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Psychodyn Psychiatry ; 47(1): 81-97, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30840557


In Freud's day, his case studies, coupled with the findings of others (e.g., Breuer, Charcot), provided evidence that the Oedipus complex and his dynamic theory of repression (i.e., the unconscious interactions between id, ego, and superego) as causal agents in neurotic symptoms was suspect. With the aid of over 75 years of research since Freud's death, today's psychodynamic-orientated clinicians have discarded many of Freud's tenets related to the Oedipus complex. Modern psychoanalysts have focused their attention instead on a patient's personal relationships in their early life, their current life, and in their interactions with their therapist (transference).

Teoria Freudiana , Relações Interpessoais , Complexo de Édipo , Psicanálise/história , Terapia Psicanalítica/métodos , Transferência (Psicologia) , História do Século XX , História do Século XXI , Humanos
Soins ; 64(833): 19-23, 2019 Mar.
Artigo em Francês | MEDLINE | ID: mdl-30879623


The question of transference has been extensively covered in nursing literature. Faced with a patient approaching the end of life, caregivers, emotionally shaken, sometimes lose their therapeutic bearings. By drawing on the principles of countertransference, they can support these patients with all the necessary empathy, without becoming lost in the complexity of transference issues.

Cuidadores/psicologia , Relações Profissional-Paciente , Assistência Terminal , Transferência (Psicologia) , Empatia , Humanos
Am J Psychoanal ; 79(1): 103-113, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30760818


The author contends that psychoanalytic theory has generally presented religious beliefs as developmentally immature or pathological. This viewpoint has resulted in a neglect of religion on the part of psychoanalysts and an avoidance of their religious life by patients. Even though there has been an evolution from the traditional Freudian foundational approach to religion as an "illusion" to the inclusion of psychoanalytical training within some Christian institutes and attributions that psychoanalysis, itself, is a religion, religious beliefs should be included in psychotherapy because they can become involved in transference and countertransference issues in ways that are ignored if religious issues are not discussed in therapy. The author presents clinical material to illustrate this problem.

Terapia Psicanalítica/métodos , Religião e Psicologia , Transferência (Psicologia) , Adulto , Contratransferência (Psicologia) , Feminino , Humanos
J Consult Clin Psychol ; 87(4): 332-344, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30628797


OBJECTIVE: Insight and affect awareness are correlated with outcome in a number of studies across different treatment orientations. In this study, we perform a full mediational analysis to examine whether improvement of both cognitive insight and affect awareness are mediators of the specific effects of transference work in dynamic psychotherapy. METHOD: This was a dismantling randomized controlled clinical trial specifically designed to study long-term effects of transference work (exploration of problematic patterns in the therapeutic relationship). One hundred outpatients were randomly assigned to 1 year of dynamic psychotherapy with and without transference work interventions. The outcome variables were the Interpersonal Functioning scale (clinician rated) and Inventory of Interpersonal Problems (patient self-report). Quality of Object Relations was moderator. Using structural equation modeling, we tested change during treatment (1 year) of Insight and Tolerance for Affects as mediators of long-term outcome (over the 1-year study period). RESULTS: For both outcome measures, the best model supported a mediated moderation model where the effects of transference work, for patients with low Quality of Object Relations, were mediated via both change of Insight and Tolerance for Affects. The effect of Insight on outcome was significantly reduced due to an indirect effect via Tolerance for Affects. A number of alternative models allowed us to rule out alternative pathways with some confidence. CONCLUSIONS: Both improved insight and affect awareness seem to be mechanisms for long-term effects of transference work. Our results bridge the gap between mainstream clinical theory and empirical research. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Afeto , Conscientização , Transtornos Mentais/psicologia , Transtornos Mentais/terapia , Psicoterapia/métodos , Transferência (Psicologia) , Adulto , Feminino , Humanos , Masculino , Tempo , Resultado do Tratamento
Am J Psychoanal ; 78(3): 267-286, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30018299


In this essay I wish to present some reflections on Jordan Belfort, the protagonist of the movie "The Wolf of Wall Street" from a psychoanalytic prism. The movie, "The Wolf of Wall Street", is a 2013 black comedy film directed by Martin Scorsese and adapted by Terence Winter from Belfort's memoir (2007) of the same name. This movie has already been analyzed from cultural and historical perspectives, with the protagonist representing American culture of the 1980s. I will first summarize some of these views, and then present my psychoanalytic perspective of Jordan's wish to become "Master of the Universe" (Wolfe, 1987; Grunberger, 1993), as expressed through his abuse of drugs, hyper-sexuality, and his aggressive and self-destructive behavior. As the craving for omnipotence and immortality is a universal wish that has existed from time immemorial, I will draw an analogy between certain aspects and symbolic elements in "The Wolf of Wall Street" and Wagner's (1848-1872) four epic operas "Der Ring des Nibelungen." I will conclude with a brief reference to the charismatic appeal of a man like Jordan to the general public.

Fantasia , Narcisismo , Interpretação Psicanalítica , Transferência (Psicologia) , Humanos , Filmes Cinematográficos
Am J Psychoanal ; 78(1): 74-88, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29422686


This paper investigates the concept of "total situation" which, even though introduced into psychoanalytic thinking via sister disciplines, such as sociology, the neurosciences, etc., has gradually acquired a relatively prominent position in current therapeutic practice. It is used as a metaphor for the envelopment of the unfolding transferential and related events in the analytic process. Irrespective of whether one focuses on the individual analytic condition or the group-analytic one, contemporary psychoanalytic perspectives include both the bi-personal unconscious interactions and the various levels of the total situation in their conceptualizations of the nature of the process. Such a complex approach in conceptualization can only be achieved through the so-called binocular vision of the analyst.

Terapia Psicanalítica , Processos Psicoterapêuticos , Transferência (Psicologia) , Humanos , Terapia Psicanalítica/métodos , Visão Binocular
Am J Clin Hypn ; 60(3): 262-278, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29297782


Hypnosis predates psychoanalysis, when autohypnotic pathologies were identified through the lens of hypnosis, and labeled "hypnoid hysteria" in the language of the day. The broad spectrum of disorders then subsumed under that term is still reflected in ICD-10's subset, "F44-Dissociative (Conversion) Disorders." Freud initially embraced both hypnoid hysteria and hypnosis, but came to abandon hypnosis and, by extension, hypnoid hysteria as well. Since that fateful decision, which I term herein Freud's "Inaugural Category Mistake," references to both hypnosis and hypnoid pathology largely vanished from the psychoanalytic mainstream, thereby neglecting conditions afflicting a significant portion of the mentally ill, and needlessly restricting the therapeutic repertoire of psychoanalysis. This contribution argues that psychoanalysis could best re-embrace hypnosis and hypnoid pathology together, as a related pair, and would benefit from doing so. Two examples of the differences of understanding and interventions such a rapprochement might encourage are offered: (a) how hypnoid pathology alters the transference and countertransference; and (b) how the appropriate use of hypnosis alters the nature of interpretation.

Transtornos Dissociativos/psicologia , Teoria Freudiana , Hipnose/métodos , Histeria/psicologia , Interpretação Psicanalítica , Terapia Psicanalítica/métodos , Transferência (Psicologia) , Humanos
Am J Clin Hypn ; 60(3): 279-295, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29297784


In this article, I will describe the way in which I work with enactment-prone dissociative patients in the transference. This approach requires an appreciation of the phenomena of hypnosis and the auto-hypnotic aspects of some forms of dissociation. Essentially, I learn from the patient and my interactions with the patient how hypnotic phenomena and auto-hypnotic defenses manifest themselves in the therapeutic relationship in order both to understand them and ultimately to bring them under conscious control. Because of the fluidity and turbulence of these states, I use the analogy of catching a wave, in which timing and balance are essential, albeit elusive factors in effecting a successful treatment. The importance of having experience with many patients, attending conferences, seeking supervision, and undergoing one's own therapy will be also discussed as important prerequisites for the clinician endeavoring to utilize this type of approach. This preparation, this quest for such a "balance," is modeled after the so-called tripartite model of training employed in psychoanalytic training institutes. I will offer clinical material to illustrate this approach, which I have described as "psychoactive psychotherapy." In such treatments, the clinician may be taken by surprise and is likely to be thrown "off balance" from time to time. The mutually shared understanding of such moments is essential to regaining clinical balance in the therapeutic setting, and can lead to if not create important turning points in the treatment process.

Transtorno Dissociativo de Identidade/terapia , Hipnose/métodos , Transferência (Psicologia) , Adulto , Humanos
Am J Clin Hypn ; 60(3): 218-238, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29297788


The relationship between hypnosis and psychoanalysis has always been complex, and often acrimonious. When Freud abandoned hypnosis as both the foundation of his theory building and his clinical intervention of choice, the two approaches and the theories associated with them have often seemed separated by enormous rifts, theoretical, clinical, and political. Yet throughout their considerable estrangement for over more than a century, each has much to offer to the other. In this contribution, I briefly review efforts by psychoanalysts to conceptualize and understand hypnosis, offer an introduction to the relatively new post-modern intersubjective approach to psychoanalysis, and demonstrates how the relational concepts associated with that perspective can be of significant help in preparing patients for hypnosis, and in crafting interventions geared to the dynamics of the individual patient, which enhance the likelihood of clinical success. Key relational elements are illustrated with clinical vignettes.

Hipnose/métodos , Terapia Psicanalítica/métodos , Teoria Psicológica , Psicoterapia Psicodinâmica/métodos , Transferência (Psicologia) , Humanos
Rev. psicoanál. (Madr.) ; 33(82): 17-28, 2018.
Artigo em Espanhol | IBECS | ID: ibc-181953


En la primera parte del artículo, Margaret Little parte de las dificultades técnicas que plantean las interpretaciones tranferenciales en determinados pacientes, que no responden a un grupo definido, y que la llevan a interrogarse sobre el tipo de transferencia que desarrollan. La ausencia de la cualidad «como sí» en este tipo de transferencia lleva a la autora a una reevaluación de la comprensión y de la técnica de dichos tratamientos. En la segunda parte del artículo, M. Little se esfuerza por insertar sus reflexiones clínicas en el marco del pensamiento psicoanalítico de entonces. Propone pensar ciertos fenómenos a partir de su concepto de «unidad básica del ser» como un estado primordial de indiferenciación

In the first part of the paper, Little outlines the technical difficulties raised by transference interpretations in certain patients, who do not fit within a clearly defined group, which prompts her to question the type of transference developed by these patients. The absence of the "as if" quality in this type of transference leads the author to re-evaluate both our understanding of, and technical approach to, these treatments. In the second part of the article, Little endeavours to insert her clinical reflections within the context of psychoanalytic thought of the time. She postulates that certain phenomena be considered in reference to her concept of "basic unit of being" as a primal state of undifferentiation

Dans la première partie de l'article M. Little part des difficultés techniques posées par les interprétations transférentielles chez certains patients qui ne correspondent pas a un groupe défini et qui la mènent à s'interroger sur le type de transfert qu'ils développent. La carence d'une qualité «Comme si» dans ce type de transfert amene l'auteure a une réévaluation de la compréhension et de la technique de ces traitements. Dans la seconde partie de l'article M. Little essaye s'insérer ses réflexions cliniques dans le cadre de la pensée psychanalytique de son temps. Ell propose de réfléchir à certains phénomènes a partit de son concept «d'unité basique de l'être» comme un etat primordial d'indifférentiation

Humanos , Transferência (Psicologia) , Delusões/psicologia , Terapia Psicanalítica/métodos , Área de Dependência-Independência , Interpretação Psicanalítica , Transtornos Psicóticos Afetivos
Rev. psicoanál. (Madr.) ; 33(82): 29-53, 2018.
Artigo em Espanhol | IBECS | ID: ibc-181954


El autor pasa de una acepción restringida del concepto de contratransferencia, en que esta se concebiría como respuesta a la transferencia, a una teoría extensiva de la misma, en que además se contempla una precesión de la contratransferencia, condicionando a su vez el desarrollo de la transferencia. Defiende la especificidad del pensamiento psicoanalítico precisamente en que parte de la contratransferencia, diferenciándolo de otros acercamientos más intelectuales a la cuestión. Sostiene la idea de la no neutralidad de la escucha analítica y la relación de esta con la identificación inscrita en una situación propicia tanto para la elucidación como para la resistencia a los fenómenos inconscientes. Ahonda en los vínculos entre los diferentes tipos de pensamiento, la regresión y la contratransferencia

The author moves away from a narrow definition of the concept of countertransference, which one might conceive as a response to transference, to an expansive theory of countertransf eren ce, which furthermore comprises a precession of countertransference, in turn conditioning the development of the transf eren ce. He argues for the speci:ficity of psychoanalytic thinking, precisely in that it takes countertransference as a starting point, differentiating it from other more intellectual approaches to the question. He maintains the idea of non-neutrality in analytic listening and the relationship between this and identi:fication, inscribed within a situation conducive both to the elucidation of and resistance to unconscious phenomena. He explores the connections between different types of thinking, regression and countertransference

L' auteur pass e d'une acception restreinte du concept de contretransfert, ou ce dernier serait corn;u comme une réponse au transfert, a une théorie élargie dans laquelle est également prise en considération une précession du contre-transfert qui conditionne a son tour le développement du transfert. Il défend la spécificité de la pensée psychanalytique précisément en ce qu'elle part du contre-transfert, en faisant la différence avec d' a u tres approches plus intellectuelles a la question. Il soutient l'idée de la non neutralité de l'écoute analytique et la relation de celleci avec l'identification inscrite dans une situation propice aussi bien a l' élucidation qu'a la résistance aux phénomenes inconscients. Il approfondit sur les liens entre les diff érents types de pensée, la régression et le contre-transfert

Humanos , Contratransferência (Psicologia) , Transferência (Psicologia) , Regressão (Psicologia) , Terapia Psicanalítica/métodos , Pensamento , Interpretação Psicanalítica , Relações Profissional-Paciente , Teoria Freudiana
Rev. psicoanál. (Madr.) ; 33(82): 55-92, 2018.
Artigo em Espanhol | IBECS | ID: ibc-181955


El autor, partiendo de su experiencia en la psicoterapia con pacientes esquizofrénicos ingresados en una institución, expone su modo de entender los movimientos transferenciales psicóticos, así como el modo en que el analista es convocado en su contratransferencia. Define cuatro modalidades: una primera en la que, partiendo de lo presimbiótico en Mahler, habla de relaciones autísticas en que la investidura no es humana o resulta inanimada o muy parcializada; una segunda en la que el vínculo es simbiótico y altamente ambivalente; una tercera, en la que los movimientos hacia la autonomía o independencia del sujeto se viven como ataques al objeto; y una cuarta en la que la confusión predomina en la relación y el objeto tiene que hacerse cargo del pensamiento del sujeto. Todo ello es ilustrado ampliamente por material clínico y puesto en discusión sobre todo con autores como Bion, Rosenfeld y Little

Drawing upon his experience in psychotherapy with schizophrenic inpatients, the author sets out his understanding of psychotic transference movements, and the way in which the analyst is summoned in his countertransference. He defines four modalities: a first, in which, drawing upon the pre-symbiotic in Mahler, he discusses autistic relationships in which investment is not human, or is inanimate or very partialized; a second, in which the link is symbiotic and highly ambivalent; a third, in experienced as attacks on the object; and a fourth, in which confusion predominates in the relationship and the object must take on the subject's thinking. All of this is extensively illustrated by clinical material and discussed primarily with authors such as Bion, Rosenf eld and Little

L' auteur, partant de son expérience dans la psychothérapie avec des patients schizophrenes hospitalisés en institution, expose sa façon de comprendre les mouvements transf érentiels psychotiques, ainsi que la façon dont l' analyste est convoqué dans son contretransfert. Il définit quatre modalités: la premiere, ou en partant du pré-symbiotique de Mahler, il parle de relations autistiques ou l'investissement n'est pas humain ou bien résulte inanimé ou tres partiel; une deuxieme, ou le lien est symbiotique et hautement ambivalent; une troisieme, ou les mouvements vers l' autonomie ou l'indépendance du su jet sont vécus comme des attaques al' objet, et une quatrieme, ou la confusion prévaut dans la relation et l'objet doit prendre en charge la pensée du sujet. Tout ceci est illustré largement par du matériel clinique et discuté surtout avec des auteurs tels que Bion, Rosenfeld et Little

Humanos , Contratransferência (Psicologia) , Transferência (Psicologia) , Terapia Psicanalítica/métodos , Esquizofrenia/terapia , Psicoterapia Psicodinâmica/métodos , Transtorno do Espectro Autista/psicologia , Autonomia Pessoal , Relações Profissional-Paciente , Transtornos Psicóticos Afetivos/psicologia , Esquizofrenia Hebefrênica/psicologia , Psicologia do Esquizofrênico
Rev. psicoanál. (Madr.) ; 33(82): 95-119, 2018.
Artigo em Espanhol | IBECS | ID: ibc-181956


El artículo parte del concepto de elaboración psíquica [Verarbeitung] en la obra freudiana para luego adentrarse en la reelaboración o per-elaboración [ Durcharbeiten ], de esencial importancia dentro del proceso psicoanalítico y concebida como superación de las distintas formas de resistencia del analizando. Habiendo sido ya motivo de distintos desarrollos en lo que atañe al análisis de neuróticos, la alta incidencia de los trastornos no neuróticos hace ahora necesario preguntarnos en qué consiste la reelaboración en dichos casos. Para ello se recurre al modelo de las resistencias descrito por Freud en Inhibición, síntoma y angustia. Entre las provenientes del yo, las de los mecanismos defensivos se caracterizan por el predominio de defensas prerrepresivas. Las resistencias de transferencia proceden de formas primitivas de esta y adoptan diversas modalidades. Las del superyó devienen de la acción de un superyó sádico sobre un yo masoquista y las del ello incluyen la compulsión de repetición «más allá del principio de placer». Estamos ante el análisis del trauma precoz e irrepresentable. Cabe acudir a la noción de Verarbeitung en tanto ligazón [Bindung], intento de ligar la cantidad de energía -liberada por el trauma- con una representación, especialmente a través de las construcciones. Se incluye una viñeta clínica

Departing from the Freudian notion of psychical working-over [Verarbeitung], this article explores working through [Durcharbeiten], conceived as overcoming the analysand's vanous forms of resistance, vital to the psychoanalytic process. Having already prompted various developments in the analysis of neurotics, the high incidence of non-neurotic disorders necessitates a reconsideration of what working through entails in these cases. To do this the author turns to the model of the resistances described by Freud in Inhibition, Symptom and Anxiety. Of the resistances emanating from the ego, those of the defence mechanisms are characterized by the predominance of pre-repressive defences. The transference resistances derive from primitive forms of transference, adopting diverse modalities. The superego resistances stem from the action of a sadistic superego upon a masochistic ego, while those of the id include the compulsion to repeat "beyond the pleasure principle". This is the analysis of early and unrepresentable trauma. The notion of Verarbeitung may be considered a form of binding [Bindung]; the attempt to bind the energy-released by trauma-with a representation, particularly through construction. A clinical vignette is also considered

L'article part du concept d'élaboration psychique [Verarbeitung] dans l' ceuvre freudienne, pour s' aventurer ensuite dans la réélaboration ou perlaboration [Ducharbeiten ], d'importance essentielle dans le processus psychanalytique et conçue comme le surpassement des différentes formes de résistance de l' analysant. Etant donné que par rapport a l' analyse des névrotiques différents développements ont déjà eu lieu, l'incidence élevée de troubles non névrotiques nous oblige maintenant a nous demander en quoi consiste la perlaboration dans ces cas. Pour cela, l'auteur emploie le modele des résistances décrit par Freud dans Inhibition, symptóme et angoisse. Parmis celles qui viennent du moi, celles des mécanismes défensifs se caractérisent par la prédominance de défenses pré-répressives. Les résistances de transfert procedent de formes primitives de celui-ci et empruntent des modalités diverses. Celles du surmoi résultent de l'action d'un surmois adique sur un moi masochique et celles du ça comprennent la compulsion a la répétition «au dela du príncipe de plaisir». Nous sommes face à l' analyse du trauma précoce et irreprésentable. Il est possible de se servir de la notion de Verarbeitung en tant que liaison [Bindung], essai de lier la quantité d' énergie -libérée par le trauma- avec une représentation, spécialement a travers les constructions. L'auteur presente une vignette clinique

Humanos , Contratransferência (Psicologia) , Transferência (Psicologia) , Terapia Psicanalítica/métodos , Transtornos de Estresse Pós-Traumáticos/terapia , Transtornos Neuróticos/terapia , Teoria Freudiana , Relações Profissional-Paciente , Narcisismo
Rev. psicoanál. (Madr.) ; 33(82): 121-144, 2018.
Artigo em Espanhol | IBECS | ID: ibc-181957


La historia de la teorización metapsicológica de la transferencia permite captar que esta concierne antes que nada a la procesualidad implicada en las diversas modalidades de trabajo psíquico. Una transposición de los procesos inconscientes sobre un otro debe tener lugar con el fin de que los procesos devengan eficientes por vía de una identificación con los procesos de pensamiento de este otro. La transferencia de autoridad sobre un otro anticipa la futura identificación fundadora. Los tratamientos psicoanalíticos de pacientes que presentan una afección somática permiten una reflexión sobre la implicación del mecanismo de transposición en el fundamento de la transferencia en la sesión

A historical look at the metapsychological theorization of transference reveals that it pertains first and foremost to the procedurality involved in the diverse modalities of psychic work. A transposition of the unconscious processes onto another must take place in arder for the processes to become efficient, by way of an identification with the thought processes of this other. The transference of authority onto another anticipates the future founding identification. The psychoanalytic treatment of patients presenting with a somatic condition enables a reflection upan the involvement of the mechanism of transposition in the foundation of the transference in the session

L'histoire de la théorisation métapsychologique du transf ert permet de saisir que celui-ci concerne avant tout la processualité engagée dans les di verses modalités de travail psychique. Une transposition sur un autre des processus inconscients doit avoir lieu afin que ces processus deviennent efficients par le biais d'une identification aux processus de pensée de cet autre. Le transfert d'autorité sur un autre anticipe la future identification fondatrice. Les traitements psychanalytiques de patients présentant une atteinte somatique permettent une réflexion sur l'implication du mécanisme de transposition au fondement du transf ert de séance

Humanos , Contratransferência (Psicologia) , Transferência (Psicologia) , Terapia Psicanalítica/métodos , Transtornos Somatoformes/terapia , Relações Profissional-Paciente , Regressão (Psicologia) , Superego , Angústia de Castração/psicologia , Trauma Psicológico/terapia
Rev. psicoanál. (Madr.) ; 33(82): 145-172, 2018.
Artigo em Espanhol | IBECS | ID: ibc-181958


El artículo procura aclarar, los médicos y psicólogos en vías de formación, algunos de los paradigmas fundamentales de la historia del psicoanálisis. Los modelos psicoanalíticos han variado a lo largo de la historia para adaptarse a los diferentes vértices de observación de la realidad psíquica. Actualmente, al igual que ocurre en las neurociencias, el interés fundamental parece establecerse en base a la comprensión de la capacidad de pensar y simbolizar y así, inevitablemente, el estudio se ha orientado hacia la psicosis, la enfermedad más desorganizadora del pensamiento. En el presente trabajo, se intenta comprender el significado profundo del concepto insight, para rastrear por qué resulta tan frágil o incluso totalmente ausente en esta enfermedad y, al tiempo, se procuran sacar algunas conclusiones técnicas para su abordaje

This article sets out to clarify certain fundamental questions of psychoanalysis to doctors and psychologists in hospital training. Psychoanalytic paradigms have shifted throughout history to adapt to the different observational vertices of psychic reality. As is currently occurring in the neurosciences, the primary focus seems to be based around understanding the capacity for thinking and symbolizing and thus, inevitably, study has been oriented towards psychosis, the illness most disorganizing to thought. In this paper, the author seeks to understand the full meaning of the concept of "insight", to trace the reasons for its fragility or indeed complete absence in this illness, while at the same time endeavouring to draw sorne technical conclusions in terms of treatment approaches

L' article essaye d' éclairer quelques questions fondamentales de la Psychanalyse aux medecins et psychologues en formation hospitaliere. Les paradigmes psychanalytiques ont varié au long de l'histoire pour s'adapter aux différents vertex d'observation de la réalité psychique. A l'heure actuelle, de meme que cela arrive dans les Neurosciences, l'intéret fondamental semble s' orienter vers la compréhension de la capacité a penser et a symboliser et ainsi, de façon inévitable, il s' est dirigé vers l' étude de la psychose, la maladie la plus désorganisatrice de la pensée. Dans ce travail, l'accent est mis sur la compréhension du sens profond du concept «d'insight» pour retrouver pourquoi il semble si fragile ou meme totalement absent de cette maladie. En meme temps il essaye d'arriver a certaines conclusions techniques pour son approche

Humanos , Masculino , Adulto , Transtornos Psicóticos/terapia , Contratransferência (Psicologia) , Transferência (Psicologia) , Terapia Psicanalítica/métodos , Relações Profissional-Paciente , Percepção , Trauma Psicológico/etiologia , Frustração , Pensamento , Interpretação Psicanalítica
Rev. psicoanál. (Madr.) ; 33(82): 187-206, 2018.
Artigo em Espanhol | IBECS | ID: ibc-181960


Este trabajo investiga diversas modalidades contratransferenciales apoyándose en la conceptualización de la situación edípica como un proceso que agrupa diferentes formas de elaboración de la triangularidad. La capacidad de sobrellevar la situación triangular y el «tercero» (en forma prototípica, el pene paterno o el padre mismo) se encuentra enlazada con la capacidad de tolerar el vínculo entre objetos discriminados, y ambas capacidades sustentan conjuntamente la constitución y el mantenimiento del espacio mental. Se propone que conocer y reconocer diferentes intensidades y pujanzas en la vivencia contratransferencial del analista, permite establecer contacto con la naturaleza de las relaciones entre los objetos del paciente, con los vaivenes de su relación con el «tercero» y con sus capacidades e incapacidades en sostener un espacio interno que fomente pensamientos y significados personales y distintivos. El autor presenta diversos ejemplos que instruyen sobre la manifestación clínica de estas ideas y expone con detalle el material clínico de una joven, ilustrando cómo el proceso contratransferencial ayuda al analista a experimentar y comprender las dificultades de la paciente en sostener una relación con el «tercero» y a considerar sus diferentes significados e implicaciones en relación al espacio mental en la paciente, el analista y el encuentro analítico

This paper investiga tes various countertransf eren ce modalities from the conceptual framework of the oedipal situation as a process that groups together distinct forms of working through triangularity. The capacity to bear the triangular situation and the "third" (in prototypical form, the paternal penis or the father himself) is bound up with the capacity to tolerate the link between differentiated objects, both capacities together underpinning the constitution and maintenance of the mental space. To know and recognize varying intensities and forcefulness in the analyst's countertransference experience allows him to connect with the nature of the relationships between the patient's objects, the vicissitudes of their relationship with the "third", and their abilities and inabilities to sustain an interna! space which fosters thoughts and personal and distinctive meanings. Various examples are used to demonstrate the clinical manifestation of these ideas, presenting the clinical material of a young woman to illustrate how the countertransf eren ce process helps the analyst both to experience and understand the patient's difficulties in maintaining a relationship with the "third", and to consider what it means in relation to the mental space in the patient, the analyst and the analytic encounter

Ce travail explore diverses modalités contre-transférentielles en s'appuyant sur la conceptualisation de la situation oedipienne comme un processus qui regroupe différentes formes d' élaboration de la triangularité. La capacité a supporter la situation triangulaire et le «tiers» (avec comme prototype le pénis paternel ou le pere méme) est en rapport avec la capacité a tolérer le lien entre des objets différenciés, et les deux capacités soutiennent de façon conjointe la constitution et le maintien de l'espace mental. Il propase que le fait de connaitre et de reconnaitre différentes intensités et forces dans l' éprouvé contre-transférentiel del' analyste permet de prendre contact avec la nature des relations entre les objets du patient, avec les aléas de sa relation au «tiers» et de ses capacités et incapacités a soutenir un espace interne qui favorise des pensées et des significations personnelles et distinctives. L' auteur présente divers exemples qui instruisent sur la manifestation clinique de ces idées et expose en détail le matériel clinique d'une jeune, en illustrant comment le processus contre-transférentiel aide l'analyste a expérimenter et a comprendre les difficultés de la patiente a soutenir la relation avec un «tiers» et a considérer ses différents sens et implications en rapport avec l' espace mental de la patiente, l' analyste et la rencontre analytique

Humanos , Masculino , Feminino , Criança , Adolescente , Adulto Jovem , Contratransferência (Psicologia) , Transferência (Psicologia) , Terapia Psicanalítica/métodos , Complexo de Édipo , Relações Profissional-Paciente , Apego ao Objeto
Rev. psicoanál. (Madr.) ; 33(82): 207-234, 2018.
Artigo em Espanhol | IBECS | ID: ibc-181961


La vivencia de intimidad constituye una experiencia emocional: ¿qué es la intimidad en la práctica del psicoanálisis?, ¿cómo se construye, qué factores la facilitan y la impiden? Comienza el artículo con consideraciones generales acerca de la intimidad en la vida. Define la vivencia de intimidad como una experiencia emocional de contacto con uno mismo y con otro sujeto. A continuación, se centra en estudiar la experiencia de intimidad en la relación analítica, teniendo en cuenta que el encuentro entre dos sujetos con sus subjetividades genera una zona de turbulencia emocional que, cuando es tolerada, transformada simbólicamente y, por lo tanto, pensada, puede dar paso al conocimiento de la intimidad de las emociones de sí mismo y del otro. La emoción experimentada en el contacto con el otro es el eslabón entre ambos que permite conocer lo que está ocurriendo dentro de uno y del otro. Posteriormente propone pensar en un gradiente de experiencias íntimas, en cuyos extremos (polo del aislamiento autista y de la fusión narcisista), no sería posible la intimidad. En la zona intermedia habría grados diversos. El estudio continúa con la descripción de los tiempos de la intimidad. Por último, se presentan viñetas clínicas para ilustrar todo lo anterior

The experience of intimacy may be regarded an emotional one: What is intimacy in the practice of psychoanalysis? How is it constructed, which factors facilitate and impede it? The article begins with sorne overarching considerations on intimacy in life. It defines intimacy as an emotional experience of contact with oneself and with another subject. It examines how intimacy is experienced in the analytic relationship, given that the encounter between two subjects with their subjectivities generates a zone of emotional turbulence that, when tolerated, transformed symbolically and, consequently, thought, can open the way for knowledge of the intimacy of one's own emotions and those of the other. The emotional experience of contact with the other and the connection between the two enables understanding of what is occurring within oneself and the other. Later, it suggests that intimate experience be considered along a gradient, at the extremes of which (autistic isolation and narcissistic fusion) intimacy would not be possible, with varying degrees between the two. The study goes on to describe the phases of intimacy. Lastly, clinical vignettes are introduced to illustrate the above

L' éprouvé de l'intimité constitue une expérience émotionnelle: qu' estce que l'intimité dans la pratique analytique? Comment se construit-elle, qu'est-ce qui la facilite et qu'est-ce qui lui fait obstacle? L'article débute par des considérations générales sur l'intimité dans la vie. Il définit l' éprouvé de l'intimité comme une expérience émotionnelle de contact avec soi-meme et avec l'autre. Ensuite il se focalise sur l'étude de l'expérience d'intimité dans la rencontre analytique, en considérant que la rencontre entre deux sujets avec leurs subjectivités provoque une zone de turbulences, qui, quand elle est tolérée, transformée symboliquement et done pensée, peut faire place a la connaissance de l'intimité des émotions de l'autre et de soi-meme. L' émotion vécue dans le contact avec l' autre constitue le lien avec l' autre qui permet de connaítre ce qui arrive a l'intérieur de l'autre et de soi-meme. Il propase ensuite de penser a un gradient d' expériences intimes aux extremes duquel (póle d'isolement autiste et de fusion narcissique) il n'y aurait pas d'intimité possible. Dans la zone intermédiaire, il y aurait plusieurs degrés. L'étude continue avec la description des temps de l'intimité. Finalement, il presente des vignettes cliniques pour décrire tout cela

Humanos , Privacidade/psicologia , Parceiros Sexuais/psicologia , Amor , Impulso (Psicologia) , Interpretação Psicanalítica , Relações Mãe-Filho/psicologia , Contratransferência (Psicologia) , Transferência (Psicologia) , Terapia Psicanalítica/métodos , Relações Interpessoais , Dependência Mimética , Emoções , Apego ao Objeto
Rev. psicoanál. (Madr.) ; 33(82): 235-262, 2018. ilus
Artigo em Espanhol | IBECS | ID: ibc-181962


A partir de sendos trabajos de Carlos Paz, quien conceptualiza el caso del Hombre de los Lobos como «estructura melancólico-hipomaníaca», abordamos el reanálisis de Pankejeff con Mack Brunswick, enfocando la transferencia psicótica de este paciente desde el vértice de la melancolía, proponiendo que en esta estructura, a falta de una articulación significante en el fantasma, se produce una compensación en tanto el objeto transferencia! permanece presente. El episodio psicótico se desencadena transferencialmente en tanto retornan los lobos como goce del otro, despertados y activados por el efecto abandónico de Freud y por el vínculo transferencia! con la mujer-madre analista que producen un efecto de llamada al significante en lo real. En la fantasía de ser el paciente favorito de Freud no apreciamos un fantasma neurótico, sino un «enunciado de certeza» que hace sinthoma y jerarquizamos como «convicción maníaca». Asimismo, a lo largo del trabajo, ensayamos una serie de aproximaciones y vinculaciones teórico-clínicas entre Sigmund Freud, Melanie Klein y Jacques Lacan

Based on respective papers by Carlos Paz, who conceptualizes the case of the Wolf Man as a "melancholic-hypomaniacal structure", we consider the re-analysis of Pankejeff with Mack Brunswick, focusing on the psychotic transference of this patient from the vertex of melancholia, suggesting that in this structure, in the absence of a signifying articulation in phantasm, a compensation occurs insofar as the transference object remains present. The psychotic episode is elicited in the transference, in that the wolves return as the J ouissance of the Other, awakened and activated by the abandoning effect of Freud, and by the transference link with the woman-mother analyst, which produce an effect of calling or signalling to the signifier in the Real. In the fantasy of Being Freud's favourite patient we do not detect a neurotic phantasm, rather a "statement of certainty" which we would categorize as a "maniacal conviction". In the same way, throughout the paper, we test out a series of theoretic-clinical approaches and links between Sigmund Freud, Melanie Klein andJacques Lacan

A partir des travaux de Carlos Paz, qui conceptualise le cas de l'Homme aux Loups comme une «structure mélancolico-hipomaniaque», nous abordons le deuxieme tranche d'analyse de Pankejeff avec Mack Brunswick, en étudiant le transf ert psychotique de ce patient a partir du vertex de la mélancolie, proposant que dans cette structure, a défaut d'une articulation signifiante avec le fantasme, il se produit une compensation tant que l'objet transférentiel demeure présent. L'épisode psychotique est déclenché transférentiellement dans la mesure ou les loups reviennent comme Jouissance de l'Autre, réveillés et activés par l'effet d'abandon de Freud et par le lien transférentiel avec la femme-mere analyste qui produisent un effet d' appel au signifiant dans le réel. Dans le fantasme d'Ètre le patient favori de Freud nous n' apprécions ps un fantasme névrotique mais un "énoncé de certitude" que nous hiérarchisons comme une «conviction maniaque». Nous tentons également au long du travail une série d'approches et de liens théorico-cliniques entre Sigmund Freud, Mélanie Klein et Jacques Lacan

Humanos , Contratransferência (Psicologia) , Transferência (Psicologia) , Regressão (Psicologia) , Interpretação Psicanalítica , Psiquiatria na Literatura , Transtorno Depressivo/psicologia , Pesar , Teoria Psicanalítica , Teoria Freudiana