Preconscious defence analysis, memory and structural change

Beginning with the ways in which the use of the couch lends 'depth to the surface' (Erikson, 1954), I explore the topography of the inter - and intra subjective psychoanalytic situation and process. I suggest that defences are not by definition unconscious but rather can be observed operating at conscious and preconscious levels, particularly under these conditions. A focus on preconscious disavowal provides a window on what has become unconscious repression. As a result of eliciting and then verbalising the operation of such defences with regard to anxieties in the here-and-now transference, declarative memories of increasingly specific childhood fantasies and events begin to hold sway over unmanageable procedural remnants from the analysand's past. With this may even come the possibility of neuronal regeneration, the more generalisable enhancement of declarative and symbolic functions and the sense of identity with which these are associated. Herein may lie one enduring therapeutic effect of the 'talking cure' - putting feelings into words - as one among a variety of psychotherapeutic modalities.     

Reflections on trauma,symbolization and psychic pain in a case of neurosis and a case of psychosis

This paper seeks to advance some considerations on trauma, historical reality, its symbolization and the psychic pain generated by the investigation of unconscious processes in psychoanalytic treatment. These themes will be explored by demonstrating the differences arising between traumatic experiences and their expression in phantasy, as they occurred in a case of neurosis and another of psychosis. In each case, the differences in the features of the symbolization and the processes of working through shall also be taken into consideration. Particular attention shall be paid to the specific difficulties encountered by the analyst in the interpretative treatment of the trauma resulting from the amount of psychic pain induced in the patient, which at times proves to be an insurmountable barrier and a destructive distortion of the process.     

The so‐called death drive,an indispensable force for any subjective life

The psychoanalytic movement has difficulty in overcoming the malaise bequeathed by what Freud wanted to call the ‘death drive’. This term remains doubly problematic: first because the indispensable antagonist of Eros‐binding cannot be reduced to a particular drive; and secondly because this Anteros plays a vital role in subjectivization. The Freudian idea of the ‘death drive’ has in addition the drawback of confusing dissociative thrust (unbinding) with the aggressive component of libidinal cathexis. Now it is precisely the lack of articulation between them that leads to deconstructing it. For it is constantly observed that in the psychic register aggression is much more fixing than unbinding. The essential role of Anteros/unbinding in the process of subjectivization can be illustrated through several key operations in subjective development: sublimatory activity and its renunciation of pleasure‐discharge, the work of mourning opposed to melancholic fixation, the intricating‐unbinding parental function, and finally the psychoanalytic treatment and its work of analysis. This means we should cease to anathematize the dynamic component of unbinding as ‘of death’ and seek to explain the concept of subjectivization better.     

Thinking extreme social violence: The model of the literary plague

The author uses literary plagues as a model for thinking psychoanalytically about the basic anxieties activated among perpetrators of sanctioned massacres. The model of the plague allows abstracting an underlying primitive psychological organization characterized by syncretism and a powerful anxiety of de-differentiation and confusion, leading characteristically to imitative behavior within the in-group as well as to the disavowal of the out-group members similarities to oneself, i.e. the disavowal of the other's humanity. Recognizing the historical and social foundations of discrimination and genocide, the author analyzes the interaction between group and individual processes that allow ordinary people to join daily acts of immoral violence. She dramatizes the model of the plague through a psychoanalytic reading of three literary plagues: Thebes' plague according to Sophocles, Camus's chronicle of the plague in Oran, and Saramago's meditation on the plague of white blindness.     

Thought processes,Loneliness and Anxiety. Experimental and psychoanalytical investigations into creative thinking

The author questions whether Kernberg's suggestion that the interaction between splitting and other defence mechanisms—such as primitive idealization, omnipotence, devaluation and denial [disavowal]—gives an adequate psychodynamic explanation of borderline personality structures. The author shows that the assumption of a splitting mechanism provokes contradictions and that primitive idealization, omnipotence, devaluation and disavowal cannot be seen as genuine defence mechanisms. He argues that primitive idealization is a type of reaction formation and that the omnipotence of these patients can be put down to identification with the idealized ego-functions of their objects. He also maintains that the clinical phenomena can be understood as the outcome of a combination of an “equiparant” and “disequiparant” isolation, displacement, projection and primitive idealization, making the concept of splitting as an explanatory device superfluous.     

THE ANALYST'S HATRED OF ANALYSIS

Analytic work is loved and hated. Both attitudes deserve scrutiny, but the analyst's hatred of analysis, which transcends countertransference responses to individual patients, represents an impediment to gratifying analytic work whose recognition and conceptualization has been resisted. The author suggests that antipathy among analysts toward analysis and the analytic situation is normative and expectable, yet commonly experienced as shameful. He speculates that it is sometimes disavowed and projected. Training institutes might inadvertently foster this sense of shame rather than promote its working through. The recognition that analytic identity functions as both a loving and a persecutory internal object has implications for psychoanalytic education and practice.     

Unravelling the riddle of exhibitionism: a lesson in the power tactics of perverse interpersonal relationships

Through an examination of the varied paradoxes embedded within the phenomenon of genital exhibitionism, the author establishes exhibitionism as a paradigm for interpersonal relations whereby one individual entices another to lose himself, to a benign or dangerous degree, in a presented portrayal/enactment. Efforts to entice that cause an extreme loss of the subject's sense of self--making it exceedingly hard to break free of--are designed to render the subject powerless and take psychic possession of him. The perpetrator accomplishes this feat by interacting with his victim in ways capable of producing a sudden and profound regression with sufficient loss of autonomous ego functioning that the subject finds it hard, if not impossible, to act on his own behalf. The essential feature of the perpetrator's efforts is his violation of the unspoken but understood rules of interpersonal engagement that, when violated, cause extreme disorientation and a loss of trust in one's most basic assumptions about how humans treat one another. When this happens, we would describe the interaction as having been perverted to serve the exclusive needs of the predator--to gain as complete control over the other as possible.     

Psychoanalytical teamwork in a day hospital: Revisiting some preconditions for patients' subjective appropriation

Psychoanalytical 'teamwork' may be recommended for dealing with a particular kind of transference that characteristically occurs during the institutional treatment of young patients presenting psychotic or behavioural symptoms. In such cases, the degree of alienation is such that repetition is usually induced in other people (the therapists), fi lling in for fantasy construction that seems to be lacking in the patient's psyche. A case like that of 'Angel' can give some idea of this phenomenon, wherein several caregivers have to harbour fragmented and incompatible elements of the case's particular history, which are in need of more mental representation. Any subjective restitution and appropriation of these elements by the patient would require a sort of detour (often a trying one!) by way of the psychical space of caregivers whose initial task will be to 'work it through' among themselves.     

Intersecting heterologies

The author proposes that it has largely been underestimated that the therapeutic community is placed within two discourses – that of therapy and that of community – and has almost exclusively focused on the first. In so doing, it has been restricted within a medical or pseudo-medical conceptual framework. In an appeal to re-frame the discussion about the therapeutic community in relation to its forgotten discourse reference is principally made to the work of the French psychoanalyst Jacques Lacan and to two of his sources – Heidegger and Socrates – and more specifically to Lacan’s notion of lack which is contrasted to modernity’s trope of expectation which corresponds to the Imaginary phallus.