Biomedical subjects

Rosine Jozef Perelberg

Publications and source records attributed to Rosine Jozef Perelberg.

3 recordsLinked to original sources

PubMed2006

The controversial discussions and après-coup.

The author suggests a distinction between what is descriptively named après-coup, and what is dynamically identified as après-coup. This parallels Freud's distinction between the descriptive unconscious and the dynamic unconscious in the topographical model of the mind. The descriptive après-coup refers to the way in which the concept has found a use, especially but not only in the French literature, to refer to retrospective signification in the moment-to-moment progress of a session. The author outlines dynamic après-coup and she suggests it is at the core of Freudian metapsychology. Dynamic après-coup establishes a link between trauma, castration, repetition compulsion, sexuality and temporality in the context of the transference.

Adult↗

PubMed2004

Narcissistic configurations: violence and its absence in treatment.

'On narcissism: An introduction' constitutes a turning point in psychoanalysis. Although narcissism is a concept which has not been explicitly referred to by many important thinkers for decades, it could be said that there is no paper written in psychoanalysis since Freud that does not implicitly take into account the modifications in thinking that the work brought about. In this paper, the author contrasts two types of narcissistic configurations: in the first, the intolerance of the other is dealt with by expulsion and violence; in the second, by withdrawal. The author contrasts patients who express manifest violent behaviour with patients for whom the violent behaviour is absent but who, nevertheless, present similar background histories, which might have led to a prediction of violence. They are also profoundly different in terms of what they provoke in the countertransference. In addition, this paper argues that the treatment of narcissistic personalities has allowed in recent years the understanding of a modality of depression. Following Green, the author argues that, instead of a fruitless debate that involves evolutionary issues around the concept of narcissism, it is necessary to distinguish the narcissistic aspect in any analytic relationship, to identify the narcissistic transference in different types of psychopathologies.

Adult↗

PubMed2003

Full and empty spaces in the analytic process.

In this paper the author discusses two categories of patients which differ in terms of the impact they have in the countertransference. On the one hand, there are patients who create an empty space in the analyst's mind. The response they provoke is a kind of depressive feeling that remains after they leave. The patient may bring dreams and associations, but they do not reverberate in the analyst's mind. The experience is of dryness, a dearth of memory, which may--at times--leave the analyst with a sense of exclusion from the patient's internal world. At the other extreme, there are patients who fill the consulting room. They do that with their words, dreams and associations but also with their emotions and their actions. The experience is that the analyst is over-included in the patient's world. They have dreams that directly refer to the analyst and the analyst feels consistently involved in the patient's analysis. The pathway through which the analyst can understand both these types of patients is via the countertransference or, to put it another way, the analyst's passion. In 'Analysis terminable and interminable' Freud suggested that the bedrock of any analysis is the repudiation of femininity. The author believes this statement may be viewed as lying at the crossroads of the discussion about the limits of the theoretical and clinical psychoanalytic formulations which she refers to. In the examples presented the author relates the repudiation of femininity in its connections to the gaps implicit in psychoanalytic understanding.

Adult↗