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[Psychopathologic aspects of tetanic seizures].

In that work, the tetanic's depresses are taken out from the sphere of spasmophilie , concept that the authors take as no pertinent. Those depresses find again the sphere of the nevrosis . It is an answer to the anguish and to the oedipus-problematic of the subject. The authors, by making clear their remarks with several observations, circle the clinic constants escorting the birth of depresses, the bodily expression of the anguish, the psycho-motive peculiarity of the tetanic and the phenomenon of repetition. The authors conclude with a thought over the sense of the symptoms, and over a psycho-somatic medicine that essentially refers to the relation between the doctor and the patient.

Adult↗

Freud reconsidered: bisexuality, homosexuality, and moral judgement.

This article examines methodological problems and unacknowledged moral judgements in Freud's theory of homosexuality. Freud raises the issue of bisexuality in connection with the origins of homosexuality. When critically examined, the theory of bisexuality reduces to a theory of the capacity to be attracted to either females or males, and in that sense explains little about the origin of exclusive homosexual orientation. Freud's further investigations into the origin of homosexuality, strictly speaking, do not provide a clear explanation of sexual exclusivity. Finally, it is argued that Freud's moral assumptions color the nature of his conclusions. At the very least, without morally justifying his procedure, he transforms the course of psychosexual development as determined by psychoanalysis into a moral imperative against which homosexuality is judged a fixated and immature state.

Female↗

[Grandparenthood].

This is a study about grandparenthood and represents an approach to the organization of the human psychodynamics along the individual's development toward becoming a grandparent. Grandparenthood is an important function that has its roots in the nuclear oedipical bonds and in previous narcissistic relationships. It is not always, though, an idylic happy end, reached by the only fact of having been a parent and then a grandparent with many grandchildren. In this paper, the author expands on three basic items: The desire of the individual to become a grandparent. The meaning for the grandparent of this desire. The way in which the tumultuous libidinal metamorphose, which can be called "grandparenthood crisis" develops. Human beings do not willingly give up their libidinal strongholds, not even when potential compensatory substitutes are rising up. But in the normal case, the sense of reality prevails. Meanwhile, losses continue their existence in the psyche as inscriptions of a lack, making encounters and reencounters possible. Parents may be lost and sons may become independent but they are recovered through grandchildren and new social bonds that provide richer fulfillment feelings to the grandparent. The family, the environment in which the emergence of desire puts to the proof the interdiction of incest, the sex differences and the generational gap, is the most intimate and adequate field for the development of the strongest tendencies either in the realm of creativity or in the realm of destructivity. And grandparenthood takes place in this field of tendencies.

Family↗

Reflections on the idea of personal fate and its psychopathology: Helene Deutsch's "Hysterical Fate Neurosis" revisited.

The idea of a psychopathology of fate or what had come to be called a fate neurosis has failed to retain any established place in the structure of psychoanalytic thought. The clinical observations and theoretical formulations, to which the idea of a fate neurosis answered, have been subsumed in the course of things by more fundamental and systematic conceptualizations. A review of Helene Deutsch's (1930) paper, "Hysterical Fate Neurosis," is therefore bound to be largely an excursion into an area of intellectual history. However, such history never fails to shed light on certain ongoing clinical and theoretical problems that may have lost too much to current developments in psychoanalytic thought. It is with this historical purpose that the present study of Deutsch's classic paper on a fate neurosis is undertaken.

Acting Out↗

On the universal nature of primal scene fantasies.

The scope of this paper is limited to inspecting primal scene fantasies, their meaning and function, as part of the primary organizing fantasies in the psychosexual development of the human being. The aim is to examine how primal scene fantasies, throughout life, reflect the shaping of oedipal sexuality. An infant cannot cathect the use of genital functions or their psychic contents by practising them with his more knowledgeable parents or caring persons. In order to alleviate this deprivation the child creates fantasy self objects, proto fantasies of his sexual parents with whom, in the form of primal scene fantasies, he then tries to work out his sexual libido. In our opinion, the formless, psychically non-structuralized impulses of genital-oedipal sexuality tend to awaken an inner state of mind at any stage of life in which the infantile primitive dynamics, helplessness and readiness to destroy, are again repeated. Not only oral desire and the breast alone are 'good' or 'bad'. The same dynamics apply to every impulse for which the actual capacity for psychic work is insufficient. The new inner impulses brought along with progressing psychosexual development can create such a situation. The unstable cathexis of genital-oedipal sexuality is the universal fate of a human being. The child cannot participate in the sexual activities of adulthood, and is unable to cathect his genital functions under real conditions and with real partners. The cathectic wound thus inflicted on the self and the exclusion experienced are essentially bound together. The theme of inclusion or exclusion, so intertwined with the primal scene fantasies, concerns not only object relations, but self-esteem as well.

Adult↗

[The task of becoming a parent: problems and failures].

The reactions of father and/or mother at the time of the birth of the first son are here analysed (post partum "blue", "couvade", paternal acting and neurotic depressions). These manifestations are considered as masked depressive states. Analogies between the freudian concept of the mourning work and the work of becoming parents are seen as an internal process for both parents to consider all their losses (the role of the son, the privileged role of the pregnant woman, the exclusive relationship with the partner . . .). Two aspects are emphasised which correspond to different levels of involvement and to different clinical manifestations. An incapacity to establish a dual relationship is expressed in both father and mother with psychosis as an escape from the work of parenthood; problems and failures in such work are expressed as depressive manifestations which testify the obstacles to this elaboration.

Conflict, Psychological↗

The superego concept. Part II: Superego development, superego pathology summary.

From its inception the superego concept has been historically at the center of a process of scientific convergence-yet it has always presented difficulties in conceptualizing. In this paper, a condensed literature review selectively explore: (1) Freud's fundamental contributions to this concept; (2) major trends in the psychoanalytic exploration of the concept, as they derived from Freud's germinal ideas and; (3) some "stumbling blocks" which may have interfered with efforts at intergration of the superego concept. An object-relational frame of reference, incorporating Kernberg's recent contributions and his efforts at integration in this field at large, as well as Jacobson's contributions as they relate to superego concept in particular are briefly considered. Such a frame of reference is then applied in an effort at describing a sequential development of the superego in four progressively differentiated and integrated phases: (1) agressively derived primitive sadistic superego forerunners; (2) integration of aggressively derived, primitive superego forerunners and ideal self-object representations; (3) oedipally-derived superego and (4) post-oedipal superego individualization. Toward the end some succinct considerations regarding superego pathology are given and paths for possible further integration and exploration are suggested.

Adolescent↗