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PubMed1983

Some relations between the negative Oedipus complex and aggression in the male.

The conflictual problems that accompany the Oedipus complex, in both its positive and negative (normal and inverted) forms, have long been recognized. It has also been well established that normal and pathological identifications derive from bisexual tendencies and from the complications of early life experiences that reinforce love or hate toward father and mother respectively. In the male, two mechanisms that can operate to bring about a predominant feminine identification and hence a negative or inverted Oedipus complex have been described. First, there is that of a primary identification with the mother, and the seeking of the father as object, with castration anxiety as a consequence. Alternatively, the sequence has been considered to involve positive oedipal wishes with mother as object; accompanying castration anxiety based on expectation of punishment; submission in a negative oedipal position as an attempted defense, only serving, however, to reinforce castration anxiety; and ultimately, a reversion to reactive aggression against the father. The links between unconscious homosexuality and paranoia in light of the foregoing dynamics have been indicated. The influence of preoedipal experience has long been presumed, though not systematically traced. With the advance of understanding of the earliest phases of childhood development, further clarification has become possible. Several factors are discussed in this paper, with illustrative clinical material. Included are the parental roles in perpetuating infantile conflicts of each libidinal phase, and in progression from symbiosis to successful separation-individuation. The resultant difficulties in ego development and in the establishment of mature object relations are described. The subsequent problems in mastering the tasks of the oedipal phase are detailed, showing the effects in terms of alternating positive and negative oedipal strivings. The adolescent-phase struggles are touched on, including the unrealistic ego-ideal structuring based on the negative oedipal stresses. Finally, the relation between unconscious homosexuality, beating fantasies, and paranoia is discussed, with the implications regarding aggression and its effects on psychopathology.

Adult↗
PubMed1992

Art alone endures.

Sigmund Freud, a passionate collector of antiquities, often treated these objects as animate beings. He described such blurring of boundaries between persons and things in the protagonist of W. Jensen's novella, Gradiva. Freud began collecting when his father died, but his unusual attitude toward artefacts was established much earlier, presumably as a consequence of repeated early disappointments in human caretakers. It is postulated that this adaptive maneuver was not simply a displacement of love and hate, but a turning away from vulnerability in relationships, toward attachments over which he might retain effective control. The Freud Collection is largely focused on Greco-Roman and Egyptian objects. Freud's profound interest in classical civilization was established in childhood; he was particularly concerned with the struggle between Aryan Rome and Semitic Carthage, a conflict in which he identified with both sides. This ambivalence reflected growing up within a marginal Jewish family in a Germanic environment. Commitment to classical ideals represented an optimal manner of bridging these contrasting worlds. Egyptian artefacts were, for Freud, links to the prehistory of the Jewish people; they also represent an era when maternal deities found their proper place in man's pantheon--an echo of Freud's prehistoric past.

Art↗
PubMedDate not supplied

Social information processing and emotional understanding in children with LD.

The present study aimed to comprehensively examine social cognition processes in children with and without learning disabilities (LD), focusing on social information processing (SIP) and complex emotional understanding capabilities such as understanding complex, mixed, and hidden emotions. Participants were 50 children with LD (age range 9.4-12.7; 35 boys, 15 girls) and 50 children without LD matched on grade, age, and gender. Children analyzed 4 social vignettes using Dodge's SIP model and completed 2 emotional recognition tasks (pictures and stories) and 4 emotional knowledge tasks, such as providing definitions and examples for 5 emotions (e.g., loneliness, pride, embarrassment). Study results demonstrated that children with LD had major difficulties in SIP processes and consistent difficulties with the different tasks in the understanding of complex emotions and in higher emotional understanding capabilities, such as understanding that 2 conflicting emotions (love and hate) can be simultaneously experienced. We discuss the implications of such difficulties for the understanding of social competence in children with LD as well as their implications for social skills intervention.

Case-Control Studies↗
PubMed2006

Music and aggression: the impact of sexual-aggressive song lyrics on aggression-related thoughts, emotions, and behavior toward the same and the opposite sex.

Three studies examined the impact of sexual-aggressive song lyrics on aggressive thoughts, emotions, and behavior toward the same and the opposite sex. In Study 1, the authors directly manipulated whether male or female participants listened to misogynous or neutral song lyrics and measured actual aggressive behavior. Male participants who were exposed to misogynous song lyrics administered more hot chili sauce to a female than to a male confederate. Study 2 shed some light on the underlying psychological processes: Male participants who heard misogynous song lyrics recalled more negative attributes of women and reported more feelings of vengeance than when they heard neutral song lyrics. In addition, men-hating song lyrics had a similar effect on aggression-related responses of female participants toward men. Finally, Study 3 replicated the findings of the previous two studies with an alternative measure of aggressive behavior as well as a more subtle measure of aggressive cognitions. The results are discussed in the framework of the General Aggression Model.

Adolescent↗
PubMed1999

When the home becomes a prison: living with a severely disabled child.

The aim of this study was to generate knowledge about how parents who have been part of an ethical decision-making process concerning a son or daughter in a neonatal unit experience life with a severely disabled child. A descriptive study design was chosen using 30 hours of field observations and seven in-depth interviews, carried out over a period of five months with parents who had been faced with ethical decisions concerning their own children in a neonatal unit. Strauss and Glaser's constant comparative method was used for the analysis. The findings seem to indicate that these parents have an extremely tough life. Their relationships with their children are somewhat ambivalent. The children are very dependent on their parents, who in some ways both love and hate them. Too little rest and sleep and feeding the children are the most serious problems. The parents require respite facilities. The home can seem like a prison, from which it is impossible to escape. It is like having a baby who never grows up.

Adaptation, Psychological↗
PubMed1997

"Anybody's child": severe disorders of mother-to-infant bonding.

BACKGROUND: This paper describes severe, disorders of maternal affection and behaviour and suggests that there is an early process of mother-to-infant bonding which can go seriously wrong. METHOD: Forty-four self-selected women who had suffered from at least one episode of postnatal mental illness described an unexpected and often catastrophic failure to love one or more of their babies. RESULTS: These women reported absent affection, sometimes hate, rejection, neglect or impulses to harm, in relation to at least one of their children. These feelings often began immediately or very shortly after the birth, and with one exception, were specific to one child; such characteristics are best encapsulated by the term 'maternal bonding disorder'. Twenty-nine of the women were multiparae; first-borns were not significantly more likely to be the focus for such feelings. There was no direct evidence of predisposing maternal personality traits or previous experiences. Postnatal mental illness and recalled severe pain during labour were significantly associated with such disorders which, in their severe forms, did not occur in the absence of postnatal mental illness. CONCLUSIONS: The nature of the link between postnatal mental illness and disorders of maternal bonding remains unclear. Because, in multiparae, the disorder often 'missed' the first child, factors such as maternal personality traits or early childhood experiences cannot be regarded as sufficient causes.

Adult↗
PubMed2004

Discrimination of gays and lesbians: a social justice perspective.

The existence of discrimination against America's gay and lesbian citizens is widely supported in the research literature of many disciplines. This article provides a specific analysis of this discrimination and demonstrates the stark contrast between the discrimination of gays and lesbians in American society and the social justice concepts of equality and fairness. The works of Rawls, and later the works of Nussbaum, provide the theoretical framework highlighting the factors related to this discrimination and inequality. In the concluding section, specific implications for future policy development are presented that are designed to ensure that gays and lesbians are not further discriminated against. Areas examined include civil unions, gay marriages, adoptions, hate crime legislation and cessation of the U.S. military's "Don't Ask, Don't Tell, Don't Pursue" policy, advocating for inclusion of open gays and lesbians in military positions and commandership.

Female↗
PubMed1977

Homosexuality and the ethics of behavioral intervention: Homosexuality, the ethical challenge.

It is suggested that behavior therapists have not attended sufficiently to the factors influencing the desire of some homosexuals to change their sexual orientation. Therapists of all persuasions constantly make decisions for their voluntary clients, encompassing both the goals of therapy and the means to be used to achieve those goals. A perusal of the psychotherapy and behavior therapy literature indicates that therapists generally regard homosexuality as undesirable, if not pathological. Since professionals are unlikely to work on treatment procedures unless they see a problem, it is probable that the very existence of change-of-orientation programs strengthens societal prejudices against homosexuality and contributes to the self-hate and embarrassment that are determinants of the "voluntary" desire by some homosexuals to become heterosexual. It is therefore proposed that we stop offering therapy to help homosexuals change and concentrate instead on improving the quality of their interpersonal relationships. Alternatively, more energy could be devoted to sexual enhancement procedures in general, regardless of the adult gender mix.

Behavior Therapy↗
PubMed2001

Gender violence: transgender experiences with violence and discrimination.

There is a pervasive pattern of discrimination and prejudice against transgendered people within society. Both economic discrimination and experiencing violence could be the result of a larger social climate that severely sanctions people for not conforming to society's norms concerning gender; as such, both would be strongly associated with each other. Questionnaires were distributed to people either through events or through volunteers, and made available upon the World Wide Web. A sample of 402 cases was collected over the span of 12 months (April 1996-April 1997). We found that over half the people within this sample experienced some form of harassment or violence within their lifetime, with a quarter experiencing a violent incident. Further investigation found that experiencing economic discrimination because one is transgendered had the strongest association with experiencing a transgender related violent incident. Economic discrimination was related to transgendered people's experience with violence. Therefore, both hate crimes legislation and employment protections are needed for transgendered individuals.

Adolescent↗
PubMed2004

Criticizing and reassuring oneself: An exploration of forms, styles and reasons in female students.

OBJECTIVES: Self-critical people, compared with those who self-reassure, are at increased risk of psychopathology. However, there has been little work on the different forms and functions of these self-experiences. This study developed two self-report scales to measure forms and functions of self-criticism and self-reassurance and explore their relationship to depression. METHODS: A self-report scale measuring forms of self-criticism and self-reassuring, and a scale measuring possible functions of self-criticism, together with a measure of depression and another self-criticism scale (LOSC), were given to 246 female students. RESULTS: Self-criticizing vs. self-reassuring separated into two components. Forms of self-criticizing separated into two components related to: being self-critical, dwelling on mistakes and sense of inadequacy; and a second component of wanting to hurt the self and feeling self-disgust/hate. The reasons/functions for self-criticism separated into two components. One was related to desires to try to self-improve (called self-improving/correction), and the other to take revenge on, harm or hurt the self for failures (called self-harming/persecuting). Mediation analysis suggested that wanting to harm the self may be particularly pathogenic and is positively mediated by the effects of hating the self and negatively mediated by being able to self-reassure and focus on one's positives. CONCLUSIONS: Self-criticism is not a single process but has different forms, functions, and underpinning emotions. This indicates a need for more detailed research into the variations of self-criticism and the mechanisms for developing self-reassurance.

Adult↗
PubMed2006

Parental recall, attachment relating and self-attacking/self-reassurance: their relationship with depression.

OBJECTIVES: When things go wrong for people they can become self-critical or focus on positive, reassuring aspects of the self. This study explored the relationship between forms of self-criticism and self-reassurance, recall of parental experiences and attachment style in relation to depressed symptoms in students. METHODS: A sample of 197 undergraduate students from the UK and Canada completed self-report questionnaires measuring recall of parental styles, attachment, forms of self-criticism, self-reassurance, and depression symptoms. RESULTS: Recall of parents as rejecting and overprotecting was significantly related to both inadequacy and self-hating self-criticism. In contrast, parental warmth was negatively correlated with these forms of self-criticism. In addition, when things go wrong for the person, recall of parental warmth was associated with the ability to be self-reassuring. A mediator analysis suggested that (I) the impact of recall of negative parenting on depression is mediated through the forms of self-criticism and (2) the effect of parental warmth on depression was mediated by the ability to be self-reassuring. CONCLUSIONS: The impacts of negative parenting styles may translate into vulnerabilities to depression via the way children (and later adults) develop their self-to-self relating (e.g. as self-critical versus self-reassuring). Hence, there is a need for further research on the link between attachment experiences, recall of parental rejection/warmth and their relationship to internal, self-evaluative and affect systems in creating vulnerabilities to psychopathology.

Adult↗
PubMed2006

The link between identification and in-group favouritism: effects of threat to social identity and trust-related emotions.

The relation between identification and in-group favouritism was analysed across two studies, in which the relevance of three intervening factors was demonstrated: (a) the moderating role of social identity threat, (b) the mediating role of trust-related emotions experienced towards in-group and out-group members, and (c) the importance of the distinction between in-group and out-group evaluations. When the in-group was not threatened, the link between identification and in-group bias was unreliable. The effect of in-group identification on in-group bias was stronger when either the value or the distinctiveness of the in-group were threatened. A value threat strengthened the influence of identification on in-group evaluation and, via out-group distrust, on out-group derogation. Under a distinctiveness threat, identification affected out-group evaluation and intergroup differentiation. These results demonstrate that the relation between identification and in-group favouritism is reliable only in a clear intergroup context. Moreover, they show that the role and the strength of in-group and out-group trust are altered by the type of social identity threat introduced. Finally, they clarify that in-group love and out-group hate phenomena are not zero-sum, and that their presence may be simultaneous when the value of the in-group is threatened by out-group members.

Adolescent↗
PubMed1998

Estimated growth of lung volume reduction surgery among Medicare enrollees: 1994 to 1996.

OBJECTIVE: To estimate the number of lung volume reduction surgery procedures performed on Medicare enrollees from 1994 to 1996. DESIGN: Statistical analysis of national Medicare claims data. PATIENTS: All Medicare enrollees with emphysema hating claims records for pulmonary resection procedures from January 1, 1993, through December 31, 1996. MAIN OUTCOME MEASURE: Estimated number of lung volume reduction procedures performed per month from July 1994 through December 1996. RESULTS: An estimated 1,212 lung volume reduction procedures were performed on Medicare enrollees between July 1994 and December 1995 (95% confidence interval, 1,012 to 1,408). Nearly one half of these procedures were performed in the last 3 months of 1995. At the time Health Care Financing Administration announced that it would suspend reimbursement for the procedure (December 1995), lung volume reduction surgery was being performed in 37 states. The number of claims per month decreased from a peak of 169 in December 1995, to 11 in March 1996. Average Medicare reimbursement per procedure was $31,398. CONCLUSIONS: Lung volume reduction surgery for patients increased rapidly following its reintroduction in 1994. The growth of lung volume reduction surgery demonstrates that widespread adoption and utilization of a surgical procedure can occur in the absence of data from controlled clinical trials. Medicare expenditures for lung volume reduction surgery were an estimated $30 million to $50 million. Performing the surgery for all current Medicare patients who meet the appropriate clinical criteria would cost an estimated $1 billion.

Health Care Surveys↗
PubMed2000

A father's abdication: Lear's retreat from 'aesthetic conflict'.

The author explores the potential contribution of Shakespeare's 'King Lear' to psychoanalytic thinking, linking a reading of the play focused on the emotional tensions inherent in the parental function of endowing ('heriting') the next generation with the developmental struggle characterised by Donald Meltzer as the 'aesthetic conflict'. Following Meltzer's definition of passion as the 'consortium' of Bion's emotional links, love, hate and the urge to know (L, H and K), the author develops an understanding of 'aesthetic conflict' linked with the tension inherent in that constellation. It is suggested that L and H split off from each other and from K become attempts to possess and control, while K split off from L and H becomes an attack on dreaded emotional links, oscillating between attempting to ignore them and attempting to overcome them. The author suggests an affinity between Bion's K link and what in 'King Lear' is pictured as a capacity to 'see feelingly' in the context of the struggle to give the object its freedom. This way of characterising 'aesthetic conflict' is linked with a fresh look at weaning as a lifelong developmental process, which in turn leads to a reconsideration of the psychoanalytic models of the dynamics of mourning.

Conflict, Psychological↗
PubMed2003

Erna and Melanie Klein.

Erna was one of the child patients treated by Melanie Klein in Berlin, employing her recently discovered play technique. Since Erna died in Chile, the authors considered the IPA Congress in Santiago an opportunity to present a paper as a homage both to Erna and, especially, to Klein. She learned much from that very disturbed child, which she later used to sustain the ongoing development of her theories. The paper explores biographic data relevant to understanding both the case and the theories. It analyses the case material to follow Klein in the discovery and the handling of the child's transference and the harsh expressions of hate, jealousy and envy, which are brought in, with sad consequences, by strong persecutory feelings. Klein's comparison of this case with that of Freud's Wolf-man is also considered, mostly to show that the similarities were less than originally claimed, and that Klein, perhaps, was introducing a theoretic shift which led her technique to gradually change from 'Nachträglichkeit' to the 'signification-resignification' pair, akin to Strachey's concept of the mutative interpretation. Lastly, the comprehension of Erna's strong psychotic traits and the links with later developments of the theory on psychosis are studied.

Child↗
PubMed1999

The Oedipus complex revisited: Oedipus abandoned, Oedipus adopted.

The author considers that the Oedipus of Sophocles' drama, who kills his biological father and marries his biological mother, is an illustration of the failure to work through the complex named after him. She draws attention to the contrast between the obscurity that surrounds the hero's adoptive parents and the notoriety of their biological counterparts arguing that the former are equally important in the universal oedipal fantasy. In her view the fact that Oedipus has two sets of parents--abandoning and adopting respectively--is significant in that the resulting dichotomisation of the parental imago enables him seemingly to avoid a conflict of ambivalence in relation to a single object. The author further contends that the plague of Thebes represents the symptomatic return of repressed or disavowed aggression. Three clinical examples reveal the parental imago's division to be an unconscious defence against oedipal anxieties and the sense of solitude vis-à-vis the intimacy of the parental couple. The working through of the Oedipus complex is stated to require the synthesis of love and hate and of the abandoning and adoptive aspects of the parents whereby the formerly sadistic superego becomes protective. The author also argues that a useful distinction can be made between splitting and dichotomisation.

Adoption↗
PubMed2006

Father regression. Clinical narratives and theoretical reflections.

The author deals with love-hate enthrallment and submission to a primitive paternal object. This is a father-son relationship that extends through increasing degrees of 'primitiveness' or extremeness, and is illustrated through three different constellations that constitute a continuum. One pole of the continuum encompasses certain male patients who show a loving, de-individuated connection to a father experienced as trustworthy, soft, and in need of protection. Further along the continuum is the case of a transsexual patient whose analysis revealed an intense 'God-transference', a bondage to an idealized, feared, and ostensibly protective father-God introject. A great part of this patient's analysis consisted in a fierce struggle to liberate himself from this figure. The other end of the continuum is occupied by religious terrorists, who exemplify the most radical thralldom to a persecutory, godly object, a regressive submission that banishes woman and enthrones a cruel superego, and that ends in destruction and self-destruction. Psychoanalytic thinking has traditionally dealt with the oedipal father and recently with the nurturing father, but there is a gap in thinking about the phallic, archaic father, and his relations with his son(s). The author aims at filling this gap, at the same time as she also raises the very question of 'What is a father?' linking it with literary and religious themes.

Father-Child Relations↗
PubMed2002

Termination of a fe/male transsexual patient's analysis: an example of general validity.

The author describes the termination of an analysis, which, while relating to the particular case of a male-to-female transsexual patient, may be relevant to all analysts, particularly those whose patients need to integrate disavowed and split-off parts of themselves. The patient had undergone sex-change surgery at the age of 20. Having lived as a woman thereafter, she had asked for analysis some twenty years later. The author, who discussed the first three years of that analysis in an earlier paper, as well as her hesitation about undertaking it, considers that its termination after seven years illustrates not only the specific problems posed by transsexuals but also the general ones presented by "heterogeneous patients". To the best of her knowledge, this is the first published case history of a transsexual patient who has undergone surgery. In the author's view, the patient has acquired a new sense of internal unity based on a notion of sex differentiation in which mutual respect between the sexes has replaced confusion and mutual hate, and her quality of life has improved. On the general level, this termination shows how the reduction of paranoid-schizoid anxieties and the reintegration of split-off parts of the personality lead, as the depressive position is worked through, to a better toleration of internal contradictions, a new sense of cohesion of the self and a diminution of the fear of madness.

Adult↗