Ethical breaches and deviations of method in psychoanalysis: A heuristic model for the differentiation of boundary transgressions in psychoanalytic work

The boundary concept has been central to discussions on ethics and psychoanalysis over the past few decades. The main distinction has been between less malignant boundary crossings and more harmful violations. More recently, the concept has been criticized as not discriminating between technique and ethics. The author argues that these problems are connected to the way the boundary concept is defined. He suggests that it is specified to indicate a delimitation of an analytic area of conduct. In an analogous manner, an area of ethical conduct is framed by a boundary between ethical and unethical actions in the treatment situation. The analytic area has a narrower limitation than ethics and a stricter articulation of its concept of attitude; not all unanalytic actions are unethical. This simple model of interpersonally specified boundaries allows us to discriminate between different kinds of transgression in analytic work. In addition to violations and crossings, a third instance is described denoting a transgression of the analytic but not the ethical boundary. These can be called boundary stretchings, and are either intended or unintended deviations of method. The slippery slope mechanism of ethical misconduct is an imminent risk if boundary stretchings are ignored and not subject to scrutiny and analysis.     

SEXUAL DIVERSITY AND DIVINE CREATION: A TIGHTROPE WALK BETWEEN CHRISTIANITY AND SCIENCE

Abstract Although modern societies have come to recognize diversity in human sexuality as simply part of nature, many Christian communities and thinkers still have considerable difficulties with related developments in politics, legislation, and science. In fact, homosexuality is a recurrent topic in the transdisciplinary encounter between Christianity and the sciences, an encounter that is otherwise rather “asexual.” I propose that the recent emergence of “Christianity and Science” as an academic field in its own right is an important part of the larger context of the difficulties related to attempts to reconcile Christianity and a recognition of diversity in human sexuality as a norm. Through a critical discussion of arguments which are upheld most disturbingly on a global scale by the Roman Catholic Church and supported with much sophistry by important stakeholders of an influential stream in analytic philosophy of religion, this paper aims to contextualize and defend the legitimacy of the question why God would create homosexuals as such if it is true that every homosexual act is prohibited by God. While recently advanced nonheterosexist scientific models of sexuality in nature inform the discussion, I reject the simplistic view that religions suppress and the sciences liberate in matters sexual.     

Danger and safety: The analyst as analytic subject

Abstract

This paper considers questions of danger and safety in the analytic relationship in light of the contemporary recognition of analysis as a co-participatory process. In the interest of safety, the psychoanalyst has the responsibility to be persistently curious, particularly about the problems derived from his contact with the analysand. Information about the analyst's impact must be taken to heart; it must be experientially considered. As the process unfolds, the analyst presumes that a portion of its effect will be negative. The analyst aspires not to preempt all negative impact but to create an analytic environment in which the analysand's conscious and unconscious communications about impact may be attended to. The analyst's ability to receive such information is crucial in the establishment of a reliable process capable of addressing and surviving the unanticipated dangers that inevitably emerge and securing the analysand for further self articulation. The analyst can simultaneously attend to being the analyst and being a subject of analysis by regarding all communications from the analysand as representing, at least in part, interpretations of the analyst and the analyst's participation. Illustrative material is presented.     

Identification with the aggressor and the ‘normal traumas’: clinical implications

Ferenczi's (1933) surprisingly unknown concept of identification with the aggressor – an abuse victim's ‘eliminating’ her own subjectivity and ‘becoming’ precisely what an attacker needs her to be – has radical implications for our understanding of analytic technique. Its very frequent occurrence also forces us to broaden our understanding of what constitutes trauma. Ferenczi saw the experience of ‘traumatic aloneness’ or ‘emotional abandonment’ as the key element of trauma, since this is what enforces the traumatic responses of dissociation and identification with the aggressor. Identification with the aggressor operates in the analytic relationship in both patient and analyst. This has various consequences, including the structuring of the relationship through unconscious collusions – mutually coordinated, defensive identifications designed to help both participants feel secure. This view of the analytic relationship has clinical implications in at least four areas: the understanding of the patient's free associations, which may reflect the patient's compliance with the analyst's wishes rather than the contents of the patient's own unconscious; the need for some kind of mutuality of analysis; the traumatizing potential of the analyst's authority; and the tendency of some patients to take blame and responsibility reflexively, as a way of protecting the analyst.     

A Comprehensive Literature Review of the Rank Reversal Phenomenon in the Analytic Hierarchy Process

During the last few decades, several multi‐criteria decision analysis methods have been proposed to help in selecting the best compromise alternatives. Among them, analytic hierarchy process (AHP) and its applications have attracted much attention from academics and practitioners. However, since the early 1980s, critics have raised questions regarding its proper use. One of them concerns the unacceptable changes in the ranks of the alternatives, called rank reversal, upon changing the structure of the decision. Several modifications were suggested to preserve ranks. In this paper, a classification scheme and a comprehensive literature review are presented in order to uncover, classify and interpret the current research on AHP methodologies and rank reversals. On the basis of the scheme, 61 scholarly papers from 18 journals are categorized into specific areas. The specific areas include the papers on the topics of adding/deleting alternatives and the papers published in adding/deleting criteria. The scholarly papers are also classified by (1) year of publication, (2) journal of publication, (3) authors' geographic location and (4) using the AHP in association with other methods. It is hoped that the paper can meet the needs of researchers and practitioners for convenient references of AHP methodologies and rank reversals and hence promote the future of rank reversal research. Copyright © 2012 John Wiley & Sons, Ltd.     

Ethnic differences during social interactions of preschoolers in same-ethnic and cross-ethnic dyads

Dyadic interactions of 30 Asian-Canadian and 30 French-Canadian preschool children were analyzed in term of social participation, initiation, responses strategies and social interchange. Results showed a preference for same-ethnic partners to play more interactively together, while with a cross-ethnic partner they played more solitarily in the presence of the peer. To initiate their interactions, Asian-Canadian children made more co-operative initiations (helping or assisting the peer largely nonverbally) whereas French-Canadian children used more affiliative verbalizations to initiate the interaction. Moreover, Asian-Canadian children initiated more conflictual interactions, during same-ethnic interactions, by taking an object from the other child, and they used more of both submission and counter-attack behaviours than French-Canadian children. Finally, children of both groups showed synchronous activity regardless of the ethnicity of the play partner. Consistent with studies with older children, findings from the present study revealed that the quality of preschoolers' social interactions is influenced by the ethnicity of the playmate.     

The Analytical Theatre: Freud and Ibsen

The author describes how an illusion of timelessness was manifested in the psychoanalytic process with a four and a half year old boy. This illusion turned out to serve as a protection against overwhelming death-anxiety and an intolerable experience of separateness. Development in the direction of a perception of time as linear appeared to be connected to the relinquishment of a two-dimensional, adhesive mode of identification, simultaneously with the development of a conception of three-dimensionality. This change seemed to be brought about by the introjection of the holding and boundary-shaping skin-function of the analyst, which implied the conception of a closed space, a container, and the realization of an essential third instance. The psychoanalytical process made explicit the paramount importance which the symbolic presence of the paternal function in the mother has for her capacity for holding and containment and as the premise for the infant's perception of reality, including the development of the dimensions of time and space.     

Some Thoughts on Supervision

Quite often we have the experience that adolescents do not accept an offer of treatment, in spite of the fact that they feel miserable. Or, that they do start in treatment and then change their minds and break off contact. The author reflects about factors and conditions contributing to these analytic failures. He discusses elements of analytic method, setting, neutral position, analytic relationship, and how the frames are put under pressure in work with adolescents. He thereafter presents some vignettes and examples of analytic work, where intuitive interventions and interpretations appear against a background of ordinary psychoanalytic method. For the analyst, these interventions can feel unexpected, incidental, like ideas out of the blue. On second thoughts, we may sometimes be able to trace and understand how these intuitions are based on non-conscious processes, like counter-transference feelings, an understanding of the patient still unclear and unarticulated for the analyst or perhaps a last desperate attempt to reach the patient and get in contact at a decisive or critical moment. Finally, the author reflects on the double face of psychoanalysis: both a contemplated, carefully described and systematic method and a craft with elements of intuition, creativity and, sometimes, inspiration.     

ADAM SMITH ON THE EMERGENCE OF MORALS: A REPLY TO EUGENE HEATH

In this paper I argue that there is an affinity between Reid and Husserl, or at least between Reid and what I shall call the ‘Austrian’ Husserl as opposed to the ‘German’ Husserl. The first is a realist, the scourge of psychologism, a sober and painstaking analyst of the various kinds of intentional experience, for whom such analysis is just an extension of ontology. The second is a radical idealist, closer to Fichte than to Kant. In describing the structures of ‘transcendental’ consciousness he takes himself to be describing the ‘origin’ of the world and everything in it, including himself as a psychophysical entity. He sees the history of philosophy as being determined by an inner telos, such that it culminates in his own transcendental phenomenology, of which he is the mere instrument.     

The Spaces of Knowledge: Bertrand Russell,Logical Construction,and the Classification of the Sciences

What Russell regarded to be the ‘chief outcome’ of his 1914 Lowell Lectures at Harvard can only be fully appreciated, I argue, if one embeds the outcome back into the ‘classificatory problem’ that many at the time were heavily engaged in. The problem focused on the place and relationships between the newly formed or recently professionalized disciplines such as psychology, Erkenntnistheorie, physics, logic and philosophy. The prime metaphor used in discussions about the classificatory problem by British philosophers was a spatial one, with such motifs as ‘standpoints’, ‘place’ and ‘perspectives’ in the space of knowledge. In fact, Russell’s construction of a perspectival space of six-dimensions was meant precisely to be a timely solution to the widely discussed classificatory problem.