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1.
Psychoanal Rev ; 111(2): 135-166, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38959071

ABSTRACT

Psychoanalysis is often viewed as a practice relevant only to educated people of means. This article describes a project that matches psychoanalytically trained clinicians with unhoused and formerly unhoused adults in a large urban community. D. W. Winnicott's ideas about impingement, the holding environment, fear of breakdown, and careful monitoring of the analyst's interiority have proven to be most valuable theoretical and clinical tools. A decade-long case example demonstrates the challenges and healing potentials of the work.


Subject(s)
Ill-Housed Persons , Psychoanalysis , Psychoanalytic Therapy , Humans , Ill-Housed Persons/psychology , Adult , Male , Professional-Patient Relations , Female , Psychoanalytic Theory
2.
Psychoanal Rev ; 111(2): 211-217, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38959073

ABSTRACT

Through the personal reflection on chronic pain, the author engages the question of how clinicians and their patients manage various forms of loss within the clinical encounter. The notion of developmental grief is introduced as a stepping-stone from phallicism to genitality, whereby the capacity to grieve and thus tolerate limitedness enables growth. Hannah Arendt's concept of natality is offered as a hopeful corrective to the resistance to accepting limitations.


Subject(s)
Grief , Humans , Chronic Pain/psychology , Psychoanalytic Therapy , Psychoanalytic Theory , Adaptation, Psychological
3.
Psychoanal Rev ; 111(2): 117-126, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38959076

ABSTRACT

This article examines five contributions published in the early volumes (1913-1917) of The Psychoanalytic Review, written by John E. Lind and Arrah B. Evarts. It reflects on how they address the topic of race and its relation to psychoanalytic theory, highlighting the ways of purported neutrality of empirical research and how it serves a fantasy through which racism is enacted and sustained.


Subject(s)
Psychoanalysis , Psychoanalytic Theory , Racism , Humans , Racism/psychology , Psychoanalysis/history , History, 20th Century , Empiricism
4.
Psychoanal Rev ; 111(2): 167-188, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38959074

ABSTRACT

"Free association" and the "fundamental rule" are bedrock for psychoanalytic therapy and apply to what both patient and analyst should experience in the process. The article traces Sigmund Freud's revolutionary recognition of the importance of free association that began with his tribute to the works of Ludwig Börne and Friedrich Schiller. The author invokes other proposals akin to free association made by artists and scientists, including John Keats, Charles Dickens, Robert Frost, Thomas S. Kuhn, Arthur Koestler, and Albert Einstein. While emphasizing the importance and the liberatory potential of free association as it relates to effective treatment and discovery, the author contends that there is a "moral press" for both the patient and the analyst to permit free associative thoughts, particularly to question assumptions about how things are supposed to be.


Subject(s)
Free Association , Freudian Theory , Psychoanalytic Therapy , Humans , History, 20th Century , Freudian Theory/history , Psychoanalysis/history , Psychoanalytic Theory , Professional-Patient Relations
6.
J Am Psychoanal Assoc ; 72(1): 9-48, 2024 Feb.
Article in English | MEDLINE | ID: mdl-38756057

ABSTRACT

The author cites the prominence of theories that locate serious adult psychopathology in the preverbal infant's inability to formulate or represent traumatic experience. The work of two such authors, H. Levine and D. B. Stern, is briefly considered. The frame of reference for this investigation is that clinical and academic research findings are highly relevant to psychoanalytic theorizing. It is argued that when such findings are considered, a view of the infant with "primordial and unrepresented" states of mind has little evidence to support it. In fact, research findings summarized herein point to an opposite view: that of the "competent infant," one with highly accurate perceptual discrimination capacities and an innate ability to register and represent subjective experience in both procedural and declarative memory, even prenatally. Given the infant's competencies, it seems implausible to hold that representational deficits are at the heart of serious adult psychopathology, which is instead seen to be the result of defensive maneuvers against unknowable and unspeakable truth rather than the absence of a preverbal representational capacity. Current research findings seem to pose a significant challenge for psychoanalytic theories that espouse "primitive mental states"; "unrepresented," "unformulated," or "unsymbolized" experience; or "nonconscious" states.


Subject(s)
Psychoanalytic Theory , Humans , Infant
8.
Psychoanal Q ; 93(2): 219-248, 2024.
Article in English | MEDLINE | ID: mdl-38819393

ABSTRACT

The concept of praxis in psychoanalysis includes the way clinical practice embodies the values on which psychoanalysis is founded. As psychoanalysis evolved from a medical treatment to a process of open-ended psychic development, its underlying values evolved as well. Free-floating attention has many facets, shown in the variety of names given to it. From being a means to an end clinically, it became an implicit statement about the human value of the person being attended to. Clinical vignettes, contributions from philosophers, and examples from literature converge around the idea that the unreserved openness of free-floating attention amounts to an act of love. It is underpinned by the values, which are also virtues, of hope, and faith in the possibility of good; it can also be seen, in non-religious terms, as a form of prayer.


Subject(s)
Love , Psychoanalysis , Psychoanalytic Therapy , Humans , Psychoanalytic Therapy/methods , Psychoanalytic Theory , Religion and Psychology
9.
J Am Psychoanal Assoc ; 72(1): 157-161, 2024 Feb.
Article in English | MEDLINE | ID: mdl-38738601
10.
Psychoanal Q ; 93(2): 321-347, 2024.
Article in English | MEDLINE | ID: mdl-38814151

ABSTRACT

This paper explores how the film The Babadook illuminates psychoanalytic understandings of melancholia and mourning. The author attempts to unwind the complicated character of melancholia, using Freud as an initial point of orientation, then relying on a few ideas from Klein and later writers. The paper attempts to refine our understanding of the difference between absence and emptiness, especially the difference between being captured in the nothing or deadness of melancholic emptiness, on the one hand, and being alive enough to suffer the absence of a lost object, which bears a potential for mourning, on the other. The possibility of psychic tension between these states is explored. Some implications of the relationship between absence and emptiness for the mourning process are considered. The author uses the film as a resource throughout.


Subject(s)
Depressive Disorder , Grief , Motion Pictures , Humans , Depressive Disorder/psychology , Depressive Disorder/therapy , Psychoanalytic Theory , Psychoanalytic Interpretation , Freudian Theory , Psychoanalytic Therapy/methods
11.
Psychoanal Q ; 93(2): 249-272, 2024.
Article in English | MEDLINE | ID: mdl-38814152

ABSTRACT

An attempt is made to encircle time and the times psychoanalytically. They are understood as the result of the interplay of different psychic systems: Timelessness of the Ucs system (psychic reality), actual time in the Pcpt-Cs (perceptual reality), and vectorial-linear time in the Cs/Pcs systems (reality principle). Time shows itself in the moment of presence, but it can only show itself if there is a temporal antecedent. At the same time, time and space are intertwined, so that the past is initially the place where something happened. However, the interplay of the mental systems with time and space can only develop in the object relationship. A short clinical example of an autistoid perversion illustrates this dynamic.


Subject(s)
Psychoanalytic Theory , Humans , Time , Psychoanalytic Therapy , Time Perception , Psychoanalysis
13.
Am J Psychoanal ; 84(2): 311-333, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38755418

ABSTRACT

This paper regards Seneca's practical philosophy as ancestor to psychoanalytically informed psychotherapy and as a progenitor of ongoing contemporary praxis in applied ideas of mind. Facing forward into the Anthropocene, as psychoanalysis encounters Artificial Intelligence, the convergence with contemporary psychoanalytic psychotherapy of value concepts developed from Antiquity is discussed. Drawn from Seneca's Letters on Ethics, constellations of significant ideas present in ancient practical philosophy resonate with similar configurations developed two millennia later, and central to the practice of contemporary psychotherapy.


Subject(s)
Philosophy , Psychoanalysis , Humans , Psychoanalysis/history , Philosophy/history , Psychoanalytic Therapy/methods , Psychoanalytic Theory , Artificial Intelligence , History, 20th Century
15.
Psychoanal Q ; 93(1): 105-134, 2024.
Article in English | MEDLINE | ID: mdl-38578262

ABSTRACT

This paper explores the intricate nexus of writing and psychoanalysis by addressing a key question: In what and how many directions should analytic writing be ethical? The author structures the argument across three axes. First, in an introduction, writing's role as a psychoanalytic invariant is emphasized. Then, an exploration ensues, delving into writing as praxis, navigating complex technical choices, from micro- to macro-perspectives in clinical vignettes, their autobiographical essence, their relevance as models for theory, self-revelation, etc. Lastly, a succinct epilogue considers the relationship between aesthetics and ethics in psychoanalytic writing.


Subject(s)
Psychoanalysis , Psychoanalytic Therapy , Humans , Writing , Psychoanalytic Theory
16.
Int J Psychoanal ; 105(2): 216-233, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38655643

ABSTRACT

José Bleger's paper on the setting (encuadre) is integral to his 1967 book Symbiosis and Ambiguity. Relevant concepts from the book are summarised before examining his view of the setting as a "non-process" consisting of "constants", complementing the "variables" of the analytic process. Process and setting are related as figure and ground in Gestalt psychology. The ideally maintained setting is studied as a thought experiment, uniting the categories of institution, personality, body schema, and body. Deposited in the setting, the psychotic part of the personality, or "agglutinated nucleus", is a remnant of early symbiosis with the mother. Bleger distinguishes two settings: the analyst's and the patient's. The latter can only be analysed by strictly maintaining the former. Ritualisation of the setting denies temporal reality. De-symbiotisation is not always possible. A concept of "internal" setting is suggested, but Bleger nowhere mentions this and the concept is problematic, leaving open the question of how to listen to the silence of the setting. Bleger's concept of encuadre can be applied to constants (invariants) in the wider world, the psychotic part of the personality being deposited in everything that is familiar and felt to be constant, including technology, which creates a "platform" for human activity.


Subject(s)
Psychoanalytic Therapy , Humans , History, 20th Century , Psychoanalysis/history , Psychoanalytic Theory
17.
Int J Psychoanal ; 105(2): 169-191, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38655641

ABSTRACT

The authors discuss the relevance of aesthetic and affective experience at the heart of the human being's capability to relate to the world and to found relations of sense. Faced with anguish that the world can be meaningless and with fear of uncertainty/chaos, trust and hope are needed for the world to be a hospitable place for existence. Such experience is aesthetic, sensitive and affective before being rational, reflective and deliberative. Through a dialogue between Kant, Winnicott and Bion, it is shown how foundation of trust is based on two essential aspects: (1) The illusion that reality was created to allow us to live in it (namely, the fictionality is a prerequisite for each possible development of psyche) and (2) this illusion is not generated by a solipsistic activity of the human mind; rather, it is made possible starting from the primordial relationship with the other, by containing anguish, nourishing trust and hope, and supporting psychic development and elaboration of progressive forms of symbolisation. The authors discuss how these points have a profound aesthetic implication through deepening the reflection on the ontogenetic development of the psyche, the complex intertwining between primary and secondary processes, and clinical implications.


Subject(s)
Psychoanalytic Theory , Humans , Esthetics , Affect , Trust/psychology , Psychoanalysis
18.
Int J Psychoanal ; 105(2): 127-141, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38655642

ABSTRACT

This paper is an exploration of gratitude as a fundamental concept in psychoanalysis. Melanie Klein's classic article "Envy and Gratitude" (1957) named gratitude at one pole on an axis of human suffering and flourishing, but with a few notable exceptions, the article stimulated research into envy. This paper explores the historical and philosophical traditions that have, to some extent unconsciously, influenced our contemporary understandings of gratitude. The paper also works to explore the social and ethical meanings of gratitude as well as gratitude's psychoanalytic significance. The aim is to uncover the overall psychic significance of gratitude and its place in human flourishing.


Subject(s)
Freedom , Humans , Psychoanalytic Theory , Psychoanalysis
20.
Int J Psychoanal ; 105(2): 234-241, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38655644

ABSTRACT

This paper attempts to expand José Bleger's classic, metapsychological descriptions of the psychoanalytic frame to formulate and emphasize the role of the analyst's internal frame in establishing a psychoanalytic observational perspective in the analytic situation. The rationale for doing so follows from clinical necessity, especially when working with patients and psychic organizations that are 'beyond neurosis' and in non-traditional settings such as distance and telemetric analyses. Clinically speaking, in its most effective state, the analyst's internal frame can inform the possibility of an observational vertex aimed at the intuitive grasp of psychic reality rather than a sense-based, empirical observation of parameters denoted by the elements of a consensually validatable social reality.


Subject(s)
Psychoanalytic Theory , Psychoanalytic Therapy , Humans , Psychoanalytic Therapy/methods , Psychoanalysis/history
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