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Psychoanalytic study of an unusual perversion.

The psychoanalysis of a case of an unusual perversion demonstrated the historical determinants of the ritual. Drive and defense, bisexual disposition, and identifications were represented. At the beginning of the analysis the patient appeared to have borderline character traits; but as the analysis unfolded, an oedipal situation was revealed and character development occurred. The factors that determined the particular outcome for this patient, instead of homosexuality, or transsexualism, are discussed. In some cases of perversion, such as the one herein described, only psychoanalytic exploration can determine whether a level of personality structure and object relations had been reached that allows for the analysis of the perversion and a shift to heterosexuality and mature object relations.

Adult↗

The preoedipal development of the boy.

We have presented an analysis of findings from a ten-year observational study of infants in their second year of life, with a focus on boys. Tracing the sexual development and its relation to development in the object relations and cognitive spheres, we found similarities between boys and girls and sharp differences as well. These latter become evident shortly after the discovery of the anatomical difference. We believe that the differences in reaction to this momentous event account for the greater trouble the girl has in the rapprochement crisis. Our direct observational studies of infants served to clarify many of the preoedipal dynamic currents which in turn affect the form of the oedipal constellation. We have established some sets of conditions which are likely to lead to a negative or positive form or oedipal attachment, and have described the typical and some of the atypical patterns of preoedipal development in both sexes.

Anxiety, Castration↗

The role of analytic neutrality in the use of the child analyst as a new object.

The analyses of two children and one adolescent were presented to illustrate the concept that the neutrality of the analyst can be used not only to (a) establish a working, analyzing, and observing alliance, (b) permit the development, recognition, and working through of the transference neurosis, but also to (c) develop a sense of autonomy and self-esteem which had been contaminated by the neediness and lack of true empathy of the primary objects during the practicing and rapprochement phases of separation-individuation. For the patients discussed above, many ego functions which should have had a degree of secondary autonomy were either inhibited, enmeshed in conflict, or experienced as nongenuine, part of a "false self." It was as if the experience with the neutral analyst permitted an "autonomous practicing" that had not been possible during the period of separation-individuation.

Acting Out↗

A developmental line of gender identity, gender role, and choice of love object.

A schematic overview of the development of male and female gender identity has been presented with an attempt to formulate a developmental line. The steps include: (Table: see text) In discussion of these steps an effort was made to distinguish between core morphological or core gender identity--that is, the primary sense of being male or female, to which other aspects of gender identity are added over the course of development to eventually include a "mix" of masculinity and femininity; gender role identity, which includes the conscious and unconscious mental representations of dialogues with other people vis-à-vis one's gender identity as well as identification with role models; and the separate process of choosing a sexual partner orientation. These separate strands join together and intermingle to make up what we view globally as "gender identity."

Adolescent↗

Reconstruction of preverbal experiences.

Only a few analysts (Deutsch, 1947, 1952; Braatøy, 1954) have systematically tried to investigate how nonverbal behavior may be derived from events and experiences from the preverbal phase of development. Their approaches to the analysis of such behavior differ. Extracts of an analysis are used to illustrate basic technical and theoretical questions with regard to the possibility of making use of nonverbal material to reconstruct preverbal experiences. It is inferred that the analyst's visual observations of the patient's nonverbal behavior may be a cue to significant events and trauma from the preverbal period. Besides, the specific visual imagery of the patient that, in this case, emerged just after the appearance of nonverbal behavior, may be a valuable source of data for analytic reconstruction.

Child, Preschool↗

Psychoanalysis and self psychology: a metapsychological essay with a clinical illustration.

This paper is an attempt to evaluate critically some theoretical and clinical consequences of the psychoanalytic psychology of the self in its broad, supraordinate position. From this either-or position, advocated by Kohut and his followers, self psychology corrodes some of the most central explanatory concepts of psychoanalysis--conflict, transference, and resistance. In an extensive case illustration, I have tried to show the conceptual and technical impoverishment of the self-psychological views with respect to the concepts of organization in conflict, in defense, and in development, and with respect to the role of aggression and to the concepts of transference and resistance. These consequences of the supraordinate self-psychological viewpoint are related to its overt attack on metapsychology, which is linked to an epistemological fallacy as a consequence of the exclusive use of empathy and introspection with grave consequences for our explanatory power, i.e., a fundamental confusion between the realms of content and of function. This also implies an obstacle in the systematic study of self-deception and a threat to psychoanalysis defined as the study of human behavior considered from the viewpoint of conflict. Finally, an attempt is made to integrate the views of Kohut with those of Winnicott and of classical metapsychology.

Adult↗

Freud, evolution, and the tragedy of man.

It is argued that Freud was not, as Sulloway (1979) contends, a "crypto-biologist" of the mind, but rather a cultural anthropologist of the mind. Freud's genetic conception of the psychic apparatus was neither exclusively nor critically derived from biology. Rather, it was based on an anthropogenetic approach to the archaic heritage of mind inspired in part by the moral philosophy of Nietzsche. The idea of tragedy was the unifying theme of Freud's cultural interpretation of evolutionary psychology. The historical search for the primal origins of neurosis led Freud to the unavoidable conclusion that neurosis was in the beginning a prehistoric moral dilemma which, over the course of mental evolution, eventually evolved into guilt, discontent, and neurosis as modern-day phylogenetically endowed facts of life. Freud (1930) made it clear that the source of man's biological and cultural evolutionary progress--self-denial--was also responsible for the tragedy of the human condition, namely, repression, eternal psychic ambivalence, and chronic mental illness. He believed that neurosis began, as Nietzsche (1887) exclaimed, with the "reduction of the beast of prey 'man' to a tame and civilized animal..." (p. 42). For both Freud and Nietzsche, the cause of the human tragedy was not merely the fall from Nature, but the inexorable knowledge that Man's denial of his biological heritage was the very basis for being human.

Anthropology, Cultural↗

Adoption and disturbed narcissism: a case illustration of a latency boy.

The analysis of a latency-age boy, adopted at birth, is presented. Clinical material, particularly having to do with family romance fantasies created by the patient to account for why the biological parents "got rid of" him, are focused upon. The relation between being adopted and disturbed narcissism is considered.

Adoption↗