Analytic practice: Convergences and divergences1

The author discusses current convergences and divergences concerning analytic practice. After presenting a clinical vignette that can be understood differently according to different theoretical approaches, he discusses Wallerstein’s proposal of a common ground in psychoanalysis and suggests that the present state of the art indicates that psychoanalysis is a pluralistic discipline, with different ways of training and practising it, and that the main challenge is to improve our ability to listen to and to learn from different approaches.     

Between Wonder and Doubt: Psychoanalysis in the Goal-Free Zone

This paper examines the experiential dimensions of wonder and doubt as one way to articulate the creative and growth-promoting tensions between the medical/scientific model and the spiritual/mystical model. Both forms of experience, it is argued, function as necessary elements in a psychotherapy that integrates psychoanalysis and spiritual praxes. Fundamental differences between the medical/scientific model and the spiritual/mystical models are examined. The notion of the gap serves to illustrate these diametrically opposed, albeit compatible and necessary, points of view. The multifaceted layers of movement between Buddhism and psychoanalysis typify interacting dynamics between the two disciplines and provide a focal point for discussion. The paper then explores parallels between the Zen Buddhist notion of Satori as explicated in the writings of D. T. Suzuki and Wilfred Bion's notion of O. Theoretical aspects of the discussion provide a backdrop for exploring clinical experience regarding the relationship between acceptance and change, the clinical relevance of the Buddhist notions of gaining idea and basic goodness. The author also explores relationships between presence as actuality and ideal; knowing and not knowing; wonder and doubt. Clinical material supports the theoretical aspects of the discussion.     

Cultural Identity and Groups of Belonging

Research into the cultural foundations of psychic structure must take place simultaneously at the individual, group, and psychosocial level of analysis. Identity, as both an individual and a collective phenomenon, and the primacy of the group dimension become manifest in the imaginary space created by groups, in Bion's protomental system. Cultural incorporates function like somatic processes and establish the synchrony of all cultural interactions. Individuation would thus emerge from the shared common base, which in turn is related to the individual's internalization of his group of belonging. A distinction is drawn between primary groups of belonging, which are extensions of family structure and supply the group's cultural identity, and secondary belonging groups, which are instituted by the society. The relationship between transcultural experiences, aiming at achieving unity, and intercultural experiences, which recognize limits and differences, is a source of tension for the individual and the group. Examples are given of the function of excitation screens within instituted groups and of the cultural dimension of the analytic setting.     

AJCP as a Vehicle for Improving Community Life: An Historic–Analytic Review of the Journal’s Contents

The current article is an analysis of the research represented in American Journal of Community Psychology (AJCP) from 1993 to 1998, including a comparison to two previously published analytic reviews by Lounsbury et al. (J. W. Lounsbury, D. S. Leader, E. P. Meares, & M. P. Cook, 1980) and Speer et al. (P. Speer, A. Dey, P. Griggs, C. Gibson, B. Lubin, & J. Hughey, 1992), respectively. Observed trends are examined with references to major epistemological frameworks and methods used to define community psychology. Four guiding principles were examined to determine the representation of the epistemological frameworks of the articles published in the journal. The frameworks include social action, human diversity and cultural relativity, person–environmental fit, and methodological procedures. The results document the transition of community psychology from its early beginnings to an independent field conducting research consistent with the values articulated at the Swampscott Conference. This paper also comments on how well, after three decades of publication, the journal has served as a vehicle for improving community life.     

Motivating operations and terms to describe them: some further refinements

Over the past decade, behavior analysts have increasingly used the term establishing operation (EO) to refer to environmental events that influence the behavioral effects of operant consequences. Nonetheless, some elements of current terminology regarding EOs may interfere with applied behavior analysts' efforts to predict, control, describe, and understand behavior. The present paper (a) describes how the current conceptualization of the EO is in need of revision, (b) suggests alternative terms, including the generic term motivating operation (MO), and (c) provides examples of MOs and their behavioral effects using articles from the applied behavior analysis literature.     

Bocheński and Balance: System and History in Analytic Philosophy

Using the work of Józef Bocheski as apositive example, this paper sets out the casefor a balanced use of historical knowledge indoing analytic philosophy. Between the twoextremes of relativizing historicism, whichdenies absolute truth, and arrogant scientism,which denies any constructive role for thehistory of ideas in philosophy, lies a viamedia in which historical reflection onconcepts and their history is placed at theservice of the system of cognitive philosophy.Knowledge of the history of philosophy, whilenot a sine qua non, can empower analyticphilosophy to push forward to new and moresatisfactory solutions to old and new problems.Examples are adduced from Bocheski's oeuvreand from the author's own experience.     

Disrupted narrative and narrative symbol

In this article a specific type of narrative, which often appears in analytic sessions, is discussed. It is characterized by a seemingly ordinary, everyday topic and by a peculiar disruption of the narrative flow. The threefold structure of this type of narrative is described, along with its main characteristics. One element of this type of narrative is very similar to symbolic content or complex symbolic structures, e.g. dreams, the sort of material that can be used for the purpose of interpretation. The similarities as well as the differences are elaborated in the article. Thanks to the observed general structure and ‘symbolic’ nature of some parts of the narrative, it is easy to notice some of the unconscious elements, which are not familiar to the patient's ego, and to make an interpretation. Because these elements are close to the threshold of consciousness, the patient willingly accepts an interpretation based on them. This is especially true for patients whose dominant function is thinking. A temporary, working name for this type of narrative is proposed in the article: ‘disrupted narrative’ ? and for its disruptive part ‘narrative symbol’.     

Clinical issues in analyses over the telephone and the internet

There is professional consensus that teleanalysis, the practice of psychoanalysis conducted remotely using the telephone and the Internet, is increasing in response to more mobility in the population. But there is controversy as to whether the use of technology leads to a dilution of analysis or to adaptive innovation that is clinically effective and true to the tenets of psychoanalysis. The author reviews the psychoanalytic literature and shows the development of analytic thinking about this technology-assisted practice of psychoanalysis. She summarizes analysts' perceptions and experiences of the advantages and disadvantages, and considers the indications and contra-indications. She focuses on the clinical concerns that arise in terms of the frame, resistance, and the development of analytic process through the unconscious communication of internal objects, unconscious fantasy, transference and countertransference. She gives vignettes from the analysis of a man with trauma-related depression to address the concerns raised and to support her argument that analysis using the telephone and the Internet is a viable, clinically effective alternative to traditional analysis where necessary.     

The shadow of familiarity: a contributor to the intersubjective field

This paper examines the influence of familiarity on the progress of analysis. It is proposed that familiarity is a particular aspect of the intersubjective field which emerges over time and begins to shape and influence the behaviours, perceptions, thoughts, and feelings of the participants. It is also proposed that states of familiarity can have facilitative or defensive functions in an analytic relationship and that it is an influence co-created in the field. The experience of familiarity operates as background to our various foreground concerns in analytic work and therefore exists primarily as an implicit, rather than explicit, experience in analysis. Defensive familiarity often creates a feeling of relatedness that is subtly unrelated, a form of pseudo-intimacy. Parallels between defensive familiarity and related concepts are examined including defences against the unknown, role responsiveness, romantic love, the image of the stranger, and unformulated experience. This paper concludes with two case examples and a discussion of procedural knowledge in the implicit domain as an explanatory framework for the understanding of familiarity states in the analytic setting.     

Bearing the unbearable: ancestral transmission through dreams and moving metaphors in the analtyic field

Abstract: This paper explores how untold and unresolved intergenerational trauma may be transmitted through unconscious channels of communication, manifesting in the dreams of descendants. Unwitting carriers for that which was too horrific for their ancestors to bear, descendants may enter analysis through an unconscious need to uncover past secrets, piece together ancestral histories before the keys to comprehending their terrible inheritance die with their forebears. They seek the relational containment of the analytic relationship to provide psychological conditions to bear the unbearable, know the unknowable, speak the unspeakable and redeem the unredeemable. In the case of ‘Rachael’, initial dreams gave rise to what Hobson (1984) called ‘moving metaphors of self’ in the analytic field. Dream imagery, projective and introjective processes in the transference‐countertransference dynamics gradually revealed an unknown ancestral history. I clarify the back and forth process from dream to waking dream thoughts to moving metaphors and differentiate the moving metaphor from a living symbol. I argue that the containment of the analytic relationship nested within the security of the analytic space is a necessary precondition for such healing processes to occur.