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Notes on shamelessness.

The effect of the decline of the sense of shame on the individual and on society is discussed. It is postulated that when the element of shame is changed in relation to instinctual drives, the later power of shame in preserving social cohesion is weakened, and a regression in some important functions of the ego results.

Adult↗

Mourning and erotic transference.

This article proposes that the clinical mourning process is a critical factor in transforming an aggressively-laden erotic transference, and its potential for use as resistance, into a conscious erotic transference that progressively mobilizes the psychoanalytic treatment process. A psychoanalytic case is used to illustrate that the mourning of the pre-oedipal object allows an erotic transference to emerge into consciousness in treatment. The case also demonstrates that the erotic transference takes the form, not only of desiring, but also of mourning the oedipal level object. The case serves as a case in point in illustrating that erotic transference appears in cases in which female analysts treat male analysands. Further, it illustrates that erotic transference remains a primarily object-related phenomenon as opposed to being a merely narcissistic phenomenon. Finally, it illustrates the course of working through the erotic transference in an analytic treatment in which the therapeutic object relationship facilitates mourning.

Adult↗

The fate of Don Juan: the myth and the man.

The literary character of Don Juan has offered an opportunity to study certain characteristics in an adult man who began a behavior pattern in adolescence that resembled the legendary and mythical Don Juan. Power and dominating control issues were paramount defenses against a narcissistic depression in this man as seen in his relationships with women and in the transference relationship with me. The transference data have been put to use in providing a formulation for an explanation of the phenomena observed. Other clinical data concerning women and some homosexual men are presented in a more abbreviated fashion. This research effort is a retrospective construction of the dynamics that led to this man's neurosis. In my opinion, a self psychological interpretation offers the more felicitous fit than the classic oedipal interpretation. In fact, at first I tried interpretations based on classic oedipal theory--concerning issues of competition with me as father and fear of retaliation and castration--but this strategy resulted in little or no response. More important than symptomatic response, however, the data minimally and weakly supported those interpretations. To be sure, there were and still are competitive and phallic oedipal issues. Moreover, when the patient's mother died, he was drawn into a closer relationship with his father, a relationship accompanied by wishes and fantasies of taking his mother's place. These wishes were quite real, but, as the analysis preceeded, this negative oedipal configuration occupied a much less prominent place in the dynamics. Power and control issues dominated the clinical picture, masking a depression emanating from a deeper narcissistic focus. Interpretation of these narcissistic issues provided my patient with the relief he was seeking, while the main effect of the antidepressant medication was to help him sleep. By giving him something, a deeply seated wish was gratified and was in keeping with an idealized mother transference.

Adolescent↗

[Harry Potter--the trauma as a drive for psychic development].

The Harry Potter books are centered around the psychic development of a traumatised young boy starting from his internalised early experience of being loved by his mother to the sudden loss of both of his parents at the anal stage and the later cumulative traumatisation by being negleced and mistreated by his relatives up to the present times. By identifying with his father and other father replacements Harry Potter finally acquires self-assurance and wins new friends. Harry goes through different stages of initiation into the adult world with all its conflicts and rivalries but also friendships. He stands up to his fears and symptoms resulting from his early childhood traumata and thereby helps to encourage readers of all ages to handle their own conflicts. On the oedipal level Harry Potter finally has to deidealize his father and Dumbledore, but also their opponent the dark Lord Voldemort, who thereby becomes more human, understandable and in the long run probably defeatable. The reader can identify himself with Harry and/ or a wide range of other characters. He can recognize his own experiences in life and conflicts in the story and argue internally with the demonstrated conflict solving patterns on different levels. It is the skillfully displayed and logically constructed story of the psychic development of a child that is traumatised at an early age and the possibilities the reader has to identify selectively with the different characters that constitutes the attractiveness of the Harry Potter novels.

Adaptation, Psychological↗

[On the psychodynamics of an adolescent bulimia patient].

The aim is to understand the meaning and significance of the symptoms by means of psychoanalytical theoretical models and to give an insight into the functioning of analytical therapy, using the example of an adolescent bulimia patient. In this therapy, the cause of the bulimic illness is seen as being a failure to build an intrapsychic space, and it is shown how triangulation can be achieved via the three-dimensional analytical relationship. Particular attention is given to the theories of M. Klein and W. R. Bion. The theory of S. Freud is based upon the portrayal of bulimic symptoms as the expression of an intrapsychic conflict. The two models complement each other, leading to a more profound understanding of eating disorders.

Adolescent↗

Psychoanalytic reflections on a particular form of language distortion.

A female obsessive patient communicated with her sister via a distortion of the Hebrew language, in which she masculinized the feminine gender second person pronoun and certain nouns. This treatment of words is analyzed in terms ranging from the concrete to the metaphoric uses of language. Lacan's emphasis on the meaning of the word is explored and is seen as an amplification rather than a replacement of the object relations approach to language and metaphor.

Adult↗

Special symbols in early female oedipal development: fantasies of folds and spaces, protuberances and concavities.

The authors present three examples, from the observation of pre-latency girls, of the use of anatomic regions for symbolic purposes. In the two cases, the first interdigital fold became the locus for castration anxiety; and in the other, the laryngeal prominence and jugular notch served as the focus for symbolic displacement of psychosexual concerns. The employment of these particular symbols, to the best of the authors' knowledge, has not been reported previously in the literature. The authors conclude by calling for further investigation into the relationship between the processes involved in such symbol-formation and those that occur in neurosogenesis.

Anxiety, Castration↗

[Conversations with the Sphinx. Images of Greek myth in Freud's collection].

In Freud's art collection, the myth of Oedipus, a central tenet of psychoanalysis, is represented by several Greek statues and vases, as well as a reproduction of Ingres' painting. Originally a protective male Egyptian deity, in Greek myth, the Sphinx was female and associated with death. In addition, Freud had sculptures of Medusa the Gorgon, a terrifying winged female, and of provocative Baubo, both also figuring in his writings. By describing these works of art and some of their mythological ramifications, the author suggests that they represented aspects of feminity not really covered by Freud's theories.

Art↗

The Biblical Book of Job: advice to clinicians.

Study of the Book of Job clarifies the particular adaptation to trauma that underlies the suffering of certain difficult patients. In addition, the misdirected efforts of Job's comforters in the Bible story help us understand why, with such patients, an analyst's attempts to address unconscious guilt and defenses against it will prove counterproductive. A case example is presented.

Bible↗