"Being Talked to Like I Was a Sex Toy, Like Being Transgender Was Simply for the Enjoyment of Someone Else": Fetishization and Sexualization of Transgender and Nonbinary Individuals.

Despite the growing interest in the experiences of transgender individuals, the phenomenon of fetishization of transgender bodies and identities has been overlooked. The present study was aimed at investigating the experiences of fetishization of transgender and nonbinary (TGNB) people. Participants in the current study represent a sample of 142 TGNB volunteers from the community who answered the prompt: "If you feel comfortable, could you describe your experience of being fetishized?" Using thematic analysis, we developed three overarching themes relevant to the experiences of fetishization of TGNB participants: (1) context of fetishization; (2) negative experiences of fetishization; and (3) positive or ambiguous experiences of fetishization. The results demonstrated that, in most cases, fetishization was understood by TGNB people as a negative experience of sexual objectification, although some individuals experienced fetishization as a positive experience, perceiving the sexual desire of the other person or living it as a kink. Consistent with the integrated theory of dehumanization, the results demonstrated that both sexual objectification and minority stress contributed to participants' understanding of fetishization for TGNB individuals. Implications for clinical work with TGNB individuals are discussed.

Current Legal Situation for Patients with Paraphilic disorders and Implications of the ICD-11 for Paraphilic Disorders for Germany.

INTRODUCTION: Recently the guidelines for the diagnosis of paraphilic disorders in the International Classification of Diseases and Related Health Problems, Eleventh Revision (ICD-11), have been published. AIM: This article analyzes legal, regulatory, and policy issues relevant to the potential effects of the changes for the classification of paraphilic disorders in the ICD-11 in Germany. METHODS: A forensic and a legal expert in Germany worked with other international experts to conduct this evaluation using an assessment guide provided by the World Health Organization. MAIN OUTCOME MEASURES: Possible effects of the changes for the classification of paraphilic disorders in the ICD-11 on forensic practice, health systems, adjudication of individuals who have committed a sexual offense, and the provision of treatment in Germany. RESULTS: Results highlight the special situation of medical confidentiality in the German health system that facilitates the establishment of preventive networks for the treatment of pedophilic patients. The ICD-11 guidelines will help to clarify the boundary between pedophilic disorder and crimes of child sexual abuse. These will also establish a boundary with other paraphilic diagnostic concepts. We describe the central construct of criminal responsibility in the German legal system in relation to paraphilic disorders, the prominent role of expert witnesses, and the differences in the conceptualization of medical confidentiality within the health care system and within the legal system. CLINICAL IMPLICATIONS: The ICD-11 proposals for paraphilic disorders provide a clearer differentiation, as compared with ICD-10, between variants of normal sexual behavior and sexual behavior that involves a non-consenting person or entity. Particular patterns of sexual preference that are not of relevance to public health, the health care system, or the legal system, such as masochism and fetishism, will no longer be named psychiatric entities and will, therefore, be regarded as private behaviors and destigmatized. STRENGTHS & LIMITATIONS: The assessment shows the specific legal situation in Germany for the treatment of paraphilic patients in a sexual medicine, psychiatric, and legal discourse. However, it was done only by a small number of experts. CONCLUSION: A conclusion of the analysis was that the more specific and narrower definitions in the ICD-11 diagnostic guidelines, compared with those in ICD-10, particularly for pedophilic disorder and coercive sexual sadism disorder, will result in a reduction in false-positive diagnoses. It is unlikely that significant unintended and negative consequences will occur as a result of implementing the ICD-11 guidelines for paraphilic disorders. Briken P, Boetticher A, Krueger RB, et al. Current Legal Situation for Patients with Paraphilic disorders and Implications of the ICD-11 for Paraphilic Disorders for Germany. J Sex Med 2019;16:1615-1622.

Rape of the lock: note on nineteenth-century hair fetishists.

The ostensibly bizarre crime of braid-cutting invited occasional alienist inferences from the late 1850s onwards, until it entered mid-1880s police profiles and forensic-psychiatric taxonomies as a corollary of perversion, specifically sadism and fetishism. Cases were rare, but were reported as late as the mid-1930s and enduringly cited as encompassing a staple variety of fetishism. This note briefly reconstructs entries in German, French and English forensic psychiatry, sexual psychopathology and psychoanalysis.

Self-Reported Childhood Maltreatment and Erotic Target Identity Inversions Among Men with Paraphilic Infantilism.

Adults with paraphilic infantilism may desire to wear diapers or engage in infant-like role play. Erotic target identity inversions (ETII) and childhood maltreatment have been hypothesized to cause regressive interests. To evaluate these two etiological hypotheses, we surveyed the online adult baby/diaper lover community. Data from 1904 cis-gender men revealed a prevalence of pedophilic interests comparable with the general male population, arguing against ETIIs as common in paraphilic infantilism. In contrast, self-reported childhood neglect and abuse were highly prevalent, suggesting that infantilism might be correlated with childhood maltreatment. Additionally, some participants described repetition and/or sexualization of negative childhood experiences.

Algo se puede decir sobre la articulación de las perversiones y las adicciones / Something can be said about the articulation of addictions and perversions / On peut dire quelque chose sur l'articulation de las perversions et les dépendances

Consideramos que la perversión y las adicciones evidencian diferentes formas de patología narcisista y serían soluciones secundarias a algunos traumatismos primarios que han afectado a la organización primitiva de la identidad y al narcisismo primario. Lo traumático sería lo no simbolizado. La perversión busca una salida resexualizando lo no representado y la adicción suple una representación no establecida dentro mediante un obJeto externo perceptivo, la droga. Animados por el trabajo clínico con un paciente cuyo psiquismo presenta a la vez ambas soluciones al vacío representativo, lo perverso y lo adictivo, nos planteamos escribir este artículo

We consider that perversion and addictions are different forms of narcissistic pathology and, as such, consist of secondary solutions to sorne kinds of primary traumatisms that have affected the primitive organization of identity and primary narcissism. The traumatic would be what is not symbolized. The perversion looks for an outlet, resexualizing what is not represented and addiction compensates for a representation not present within through an external perceptive object, the drug. Encouraged by the clinical work carried out on a patient whose psyche simultaneously represents both solutions to this representative void, the perverse and the addictive, we decided to write this article

Nous considérons que la perversion et les dépendances présentent des formes diff érentes d'une pathologie narcissiste et consisteraient en solutions secondaires a quelques traumatismes primaires qui ont aff ecté á l' organisation primitive de l'identité et au narcissisme primaire. Le traumatique serait le nom symbolisé. La perversion cherche une sortie resexualisée le non représenté et la toxicomanie remplace a une représentation non établie a l'intérieur au moyen d'un objet externe perceptuel, la drogue. Animés par le travail clinique avec un patient dont le psychisme présente a la fois les deux solutions au vide représentatif: le pervers et l' addictive, nous nous posons écrire cet article

Paraphilic infantilism, diaperism and pedophilia: A review.

Paraphilic disorders range from nearly normal behaviour to a behaviour which may be considered as destructive or menacing to the society at large. In accordance with Diagnostic and Statistical Manual of Mental Disorders-V, the terms Paraphilia and Paraphilic disorders, denote different interpretations. Multiple paraphilias connected to childhood either directly or indirectly has been documented in scientific literature. Paraphilic Infantilism, Diaperism and Pedophilia constitute major portion among them. Paraphilic infantilism denotes paraphilic desire of being a baby. Diaperism deals with fetishistic behaviour in relation to diapers and pedophilia stands for sexual attraction towards children. Behaviourally these three paraphilias do share some characteristics and show overlapping of certain features, but psychologically they are diverse. In a number of literature on digital media, the terms have been used interchangeably or are described in a manner that creates confusion. However, when described individually they are precisely written, hence it necessitates to be elaborated collectively to surpass the current trends of mixing them. The review focuses on behavioral, developmental, psychological and legal aspects of these paraphilias.

A Verleugnung em Freud: análise textual e considerações hermenêuticas / Le Verleugnung chez Freud: analyse textuelle et les considérations herméneutiques / La Verleugnung en Freud: análisis textual y consideraciones hermenéuticas / The Verleugnung in Freud: textual analysis and hermeneutical considerations

Resumo Neste artigo abordamos os diferentes deslocamentos da ideia de "recusa", "renegação" ou "desmentido" (Verleugnung) no texto freudiano. Para promover essa reflexão, discutimos inicialmente as traduções e significados do termo alemão, para depois acompanhar o seu aparecimento na Primeira Tópica e o seu desenvolvimento conceitual na Segunda Tópica. Acreditamos que, embora o conceito de "desmentido" tenha encontrado a sua formulação específica como mecanismo de defesa da perversão fetichista, trata-se de um conceito bem mais extenso, que não se restringe à organização perversa e possui grande valor para a compreensão crítica de certos aspectos da sociedade contemporânea.

Résumé Cet article aborde les mouvements de l'idée de « refus ¼, « reniement ¼ ou « démenti ¼ (Verleugnung) chez Freud. Pour encourager cette réflexion, on discute d'abord les traductions et les sens du terme allemand, pour, ensuite, accompagner son apparition dans la Première Topique et son développement conceptuel dans la Seconde Topique. On considère que, même si le concept de « démenti ¼ trouve sa formulation spécifique comme mécanisme de défense de la perversion fétichiste, il s'agit d'un concept bien plus approfondi, qui ne se limite pas à l'organisation perverse et possède une grande valeur pour la compréhension critique de certains aspects de la société contemporaine.

Resumen El presente artículo aborda los diferentes desplazamientos de la idea de «rechazo¼, «renegación¼ o «desmentida¼ (Verleugnung) en el texto freudiano. Para promover esta reflexión, se discuten inicialmente las traducciones y significados del término alemán, para a continuación observar su surgimiento en la Primera Tópica y su desarrollo conceptual en la Segunda Tópica. Creemos que, aunque el concepto de «desmentida¼ haya encontrado su formulación específica como mecanismo de defensa de la perversión fetichista, se trata de un concepto mucho más extenso, que no se restringe a la organización perversa y posee gran valor para la comprensión crítica de ciertos aspectos de la sociedad contemporánea.

Abstract In this article we discuss the different displacements of the idea of "refusal", "denial" or "denial" (Verleugnung) in the Freudian text. To promote this reflection, we first discuss the translations and meanings of the German term, and then analyze its appearance in the First Topic and its conceptual development in the Second Topic. We believe that although the concept of "denial" has found its specific formulation as a defense mechanism for fetishistic perversion, it is a much more extensive concept that is not restricted to perverse organization and is of great value for the critical understanding of certain aspects of contemporary society.

Lo incestual y sus rodeos / Incewstuality and its detours

Partiendo del incesto, sobre todo en la relación padre-hija, se acomete la incestualidad, principalmente en la relación madre-hijo, aunque asumiendo otras presentaciones. Frente a un incesto actuado, define la incestualidad como de orden moral. Estudia las características narcisistas de la investidura de la madre al hijo. Estando fuertemente idealizado, se hace depositario de lo fallido en la madre, conviertiéndose en un objeto fetiche que tapona el vacío interior de esta. Se produce una fuerte unión, que proyecta lo negativo sobre terceros, en una tonalidad abiertamente paranoica. La falta de desarrollo y de maduración puede ir haciéndose patente con el tiempo, con importantes estallidos de rabia, tanto a favor como en contra de una separación, solo plausible de la mano de un tratamiento. Finaliza el texto con una nota en que el autor nos habla del insight que tuvo entre Siena y Florencia en 1978, entre una pintura estática centrada inmutablemente en la Virgen y el Niño y una pintura dinámica y abierta en que se introduce la perspectiva renacentista, para figurar el contraste entre un Antedipo fijado estáticamente a su madre (en que se basa el desarrollo de lo incestual) y un Edipo abierto a la perspectiva ofrecida por la triangularidad (AU)

Based on incest mainly in the father-daughter relationship, the author tackles the theme of incestuality, primarily in the mother-son relationship, albeit taking other forms. In contrast to an act of incest, incestuality is defined as a question of morality, or moral order. He studies the narcissistic characteristics of the cathexis of the son by the mother. Strongly idealized, he is made the depository of the failed parts of the mother, becoming a fetish object that plugs over her internal void. This brings about a strong union, which projects negative aspects onto third parties, with an openly paranoid hue. Lack of development and maturation may become apparent over time, with significant outbursts of rage, both for and against separation, which is only plausible throughtreatment. He concludes with a note in which the author describes an insight that he had between Sienna and Florence in 1973, between a static painting with an immutable focus on the Virgin and Child, and a dynamic and open painting, bringing in the Renaissance perspective, to represent the contrast between an Antoedipe fixed statically to his mother (underlving the development of incestuality) and an Oedipus open to the perspective offered up by triangularity (AU)

Fetishes and factishes: Durkheim and Latour.

This paper defends the concept of 'fetishism' as an explanatory parameter in sociological theorizing on Durkheimian grounds, while at the same time paying due attention to important insights regarding the role of objects in social life, originating from Actor-Network Theory (ANT). It critically assesses the current critique of the concept of fetishism propagated by ANT protagonist Bruno Latour. Latour and suggests a compromise between these two 'schools'. First, to place the paper firmly in context, I analyse some examples of modern fetishism and outline the themes of the ensuing discussion. Next, I turn to Durkheim, seeking to develop a distinct interpretation of the concept of the social and of fetishism, and then point to some of Durkheim's shortcomings and attempt to make room for Latourian perspectives. Finally, I critically assess Latour's dismissal of forms of social 'explanation' and of the concept of fetishism.

A era do desvelamento e a função do véu / The age of unveiling and the veil's function / L’age du dévoilement et la fonction du voile

Encontramo-nos, na atualidade, imersos em uma sociedade que confere cada vez mais importância às imagens – como podemos verificar nas áreas da segurança, da comunicação, da saúde, dentre outras. Atribuímos tal predominância da imagem à ascensão do discurso da ciência, que propõe que tudo o que é real pode ser conhecido, e, para isso, visto. A este momento atual, centrado na visibilidade, Wajcman o nomeia, em determinado momento de seu livro L'Oeil Absolu, de a “Era do desvelamento”. O presente artigo busca investigar as implicações dessa nomeação, buscando para isso a elucidação do conceito de véu como proposto por Lacan. O objetivo de tal percurso seria o de encontrar recursos para pensar em que termos podemos explicar, pelo ponto de vista psicanalítico, a sociedade centrada no apelo à visibilidade como a identificamos(AU)

We find ourselves, nowadays, immersed in a society which grants more and more importance to images – as we can verify in the fields of security, communication, health, just to mention a few. We attribute this prominence of the image to the rise of science's discourse, which proposes that everything can be known, and for that matter, seen. This present time, focused in visibility, is named by Wajcman as “the age of unveiling”. The present article investigates the implications in this nomination, thus searching to enlighten the concept of veil as proposed by Lacan. The main goal of the present study is to find resources to think in which terms we can explain, from a psychoanalytical point of view, society’s focus on visibility as it has been identified(AU)

Nous nous trouvons de nos jours immergés dans une société qui attribue de plus en plus d’importance aux images – ceci peut être vérifié dans plusieurs domaines, tels que la sécurité, la communication et la santé, pour en citer quelques uns. Nous associons cette proéminence de l’image à l’avènement du discours de la Science qui propose que tout peut être connu et donc vu. Cette actualité centrée sur la visibilité, Wajcman la nomme, a un moment donné de son ouvrage “L’Oeil Absolu”, “L’age du dévoilement”. Cet article investigue les implications de cette nomination, cherchant pour cette raison a élucider le concept de voile tel qu’il fut proposé par Lacan. Le but de ce parcours étant de trouver des ressources pour réfléchir aux termes par lesquels nous pouvons expliquer, du point de vue psychanalytique, la société centrée sur ls visibilité telle que nous l’avons identifiée(AU)

A era do desvelamento e a função do véu / The age of unveiling and the veil's function / L’age du dévoilement et la fonction du voile

Encontramo-nos, na atualidade, imersos em uma sociedade que confere cada vez mais importância às imagens – como podemos verificar nas áreas da segurança, da comunicação, da saúde, dentre outras. Atribuímos tal predominância da imagem à ascensão do discurso da ciência, que propõe que tudo o que é real pode ser conhecido, e, para isso, visto. A este momento atual, centrado na visibilidade, Wajcman o nomeia, em determinado momento de seu livro L'Oeil Absolu, de a “Era do desvelamento”. O presente artigo busca investigar as implicações dessa nomeação, buscando para isso a elucidação do conceito de véu como proposto por Lacan. O objetivo de tal percurso seria o de encontrar recursos para pensar em que termos podemos explicar, pelo ponto de vista psicanalítico, a sociedade centrada no apelo à visibilidade como a identificamos...

We find ourselves, nowadays, immersed in a society which grants more and more importance to images – as we can verify in the fields of security, communication, health, just to mention a few. We attribute this prominence of the image to the rise of science's discourse, which proposes that everything can be known, and for that matter, seen. This present time, focused in visibility, is named by Wajcman as “the age of unveiling”. The present article investigates the implications in this nomination, thus searching to enlighten the concept of veil as proposed by Lacan. The main goal of the present study is to find resources to think in which terms we can explain, from a psychoanalytical point of view, society’s focus on visibility as it has been identified...

Nous nous trouvons de nos jours immergés dans une société qui attribue de plus en plus d’importance aux images – ceci peut être vérifié dans plusieurs domaines, tels que la sécurité, la communication et la santé, pour en citer quelques uns. Nous associons cette proéminence de l’image à l’avènement du discours de la Science qui propose que tout peut être connu et donc vu. Cette actualité centrée sur la visibilité, Wajcman la nomme, a un moment donné de son ouvrage “L’Oeil Absolu”, “L’age du dévoilement”. Cet article investigue les implications de cette nomination, cherchant pour cette raison a élucider le concept de voile tel qu’il fut proposé par Lacan. Le but de ce parcours étant de trouver des ressources pour réfléchir aux termes par lesquels nous pouvons expliquer, du point de vue psychanalytique, la société centrée sur ls visibilité telle que nous l’avons identifiée...

Paraphilia or perversion?

Human sexual instincts can become fixated on a wide variety of targets, resulting in behaviours ranging from harmless fetishism to child abuse. The recent flood of investigations into historic cases in the UK has brought child protection issues to the top of the news agenda and shown that society is still far from addressing these problems in a rational, evidence-based way maximising harm reduction.

A metamorfose das necessidades em desejos / The metamorphosis of the needs in desires

Lacan e Kojève "modernizaram" a ideia hegeliana do desejo colocado como essência da espécie humana, inspirando-se na linguística estruturalista que inscreve o sujeito na linguagem. O capitalismo determina social e historicamente esse desejo, já que as trocas mercantis constituem uma linguagem grosseira, a "linguagem que as mercadorias falam entre si", segundo a feliz frase de Marx. Disso resulta que o propósito aparentemente racional das compras, o imperativo de satisfazer as necessidades vitais finitas, é metamorfoseado na busca compulsiva e inconsciente por desejos venais inacessíveis e infinitos - compulsão assimilável à perversão sexual do fetichismo - o que abre perspectivas de mercantilização ilimitada à globalização capitalista.

Lacan and Kojève have "modernized" the Hegelian conception of desire placed as the essence of the mankind, based on structuralist linguistics that inscribes the subject in language. Capitalism determines socially and historically this desire because the mercantile exchanges are a rough language, "the language that the goods speak to each other", in Marx's happy expression. As a result, the seemingly rational purpose of purchases, the need to meet finite vital needs, is morphed into compulsive and unconscious search for inaccessible and infinite venal desires - similar to compulsion in the sexual perversion of fetishism - which opens prospects for unlimited commercialization for the capitalist globalization.

"A liberdade é azul", mas está no vermelho: blue", but the color of freedom seems to be in the red / "Three colors

Dinheiro é excitante. Dinheiro é sexo. Dinheiro é liberdade. Comprar é excitante. É erótico. Armadilha. Nem toda soma de dinheiro é capital. O dinheiro torna-se capital no modo de produção capitalista. Assim a mercadoria também torna mercadoria-capital. Entender a mais-valia. O artista vive no azul da liberdade e no vermelho das dívidas. E das dúvidas. Necessidade de esclarecimentos. Estudo. Capital humano. Psicanálise, Ciência, Cabala, Teatro, Amor, Poesia, Humor. Muito humor para suportar as vozes dissonantes. O artista busca diálogo. Diálogo com seu Eu e com o Outro. Erotiza a vida e a vida o erotiza. É livre com ou sem dinheiro. Mas com dinheiro ele é mais livre. "O dinheiro não é tudo. Mas quando você tem muito dinheiro pelo menos ninguém chama: Hei, você aí!", Millôr Fernandes.

Money is exciting. Money is sex. Money is freedom. Buying is exciting. It is erotic. It is a trap. Not all sum of money is capital. Money becomes capital in the capitalism. This way goods also become capitalgoods. Understanding the surplus value. The artist, always in the red, has an account in the black when the topic is freedom. Full of doubts, the artist needs enlightening. Studying. Human capital. Psychoanalysis, Science, Cabala, Theater, Love, Poetry, Humor. A lot of humor to handle the dissonant voices. The artist seeks dialogue. A dialogue between the Self and the Other. He eroticizes life and it is eroticized by it. He is free with or without money. But he has more freedom with money. "Money isn't everything. But when you have a lot of it no one calls you: 'Hey, you there!'", Millôr Fernandes.

Patient-analyst "withness": on analytic "presencing," passion, and compassion in states of breakdown, despair, and deadness.

This paper focuses on the analyst's "presencing" (being there) within the patient's experiential world and within the grip of the psychoanalytic process, and the ensuing deep patient-analyst interconnectedness, as a fundamental dimension of analytic work. It engenders new possibilities for extending the reach of psychoanalytic treatment to more disturbed patients. Here patient and analyst forge an emergent new entity of interconnectedness or "withness" that goes beyond the confines of their separate subjectivities and the simple summation of the two. Using a detailed clinical illustration of a difficult analysis with a severely fetishistic-masochistic patient, the author describes the kind of knowledge, experience, and powerful effects that come into being when the analyst interconnects psychically with the patient in living through the process, and that relate specifically to the analyst's compassion.

Gradiva: freud, fetishism, and Pompeian Fantasy.

This paper is a critical reconsideration of Freud's analysis (1907) of Wilhelm Jensen's novella Gradiva: A Pompeian Fantasy (1903). Freud's interest was aroused by the parallels between Jensen's presentation of dreams and Freud's model of dream formation just published in The Interpretation of Dreams (1900). Freud also acclaims Jensen's presentation of the formation and "cure" of his protagonist's delusion about a marble bas-relief of a woman walking. This paper argues for the centrality of the phenomenon of fetishism, briefly considered but excluded from Freud's analysis. The fantasy of Gradiva as "the necessary conditions for loving" (Freud 1910, pp. 165-166) is also a key thesis of the essay, which makes use of the newly translated Freud-Jensen correspondence contained in this article's Appendix.

A clínica contemporânea e suas raízes metapsicológicas freudianas / The contemporary clinic and its metapsychological roots

O autor, ao ser indagado sobre a psicanálise contemporânea, busca em Freud as bases para pensar a "patologia atual". Define o que chamou de "zonas", "áreas" de funcionamento psíquico, tomadas da metapsicologia freudiana, delimitando o que considerou cinco temas fundamentais na obra de Freud: os sonhos, o narcisismo, a pulsão de morte, a identificação e o fetichismo. Na elucidação e ampliação desses temas encontram-se suas proposições para uma atualização do trabalho analítico.(AU)

The author when asked about contemporary psychoanalysis, resorts to Freud for a basis to think "present-day pathology". He defines so called "zones" or "areas" of psychic functioning, sprung from freudian metapsychology, circumscribing what he considers the five fundamental themes in Freud's work: dreams, narcissism, death instinct, identification and fetishism. His propositions for an update of the analytic work are found in the elucidation and exploration of these themes.(AU)

El autor al ser interrogado sobre el psicoanálisis contemporáneo busca en Freud las bases para pensar la "patología actual". Define lo que llamó "zonas" o "áreas" de funcionamiento psíquico, tomadas de la metapsicología freudiana, delimitando lo que consideró cinco temas fundamentales de la obra de Freud: los sueños, el narcisismo, la pulsión de muerte, las identificaciones y el fetichismo. En la elucidación y ampliación de esos temas, se encuentran sus propuestas para una actualización del trabajo analítico.(AU)

A clínica contemporânea e suas raízes metapsicológicas freudinas / The contemporary clinic and its metapsychological roots / La clínica contemporánea y sus raíces metapsicológicas freudianas

O autor, ao ser indagado sobre a psicanálise contemporânea, busca em Freud as bases para pensar a "patologia atual". Define o que chamou de "zonas", "áreas" de funcionamento psíquico, tomadas da metapsicologia freudiana, delimitando o que considerou cinco temas fundamentais na obra de Freud: os sonhos, o narcisismo, a pulsão de morte, a identificação e o fetichismo. Na elucidação e ampliação desses temas encontram-se suas proposições para uma atualização do trabalho analítico.

The author when asked about contemporary psychoanalysis, resorts to Freud for a basis to think "present-day pathology". He defines so called "zones" or "areas" of psychic functioning, sprung from freudian metapsychology, circumscribing what he considers the five fundamental themes in Freud's work: dreams, narcissism, death instinct, identification and fetishism. His propositions for an update of the analytic work are found in the elucidation and exploration of these themes.

El autor al ser interrogado sobre el psicoanálisis contemporáneo busca en Freud las bases para pensar la "patología actual". Define lo que llamó "zonas" o "áreas" de funcionamiento psíquico, tomadas de la metapsicología freudiana, delimitando lo que consideró cinco temas fundamentales de la obra de Freud: los sueños, el narcisismo, la pulsión de muerte, las identificaciones y el fetichismo. En la elucidación y ampliación de esos temas, se encuentran sus propuestas para una actualización del trabajo analítico.

Demographics, behavior problems, and psychosexual characteristics of adolescents with gender identity disorder or transvestic fetishism.

This study provided a descriptive and quantitative comparative analysis of data from an assessment protocol for adolescents referred clinically for gender identity disorder (n = 192; 105 boys, 87 girls) or transvestic fetishism (n = 137, all boys). The protocol included information on demographics, behavior problems, and psychosexual measures. Gender identity disorder and transvestic fetishism youth had high rates of general behavior problems and poor peer relations. On the psychosexual measures, gender identity disorder patients had considerably greater cross-gender behavior and gender dysphoria than did transvestic fetishism youth and other control youth. Male gender identity disorder patients classified as having a nonhomosexual sexual orientation (in relation to birth sex) reported more indicators of transvestic fetishism than did male gender identity disorder patients classified as having a homosexual sexual orientation (in relation to birth sex). The percentage of transvestic fetishism youth and male gender identity disorder patients with a nonhomosexual sexual orientation self-reported similar degrees of behaviors pertaining to transvestic fetishism. Last, male and female gender identity disorder patients with a homosexual sexual orientation had more recalled cross-gender behavior during childhood and more concurrent cross-gender behavior and gender dysphoria than did patients with a nonhomosexual sexual orientation. The authors discuss the clinical utility of their assessment protocol.

Perversão de transferência e enactment: um caso clínico / Transference perversion and enactment: a clinical case / Perversión de transferencia y enactment: um caso clínico

Nesta comunicação clínica, procede-se a uma revisão teórica de aspectos medulares sobre a perversão, perversão de transferência e o enactment, fazendo uma aplicação teórico-clínica ao caso de um rapaz homossexual com estrutura perversa. Este paciente manifestava atuações perversas que colocavam em risco sua vida. Recriou aspectos de sua perversão na configuração transferencialcontratransferencial, evidente em sua tentativa de sexualizar o tratamento e em sua forma de comunicação que empregava silêncios e palavras para deslocar o analista de sua função analítica. O impacto contratransferencial era excessivo ante o relato continuado de suas atuações perversas. O paciente tentou colocar a analista no papel de voyeur dentro de seu cenário perverso. A pressão deste paciente em envolver a analista em enactments contratransferenciais perversos criou um perigo ao tratamento, um impasse que pôde ser resolvido com uma análise cuidadosa da contratransferência.(AU)

This clinical communication is a theoretical review of core aspects of perversion, transference perversion and enactment, by doing a theoretic-clinical effort in the case of a homosexual man with a perverse structure. This patient manifested perverse acting out’s, putting his life at risk. He recreated some aspects of his perversion in the transference-countertransference configuration in attempt to sexualize treatment, and trough his way of communicate, which employed silences and words directed to misplace the analyst of its analytical function. In face of his continued narratives of perverse acting’s, the countertransference impact was excessive, as the patient tried to put the analyst in a voyeur role within his perverse scenario. This patient’s strain to cover the analyst with perverse countertransference enactments created a risk to the treatment itself, an impasse that had been solved through the countertransference careful analysis.(AU)

En esta comunicación clínica, se hace una revisión teórica de aspectos medulares sobre la perversión, la perversión de transferencia y el enactment, haciendo una aplicación teórico clínica al caso de un muchacho homosexual con estructura perversa. Este paciente, manifestaba actuaciones perversas que ponían en riesgo su vida. Recreó aspectos de su perversión en la configuración transferencia- contratransferencia, evidente en sus intentos de sexualizar el tratamiento y en su forma de comunicación, en la cual empleaba silencios y palabras para descolocar al analista de su función analítica. El impacto contratransferencial era excesivo ante el relato continuado de sus actuaciones perversas. El paciente, intentó colocar a la analista en el papel de voyeur dentro de su escenario perverso. La presión de este paciente en involucrar a la analista en enactments contratransferenciais perversos, creó un peligro al tratamiento, un impasse que pudo ser resuelto con un análisis cuidadoso de la contratransferencia.(AU)