Not “Filed Away as Finally Dealt With”

This essay considers some historical, clinical, and personal dimensions of Sandor Ferenczi's contributions to psychoanalysis. It uses a clinical framework to develop a new perspective of the Freud–Ferenczi relation (and of its impact on the development of psychoanalysis), which despite smoldering conflict, persisted for twenty-five years and was Freud's longest-lasting intimate friendship. A case is made for the open, undefensive, experience-drenched basis of Ferenczi's work to assure its continuing usefulness to the psychoanalyst of today, which, as is demonstrated, can lead in surprising directions.     

A dialogue of unconsciouses. A contribution to the panel 'Jung and Ferenczi--the emergent conversation'

I want to explore the notion of 'mutual introjection, the developmental essence of an autobiographical dialogue', an idea that has recently crystallized in the continuing collaborative work of Gershon J. Molad of Israel and myself concerning the autobiographical contribution to the dialogue between analysis (Molad & Vida 2002). One of the sources of this crystallization is the experience of my consultative relationship with a Jungian colleague, who, after reading some of this collaborative work, paraphrased Jung's implication that if, in the course of treatment, the doctor is not as transformed as the patient, nothing has happened (1946). In this paper, I want to breathe some life into these theoretical-sounding words: 'mutual introjection, the developmental essence of an autobiographical dialogue'.     

Ferenczi's "Teratoma": A Result,not a Process

In Martin Stanton's 1990 monograph Sandor Ferenczi: Reconsidering Active Intervention , one of six exegetical chapters was titled "Teratoma", using Ferenczi's own word for malformations of (psychic) development. Since then, there has been a tendency in the larger Ferenczi literature to use "teratoma" as a metaphor, leading to the creation of many odd readings and contexts for this very specific, medical, anatomic term. When Stanton becomes expansive in viewing the teratoma as a "transitional object" which "negotiates a relationship between the growth of ideal-ego ideas in oneself and the outside 'influence' of inner systems of thought" (p. 176), he is entering the play-space that opened between Ferenczi and Groddeck during the 20s as Ferenczi's relationship with Freud became increasingly constricted. What this misses is that Ferenczi was a physician, as was Groddeck. For all their fanciful explorations of mind and body relatedness, for both Ferenczi and Groddeck there would be a shared background of certain basic terminology. In that medical terminology, "teratoma" refers to variable numbers of primordial germ cells in the embryo, which in the course of development become displaced, sequestered and grotesquely overgrown; they can never become the tissues they were meant to be. Their potential is forever squandered. "Monsters" they may be; "doubles" they may seem; but they are utterly non-viable. In his metaphorical application of the term "teratoma" to the natural history of (psychic) trauma, Ferenczi proposes a biological and psychological isomorphism that is both clinically illuminating and intuitively prophetic of the course of treatment of trauma, which he was discovering. Clinical and literary material are used to explore the gap between the anatomic teratoma and the psychic teratoma.     

Encounters with the Irrational: My Story by André E. Haynal,with an interview by Judit Mészáros,International Psychoanalytic Books,New York, 2017, 173pp.

The American Journal of Psychoanalysis -     

Influence of affective distractors on working memory capacity in relation to symptoms of posttraumatic stress disorder

Symptoms evoked in individuals with posttraumatic stress disorder (PTSD) when processing trauma‐relevant material arguably impair higher order cognitive functions. An example is working memory capacity (WMC), which has been shown to be disrupted by affective distractors. However, it is unknown whether this association varies across different types of PTSD symptoms. This study explored the association between WMC performed in affective (relative to neutral) contexts in relation to different symptoms of PTSD (avoidance, re‐experiencing, hyperarousal). Motor vehicle accident survivors with PTSD and without PTSD completed a delayed‐match‐to‐sample task including trauma‐related, neutral, and scrambled distractors in the interval between the presentation of the memoranda and the recognition target. The results showed that there was support for an indirect pathway between PTSD diagnosis and WMC performed in affective (versus neutral) contexts through re‐experiencing and avoidance symptoms. The findings suggest that avoidance symptoms in particular may benefit from interventions directed at improving WMC.     

The center of gravity

In As far as possible: discovering our limits and finding ourselves (Barish and Vida, 1998), we struggled with the constraints of being two nice girls in the context of our individual professional identities as traditionally trained psychoanalysts. We were surprised to discover, through sharing with one another some painful, confusing, and even terrifying clinical experiences, how wedded we were to certain psychoanalytic conventions. It was not a pleasant discovery. What we had to face was the extent of our submissiveness to psychoanalytic theory, and of the cost to our authentic selves of that submissiveness. This daughter-paper is about our learning not to do what we were supposed to do. Its gestation has taken a form that we could not have anticipated, for, as we pursued the writing of this sequel, we seemed to get lost along the way. After working with this over a very long time, we can see now that the paper that was ultimately born, this paper, has functioned as a vehicle for us to experience ourselves in relation in an uncertain, mingling way, conscious and unconscious, trying not to be self-conscious and not defensive. This, we can also see, is how we approach the center of gravity, where our irreducible and irreconcilable tendencies are struggling to maintain a balance. And even more to the point, this paper is also a demonstration, a look at what developmental transformation is really like, the process to which we all give lip service, but hardly any of us ever pays attention to it in our real lives, and if we do, we never, never talk about it.     

False memory,attentional bias and future thinking among people living with HIV with posttraumatic stress disorder

People living with HIV can experience posttraumatic stress disorder (PTSD). Complex relationships exist between HIV, PTSD and cognitive impairments. This cross-sectional study compared three cognitive impairments (false memory, attentional bias, deficits in future thinking) among people living with HIV with and without PTSD in Iran. People living with HIV with PTSD (n = 20) and without PTSD (n = 20) completed measures of psychological symptomatology, dot-probe task, Deese Roediger McDermott paradigm and future thinking task at Razavi Khorasan Health Center. The PTSD group, when compared to the non-PTSD group, recognised a significantly greater number of false memories (p < .001; η² = .58), had an attentional bias toward threat-related words (p < .001; η² = .35) and imagined fewer specific future events (p < .001; η² = .31). People living with HIV with PTSD may have difficulties with false memory, attentional biases, and generating future events. Since psychological treatments are limited in Iran, this research highlighted some potential cognitive targets for people living with HIV.