Growing old: A psychoanalyst’s point of view1

With the help of clinical examples, the author shows that psychoanalysis or psychotherapy after the age of 70 can be a fascinating experience, one that enables patients to reconstruct their internal history in such a way that their final years can be given their rightful place in the overall journey through life. Often it will be a matter of going beyond the conflict between paralysing time with the illusion of keeping death at bay and taking the transient nature of life into account in order to perceive its true flavour. We can grow old passively, juxtaposing different periods of our life without linking them together, thereby creating the illusion of time without end; or we can grow old actively, integrating the different phases of our life into a coherent historical narrative. This representation of time leaves the door open for experiences which the author calls ‘small seconds of eternity’. We can all experience such moments when we are deeply moved – joyfully or painfully – by something, so that we perceive another quality of time that goes beyond its chronological dimension without all the same negating it. Helping elderly people to identify these seconds of eternity and catch hold of them can be an invaluable experience for them. Perhaps we need to see our life unfold through the chronology of its different phases in order to discover, second by second, how to express on an everyday basis something of which we have had an inkling in some second of eternity.     

The self, the psyche and the world: a phenomenological interpretation

Abstract :  This paper takes as its starting point Jung's definition of the self as the totality of the psyche. However, because the term psyche remains conceptually unclear the concept of the self as totality, origin and goal, even centre, remains vague. With reference to Heidegger's analysis of human being as  Dasein , as well as Jung's writings, it is argued that Jung's concept of psyche is not a synonym for mind but is the world in which we live psychologically. An understanding of the psyche as existentially situated requires us to rethink some features of the self. For instance, the self as origin is thus not a pre-existential integrate of pure potentiality but the original gathering of existence in which, and out of which, personal identity is constituted. The ego emerges out of the self as the development and ownership of aspects of an existence that is already situated and gathered. Relations between the ego and the self are about what is known, or admitted, and its relation with what is already being lived within the gathering that is existence. The self as psyche, origin, and centre are discussed, as well as the meaning of interiority. Epistemological assumptions of object relations theory are critically discussed. The paper also includes critical discussions of recent papers on the self.     

Naming problems do not reflect a second independent core deficit in dyslexia: Double deficits explored

The double deficit hypothesis states that naming speed problems represent a second core deficit in dyslexia independent from a phonological deficit. The current study investigated the main assumptions of this hypothesis in a large sample of well-diagnosed dyslexics. The three main findings were that (a) naming speed was consistently related only to reading speed; (b) phonological processing speed and naming speed loaded on the same factor, and this factor contributed strongly to reading speed; and (c) although general processing speed was involved in speeded naming of visual items, it did not explain the relationship between naming speed and reading speed. The results do not provide support for the existence of a second independent core naming deficit in dyslexia and indicate that speeded naming tasks are mainly phonological processing speed tasks with an important addition: fast cross-modal matching of visual symbols and phonological codes.     

The effect of inversion on 3- to 5-year-olds’ recognition of face and nonface visual objects

This study compared the effect of stimulus inversion on 3- to 5-year-olds’ recognition of faces and two nonface object categories matched with faces for a number of attributes: shoes (Experiment 1) and frontal images of cars (Experiments 2 and 3). The inversion effect was present for faces but not shoes at 3 years of age (Experiment 1). Analogous results were found for boys when faces were compared with frontal images of cars. For girls, stimulus inversion impaired recognition of both faces and cars at 3 to 4 years of age, becoming specific to faces only at 5 years of age (Experiments 2 and 3). Evidence demonstrates that the ability to extract the critical cues that lead to adults’ efficient face recognition is selectively tuned to faces during preschool years.     

When less is more: An exploration of psychoanalytically oriented hospital‐based treatment for severe personality disorder4

This paper discusses the main findings of a prospective study based at the Cassel Hospital, a centre dedicated to the psychoanalytically informed residential treatment of severe personality disorders. The results‐showing that significantly greater improvements on a number of outcome indicators were found in patients exposed to the psychoanalytically informed treatment programmes compared to a general psychiatric approach based on management and pharmacotherapy alone‐underscores the importance and the centrality of the psychoanalytic input in the treatment of severe personality disorders. However, the results of the study also suggested that some features of long‐term hospital treatment might carry the risk of iatrogenic and anti‐therapeutic effects for a sub‐group of patients with severe borderline core pathology. The authors present the clinical and psychodynamic implications of the study results based on an understanding of the internal and interpersonal mode of functioning of borderline patients.     

Epistemic Justice and a Role for Virtue in the Politics of Knowing

The dual aim of this article is to reveal and explain a certain phenomenon of epistemic injustice as manifested in testimonial practice, and to arrive at a characterisation of the anti–prejudicial intellectual virtue that is such as to counteract it. This sort of injustice occurs when prejudice on the part of the hearer leads to the speaker receiving less credibility than he or she deserves. It is suggested that where this phenomenon is systematic it constitutes an important form of oppression.     

ORGANISATIONAL AND EDUCATIONAL INTERNAL IMPEDIMENTS OF PSYCHOANALYSIS: CONTEMPORARY CHALLENGES

Our psychoanalytic discipline originated, has evolved and is still located within a congregational network that blends and binds together, in an inextricable and contradictory way, the missionary mandates and commendations of a 'movement' and a 'cause' with the inherent prerogatives and functions of academic professions and sciences. In this paper the author explores the consequential past and present impedimenta of this organisational and educational syncretism, for six fundamental dimensions of action for psychoanalysis. Subsequently, the nature of a proposition is delineated, suggesting a reorganisation, local and international, to address what the author visualises as five of our most pressing contemporary challenges: a) an autonomous university educational model, freed from regressive societal-political inertias, enabling us to abandon our seclusive monasticism; b) the consolidation of an epistemological frame of reference, idiographic and nomothetically substantiated against our cumulative inductivism, which is the seedbed of our sectarianism, cross-sterilisation and pseudo-ecumenism; c) local and external educational and professional systems of accreditation and certification, independent from affiliation and membership privileges of our supraordinate ecclesia; d) social relevance and community presence, moving away from our meaningless organisational and educational cloistering; and e) a local and international functional and interdependent reorganisation, in the context of sovereignty and integrity, in contrast to our prevalently crusading and indoctrinating homogamous pathological co-dependency. The author concludes that only a harmonisation of objectives and administrative structure might loosen the talons of faith that keep us retrogressively tied to our past.     

The impact of social desirability bias on the EPQ-R item scores: An item response theory analysis

This study assessed the potential influence of social desirability (SD) response bias on the E, N, and P EPQ-R scores at the level of individual items. The study was based on a bidimensional IRT model which was fitted in a large sample. This allowed a detailed analysis of both the internal validities of the items and the content of the items which were most affected by SD. The E items were least affected by SD, but the direction of the impact depended on the type of item. As expected, in the N and P cases the relations obtained were consistently negative, but the strength of the SD impact also depended considerably on the type of item. The P scale was the most problematic in terms of convergent and discriminant validity.     

Transference focused psychotherapy: overview and update

This paper describes a specific psychoanalytic psychotherapy for patients with severe personality disorders, its technical approach and specific research projects establishing empirical evidence supporting its efficacy. This treatment derives from the findings of the Menninger Foundation Psychotherapy Research project, and applies a model of contemporary psychoanalytic object relations theory as its theoretical foundation. The paper differentiates this treatment from alternative psychoanalytic approaches, including other types of psychoanalytic psychotherapy as well as standard psychoanalysis, and from three alternative non-analytical treatments prevalent in the treatment of borderline patients, namely, dialectic behavior therapy, supportive psychotherapy based on psychoanalytic theory, and schema focused therapy. It concludes with indications and contraindications to this particular therapeutic approach derived from the clinical experience that evolved in the course of the sequence of research projects leading to the empirical establishment of its efficacy.