From acting to communicating: The analysis of a boy with a pathological organization1

The author presents the analysis of an 8 year‐old boy prematurely born after a high‐risk pregnancy, then hospitalized for two weeks. He was never breastfed and presented vomiting, intense activity and inadequate behaviour as symptoms. His highly dysfunctional family is composed of a non‐productive father and a homely, though aggressive, mother. The patient displayed a rigid defensive structure with perverse aspects and a cruel superego. His constant interest in magical characters frequently disguises an avoidance of reality. By means of transference interpretations, a trustworthy link with the analyst now allows him his own mental space, where hidden psychotic states come to light. In the clinical material, this boy's skills for insight mingle with oscillations from severely defensive states to integration and vice versa. The analytic relationship in this often hostile scenario has become strong. The analysis is hampered by constant demands from family and school‐both expect the analyst to prevent his frequent acting out. Whereas some perverse polymorphism is part of childhood and may persist throughout life, it is likely that the patient's pathological organization may yield to reality and facilitate reparation, relinquishing the world of make‐believe as well as the intense projective mental functioning.     

Anorexia and the Trojan Horse: a reflexive review of written psychoanalytic encounters with anorexic patients

A selective and limited sample of clinical case studies of psychoanalytic psychotherapy with anorexic patients, focussing on the author/therapist’s experience of working with such patients, is examined. Patients’ depressive and often angry states of withdrawal, and projections, are frequently noted. A summary of more hopeful interactions, as selected from the literature reviewed, is offered. An understanding of anorexic defences is explored in relation to the ‘Trojan Horse’ mythology, in the sense that that which purports to be emotionally nourishing and sublime can be suspiciously viewed as seeking to enter and conquer, through subterfuge. Some existing challenges to traditional tenets of psychoanalytic clinical practice with anorexic patients are presented.     

藏传佛教文化对藏药的影响

藏族宗教文化对藏药的影响是深远的,处于特殊地域环境及浓郁宗教文化氛围中的藏药,从它的用药思想,到其理论体系的形成,再到具体的临床实践过程,都无不渗透着藏族宗教文化的影子。其中重视“天人合一”的思想理念贯穿在藏药用药规律的始终,同时这一理念也引发我们对人与环境之间和谐统一关系的重新审视与思考。     

A cross-culture study of wife abuse

A study of correlates of the incidence of wife beating in primitive societies indicated that it was found to be more common in societies in which brutality and cruelty were more common. In addition, wife beating was more common in societies in which the status of women was considerably inferior to the status of males. Societies with a high incidence of wife beating also had a high divorce rate.     

Book Reviews

Abstract

Some children survive experiences of racism, urban decay and emotional rot. For those who need help there is inadequate support. Current child mental health services have to change in order to meet the needs of our most vulnerable children. The clinics of Hampstead have to face a new reality.     

Photography: snapshots out of the unconscious

Abstract

This paper looks briefly at the relevance of infant and young child observation courses to work with adults and then goes on to describe how a normal young child aged 2% coped with two quite sudden changes in her life and the psychological mechanisms she used to manage her anxieties. These mechanisms - displacement, use of transitional objects, fantasy and symbolism - might equally be used by adults in later life when faced with uncertainty and change. Links are then made to psychotherapeutic work with adults.     

Towards an understanding of the psychodynamic processes of the body

Abstract

Counselling clients frequently mention bodily symptoms, yet, within the therapy world, the body largely remains off-limits. This, in some part, is undoubtedly due to the prevailing issues around the touch taboo. However, the symptoms emanating from the body may well have profound psychodynamic meaning. This paper sets out to describe a psychodynamic perspective for how these symptoms may arise. Notions such as libido and preverbal theories, along with primal defence mechanisms, are used to show how the body becomes involved in unconscious processes. A case study is presented as illustrative of some of the psychodynamic concepts that may be implicated. It is argued that bodywork may help in providing a preverbal supportive environment from which a therapeutic alliance may develop, thus allowing for a verbalization of unconscious conflict.     

Neuromuscular Control of Posture in the Infant and Child

This study explored the effects of vision and maturation on the characteristics of neuromuscular responses underlying balance control in both seated and standing children of five age groups (3½–5 months, 8–14 months, 2–3 years, 4–6 years, and 7–10 years). A platform was used to unexpectedly disturb the child’s balance in the anterior or posterior direction. Responses of the leg, trunk, and neck muscles were recorded using surface electromyograms.

Vision was not required for the activation of these responses in any of the age groups tested. However, comparison of muscle response latencies of standing children to posterior platform translation in the two visual conditions showed a significant reduction in latency for neck flexors in the 2- to 3-year-olds with vision removed and an increase in the total number of monosynaptic reflexes. No reduction in latency was found in the older age groups. The hypothesis of a shift from an early long latency visual dominance to a shorter latency proprioceptive one during childhood is discussed.

Postural control showed a cephalo-caudal developmental gradient with postural responses appearing first in the neck, then trunk, and finally, legs, as children developed from 3 to 14 months of age. A wide variety of response patterns was seen in the 3- to 5-month-olds, indicating that postural responses are not functional prior to experience with stabilizing the center of mass.     

湘西少数民族原始宗教伦理的现代审视

湘西少数民族原始宗教作为文化原型,已化为民风民俗,进入当代民族民间文化生活。对湘西少数民族原始宗教伦理的文化特性、道德选择及其精神内核的现代审视,必须坚持中国化马克思主义宗教观,批判地发掘其当代价值。     

From psychic holes to psychic representations

Abstract

In this essay, I will explore the term “psychic hole,” and compare it to similar terms from the world of astrophysics and terms used in the psychoanalytic literature. I will then present my own conception of the “psychic hole” in cases of Holocaust survivors' offspring. I will explain how this “hole” is created, and describe a particular aspect of the “psychic hole” that is unique to Holocaust survivors' offspring, namely the enactments (termed “concretization” by Bergman) generated by the negated traumatic themes that reside in it. I will illustrate these enactments using clinical material taken from case studies of Holocaust survivors' offspring that I have previously published. The clinical vignettes reveal the transgenerational impact of the memory hole resulting from negation of survivor parents on the lives of their offspring, up to the third generation. They also show the painful journey from enactments to psychic representations, a journey which exposes the traumatic events that have been denied or repressed, and facilitates the work of mourning and the eventual achievement of a better integrated self. Finally, I will offer technical suggestions for analysts to help patients transform psychic holes into psychic representations.