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Half a century later: current status of Freud's controversial views on women.

There is an ongoing reexamination of Freud's theories on femininity, in the light of accumulating contrary empirical evidence (derived both from the clinical situation and from direct observations of children). This reexamination remains under the shadow of the historic controversy, which rigidified positions in this area, turning them into a matter of doctrinaire loyalty. At present, two opposing currents may be observed. On the one hand, there is a good deal of continuing research in this area, some of which has been used to confront directly the difficulties with Freud's writings on women. On the other hand, there are continued efforts to salvage everything possible of Freud's formulation, even if at the expense of its internal logic (as when parts of his theory are discarded while retaining concepts predicated on the discarded assumptions). Many of the formulations offered are sufficiently ambiguous as to be rather confusing to all but the most initiated. There are, in addition, attempts to vindicate Freud's ideas by substituting for them Lacan's metaphorical reinterpretations, thereby making them less accessible to empirical refutation. The contradiction in this last position is that, while rejecting Freud's "scientism," it reaffirms as a doctrine the universal generalizations offered by Freud. The latter "defense" ignores Freud's own commitments to scientific standards, and his self-identification as an empirical scientist.

Female↗

Pre-oedipal development of the superego.

The literature pertaining to the development of early superego precursors is reviewed. This development is traced through the oral, anal, and phallic levels of psychosexual development. Additional attention is paid to such significant theoretical issues as the 'auditive sphere' and the shifting nature of ideal types. Ego ideal and superego are treated as an integrated system comprised of cognitive, affective, and behavioural components. A sequential developmental scheme is proposed for understanding the evolution of superego primordia.

Child, Preschool↗

How Oedipus falsifies Popper: psychoanalysis as a normative science.

The scientific status of psychoanalysis has been the subject of continual debate. Influential philosophers of science have challenged the form of its theories and the nature of the evidence offered on their behalf. Some have concluded that the theories are beyond testing--i.e., they can neither be confirmed nor refuted, and psychoanalysis is thus intrinsically unscientific, akin to pseudosciences such as astrology. From that body of criticism, I have chosen for examination and rebuttal the issue of falsifiability. I refute the charge that psychoanalysis is not scientific because its theories are not "falsifiable." On the contrary, I show that psychoanalysis contains theories which make strong and unequivocal statements that are subject to the test of possible falsification. This capacity has been concealed and the falsifiability criticism rendered plausible because of the normative judgments which are latent in discussions of human development and human society. In explicating these judgments, I will move from the philosophy of science to the anthropology and sociology of science (and of the professions). The normative character of psychoanalytic science reinforces the ethical code of the therapeutic profession, a combination which imposes a disciplinary rigidity of the theoretical system.

Behavior↗

Narcissistic personality disorder as a regression to a preoedipal phase of phallic narcissism.

The Narcissistic Personality Disorder in males is described in terms of the presenting picture and the psychodynamics involving unconscious phallic narcissistic transferences and wishes. A regression to preoedipal phallic narcissism is reconstructed as having occurred in childhood. The permanency of this regression prior to analysis gives an impression of great tenacity and pathology, as if the narcissism had been arrested in its development. However, oedipal dynamics and transference neuroses do emerge from repression after several years of analysis. A hypothesis is proposed in agreement with the findings of Edgcumbe and Burgner (1975) that a preoedipal phase of phallic narcissism is a regular and universal phase of childhood development. A further hypothesis is offered based on the implications of the findings of Narcissistic Personality Disorder, that a two-step sequence of narcissistic development, followed by object libidinal development, occurs in the oral, anal, and phallic erotogenic zones. This hypothesis suggests the idea of three different types of Narcissistic Personality Disorders: the oral, the anal, and the phallic varieties.

Adult↗

[Psychodynamic aspects of dyspnoea attacks in childhood (author's transl)].

It was attempted to describe some important aspects of the psychodynamics of respiratory attacks in childhood. Breathing is an activity, that is obviously bound up with life itself. From this fact derives the symptom of a sudden manifestation of dyspnoea attacks, disturbed respiration, palpitation and apprehensiveness. Three forms of asphyxia are described by the patients themselves: constriction of the throat, destruction of trachea, and obstruction of the respiratory tract as a whole. Sometimes a "lump in the throat" made swallowing impossible. The bases of this sensations are fears in connection with sudden death in the family, separation or loss of parental love. Among 18 cases we found a prevalence of boys in childhood, a predomination of girls in adolescence. Sexual fears proved to be an important pathogenic factor. Five individual cases among our patients illustrate the role of the underlying influences. In acute cases hospital admission is necessary, treatment by a child psychiatrist if available. Therapeutic problems are discussed.

Adolescent↗

Comments on Dr Norman A. Cohen's paper: 'on loneliness and the ageing process'.

Referring to Cohen's account of his patient, it is stressed that the reported data may also warrant understanding the psychodynamics of the case as manifestations of an oedipal conflict. The importance of the break-down of narcissistic defences as a factor of paramount importance to triggering a mid-life crisis is fully acknowledged. At the same time it is maintained that narcissistic problems, because of their defensive character, may be correlated to each and every developmental stage. Three short vignettes are given, illustrating this. It is attempted to demonstrate that besides a painstaking analysis of death fantasies, the theme of death in itself transcends 'ordinary' analytic endeavouring, because it does not allow a mastering of the depressive position by reparation. Instead the 'im-mortality of death' permits only a life in actuality and projective identification.

Adult↗

A case of 'pseudo-narcissistic' psychopathology: a re-examination of the developmental role of the superego.

In this paper we have attempted a tentative delineation of particular superego elements which may be involved in the production of 'pseudo-narcissistic' psychopathology, that is to say, a disturbance which superficially appears to be a narcissistic personality disturbance but which is fundamentally based on neurotic conflict. Using a framework of superego constituents and superego functions, aspects from the analysis of a man with profound difficulties in self-esteem regulation were examined to highlight his intrasystemic conflict--a conflict of ideals. Some possible explanations were offered, taking into account the persistence of early stages in the development of the superego and of difficulties in the resolution of oedipal conflicts. This work is offered as an example of a way in which the psychoanalytic treatment process can contribute to knowledge of early psychic structure formation and development.

Adult↗

[Family ideology].

This paper treats the definition of the concept of family ideology linking it to that of social ideology. In both cases the ideology is seen as patterns of messages that obey certain semantic rules. Within the family context, it is considered that the conditions of production of the ideology are, concerning the profound structures, the unconscious oedipus conflict and kindred system that determines the family organization. Concerning the surface structures, the myths and beliefs that appear in each group as an answer to the need of accounting for the conflicts inherent to the family structure. The family ideology guides the subjects to places predetermined by the oedipus conflicts, "semanticizes" the conflicts and tends to dissimulate the conditions of production through the illusion that the subject is the producer. To analyze the family ideology, the following items must be taken into account: 1) Which are the semantic lines that are privileged in the couple and parent-children relationships. 2) The relations between the semantic lines established by the articulation rules prescribed by the cultural system. 3) The elementary forms of the ideological universe (the "actantial" model applied to family relationships). These three aspects articulate between themselves through transformation rules.

Family↗

The rat man revisited: comments on maternal influences.

Freud's case study of an obsessive young man, published in 1909, has provided the foundation for the psychoanalytic understanding of obsessive illness. Freud reported the case in Oedipal terms, viewing the patient's symptoms as arising from his fear of castration by his father as punishment for his sexual desires. Freud's working notes on the case, however, contain much material about the women in Lorenz's life not included in the published case or in Freud's formulation. Careful review of this data suggests that important aspects of Lorenz's obsessive disorder harken back to conflicts in his relationship with his mother. This reexamination of Freud's classical case suggests that these questions concerning the genesis of obsessive dynamics should be further explored.

Adult↗