“You touched my heart”: Modes of memory and psychoanalytic technique

Abstract

With the concept of procedural unconscious processes, contemporary psychoanalysis goes beyond Freud, who did not know of implicit memory and the resulting procedural relational dynamics. Today, lack of mentalization and symbolization is regarded as another mechanism besides repression constituting the psychodynamic unconscious. From that theoretical background, the manifestation of early pre-reflexive archaic experience can be conceptualized as procedural transference and handled in a way that takes care of the specific functioning inherent to the underlying archaic states of mind. Using material from the analysis of a narcissistic patient, the merging of episodic and procedural modes of transference and how this affected the psychoanalytic technique are demonstrated.     

Dramatology in life,disorder, and psychoanalytic therapy: A further contribution to interpersonal psychoanalysis

Abstract

Action and interaction, and emotion and thought as the inner wellsprings of action, play a central role in the lives of individuals, families, and society, spanning the continuum between everyday life and disorder. Until now, the narrative tradition has been the main methodology for portraying and formulating human action and interaction, and little has been written about the dramatic approach to life, disorder, and therapy. Since the essence of drama is action, dialogue, character, and emotion, it is time to give drama its due. The author proposes a methodological concept – dramatology – analogous to narratology, to highlight the dramatic method of investigating action and interaction in life, disorder, and therapy. Breuer and Freud presented both aspects of dramatology: dramatization in dream and fantasy, and dramatization in act, focusing on the person. This approach was elaborated by psychoanalysts with an interpersonal orientation, focusing on the person and speech as action. Dramatology is applied to exploring ongoing patient–therapist interactions as reality and as transference. Analyzing unconscious and latent dramatization in dream, fantasy, and enactment with free association is enhanced by utilizing clarification and confrontation, focusing on the manifest and mutually observable expressive form and style of actions and enactments, defenses and resistances, and the discharge and meaning of emotions. Dramatology puts forward a new paradigm for psychiatry, psychotherapy, and psychoanalysis.     

Coparenting Negotiation During the Transition to Parenthood: A Qualitative Study of Couples’ Experiences as New Parents

Abstract

Coparenting – how couples relate to one another in their joint roles as parents – is predictive of a wide variety of family and child outcomes. The current study used a qualitative, phenomenological approach to understand how couples negotiate the coparenting relationship during the transition to parenthood. The principal researcher interviewed 16 men and women of eight heterosexual, dual-earning, new parent couples. Themes emerged which were both conducive to successful coparenting and inhibitive of successful coparenting. Gender distinctions emerged between men and woman in their experiences of coparenting negotiation. Clinical implications of the themes are discussed.     

Processing biological gender and number information during Chinese pronoun resolution: ERP evidence for functional differentiation

There have been a number of behavioral and neural studies on the processing of syntactic gender and number agreement information, marked by different morpho-syntactic features during sentence comprehension. By using the event-related potential (ERP) technique, the present study investigated whether the processing of semantic gender information and the processing of notional number information can be differentiated and to what extent they might interact during Chinese pronoun resolution. The pronoun (with singular form in Experiment 1 and with plural form in Experiment 2) in a sentence matched its antecedent or mismatched it with respect to either biological gender or notional number or both. While the number mismatch elicited a P600 effect starting from 550 ms (for singular pronoun) or 400 ms (for plural pronoun) post-onset of the pronoun, the gender mismatch elicited an earlier (for singular) and larger (for both singular and plural) P600 effect. More importantly, the double mismatch produced a P600 effect identical to the effect elicited by the single gender mismatch. These results demonstrate that biological gender information and notional number information are processed differentially and have different processing priorities during Chinese pronoun resolution.     

Sandtray Play with Traumatized Children

Summary

The patterns of play in latency age males were examined to determine how play influenced by sexual abuse trauma differs from other types of traumatic play. Three groups of five boys each were assessed using sandtray play. The first were victims of sexual abuse, the second were being treated for chronic or terminal health conditions and the third had no known trauma. Although the number of subjects was small, the findings reflected distinct patterns in the groups examined including differences in the average number of figures used, organization in their trays, whether they were chosen deliberately or randomly, the central figure and the ability to find resolution.     

Transferences in parent–infant psychoanalytic treatments

In parent–infant treatments, babies sometimes exhibit symptoms such as screaming, clinging, and fearful gaze avoidance of the analyst. The paper investigates if such phenomena may be regarded as transference manifestations, and if so, if they appear both in younger and older infants. Based on three case presentations, it is concluded that some babies are capable of forming both brief and enduring transferences. The term “indirect infant transference” refers to when a baby reacts emotionally to the analyst as long as the parent's transference remains unresolved. “Direct transference” refers to when a baby reacts in a non‐mediated way to the analyst. The necessary tool of investigation for discovering these phenomena is a psychoanalytic method with an explicit, though not exclusive, focus on the baby. Discerning them in the clinical encounter may help us understand the baby's predicament and when and how to address the baby or the parent. These treatments constitute an empirical field awaiting more extensive clinical and theoretical investigation. Already now, they suggest that transference may be rooted in, and may appear during, very early developmental stages. The paper's positions are compared with those put forward by other parent‐infant clinicians.     

‘I am not crying. I am rubbing my eyes’: Annie and the hollow object

This article explores the relationship between the development of severe eczema and asthma in an eight-year-old girl and her difficulties with experiencing psychic pain and conflict. The author focuses on the transference dynamics that preceded and surrounded the psychosomatic reaction in the session. The observations in this case may explain why patients, despite feeling taken over by intense physical sensations, can display flatness and superficiality of affect giving the appearance that they are emotionally ‘hollow’. The author proposes that these patients experience an emotional sense of emptiness in themselves and in their objects that is the result of a very early defence of dissociation caused by overwhelming anxieties of annihilation that are lived out in and through the body. The appearance of a psychosomatic symptom during the session can follow the emergence of sudden and intense raw hostile feelings towards the primary object, accompanied by a sense of danger and profound anxiety, as the hated object is also desperately needed for the subject’s own physical/emotional survival. The analyst can contribute to triggering these episodes by failing to contain the patient’s projections, which may lead to the patient feeling forced to re-introject unprocessed and unbearable ‘psycho-physical’ emotions. This article discusses the different degrees – and forms – of symbolic functioning in connection to this girl’s experience of her eczema and asthma and their manifestation in the transference relationship to the therapist.     

The ‘frame’ as a container for the erotic transference – A case study

Abstract

This paper discusses various aspects of the psychotherapeutic frame, and explores the importance of maintaining the boundaries of the frame especially when an erotic transferential relationship is present. Many now agree that erotic transference and counter-transference occur in most therapeutic relationships, and yet it is something that therapists often struggle to work with effectively. The author acknowledges her own difficulties in working with erotic transferences and demonstrates why the adherence to the frame is especially significant in these circumstances. A case study is used to illustrate the difficulties of working with the erotic transference within the constructs of a frame and short-term therapy, and how the author's own counter-transference affected the therapy as well as how this was dealt with in supervision.