as pleasant) and intensity to the stimuli and induces reduced SCR. Ownership over the virtual limb was maximal in 1PP where physiological reactivity to the stimuli was comparable. Our results highlight different components underpinning reactivity to pain and pleasure.     

From Design to Self-organization,or: A Proper Structure for a Proper Function

It is suggested that Charles Sanders Peirce's triadic semiotics provides a framework for a diagrammatic representation of a sign's proper structure. The action of signs is described at the logical and psychological levels. The role of (unconscious) abductive inference is analyzed, and a diagram of reasoning is offered. A series of interpretants transform brute facts into interpretable signs thereby providing human experience with value or meaning. The triadic structure helps in de-mystifying the relations between Penrose's three worlds when the latter are considered as constituting a semiotic triangle. Conference “Dynamic Ontology: An Inquiry into Systems, Emergence, Levels of Reality, and Forms of Causality” University of Trento, Italy, September 7–11, 2004.     

When the analyst is physically ill: Vicissitudes in the analytical relationship

Something that happened to one of the authors recently led them to refl ect upon what the analyst's falling ill may represent and the problems it may give rise to in the analytic relationship. Such an eventuality injects a massive dose of the analyst's personal reality into the analytic space, thereby allowing the patient a glimpse of images of vulnerability, frailty and loss, and mobilizing emotions, fantasies and defences in both the analyst and the patient. The authors' survey of the literature ranges between two different theoretical perspectives intrapsychic and intersubjective that, in their most radical formulations on technique, call for maintaining either the strictest neutrality and anonymity or symmetrical relationality. In both cases, that which is denied is the unconscious communication that enables the analyst, irrespective of his conscious intentions, to allow either parts of himself or inner objects of the patient to act in the relationship. In closing, the authors shall illustrate the concept discussed through three clinical vignettes.     

Fire at the theatre: (Un)reality of/in the transference and interpretation1

Only in Bion's extended idea of ‘waking dream thought’ is the oneiric paradigm of the cure (already an obvious Freudian principle) completely applicable. The author's basic hypothesis is that, by adopting this paradigm thoroughly, one can combine the radical antirealism which is expressed in the postulate by which all the patient's communications are transference‐connected (here meaning ‘false connection’‐i.e. as projection/displacement of elements of the patient's inner psychic world) with the ‘reality’ of the transference, that is to say with the conviction that the facts of the analysis are co‐determined by the patient‐analyst dyad and actually rooted in how they interact. The Freudian metaphor of the fi re at the theatre is reintroduced here to suggest the crisis of the therapist's internal setting and capacity for reverie, which occurs when the irreducible ambiguity of the transference is resolved defensively, either in the patient's external reality or in his unconscious fantasy constellation. The author gives three clinical examples. The fi rst shows some of the not necessarily negative effects of this temporary crisis. The other two vignettes show a way of listening to the traumatic events of the patient's life from a perspective (that of the ‘analytic fi eld’) which is thought to be potentially the most transformative and vital to the analytical relationship.     

MICHAEL POLANYI'S DARING EPISTEMOLOGY AND THE HUNGER FOR TELEOLOGY

Abstract. The linking of Michael Polanyi's name with a center (now changed to another name) at Baylor University that espoused intelligent‐design theory calls for examination of Polanyi's teleology. This examination attempts to put Polanyi's epistemology in the perspective of his total philosophical work by looking at the clarification of teleology in philosophy of biology and in the framework of three major features of Polanyi's thought: open and truth‐oriented, purposive but open to truth, and transcendent yet intelligible. The conclusion is that Polanyi would not support intelligent design according to the nature of his own theory.