Bodily states of anxiety: the movement from somatic states to thought

My paper attempts to stimulate thought about the relationship between physical and mental 'states of anxiety' by looking at some experiences in the consulting room, particularly at those moments when shifts from predominantly somatic to predominantly psychic forms of representation appeared to be taking place. These experiences are considered in conjunction with some of the ideas of Jung, Fordham, Bion, Winnicott, Meltzer and others relevant to the body-mind question. I conclude with some imaginative speculations.     

Converting a Freudian analysis into a Jungian one: obsession,addiction, and an answer from Job

In his analyses of obsessional patients, Sigmund Freud suggested that they suffered from intrusive cognitions and compulsive activities. Early psychoanalysts delineated the phenomenology of obsessionality, but did not differentiate what is currently termed obsessive‐compulsive disorder from obsessional personality. However, it was widely recognized that the success of psychoanalysis with obsessional patients was limited due to rigid characterological defences and transference resistances. The present paper examines the case of a middle‐aged obsessional academic who had been treated for nearly twenty years in a ‘classical' Freudian psychoanalysis prior to entering Jungian analysis. It examines how persistent focus on Oedipal conflicts undesirably reinforced the transference resistance in this obsessional man, and suggests that focusing instead on diminishing the harshness of the super‐ego via the therapeutic alliance, and fostering faith in the salutary aspects of unconscious processing has led to salutary results in this case. The biblical book of Job is adopted as ancient instruction in how to address the scrupulosity and addictive mental structuring of obsessionality in analysis.     

Reflections on the early stages of the Oedipus complex: The parental couple in relation to psychoanalytic work

The author refers to the parental couple as it appears in relation to the Oedipus complex at the various levels of development and psychical maturation. A 'pathological' Oedipus situation is differentiated from a 'normal' one. Accordingly the author distinguishes the primitive Oedipal fantasies about the parental couple represented in the myth by the parents of Thebes and the parents of Corinth (and the influence that these can have on the psychoanalytic work), from a couple who have reached truly creative functioning. Furthermore, it is pointed out how elements are activated in the therapist's mind: emotional qualities of a feminine maternal and masculine paternal kind that either collaborate in containing and promoting the psychoanalytic process and psychic development of the patient or else fail in this task.     

Book reviews

D. E. M. Gardner: Susan Isaacs: A First Biography. Methuen Educational Ltd., 1972. Price £1.50.

Marion Milner: On Not Being Able to Paint. Heinemann Educational Books Ltd., London, 1971. Price 90p

Paul Nordoff and Clive Robbins: Therapy in Music for Handicapped Children, with a foreword by Benjamin Britten. Victor Gollancz, London, 1971. Price £1.80.

The Mental Health Book Review Index: an Annual Bibliography of Books and Book Reviews in the Behavioural Sciences, Vol. 17, 1972, XXVI. Price $10.00. Published by the Council on Research in Bibliography, Inc., c/o Research Center for Mental Health, New York University, New York, N.Y. 10003. (Address orders to: Mental Health Book Review Index, c/o Paul Klapper Library, Queens College of the City University of New York, Flushing, New York 11367, U.S.A.)     

A pre-suicide state in an adolescent female 1

Abstract

During a pre-suicide state, the enactment of a suicide fantasy is the motive force. The nature and function of a suicide fantasy is explored in this paper in the context of the impact of puberty on the female body image and against the background of the pre-Oedipal and Oedipal father's relationship with his daughter. Case material from the analysis of an adolescent girl is presented to illustrate the crucial role of the father, in the transference, prior to a suicide attempt.

La force motrice qui sous-tend l'état pré-suicidaire est la mise en acte d'un fantasme suicidaire. Cet article explore la nature et la fonction du fantasme suicidaire dans le contexte de l'impact, chez une adolescente, de la puberté sur son image du corps avec, en toile de fond, la relation que le père, pré?dipien et ?dipien, entretient avec sa fille. Un matériel clinique extrait de l'analyse d'une adolescente est présentée afin d'illustrer le rôle crucial du père au sein du transfert avant la tentative de suicide.

Mots-clés: État pré-suicidaire, fantasme suicidaire, puberté et image du corps chez la fille, père pré?dipien et ?dipien, transfert, contre-transfert

Riassunto: Durante lo stato pre-suicidio, il motivo forza è la messa in atto di una fantasia di suicidio. Nell'articolo viene esplorata la natura e la funzione della fantasia di suicidio considerando l'impatto della pubertà sull'immagine del corpo femminile e sullo sfondo di una relazione pre-edipica ed edipica del padre con sua figlia. Viene presentato il materiale dall'analisi di una adolescente per illustrare il ruolo cruciale del padre, nel transfert, precedente al tentato suicidio.

Parole chiave: stato pre-suicidio, fantasia di suicidio, immagine corporale femminile e della pubertà, padre pre-edipico ed edipico, transfert, contro-transfert

Während eines prä-suiziden Zustands, ist das Ausagieren einer Suizidphantasie die motivierende Kraft. Die Eigenschaft und Funktion einer Suizidphantasie wird in diesem Artikel im Zusammenhang mit dem Einfluss der Pubertät auf das weibliche Körperbild und mit dem Hintergrund der prä-ödiplaen und ödipalen Beziehung des Vaters zu seiner Tochter exploriert. Es wird Fallmaterial aus der Analyse eines adoleszenten Mädchens vorgestellt, um die wichtige Rolle des Vaters in der Übertragung vor einem Suizidversuch zu illustrieren.

Keywords: Prä-suizider Zustand, Suizidphantasie, Pubertät und das weibliche Körperbild, prä-ödiplaer und ödipaler Vater, Übertragung, Gegenübertragung     

Architecture and psychoanalysis. Nathaniel Kahn and the search for the father

Abstract

This text is intended as a contribution to the study of the profound mutual relations between architecture and psychoanalysis. Architecture creates representations that conceal unconscious forms of thought; psychoanalysis helps to explain the meanings of these representations – forms of construction and forms of the psyche. The multifaceted work of psychoanalyst Christopher Bollas – his thoughts on the relationships between psychoanalysis and architecture, on the vitality of objects, on the creative implications of the Oedipal relationship – serves as a critical and decisive instrument for the authors’ inquiry. The issue of the “vitality of objects” as described by Bollas also concerns – but only in part – the architectural “object.” One modern form of architecture with an inordinate capacity empathy has to be Louis Kahn’s. Kahn’s youngest son , Nathaniel, lost his father when he was still a child and hardly had a chance to get to know him. After becoming an adult and an established film-maker, he managed to recover his father in two ways: by discovering him in his works, with their powerful affective impact; and by drawing from those very works of his father to enhance his own creative process in his filmic art. As it turns out, it is this very process that has allowed for an emblematically positive resolution of the Oedipal relationship.     

Transference and countertransference issues with sexually abused clients

Abstract

This paper explores some of the therapeutic issues which arise when working with sexually abused clients. It is suggested that both the client and the therapist may at moments take any of the three positions in the Oedipal triangle and that the mother, father and child status are interchangeable in the transference and counter-transference. It is also suggested that the Oedipus myth represents the failure of a family to contain sexual and murderous passions. I describe a Hindu myth which takes a similar triangle of passion but illustrates how containment is possible. It is proposed that this implies we need to re-evaluate the presence of the erotic in therapy in a more positive light. It is further suggested that the sexually abused client needs to experience the containment of passion if a healing process is to occur.     

Comment on 'the case of Melanie' by Joseph Cambray

The discussion comments firstly on the role of synchronicity which seems so natural and significant for Jungians but which Freudians would think no more than interesting coincidences. This gives an idea of how different the two schools' approach to the psyche can be. Some theoretical elaboration is made regarding archetypes and primal phantasies: primal phantasies are much related to sexuality, but sexuality understood as intimately linked to the great mysteries of life. The discussion of the clinical work shows more similarities than differences. This suggests that for both perspectives the clinical is sovereign. As we know, respect and care for the patient's evolution, true concern for the patient and skilful use of technique remain the most important indicators of successful therapeutic work in the different psychotherapeutic approaches.     

La traviata and Oedipus

This paper explores the oedipal themes of Verdi's La Traviata, and proposes that it is his masterly treatment of their complexity which accounts for the psychological power of the opera. It is suggested that a particular quality of this opera lies in its ordinariness: no gross psychopathology is displayed, and yet it is mesmerizing. The claims of the eminent musicologist Joseph Kerman are explored that, in opera, music trumps words when there is a conflict between the apparent meanings of the libretto and the feel of the music, with special reference to the famous duet between Violetta (the ‘fallen woman’ – the traviata) – and her lover's father, Giorgio Germont, in which his harsh condemnation of her as conveyed by the libretto text seems to be softened, indeed quite altered, by the music. Other contradictions between the apparently explicit meaning of the text and the implicit sense of the music are also examined. These conflicts are illuminated by John Steiner's theory of two versions of the Oedipus situation, one paranoid–schizoid and the other depressive, which are contrasted with Grunberger's Oedipal views.