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Biomedical subjects

O Renik

Publications and source records attributed to O Renik.

31 records · Page 2Linked to original sources
PubMed1990

The concept of a transference neurosis and psychoanalytic methodology.

Implicit in Freud's definition of transference neurosis is the valuable concept that evolution in the observable form of a patient's transference can be used as a criterion of analytic progress. Problems have arisen because the concept has been misapplied. Freud and those who followed him focused attention on clinical developments that are not in fact indicators that successful analytic work has taken place. It is suggested that transference neurosis be identified in terms of a different set of clinical observations than is usually used. Emphasis is given to evolution in the form of the analyst's activity, as well as the patient's, when analytic progress occurs. Validly applied, the concept of transference neurosis can provide a dependent variable whose appearance or non-appearance enables the testing of hypotheses about the psychoanalysis of neurotic patients.

Freudian Theory↗
PubMed1984

An example of disavowal involving the menstrual cycle.

The author presents clinical material that illustrates the confusion between reality and fantasy in disavowal, the tendency of some women in analysis to disavow menstrual events, and some technical considerations pertaining to the analysis of disavowal as a resistance.

Defense Mechanisms↗
PubMed1981

Typical examination dreams, "superego dreams," and traumatic dreams.

Typical examination dreams fulfill, in disguised form, a wish to be reassured about the future. Similar disguised wish fulfillments can be identified in certain "superego dreams" and in those post-traumatic dreams in which a traumatic event is accurately re-enacted. Recognition of the wish and the need for disguise permits a fuller picture of the dreamer's immediate conflicts to emerge. Vignettes are presented to illustrate the implications for clinical work. The concepts of the repetition compulsion and a motivation toward mastery in dreaming are considered in light of these observations.

Adult↗
PubMed1981

Rain and the urge to urinate: clinical observations concerning external events, surmounted impulses and repression.

During a time of heavy rainfall a number of patients produced dreams, associations, new symptoms and memories, involving sexual impulses expressed through the urge to urinate. Sensory stimulation associated with the rains activated trains of thought that approached previously unconscious contents. The urge to urinate cannot be repressed, but can be surmounted. Sexual fantasies based upon the act of urination may escape being tested against reality by being regarded as surmounted rather than impossible. The connexion with a surmounted, non-sexual impulse permits the sexual one to survive in repressed form, and at the same time creates a point of contact with conscious mental life, leaving open the possibility of elicitation by external stimuli.

Adult↗
PubMed1980

Enuresis: a functional equivalent of a fetish.

The split in the ego between consciousness and unconsciousness which sometimes eventuates in fetishism can also be clinically manifested in sleep disturbances, depersonalization, dejà vu and a variety of alterations in the sense of reality. It is suggested that this same split comprises the central dynamic mechanism in enuresis. The sleep disturbance which accompanies enuresis involves a confusion between waking and sleeping, sometimes taking the form of a dream that one is awake. Three patients(adult males) revealed in the course of their analyses that they suffered from childhood enuresis accompanied by a sleep disturbance. Milder forms of sleep disturbances persisted into adult life. In these analyses, certain perceptual distortions, difficulties in the sense of reality, and between fantasy and reality, confusions between waking and sleeping, could all be linked to the functional split between consciousness and unconsciousness and eventually to disavowal of the female genitals. The enuresis represented a functional equivalent of the fetish (and it may be that the urinary stream itself actually served as a fetish). Psychological test data from nine enuretic boys were examined as well. This material clearly demonstrated that these boys wished to deny the differences between males and females, that they suffered from sleep disturbances and that they confused reality and fantasy, sleeping and waking. The combined data suggest the existence of a functional split in the ego used in the service of defence, the product of a regressive fixation and a reinstatement of an archaic mode of thought.

Adolescent↗
PubMed1978

Bamboo phobia in an eighteen-month-old boy.

We have presented a developmental history and an account of the treatment of an eighteen-month-old boy who had a bamboo phobia. Conceptual problems concerning drive organization, the expression of drive derivatives, and object relations have been explored. The correlation of these with Mahler's separation-individuation theory has been considered. Analysis of the bamboo phobia revealed two castration themes. One related to projections onto the father, and another onto the mother and sister. Our case illustration highlights the important role of object-relations development in determining the level of psychosexual organization. It also demonstrates the difficulty in correlating level of psychosexual development with capacity for symptom formation. The importance of sexual and aggressive impulses in separation-individuation is emphasized. The bamboo phobia is seen as a symptom formed to deal with psychosexual conflicts that played a part in the rapprochement crisis. Tth role of fantasies and internal representations of objects, as well as the parents' actual behavior, is stressed--again, in relation to the influence of the drives.

Child Behavior Disorders↗
PubMed1978

Neurotic and narcissistic transferences in Freud's relationship with Josef Popper.

An analysis of Freud's avoidance of meeting with Josef Popper is offered which suggests that Freud's idealization of Popper was related to an unconscious fear of being attacked by him. This view is compared and contrasted with the concept that Freud had a "mirror transference" to Popper, as proposed by Wolf and Trosman (1974). The choice of focusing on either narcissistic or neurotic mechanisms in this psychobiographical inquiry is discussed and related to similar choices that commonly occur in clinical work.

Attitude↗
PubMed1978

The role of attention in depersonalization.

Episodes of depersonalization function to keep disturbing preconscious thoughts from becoming conscious. The symptom is conceptualized as a compromise between the wish to be "only dreaming" and the need to maintain a waking state in contact with perceptual reality. Restriction of attention is identified as the central mechanism by which the compromise is effected. On this basis an explanation for the alteration in the sense of reality is suggested. Material from a case is given to support these ideas. The author speculates that early efforts to deal with traumatic experience at a time when the distinction between sleeping and waking states is not secure may lead to the symptom choice of depersonalization.

Adult↗
PubMed1975

Visual inhibitions of automobile driving.

Three patients in psychotherapy who were symptomatically unable to drive automobiles also gave histories of having been afflicted with oculomotor disorders in childhood. This calls attention to the previously undiscussed visual dimension of automobile driving, which is considered in general terms. The specific question of an inhibition of visual function resulting in avoidance of automobile driving is then raised, and a case illustration given in which the attachment of sexual and aggressive meanings to the act of looking was important in the formation of an automobile driving symptom. The particular impact of ocular deviation on early psychosexual development is explored, using the clinical material as a point of departure.

Aggression↗