Narcissistic configurations: Violence and its absence in treatment

'On narcissism: An introduction' constitutes a turning point in psychoanalysis. Although narcissism is a concept which has not been explicitly referred to by many important thinkers for decades, it could be said that there is no paper written in psychoanalysis since Freud that does not implicitly take into account the modifi cations in thinking that the work brought about. In this paper, the author contrasts two types of narcissistic confi gurations: in the fi rst, the intolerance of the other is dealt with by expulsion and violence; in the second, by withdrawal. The author contrasts patients who express manifest violent behaviour with patients for whom the violent behaviour is absent but who, nevertheless, present similar background histories, which might have led to a prediction of violence. They are also profoundly different in terms of what they provoke in the countertransference. In addition, this paper argues that the treatment of narcissistic personalities has allowed in recent years the understanding of a modality of depression. Following Green, the author argues that, instead of a fruitless debate that involves evolutionary issues around the concept of narcissism, it is necessary to distinguish the narcissistic aspect in any analytic relationship, to identify the narcissistic transference in different types of psychopathologies.     

Immune disorders and handedness in dyslexic boys and their relatives

Thirty dyslexic and 30 control boys aged 7–11 years were compared for frequency of immune disorders and handedness as well as for family history of immune disorders and learning disabilities (dyslexia and stuttering). They were also compared for neurological status and for history of speech and language difficulties. There were no significant differences between the two groups in the frequency of immune disorders and in handedness. The results showed significantly more dyslexic boys with soft neurological signs and signs of speech and language disorders. The frequency of dyslexia was significantly higher in the relatives of the dyslexic boys. Also significantly more mothers of the dyslexic boys reported difficulties during pregnancy and complications at delivery. The results are discussed in terms of Geschwind's hypothesis and neuromaturational delay as possible determinants of developmental dyslexia.     

PATERNAL FUNCTION AND THIRDNESS IN PSYCHOANALYSIS AND LEGEND: HAS THE FUTURE BEEN FORETOLD?

This paper examines the Akedah, the biblical narrative of the Binding of Isaac, and suggests that this story may be interpreted as inaugurating paternal function and thirdness. It marks the passage from the narcissistic father to the symbolic, dead father, and the institution of the Law that forbids all killings, opening up the succession of the generations. The author suggests that time is an essential element in establishing thirdness, creating a link between the here and now and the there and then in the après coup of the psychoanalytic process. The author also briefly reviews the psychoanalytic literature on thirdness and indicates this paper's contribution to it.