What might be in so close that as psychoanalysts we miss it?

What if the author were to position herself as a liar? Not of conscious lying, but an ignorance of what is so close to our collective noses that as psychoanalysts we miss it. Drawing on Harari's (2011) description of liberal ideology, the author suggests that our contemporary psychoanalytic focus on feelings, countertransference, and intuition is more determined by our cultural era than generally recognized. It is suggested that prevailing ideology may at times serve a defensive function. The author discusses a 1970s clinical seminar in which Bion observes that the presenting analyst's attention to feelings is "excusing" the patient (and himself). A second example, from Bion's Cogitations (1991), underscores the complexity of being sensitive to a patient's feelings without gratifying narcissistic demands. A final example is taken from the author's work in which there was a pressure to allow the patient's infantile feelings to determine the analysis. It was subsequently recognized that neither the patient's feelings nor the analyst's understanding were the site of authority in the analysis. Rather, authority lies in the analytic process itself.

Phenotypic and Genotypic Properties of Vibrio cholerae non-O1, non-O139 Isolates Recovered from Domestic Ducks in Germany.

Vibrio cholerae non-O1, non-O139 bacteria are natural inhabitants of aquatic ecosystems and have been sporadically associated with human infections. They mostly lack the two major virulence factors of toxigenic V. cholerae serogroups O1 and O139 strains, which are the causative agent of cholera. Non-O1, non-O139 strains are found in water bodies, sediments, and in association with other aquatic organisms. Occurrence of these bacteria in fecal specimens of waterfowl were reported, and migratory birds likely contribute to the long-distance transfer of strains. We investigated four V. cholerae non-O1, non-O139 isolates for phenotypic traits and by whole genome sequencing (WGS). The isolates were recovered from organs of domestic ducks with serious disease symptoms. WGS data revealed only a distant genetic relationship between all isolates. The isolates harbored a number of virulence factors found in most V. cholerae strains. Specific virulence factors of non-O1, non-O139 strains, such as the type III secretion system (TTSS) or cholix toxin, were observed. An interesting observation is that all isolates possess multifunctional autoprocessing repeats-in-toxin toxins (MARTX) closely related to the MARTX of toxigenic El Tor O1 strains. Different primary sequences of the abundant OmpU proteins could indicate a significant role of this virulence factor. Phenotypic characteristics such as hemolysis and antimicrobial resistance (AMR) were studied. Three isolates showed susceptibility to a number of tested antimicrobials, and one strain possessed AMR genes located in an integron. Knowledge of the environmental occurrence of V. cholerae non-O1, non-O139 in Germany is limited. The source of the infection of the ducks is currently unknown. In the context of the 'One Health' concept, it is desirable to study the ecology of V. cholerae non-O1, non-O139, as it cannot be excluded that the isolates possess zoonotic potential and could cause infections in humans.

[Animal hygiene, water quality and animal health using round drinkers as an animal-friendly water supply for Pekin ducks under practical conditions]. / Hygiene, Wasserqualität und Tiergesundheit beim Einsatz von Rundtränken als tiergerechte Wasserversorgung für Pekingmastenten unter Praxisbedingungen.

Mandatory requirements for the keeping of Pekin ducks exist neither in Europe nor in Germany. The medium water is of high importance for ducks and is connected with many species-specific behaviours. In commercial fattening establishments the animals are provided drinking water solely by nipple drinkers because up to today, the economic and hygienic aspects of this drinking suppIy are beyong dispute. The aim of the study was to examine the influence of the round drinker AquaDuc T® on animal hygiene and different health parameters in three commercial farms. The examinations took place in three fattening farms (7140-13,515 fattening places). Per farm 16 fattening periods were surveyed (alternately control and test trial) with one visit each between 28th-32nd and 35th-39th day of life. On one farm only ten periods could be examined. The ducks were provided with water by nipple drinkers. Additionally, the AquaDuc T® was installed in the test trials, which was temporarily accessible. Apart from health evaluations of each 100 animals, barn climate (dust and gaseous ammonia content) and quality of drinking water were examined. In summary it can be stated that concerning health evaluation (eye infection/ plugged nostrils) the ducks with access to round drinkers mostly performed better than the animals with access solely to nipple drinkers. In this study the total bacteria count as well as the number of Enterobacteriaceae in CFU/mI was generally higher in the round drinkers compared to the nipple drinkers (average total germ count in CFU/ml: nipple drinker 10,950; round drinker 3,955,846), no negative effect on the health of Pekin ducks could be detected in this study. Sufficient hygiene of the offered drinking systems is essential for the wellbeing of the ducks.

[Use of the AquaDuc T® round drinker with Pekin ducks under field conditions--behaviour as one indicator of welfare]. / Verhalten als ein Indikator des Wohlbefindens beim Einsatz der AquaDuc T® Rundtränke bei Pekingmastenten unter Feldbedingungen.

Pekin ducks have an innate affinity for water. They seek water from the first day of life and use it for a multitude of behaviors. Currently implemented requirements to husbandry and the design of an animal-friendly offer of drinking water in commercial fattening establishments exist neither at EU-level nor in Germany. Aim of the study was to examine the use of the AquaDuc T® (Big Dutchman, Vechta, Germany) and its practical suitability concerning the behavior during the fattening of Pekin ducks under commercial conditions. The examinations took place in three farms (7140-13,515 fattening places). On farm 1 and 3, 16 fattening periods were observed (switch-over design: alternately test and control trial) with each one visited between day 28-32 and 35-39. On farm 2, only ten fattening periods could be examined. The ducks were in general supplied with drinking water via nipple drinkers. For the test trials, the AquaDuc T® drinkers were additionally installed and were accessible for a limited time. To record the natural and undisturbed behavior of the ducks in their housing system, the video recordings were started after we finished the farm visits and in total more than 6300 hours of video material were analyzed. All findings show that Pekin ducks clearly favor the round bell drinkers over the nipple drinkers. They enable the birds to immerse their heads, to drink and strain in a species-specific manner, to take care of the plumage with water and to clean beak and eyes. In the test trials, the drinking activity rose significantly during the operating time of the round drinkers (p < 0.001), whereas the nipple drinkers were used less frequently at the same time. Concerning ethology and health, the round drinkers offer the ducks very good conditions for an animal-friendly water supply. For economic and hygienic reasons, the daily access to the modified round drinkers should be limited.

The life instinct.

In psychoanalytic writing an oversimplified interpretation of Freud's concept of the life and death instincts sometimes colours the presentation. Roughly, there is an implication that the life instinct is 'good' and the death instinct 'bad'. Freud however is clear that: "Neither of these instincts is any less essential than the other; the phenomena of life arise from the concurrent or mutually opposing action of both"(1933b, p. 209). In this paper I look in detail at the characteristics of the life instinct as conceptualized by Freud, and draw on Bion's work 'on linking' to elaborate Freud's view that binding is the life instinct's key characteristic. I suggest that there are pathological forms of both the life and death instinct if defused (separated off) from the other, and I explore a pathological variation of the life instinct in which binding is without the negation, rest, limit or end provided by the 'opposing action' of the death instinct. I consider an instance of the kind that any analyst might meet clinically, in which an inhibited patient experiences severe anxiety that life-giving connections threaten to proliferate indiscriminately and to an overwhelming intensity and size.