Ego,self and otherness

The concept of self has been introduced as a core concept in several contemporary psychoanalytical theories. This study undertakes a critical examination of the historical and theoretical presuppositions of the concept of self and its corollary, the object. The proposed thesis is that the concept of self on a theoretical level has grown out of ego-psychology and the ambition is to bring consistency into the ambiguous concept of the ego left by Freud. On a clinical level, the concept of self is seen as an attempt to adjust psychoanalytical theory and technique to what, broadly speaking, we call non-neurotic patients. While the concept of self on a theoretical level dates back to Hartmann, it was left to those following the tradition of ego-psychology to work out the implications for our understanding of the pathology of the self and its proper treatment. The work of Heinz Kohut is seen as an exponent for those analysts who have been wrestling with the task of adjusting psychoanalytical theory and technique to our understanding and treatment of non-neurotic patients. A re-reading of the Freudian concept of the ego allows the author to present an alternative to ego-psychology and self psychology. While the concept of the self implies a re-centred theory of subjectivity, the author points to the de-centeredness of classical psychoanalytical thinking. Freud did not find an independent concept of the self necessary. On the contrary, psychoanalytical theory rejected the idea of the psyche as a complete and unified entity. Defining the ego as a representative of the divided psyche encompassing the other, the author suggests that incorporating contributions from French psychoanalytical thinking and the ideas of Winnicott places the self as a concept in accordance with classical psychoanalytical thinking.     

On the Normal and Pathological Middle-age Crisis—Erich Maria Remarque,a Lost Survivor

The case illustration is from a long-term experience of individual psychoanalytic psychotherapy with a male patient, who started therapy when he was 15-years- old. According to DSM-IV criteria, he was diagnosed with a major depressive disorder. A psychological assessment including a Rorschach test showed a poorly integrated but well-adapted Borderline-Narcissistic personality disorder. Various classes of ant-idepressant drugs were used with equivocal or uncertain effects, and the roots and causes of the patient's negative reactions to medication had to be thoroughly investigated and dealt with during psychotherapy. Pharmacotherapy might succeed in targeting the various symptoms of depressive states, but the psychodynamic approach in a psychotherapeutic relationship widens the scope and works introspectively, allowing the patient insights to understanding the symptoms. The use of a psychotropic agent is usually based on trust and belief in its expected effect, but often the effect is not as expected. The psycho- pharmacological drug is also imbued with manifest and latent meanings which can be reached at in the psychoanalytic report. Such meanings and expectancies, and the consequent reactions affect both the patient and the psychotherapist. They have to be dealt with and overcome by psychoanalytic understanding and intervention, as well as experience and skill in use of the medicine concerned.     

Opening Gambits

This study discusses the rôle of destruction and destructive fantasies in forming a relationship to the body and in experiencing the reality of the body. The starting points are Freud’s conception of the nature of the drives and Winnicott’s theory on the use of an object. The central assumption is that the destructive impulses and fantasies directed towards the body create and strengthen the experience of the body as a part of the extrapsychic reality. By improving the trust in the continuity of bodily existence, they help to lessen the experience of the body as a subjective object which improves our relationship to our bodily reality.     

THE FREUDIAN UNCONSCIOUS IN THE CONTEXT OF THE COGNITIVE ORIENTATION

The essence of the story of King Oedipus forms a cornerstone of psychoanalysis since Freud. Oedipality means the painful experience of the child who is left outside the mutual relationship between the parents and the child's wish to kill one parent and marry the other one. The life-long oedipal attitude and relationship develop in dyadic and triadic relationships. An example is given of a boy whose dyadic relationships are threatened by triads, and whose triads are threatened by integrated oedipality. Only after the oedipal situation is worked through does it become possible to live and love in reality, and to maintain manifold relationships. This development is also reflected in thinking, which only slowly develops into multidimensional levels of symbolization and thought. Prior to this development, we continue to “marry dyads” and “kill triads” and remain driven by dyadic and triadic wishes in all fields of our life.     

Book Reviews

Abstract

There are many brief, demanding, aborted cases that no one ever writes about. The typical psychoanalyst or psychoanalytic psychotherapist, however, has many outpatient cases that are shortlived, intense encounters with very disturbed patients. Rather than ignore these encounters as non-analytic or non-instructive, I think these cases add to our knowledge about the mind and its functions. In addition, it is unrealistic to think we can always help a very anxious and disturbed person to enter the treatment process with immediate success. It is more instructive to apply the analytic method and offer the patient what we can and have both analyst and patient learn as much as they can in the time they are able to stay together. Using case material, I show the Kleinian approach to working analytically with these difficult patients. Whether focusing on transference or extra-transference material, the analyst interprets the patient's internal phantasies and anxieties regarding the self and the self's important objects. This analytic stance tends to relieve the immediate anxiety and set the stage for potential self-reflection and the start of basic working-through processes.     

Stumbling along in the Countertransference: Following Up Enactments with Balanced Therapeutic Interpretations

In the course of a psychoanalytic treatment, many clinical situations create countertransference pulls or invitations to participate in enactments of various degrees. In these projective identification-based transferences, the patient is often successful in drawing the analyst into archaic object relational patterns of acting out. During these moments, the analyst must struggle to find a way to stay therapeutically balanced. The urge to rush to judgment with punitive, seductive, rejecting, controlling, or manipulative comments rationalized as interpretations must be managed. If these unavoidable countertransference enactments are managed and studied, they can provide useful information about the patient's internal struggles and can show the way to making more helpful and more therapeutic interpretations. Case material is used for illustration.     

Criticism of the Theory of Motivation

The theory of motivation is a theory which takes the executora＇s motivation as the basis of moral judgment. One presupposition of the theory is that motivation can be a common object of understanding. However, motivation exists only in the heart of the executor, and cannot be known exactly by others, so motivation cannot be perceived like a common object, and thus, logically, cannot be the basis of moral judgment. Even if the executor＇s motivation is accepted by others and turned into a common object, the motivation still cannot become the valid basis of a moral judgment. This is the dilemma of the theory of motivation. In practice, the dilemma appears as follows： if one insists on the theory of motivation, one can be led to the result that people do evil with good intentions. However, just because motivation cannot be the basis of moral judgment does not mean that motivation is of no significance. Good motivation is always better than evil motivation. Therefore, in moral education we should carry out motivation education and teach people to strive to have good motivations for their behavior. This is the value of motivation theory.     

The Case Study of Jacob: Childhood Sexual Abuse and the Limitations of the Holding Environment

Childhood sexual abuse and trauma influence relational development in significant ways. Notable among them are the development of a patient's internal object world, fantasies, and sense of self. Dynamic formulations and holding techniques are used to identify, process, and alter fractured relational dynamics. However, the use of such techniques may also influence a patient's narrative process, pulling them away from the realities of their life as lived. Using the case study method, focusing specifically on the patient's narrative development, this article examines the impact of analytic framing on a patient's experience of child sexual abuse and trauma.     

实物形状的知觉相似性对视觉隐喻加工的影响

视觉隐喻是众多研究者比较关注的领域, 当前多以物体简笔画、漫画及广告等方面的研究为主, 但对与生活密切相关的实物的视觉隐喻研究甚少。因此研究采用掩蔽启动范式、李克特9点量表及语音生成等研究方法, 在物体概念类型(概念相同、概念相异)及形状类型(形状相似、形状相异)条件下, 针对实物图片的形状知觉相似性是否对视觉隐喻加工产生影响进行探讨。结果发现无论物体概念是否相同, 形状相似性对个体的物体识别具有“促进”作用, 并有利于视觉隐喻加工; 在物体识别中, 当两个物体概念不同时, 个体会试图建立一个特设类别来对形状相似的物体进行归类, 从而实现了视觉隐喻的加工。因此研究进一步证明了实物形状的知觉相似性有利于视觉隐喻的加工。