Alchemy in the image of the analyst

The author aims to demonstrate the activation in the transference relationship of a figure representing 'sameness' in a number of forms. In the first clinical vignette, she shows how a child projects his own difficulty symmetrically on to the analyst, with the aim of creating the conjunction of opposites which the psyche needs for its growth.
During the archetypal reworking which adolescence provides we again find this figure of 'sameness' in the foreground, in the phase of homosexual object choice. A second clinical vignette shows how this figure of 'sameness' can be represented in the fantasy or the desire of becoming an analyst.
The author puts forward the hypothesis that this fantasy represents an imago whose characteristics include being a tool for linking feeling and thinking in the inner world; it is constituted in the entre deux , the space between self and other, and, like Winnicott's transitional object, it facilitates the capacity to symbolize. Being 'off centre' with regard to infantile positions in relation to the parental imagos, this imago offers a vantage point for 'evaluation' ( sich auseinandersetzen ) and 'consideration' ( betrachten ). Finally this imago is transistory, because its destiny is to be deconstructed (as shown in the third clinical vignette which concerns an adult patient), in order to be integrated through the work of analysis.     

The wrong side of history

Psychoanalysis (including analytical psychology), once a pioneering and forward‐looking movement of the early 20^th century has now become a conservative backward‐looking ‘tradition’. After considering some of the internal problems associated with this historical change such as idealization and tribalism, some ways forward are suggested – a focus on clinical excellence as practical craft, openness to the unknown and engagement with others beyond the confines of private practice.     

No need for pedestals: Idealization does not predict better relationships among Asians

The authors tested whether partner idealization was positively associated with relationship quality among 105 intraracially dating Asian American couples (Study 1) and 98 Chinese couples (Study 2) through two methods. The commonly used residual‐based approach found, in both samples, the positive associations between idealizing a partner and relationship quality previously documented among European/European Americans. In contrast, the piece‐wise regression analysis, which distinguished between idealization and derogation, found few positive associations between idealizing a partner and relationship quality. Similarly, being the object of idealization rarely predicted greater relationship quality for either sample, even when perceived idealization was tested. Derogation, however, predicted relationship outcomes. Therefore, future studies should focus on negative behaviors or attitudes (or the lack thereof) in understanding relationship outcomes.     

The association of idealization and intimacy factors with condom use in gay male couples

The purpose of this study was to assess the relationship of idealization and three specific intimacy factors (relationship satisfaction, excitement, and closeness) to reported condom use in gay male couples. It was expected that there would be negative associations of idealization and the intimacy factors with condom use. Both members of 45 gay male couples completed a questionnaire that assessed these factors. This study found (a) idealization to have a significant negative correlation with condom use, suggesting that the more the individuals idealized each other, the less likely that condoms were used during sex; (b) a significant negative association between relationship satisfaction and condom use, implying that as the couples experienced more satisfaction within their relationships, condom use decreased; (c) a significant negative correlation between excitement and condom use, suggesting that as excitement increased, condom use decreased; and (d) no significant association between closeness and condom use.     

Self‐disclosure,trauma and the pressures on the analyst

This paper argues that self‐disclosure is intimately related to traumatic experience and the pressures on the analyst not to re‐traumatize the patient or repeat traumatic dynamics. The paper gives a number of examples of such pressures and outlines the difficulties the analyst may experience in adopting an analytic attitude – attempting to stay as closely as possible with what the patient brings. It suggests that self‐disclosure may be used to try to disconfirm the patient's negative sense of themselves or the analyst, or to try to induce a positive sense of self or of the analyst which, whilst well‐meaning, may be missing the point and may be prolonging the patient's distress. Examples are given of staying with the co‐construction of the traumatic early relational dynamics and thus working through the traumatic complex; this attitude is compared and contrasted with some relational psychoanalytic attitudes.     

Controlling the uncontrollable. Self-regulation and the dynamics of addiction

The multidisciplinary research on addictions generally promotes the assumption that addictive behavior is caused and maintained by the external psychoactive substance, which accordingly is considered to be ‘addictive in itself’. The present article challenges this widespread assumption by engaging in a detailed examination of the psychodynamic structures of addiction. Tracing addictive behavior back to problems in affect regulation, the article discusses the object, motivation, dynamics, and developmental origins of addiction. Linking the problem with the topic of transitional object relations, the article eventually argues that addictive behavior amounts to a desperate pursuit for self-control. The tragedy of the addict is that he or she only manages to replace one sense of uncontrollability with another.     

Hemispheric Processing Deficits in Patients with Paranoid Schizophrenia

The purpose of the present study was to investigate hemispheric deficits in individuals with paranoid schizophrenia on four kinds of tasks: dichoptic viewing tasks involving verbal and nonverbal visual stimuli, and dichotic listening tasks involving verbal and nonverbal auditory stimuli. As dependent measures, both accuracy and speed of (correct) responding were measured. The sample recruited for this study consisted of 18 patients with paranoid schizophrenia, 15 outpatients with anxiety disorders, and 20 controls with no history of psychiatric disorders. Results indicated that, relative to the controls, the paranoid schizophrenic patients were less accurate and less efficient on auditory-verbal tasks requiring right hemisphere processing. Unlike the controls, the paranoid schizophrenic patients manifested a lateralized left hemisphere advantage.     

Body-size stigmatization by preschool girls: In a doll's world,it is good to be “Barbie”

A number of studies have measured body size stigmatization, that is, the assigning of negative characteristics to individuals who are considered fat, in samples of children as young as preschool-age. The results of such studies are fairly consistent, but may be criticized for the abstract nature of the line drawings typically used as test stimuli. In the present study the utility of using toy dolls to gauge young girls’ views toward different body shapes was assessed. Forty girls ages 3½–5½ were asked to assign various traits to one of three dolls (thin, average, and fat). As with previous work, responses fell out in a stereotypical pattern, with the positive characteristics attributed most often to the thin or average doll and all of the negative characteristics most often to the fat doll. The strengths and weaknesses of this doll paradigm in studies of body-size stigmatization by young children are discussed.     

Dyadic Cross-Sectional Associations Between Negative Mood,Marital Idealization,and Relationship Quality

This study aimed to evaluate (a) dyadic associations between relationship quality (RQ) and both depressive and anxious mood (DM and AM), (b) reciprocity hypotheses of negative mood within dyadic interactions, and (c) mediational role of marital idealization between negative mood and relationship quality. Actor-partner interdependence models (APIMs) were performed using data from a sample of 198 dyads. Our results showed that (a) these two facets of negative mood did not have the same weight on RQ and that they had a gender-specific effects pattern, and (b) there was no support for the mood transmission hypothesis. Men's DM displayed direct and indirect (via marital idealization) actor as well as partner effects on RQ, whereas women's DM displayed only a direct actor effect on RQ. There were no significant direct actor effects of AM on RQ, meaning that this link is fully mediated by marital idealization. However, only women's AM showed such indirect effects on RQ.