The multiple meanings of secondary gain

The historical development of the concept of secondary gain is described in this article. Freud introduced this concept as a complement to primary gain. Freud modified the scope of both concepts during his career, but they remained within the boundary of an intrapsychological mechanism. Outside psychoanalysis, the concept of secondary gain has acquired further meaning with higher emphasis on interpersonal and social aspects. Consequently, it is often unclear what a writer or speaker means when he uses the term secondary gain. The different meanings of secondary gain in and outside psychoanalysis are illustrated with reference to literature and case reports.     

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.     

Book reviews

Books reviewed:
Gaillard, Christian. Le Musée Imaginaire de Carl Gustav Jung.
Young-Eisendrath, Polly & Dawson, Terence (eds.). The Cambridge Companion to Jung.
Stevens, Anthony. Ariadne's Clue: A Guide to the Symbols of Humankind.
Stein, Murray. Transformation: Emergence of the Self.
Stein, Murray. Jung's Map of the Soul: An Introduction.
Christopher, Shelley (ed.). Contemporary Perspectives on Psychotherapy and Homosexualities.
Marlan, Stanton (ed.). Fire in the Stone: The Alchemy of Desire.     

Journal reviews

Articles reviewed: Astor, James: ‘Some Jungian and Freudian perspectives on the Oedipus myth and beyond’. Colman Warren: ‘That within which passes show: Hamlet and the unknowable Self’. Halberstadt-Freud H. C: ‘Electra versus Oedipus à Femininity reconsidered’. Kulish, Nancy & Holtzman, Deanna: ‘Persephone, the loss of virginity and the female Oedipus complex’ Hopkins, Linda B: ‘D. W. Winnicott's analysis of Masud Khan: a preliminary study of failures of object usage’. Miletic, Michael (ed.): ‘Perspectives on the analyst's self-disclosure during psychoanalysis’. Miletic, Michael J. (ed.): ‘Perspectives on the analyst's self-disclosure during psychoanalysis’. Ornstein, Anna: ‘The fate of narcissistic rage in psychotherapy’. Solomon, Hester McFarland: ‘Love, Paradox of Self and Other’. Stack, Carolyn: ‘The analyst's new clothes: the impact of the therapist's unconscious conflicts on the treatment process’. Von Der Tann, Matthias: ‘Was lesen Jungianer in Berlin für das Examen?’–‘What do Jungians in Berlin read for their final paper?’     

The writing of clinical papers: the analyst as illusionist

Rather than begin by defining what we mean when we call a paper 'clinical', I would like to reflect on how such a piece of work originates, how, through the interplay between the written and the spoken word, it becomes clinical and good enough for a professional journal.
In the following, I shall pay particular attention to recent publications from the editorial side, that is, those by Wharton, one of the three editors of The Journal of Analytical Psychology , and by Tuckett, editor of The International Journal of Psycho-Analysis . I shall plead that there should not only be one kind of clinical paper, namely the type that for political reasons seems to be the one that is most wanted at the present time and the aim of which is to put psychoanalysis on more secure foundations than it currently is.     

The Role of Psychoanalysis in the Conflict of Interpretations

This paper describes how the temporary illness of the analyst affects the analytic work when it breaks the habitual analytic setting and exposes the analyst to countertransference reactions. The illness stimulates different meanings and reactions in the analysand. The paper describes how the fostering of the habitual analytic work helps the analysand to make use of the event, i.e., to integrate it into the transference. In the light of the patient cases, it would seem that corporeality is the key: the crucial question is what it means not only to the analyst him/herself but also to the analysand, that the analyst's body remains unchanged, secure, living and stable and does not require any particular attention.     

The unconscious

A discussion of the unconscious leads naturally to Freud and to a theory on subjectivity we may designate as de-centred. The unconscious reminds us that not only do we not know ourselves. In the core of our subjectivity, we have to acknowledge the notion of otherness. Re-reading Freud's text, The Unconscious, from 1915, the current author emphasises the character and function of the unconscious as radically different from what we know about conscious processes. This allows for the concept of the preconscious, which the author links to Winnicott's intermediary area and Green's tertiary processes. Taking as point of departure Freud's differentiation of word presentation and thing presentation, the author points to Freud's introduction of the term thing-cathexies of the object as designating the primal psychic representation. The Freudian perspective is broadened, encompassing the notion of otherness as discussed by Laplanche and Aulagnier. Concluding the paper, the author draws some implications for psychoanalytic technique, focusing especially on transference.     

Formal Defensive Aspects of Cognition and Modes of Thinking Exemplified by Freud's Case History of the Rat Man

Autoerotic gratifications are necessary for children suffering from a disturbed mother relation, and constitute symptoms of the same (jactatis capitis, extreme masturbation, etc.). The origins of the autoerotic functions go as far back as the foetal stage (thumbsucking). In the habits of so-called normal human beings, they also have an important stabilizing function to psychic autonomy. We are accompanied by primary and sublimated autoerotic functions all through our lives, which offer comfort and satisfaction during the different vicissitudes of life. Freud's monistic drive theory seems more plausible to me than his later dualistic theories. In accordance with the former, man can regress from object-libidinal cathexes into autoerotic positions when feeling psychically or physically threatened, and during normal conditions when asleep, sleep constituting a normal narcissistic state.     

A contribution to the development of a psychoanalytical methodology for research into language: A systematic study of narration as an expression of sexuality

Systematic research on language has a solid starting point in Freudian hypotheses on sexuality. This theory is the semantic ground for categorising narrations and providing a basis for the research method. The author places his research in the frame of the systematisation of the Freudian theory of substitute formations in the preconscious. He affirms that these formations are influenced in a particular way by each variant of sexuality. The author proposes an inventory (in Freudian terms) of those variants of sexuality, and he affirms that they can be detected in the discourse. Five universal scenes having the status of a canon, with specific features for each of the ways in which sexuality is manifested, make up narrations. The author describes the features of each narration and provides some examples. He also examines problems related to the use of the method (the coexistence of different variants of sexuality in a single fragment of a narration and the successive steps in the use of the method). The author briefly considers some other problems: the analysis of defences, the study of words and theoretical research. Finally, he examines the validity and reliability of the method.