The envious will to power

Envy, from Klein's perspective, is an inherent hatred of goodness that seeks to destroy love, creativity, and life itself. Devoid of constructive value, envy becomes an evil to be restrained or renounced, rather than a potential to be understood or developed. Confusion with evil can be avoided if envy is seen as a defence against the impact of 'otherness' and the greatness of 'others' rather than an inherent hatred of goodness. From this perspective envy emerges as a desperate attempt to preserve one's unique sense of self against the terror of non-being.     

Chronic fatigue syndrome/myalgicencephalomyelitis as a twentieth-century disease: analytic challenges

The challenges of chronic fatigue syndrome (often called myalgic encephalomyelitis, especially in the UK) (CFS/ME) to analytical and medical approaches are connected with our inability to understand its distressing somatic symptoms in terms of a single identifiable and understandable disease entity. The evidence for the roles of viral aetiologies remains inconclusive, as does our understanding of the involvement of the immune system. The history and social context of CFS/ME, and its relation to neurasthenia and psychasthenia are sketched. A symbolic attitude to the condition may need to be rooted in an awareness of psychoid levels of operation, and the expression and spread of CFS/ME may sometimes be aided by the ravages of projective identification. Psychic denial, sometimes violent, in sufferers (especially children and adolescents) and their families may be important in the aetiology of CFS/ME. We draw out common threads from psychodynamic work with five cases, four showing some symptomatic improvement, analytic discussions of three cases being presented elsewhere in this issue of JAP.     

An empirical look at the Defence Mechanism Test (DMT) Stimulus effects

Based on a sample of non-clinical subjects (N=74) the study examines the Defence Mechanism Test (DMT) by focusing on when perceptual distortions, called ‘signs of defence’ in DMT terminology, occur (distribution in exposure duration), which part of the picture is involved (distribution in localisation), and which ‘signs’ go together (using correlation and factor analyses). The results disclosed that the occurrence of perceptual distortions (‘signs of defence’) was related to exposure duration (some ‘defences’ are more frequent at brief exposures, some others at longer exposure durations), and to localisation on the picture. The location of misperceptions to the central person (hero) or the peripheral person (pp) of the picture was the major explanatory principle for the distribution of ‘signs’ on factors. Rather than capturing psychodynamic defence mechanisms, which is the theoretical basis of the test, the analyses imply that the DMT seems to measure misperceptions which are a function of the localisation of persons on the stimulus picture and of exposure durations.     

In defence of the criticism of the Defence Mechanism Test (DMT): A reply to Kragh (1998)

Kragh ( Scandinavian Journal of Psychology , 1998, 39, 123–124) criticises a recent empirical study of the Defence Mechanism Test (DMT) conducted by the present authors (Zuber & Ekehammar, 1997) concerning methodological and other shortcomings. The present paper reviews and responds to Kragh's critical points. As to the most serious criticism, the methodological, the main conclusion is that Kragh's own published empirical studies of the DMT, and also those of other researchers, can be criticised along similar lines. Furthermore, and surprisingly, in contrast to our study, Kragh's main DMT studies do not employ the DMT picture(s) at all.     

A note on keats' generalization of the rasch model

An alternative derivation is given for a simple test model which incorporates anability parameter for the subject anddifficulty level andguessing parameters for the problem. The probability of a correct response to the problem is a projective transformation of the problem difficulty. The ability and difficulty parameters separate into additive components.     

The art of the tincture: analytical supervision

Using the alchemical metaphor, effective supervision can be seen as an excellent example of the tincture: a little goes a long way. This paper offers a model of the dynamics in analytical supervision: a mirroring of the professional-self of the supervisee, the opportunity to learn through empirical factual knowledge, and, most importantly, experiential, interactive and dynamic learning. The container of supervision will be amplified using an image of the triple vessel of alchemy. The materia of supervision is discussed as 'amalgams' of complex related material. The supervisory field is seen in a triadic intersubjective and interimaginal manner. Jung's diagram of all the possible conscious and unconscious connections between patient and therapist is expanded to include the supervisory situation. Moving beyond projective identification as explanatory process, the concept of the mundus imaginalis is used as the medium for this triadic structure. The 'analytic third' expands to include the 'supervisory fourth' while incorporating the supervisor's imaginings of the patient as the quintessential experience of the imaginal other. The supervisor's attitude and state of mind are seen through the paradigm of active imagination. This state of mind is called supervisory reverie.     

Working with psychosis Part 4: Therapy online – ending by email

This is the fourth and concluding paper from a series about psychotherapy with a man suffering from a psychotic illness. The paper describes the ending of the therapy which was precipitated by my decision to leave the country. News of ending was extremely disturbing for my client and stirred fears that he would again break down and need re-admission to hospital. Six weeks before the ending he stopped attending but continued to stay in contact by email. I decided to reply to his emails during the session times, and we developed what he came to call his ‘email therapy’. This online technology provided a means for my client and me to separate, to find a third perspective and to begin to mourn this ending without him losing his mind and breaking down. Following James Fisher's ideas about ‘mourning in the presence of the loved object’ I understand aspects of this email ending as enabling a relinquishing of projective identification used to possess and control, a recognition of the freedom of the other and of the need to mourn omnipotence. I discuss some of the problems presented by premature ending with a vulnerable client – problems which can be seen in my difficulty of mourning and working through the ending reflected in the long time it has taken to finish writing this paper.     

The Meaningfulness of Helping Others: Loren Eiseley's “The Star Thrower”

Freud and Klein describe projective processes—projection, projective identification, and the repetition compulsion—that cause interpersonal distortions not only in the psychotherapy relationship but in adult intimate relationships as well. Winnicott's theory of the use of an object describes a way of relating that is free of the distortions of projection, opening up the possibility of differentiation between intimate partners. Two case examples illustrate how addressing projective processes assisted one patient in extricating herself from a psychologically abusive relationship and helped a couple in treatment to move from object relating to object use. It is argued that the use of these psychoanalytic theories has an important role within a modern relational social work practice.     

“A Failure of Curiosity”

ABSTRACT

This essay discusses the clinician's defense against and resolution of the experience of boredom in the countertransference as an incident of projective identification in the treatment of a woman with dissociative identity disorder. The essay details the inner mind of the therapist as she discovers both her own feelings and judgements of those feelings. As the essay progresses, she begins to grasp the significance of her discomfort in informing the therapeutic process. We watch as this material is made use of to move forward a stalled therapy into new territory.     

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.