The other other: when the exotic other subjugates the familiar other

In this paper, the theme of the other will be examined and it will be argued that it is important to differentiate between two distinct types of other--the 'exotic' other which is distant and very different from the subject, and the 'familiar' other which is closer to the subject. The dynamic relationship between these two others will be investigated, and emphasis will be given to the process through which the exotic other tends to subjugate the familiar other. This relationship will then be discussed in its various applied forms, in the contexts of clinical practice and socio-political dimensions. In particular, a new reading of Jung's approach to the 'primitive' will be developed, based on the subjugation of the 'familiar' other by the 'exotic' other. A similar line of investigation will be followed to examine the concept of psychological trauma. In addition, Freud's 'narcissism of minor differences' and Bion's distinction between 'narcissism' and 'socialism' will be considered in the light of this differentiation between these two others.     

Balint After Lacan ... and After

This paper examines Balint and Lacan's views about regression and symbolism, language, and transference. The author points out their similarities, their differences, and then proposes a synthesis through his approach of history, genealogy, trauma, and crisis. Freud's notions of masochism, of fixation (innate or phylogenetic) may thus be renewed, leading to the analyst's capacity to cope with deep regression and borderline (Balint) psychosis and perversion (Lacan) or to psychosomatics, including epilepsy.     

The Violation of Inner and Outer Boundaries in Political Persecution

One of the consequences of persecution for the individual is the experienced confusion of inner and outer worlds. With the help of a broadened concept of the transitional space, derived from Winnicott, we could understand the various psychological consequences of structural physical violence. The violation of the transitional space during physical violence can result in a transformation to an inorganic state, an introjection or incorporation of the bad object into the self, intrusive re-experiencing and shattered assumptions often seen long after psychotrauma. In this article a broadened and elaborated concept of transitional space is described. Therefore, several theoretical concepts, such as inner and outer world are discussed and defined which makes it possible to put them into practice of psychotherapy and research. An example is given of a documented case of imprisonment under extreme conditions in which the prisoners were able to build up a common transitional space in order to survive. In this case, the transitional space is not an aid for the passage from one developmental phase to another, but instead a way of keeping open the connection between the psychic inner world, the world of the prison and the free world outside the prison walls. It is suggested to extend the concept of the transitional space to this meaning.     

Scharffs' Application of Hopper's Concept: “Incohesion: Aggregation/Massification”

We begin by stating our understanding of the concepts presented in Hopper's paper, then comment on the clinical illustration, and conclude by describing two group situations in which we have applied the concepts we have taken from Hopper's paper. Hopper's fourth basic assumption applies to our work as individual psychoanalysts, family therapists, and group leaders because it integrates psychoanalytic and social understanding. We demonstrate how and why we find Hopper's idea to be a useful advance.     

Joseph and His Brothers: A Biblical Paradigm for the Optimal Handling of Traumatic Stress

The long-lasting effects of emotional trauma and the important role of unconscious emotional defenses have become increasingly recognized only in the past century. Yet their role is actually manifest, although still overlooked, in one of the most well-known of biblical stories. This paper presents the story of Joseph and his brothers, and the important lessons it teaches about unconscious defenses and the optimal handling of emotional trauma.     

Children's Testimony: A Review of Research on Memory for Past Experiences

This review of children's testimony focuses on research related to memory for past experiences. The aspects of the memory system that are involved in testimony are discussed and the development of autobiographical memory is examined. Relevant research findings are summarized in the context of an information-processing model of memory and the implications of this work for clinical practice are outlined. We conclude that (1) under certain conditions, even very young children can remember and report past experiences with some accuracy over very long periods of time; (2) substantial and significant developmental differences have been demonstrated in children's abilities to provide eyewitness testimony; (3) children can be influenced in a variety of ways to provide complete and elaborated reports of events that never occurred; and (4) even experts cannot always tell the difference between true and false reports.     

The Understanding and Treatment of Immigrant Trauma Survivors: Finding the Right Mix

This paper reviews attempts by three authors to describe psychoanalytic conceptualizations and treatment of torture victims. It argues that because the transference-countertransference configuration with immigrants who have not suffered torture is very similar to that of torture survivors, that no special diagnostic categories, theories, or treatment methods are needed to work with torture survivors. Second, the paper contends that newer psychoanalytic paradigms such as Hoffman's Social Constructivism may assist clinicians to capture the richness and complexity of clinical work with torture survivors better than do traditional analytic conceptions such as neutrality. Via an analysis of the three papers in this volume, I conclude with a consideration of the strengths and the weaknesses of the field of cross-cultural psychotherapy in general.     

A Witness Breaks His Silence: The Meaning of a Therapist's Response to an Adolescent's Self-Destruction

I describe the case of a self-mutilating adolescent girl and my dilemma, as her therapist, about telling her parents about her self-abuse. I use two complementary, mutually enhancing relational theories of trauma—Ferenczi's (1933) and Davies and Frawley's (1994)—to help understand the minefield I was in. Davies and Frawley describe certain relational configurations that are typical of trauma victims. I believe that it is not only unavoidable but therapeutically vital for therapists to participate in these configurations so they can know the patient's experience in a personal way. It is also crucial that they be witnesses who provide recognition for the patient's pain and, in so doing, relieve the intolerable feeling of isolation that Ferenczi proposed was the most basic trauma. In addition, I discuss the observation that some people who have not been previously traumatized in any gross way manifest characteristics of trauma.     

Introduction

Cognitive behavioral therapy evolved from systematic studies testing learning theories. This research led to the development of effective treatment approaches for a variety of disorders. In more recent years we have moved away from relying on experimental psychopathology studies to directly inform our treatment approaches. This paper describes why the alienation from experimental psychopathology studies is detrimental to the advancement of treatment approaches. Examples of how systematic research can be conducted to address questions regarding treatment mechanisms and moderators are provided. Drawing on experimental psychopathology research can also lead to a better understanding of core processes of psychopathology, which in turn can lead to transdiagnostic treatment approaches.