Ego,self and otherness

The concept of self has been introduced as a core concept in several contemporary psychoanalytical theories. This study undertakes a critical examination of the historical and theoretical presuppositions of the concept of self and its corollary, the object. The proposed thesis is that the concept of self on a theoretical level has grown out of ego-psychology and the ambition is to bring consistency into the ambiguous concept of the ego left by Freud. On a clinical level, the concept of self is seen as an attempt to adjust psychoanalytical theory and technique to what, broadly speaking, we call non-neurotic patients. While the concept of self on a theoretical level dates back to Hartmann, it was left to those following the tradition of ego-psychology to work out the implications for our understanding of the pathology of the self and its proper treatment. The work of Heinz Kohut is seen as an exponent for those analysts who have been wrestling with the task of adjusting psychoanalytical theory and technique to our understanding and treatment of non-neurotic patients. A re-reading of the Freudian concept of the ego allows the author to present an alternative to ego-psychology and self psychology. While the concept of the self implies a re-centred theory of subjectivity, the author points to the de-centeredness of classical psychoanalytical thinking. Freud did not find an independent concept of the self necessary. On the contrary, psychoanalytical theory rejected the idea of the psyche as a complete and unified entity. Defining the ego as a representative of the divided psyche encompassing the other, the author suggests that incorporating contributions from French psychoanalytical thinking and the ideas of Winnicott places the self as a concept in accordance with classical psychoanalytical thinking.     

On the Normal and Pathological Middle-age Crisis—Erich Maria Remarque,a Lost Survivor

The case illustration is from a long-term experience of individual psychoanalytic psychotherapy with a male patient, who started therapy when he was 15-years- old. According to DSM-IV criteria, he was diagnosed with a major depressive disorder. A psychological assessment including a Rorschach test showed a poorly integrated but well-adapted Borderline-Narcissistic personality disorder. Various classes of ant-idepressant drugs were used with equivocal or uncertain effects, and the roots and causes of the patient's negative reactions to medication had to be thoroughly investigated and dealt with during psychotherapy. Pharmacotherapy might succeed in targeting the various symptoms of depressive states, but the psychodynamic approach in a psychotherapeutic relationship widens the scope and works introspectively, allowing the patient insights to understanding the symptoms. The use of a psychotropic agent is usually based on trust and belief in its expected effect, but often the effect is not as expected. The psycho- pharmacological drug is also imbued with manifest and latent meanings which can be reached at in the psychoanalytic report. Such meanings and expectancies, and the consequent reactions affect both the patient and the psychotherapist. They have to be dealt with and overcome by psychoanalytic understanding and intervention, as well as experience and skill in use of the medicine concerned.     

Opening Gambits

This study discusses the rôle of destruction and destructive fantasies in forming a relationship to the body and in experiencing the reality of the body. The starting points are Freud’s conception of the nature of the drives and Winnicott’s theory on the use of an object. The central assumption is that the destructive impulses and fantasies directed towards the body create and strengthen the experience of the body as a part of the extrapsychic reality. By improving the trust in the continuity of bodily existence, they help to lessen the experience of the body as a subjective object which improves our relationship to our bodily reality.     

THE FREUDIAN UNCONSCIOUS IN THE CONTEXT OF THE COGNITIVE ORIENTATION

The essence of the story of King Oedipus forms a cornerstone of psychoanalysis since Freud. Oedipality means the painful experience of the child who is left outside the mutual relationship between the parents and the child's wish to kill one parent and marry the other one. The life-long oedipal attitude and relationship develop in dyadic and triadic relationships. An example is given of a boy whose dyadic relationships are threatened by triads, and whose triads are threatened by integrated oedipality. Only after the oedipal situation is worked through does it become possible to live and love in reality, and to maintain manifold relationships. This development is also reflected in thinking, which only slowly develops into multidimensional levels of symbolization and thought. Prior to this development, we continue to “marry dyads” and “kill triads” and remain driven by dyadic and triadic wishes in all fields of our life.     

Oculomotor involvement in spatial working memory is task-specific

Many everyday tasks, such as remembering where you parked, require the capacity to store and manipulate information about the visual and spatial properties of the world. The ability to represent, remember, and manipulate spatial information is known as visuospatial working memory (VSWM). Despite substantial interest in VSWM the mechanisms responsible for this ability remain debated. One influential idea is that VSWM depends on activity in the eye-movement (oculomotor) system. However, this has proved difficult to test because experimental paradigms that disrupt oculomotor control also interfere with other cognitive systems, such as spatial attention. Here, we present data from a novel paradigm that selectively disrupts activation in the oculomotor system. We show that the inability to make eye-movements is associated with impaired performance on the Corsi Blocks task, but not on Arrow Span, Visual Patterns, Size Estimation or Digit Span tasks. It is argued that the oculomotor system is required to encode and maintain spatial locations indicted by a change in physical salience, but not non-salient spatial locations indicated by the meaning of a symbolic cue. This suggestion offers a way to reconcile the currently conflicting evidence regarding the role of the oculomotor system in spatial working memory.     

Non-selective lexical access in bilinguals is spontaneous and independent of input monitoring: Evidence from eye tracking

Language non-selective lexical access in bilinguals has been established mainly using tasks requiring explicit language processing. Here, we show that bilinguals activate native language translations even when words presented in their second language are incidentally processed in a nonverbal, visual search task. Chinese–English bilinguals searched for strings of circles or squares presented together with three English words (i.e., distracters) within a 4-item grid. In the experimental trials, all four locations were occupied by English words, including a critical word that phonologically overlapped with the Chinese word for circle or square when translated into Chinese. The eye-tracking results show that, in the experimental trials, bilinguals looked more frequently and longer at critical than control words, a pattern that was absent in English monolingual controls. We conclude that incidental word processing activates lexical representations of both languages of bilinguals, even when the task does not require explicit language processing.     

Book Reviews

Abstract

There are many brief, demanding, aborted cases that no one ever writes about. The typical psychoanalyst or psychoanalytic psychotherapist, however, has many outpatient cases that are shortlived, intense encounters with very disturbed patients. Rather than ignore these encounters as non-analytic or non-instructive, I think these cases add to our knowledge about the mind and its functions. In addition, it is unrealistic to think we can always help a very anxious and disturbed person to enter the treatment process with immediate success. It is more instructive to apply the analytic method and offer the patient what we can and have both analyst and patient learn as much as they can in the time they are able to stay together. Using case material, I show the Kleinian approach to working analytically with these difficult patients. Whether focusing on transference or extra-transference material, the analyst interprets the patient's internal phantasies and anxieties regarding the self and the self's important objects. This analytic stance tends to relieve the immediate anxiety and set the stage for potential self-reflection and the start of basic working-through processes.     

Stumbling along in the Countertransference: Following Up Enactments with Balanced Therapeutic Interpretations

In the course of a psychoanalytic treatment, many clinical situations create countertransference pulls or invitations to participate in enactments of various degrees. In these projective identification-based transferences, the patient is often successful in drawing the analyst into archaic object relational patterns of acting out. During these moments, the analyst must struggle to find a way to stay therapeutically balanced. The urge to rush to judgment with punitive, seductive, rejecting, controlling, or manipulative comments rationalized as interpretations must be managed. If these unavoidable countertransference enactments are managed and studied, they can provide useful information about the patient's internal struggles and can show the way to making more helpful and more therapeutic interpretations. Case material is used for illustration.     

Development of Recognition of Face Parts from Unfamiliar Faces

The present study examined developmental changes in the ability to recognize face parts. In Experiment 1, participants were familiarized with whole faces and given a recognition test with old and new eyes, noses, mouths, inner faces, outer faces, or whole faces. Adults were above chance in their recognition of the eye and mouth regions. However, children did not naturally encode and recognize face parts independently of the entire face. In addition, all age groups showed comparable inner and outer face recognition, except for 8‐ to 9‐year‐olds who showed a recognition advantage for outer faces. In Experiment 2, when participants were familiarized with eyes, noses, or mouths and tested with eyes, noses, or mouths, respectively, all ages showed above‐chance recognition of eyes and mouths. Thirteen‐ to 14‐year‐olds were adult‐like in their recognition of the eye region, but mouth recognition continued to develop beyond 14 years of age. Nose recognition was above chance among 13‐ to 14‐year‐olds, but recognition scores remained low even in adulthood. The present findings reveal unique developmental trajectories in the use of isolated facial regions in face recognition and suggest that featural cues (as a class) have a different ontogenetic course relative to holistic and configural cues. Copyright © 2012 John Wiley & Sons, Ltd.     

Automatic and Effortful Processing of Self‐Statements in Depression

Atferdsterapeutiske kasusstudier blir vurdert med hensyn til indre og ytre validitet. Det slås fast at det er sjelden at et funns ytre validitet, dets generaliserbarhet, drøftes. Indikasjonsområdet for ulike terapeutiske tiltak blir dermed ikke avklart. En framgangsmåte, basert pa kasusstudier, for bedre å klargjøre indikasjoner med hensyn til klientkarakteristika, blir skissert.