Words that touch2

In this paper the author examines her own use of language as a psychoanalyst and asks: what is the best way to help analysands to find the words to express not only what they are thinking but also what they are feeling and experiencing? In common with other psychoanalysts, the author has observed that each of us simultaneously utilises both advanced psychic mechanisms that are accessible to symbolism and more archaic ones, which are less so. However, she draws a distinction between people who are able to tolerate the perception of their own heterogeneity, even if it is sometimes a source of suffering, and those whom she terms ‘heterogeneous patients’. Patients in the latter category, whose lack of internal cohesion causes them anxiety, are afraid of losing their sense of identity. The author asks how we can understand their language and how we should speak to them. She uses several clinical examples to demonstrate that ‘heterogeneous patients’ need to be touched with a language that does not confine itself to imparting thoughts verbally but also conveys feelings and the sensations that accompany those feelings. It is also an ‘incarnated’ language because the words pronounced by the analyst can awaken, or reawaken, bodily fantasies in the patient. These words may enable him to find an emotional meaning in forgotten sensory or bodily experiences, which may then become a starting point for his work of thinking and of symbolisation.     

Understanding and Treatment of Narcissistic Personality Disturbances

The author discusses how sexuality on the one hand develops and changes during childhood, but on the other hand, holds onto the old residues of different, earlier phases. In adult sexuality, there always remain enigmatic, regressive, even borderline emotions and feelings from earlier experiences. These residues make sexuality incomprehensible and primitive, but also offer possibilities for dreams, fantasies and creativity later in life. Autoerotic fantasies, object fantasies, enigmatic knowledge, sexuality fantasies and creative thinking are realised via these developmental residues.     

Self-regulation of commitment to reduce cigarette consumption: Mental contrasting of future with reality

The model of fantasy realisation (Oettingen, 2000 Oettingen, G. 2000. Expectancy effects on behavior depend on self-regulatory thought. Social Cognition, 18: 101–129. [Crossref], [Web of Science ®] , [Google Scholar]) specifies mental contrasting of a positive future with negative reality as a strategy that creates strong goal commitments. We propose that fantasies about a positive and negative future produce strong goal commitments when contrasted with the respective reality. The present study supports this hypothesis in the area of reducing cigarette consumption. Mental contrasting of a positive future with negative reality as well as mental contrasting of a negative future with positive reality led to taking immediate action when participants had high expectations of success. Results indicate that both fantasies about a positive future and a negative future can be used to commit to goals that benefit health and prevent disease.     

Further evidence for the validity of the Need Inventory of Sensation Seeking

The Need Inventory of Sensation Seeking (NISS) by Roth and Hammelstein (2012) conceptualizes sensation seeking as a motivational trait, a need for stimulation that can provoke different behaviors. Extending the area of application to the field of sexuality, the results of an online survey with a convenience sample (N = 368) provided evidence that the NISS outperforms traditional measures of sensation seeking. In a series of hierarchical regression analyses, the NISS added incremental variance in predicting the number of sexual partners and the frequency of extreme sexual behaviors and fantasies. No relationship between the NISS and pornography use was found. Moreover, the NISS subscale Need for Stimulation performed better than the subscale Avoidance of Rest. Overall, the study supported the assumption that the NISS is a valid and reliable instrument in the area of sexuality.