Silent dialogues in the analytic relationship

Abstract

In borderline or even narcissistic patients, the relation to the objects is built on the basis of omnipotent control, so that those patients present difficulties related to mourning for the loss, as well as for the independence, of the objects. Their basic trait is a huge inability to recognize the separateness of others, together with an excessive use of primitive defense mechanisms, such as projective identification. Each experience that contains the danger of re-experiencing the primal separation poses an attack on the analytic setting, in order to avoid such a re-experiencing. Those attacks sometimes take the known form of acting out, whereas other times they are limited to a special use of speech, which lacks any communicational faculty and is used rather as a weapon. This special climate affects the analyst, causing specific countertransferential reactions. Nowadays, we tend to consider such a communication not mostly as an obstacle, but rather as an opportunity, allowing the analyst to comprehend the patient, through his countertransference, and create a meaning to replace the void those patients usually experience. The transference and countertransference enactments, their silent dialogues taking place in the analytic setting, are those which progressively give meaning in this primitive non verbal communication.     

Index

Visuospatial working memory (VSWM) and intuitive geometry were examined in two groups aged 11–13, one with children displaying symptoms of nonverbal learning disability (NLD; n?=?16), and the other, a control group without learning disabilities (n?=?16). The two groups were matched for general verbal abilities, age, gender, and socioeconomic level. The children were presented with simple storage and complex-span tasks involving VSWM and with the intuitive geometry task devised by Dehaene, Izard, Pica, and Spelke (2006 Dehaene, S., Izard, V., Pica, P. and Spelke, E. S. 2006. Core knowledge of geometry in an Amazonian indigene group. Science, 311: 381–384. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). Results revealed that the two groups differed in the intuitive geometry task. Differences were particularly evident in Euclidean geometry and in geometrical transformations. Moreover, the performance of NLD children was worse than controls to a larger extent in complex-span than in simple storage tasks, and VSWM differences were able to account for group differences in geometry. Finally, a discriminant function analysis confirmed the crucial role of complex-span tasks involving VSWM in distinguishing between the two groups. Results are discussed with reference to the relationship between VSWM and mathematics difficulties in nonverbal learning disabilities.     

Child psychotherapy: Converging traditions

In this paper I outline some of the ways in which I believe the psychoanalytic traditions in North America and in Great Britain are influencing each other. I identify points of convergence and divergence at this moment in the evolution of psychoanalytic theory and technique. I then point out some of the implications of relational perspectives in child psychotherapy as this perspective is developing in the United States.     

From exclusion to inclusion; supporting Special Educational Needs Co-ordinators to keep children in mainstream education: a qualitative psychoanalytic research project

This paper draws on my doctoral research study based on consulting work with three primary school Special Educational Needs Co-ordinators (SENCos) that took place in 2008. The study examined the interactions that arose in the consultations with the SENCos and their staff. The findings that emerged from the application of Grounded Theory research methodology showed that the consultant, the SENCos and the children for whom they were responsible all felt on the edge of school life. SENCos and their staff were subject on a daily basis to powerful projections from children who were unable to tolerate difficult feelings and they were at risk of becoming identified with these feelings. The consultant in turn was the recipient of powerful projections from the SENCos. These complex dynamics of projective identification are examined in the study. The question of how SENCos and staff can better support children on the edge of exclusion with these unregulated feeling states is discussed. It is proposed that senior management teams and policy makers are essential in putting the SENCo role more at the centre of schools, both physically and in terms of how it is perceived. The need for access to a consultant who can help SENCos to understand and process extreme feelings is recommended as a way forward.     

Some thoughts on the concept of the internal parental couple

Some patients are incapable of engaging in a relationship with a partner on a long-term basis. To explain these relationship issues, they invoke reasons that have to do with external reality rather than with their own internal reality. The authors present several clinical examples that have given rise to an initial attempt at theorizing the concept of the internal couple: some patients fail to internalize a positive representation in which they can see themselves as part of a couple. Psychoanalysts tend to think of the father and mother (or their internal representatives) as separate entities, differentiated and complementary, and not in terms of a single object that brings them together as an internal couple. In the author’s view, an internal parental couple is also internalized by the infant under the guise of various internal objects. The internal parental couple thus appears as a complex construction that goes beyond the mere addition of father plus mother. Underneath their neurotic veneer, these patients have severely damaged representations of internal parents and of the internal parental couple. Unable to identify with a stable and procreative internal parental couple, they tend also to attack the psychoanalytic couple. Early distortions in the oedipal sphere may be one cause of the stumbling-block they encounter on the way to introjecting a well-attuned couple-as-object and the idea of parenting.     

From geometry to phenomenology

Richard Tieszen [Tieszen, R. (2005). Philosophy and Phenomenological Research, LXX(1), 153–173.] has argued that the group-theoretical approach to modern geometry can be seen as a realization of Edmund Husserl’s view of eidetic intuition. In support of Tieszen’s claim, the present article discusses Husserl’s approach to geometry in 1886–1902. Husserl’s first detailed discussion of the concept of group and invariants under transformations takes place in his notes on Hilbert’s Memoir Ueber die Grundlagen der Geometrie that Hilbert wrote during the winter 1901–1902. Husserl’s interest in the Memoir is a continuation of his long-standing concern about analytic geometry and in particular Riemann and Helmholtz’s approach to geometry. Husserl favored a non-metrical approach to geometry; thus the topological nature of Hilbert’s Memoir must have been intriguing to him. The task of phenomenology is to describe the givenness of this logos, hence Husserl needed to develop the notion of eidetic intuition. The author wishes to thank Academy of Finland for financial assistance that enabled her to work on this article.     

Dissimilarity cumulation theory in smoothly connected spaces

This is the third paper in the series introducing the Dissimilarity Cumulation theory and its main psychological application, Universal Fechnerian Scaling. The previously developed dissimilarity-based theory of path length is used to construct the notion of a smooth path, defined by the property that the ratio of the dissimilarity between its points to the length of the subtended fragment of the path tends to unity as the points get closer to each other. We consider a class of stimulus spaces in which for every path there is a series of piecewise smooth paths converging to it pointwise and in length; and a subclass of such spaces where any two sufficiently close points can be connected by a smooth “geodesic in the small”. These notions are used to construct a broadly understood Finslerian geometry of stimulus spaces representable by regions of Euclidean n-spaces. With an additional assumption of comeasurability in the small between the canonical psychometric increments of the first and second kind, this establishes a link between Universal Fechnerian Scaling and Multidimensional Fechnerian Scaling in Euclidean n-spaces. The latter was a starting point for our theoretical program generalizing Fechner’s idea that sensation magnitudes can be computed by integration of a local discriminability measure.     

Axiomatizing geometric constructions

In this survey paper, we present several results linking quantifier-free axiomatizations of various Euclidean and hyperbolic geometries in languages without relation symbols to geometric constructibility theorems. Several fragments of Euclidean and hyperbolic geometries turn out to be naturally occurring only when we ask for the universal theory of the standard plane (Euclidean or hyperbolic), that can be expressed in a certain language containing only operation symbols standing for certain geometric constructions.