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Micropsia and testicular retractions.

Five episodes of micropsia, which were precipitated by oedipal masturbatory fantasies, are described in the analysis of an adult male. Traumatic visual events and testicular retractions during the oedipal and latency years predisposed the ego functions concerned with visual perception to later involvement in conflict. The micropsia itself is seen as defending against castration anxiety by means of a series of unconscious fantasies of denial. These fantasies cause a regression to an earlier mode of visual perception (and to micropsia) characteristic of latency. The defensive modifications of the functions of the ego itself seen in micropsia are closely allied to those seen in the dèjá vu experience and in depersonalization.

Adult↗

[Oedipus tragedy].

Taking into account Paul Ricoeur's theories, two possible hermeneutical positions in front of Oedipus' drama are considered. One is to view it as a fatalistic destiny, bred into the darkest incestuous trends any infant is fighting against, and leading to unavoidable stigmata of everlasting nature. The other is to conceive it as the response to present naked truth, resulting from deep reflexion in order to attain real consciousness of oneself. The former is the "backwards conception", having its own limitations, in its very being buried into the past. The latter, having its projections forward, centers on anguish and anxiety aroused by consciousness of oneself, seeked by the alert responsible mind, able to afford reality and truth with all their thorough implications. The author's existential position embraces the secon conception which had been already exposed by Sophocles in Oedipus in Colonna. The dialectics are set between seeing and knowing. Tiresias is blind, but he can see, because he can afford truth, and its consequence, guilt. Oedipus must fight to attain the possibility of knowing, and must go into the ordeal of losing his eyes, as the only way to reach true self realization, through facing truth and bearing anguish.

Humans↗

A matrix of hysteria.

The psychoanalytic literature of the last decades on hysteria is reviewed and its overemphasis on pre-oedipal concepts is demonstrated. A matrix of hysteria, which is a contemporary re-reading of Freud's basic conceptualisation, is presented. It integrates oedipal concepts with others borrowed from object-relations theories, self-psychology and the intersubjective approach. In this way the focus on the issues of gender and sexuality in hysteria is continued, without the original roots being lost. The focus is on the content, and the structure may vary. Within the first axis of the matrix, the author proposes to identify the conflict of gender and sexual identity as the unconscious and conscious solutions that a hysteric adopts to the question 'am I a man or a woman?' In an attempt to identify hysteria's particular psychic dynamics, a range of concepts is suggested. Repression and conversion are incorporated to constitute the second and third axes of the matrix. Repression, denial, dissociation and fantasy are shown to be employed in the context of gender and sexuality and along a continuum of personality structures. In this context, the turning to the body, the conversion, still acts as an effective language, to which we have to listen.

Defense Mechanisms↗

Vicissitudes of remembering in the countertransference. Fervent failure, colonisation and remembering otherwise.

The author argues that certain kinds of transference can have great impact on the analyst's ego functioning. One such effect is impairment of ready recall of the analytic material, such as life historical data, the analytic process itself, and his or her role as analyst. The analyst strives to remember otherwise by analysing the patient's projective identifications and other defensive, manipulative strategies. When successful, these strategies may be said to colonise the analyst's mind. Although other ego functions are often affected by colonisation, remembering is of particular interest owing to its importance in building up and keeping ready at hand the contexts within which balanced and timely interpretations can be formulated with some hope that they will be heard and used effectively and progressively by the threatened, phantasy-ridden patient. Special attention will be paid to themes of failure; other themes, such as omnipotence and erotised transferences will be considered later on. Clinical illustrations are included.

Adult↗

Alan Strange as an adolescent: a discussion of Peter Shaffer's Equus.

Psychoanalytic knowledge of adolescence helps us to understand the protagonists of Peter Shaffer's play Equus. Alan Strang, the seventeen-year-old who maimed six horses, had undergone a retreat from oedipal wishes to narcissism typical of teenagers. His fragile attempts at achieving a sound sense of identity are undermined when his seeking of a noninestuous object produces panic and impotence. Dr. Dysart, the psychiatrist who envies his patient's passion, and fears hurting him through treatment, displays in an exaggerated way countertransferences often seen in therapists of adolescents. In addition, his doubts have some foundation in that the treatment he employs, catharsis, can encourage primitive defenses and the outpouring of uncontrolled, unneutralized drive derivatives. This is more likely to prevent adaptive creativity than the cure the doctor dreads. Finally, some technical problems in dealing with sublimations in psychoanalysis (which is not Dr. Dysart's form of treatment) are discussed.

Adolescent↗

[Conversion symptoms in childhood and adolescence].

Since its first definition 100 years ago, the term conversion underwent many changes, a fact that is proved by various re-evaluations with respect to classification (DSM-IV, ICD-10). In the context of a psychodynamically-oriented diagnostic there are--in addition to that--actual attempts to reach a valid operationalization of the conversion concept. From a psychodynamic point of view a differentiation of traditional concepts has been made. Results of examinations of 45 children and adolescents (average age: 14 years, range: 8-18 years) who had been treated in the Department of Child and Adolescent Psychiatry of the University of Essen for conversion symptoms, revealed a strong interaction of oedipal and pre-oedipal conflicts and that in case that there was no help from a third object during early triangulation, the child's endeavor to break out of the primordial relationship with the primary love object had been impeded and thus individuation processes were impaired or even prevented. Our results lead to the conclusion that for the young patients, who came to us with a conversion symptom, the early pre-oedipal triangulation failed and thus primary separation and dependency conflicts could not be solved adequately.

Adolescent↗

Some problems in faculty selection of patients for supervised psychoanalysis.

The selection of patients for supervised analysis by candidates involves special tasks in evaluation and prediction. A number of problems emerge when the entire faculty of an institute participates in evaluating such patients. These include the different ways in which the initial consultant and the Admitting Psychoanalyst view their roles; insufficient consideration given to the specific criteria of suitability for analysis by a candidate; and the tendency to emphasize oedipal pathology while overlooking relevant ego capacities.

Adult↗

Self-image and emotional stability of Oedipal and non-Oedipal male homosexuals.

The past several years have brought about some changes in the legal status of the homosexual in USA. In some states, the homosexual is labelled as a criminal; in others, homosexuality is not a legal affair. Psychological theories tend to consider the homosexual from two general positions: the Oedipal and the non-Oedipal. The present study was conducted to try to determine how Oedipal and non-Oedipal male homosexuals perceived their self-image and emotional stability. Significant differences were found between the two groups. Considering self-image, Oedipal subjects were found to be more negative. They had less self-worth, self-confidence and self-acceptance than non-Oedipal. They had more negative self-concepts, self-attitudes, and self-motivation. Oedipal homosexuals had less emotional stability. They had more emotional problems, shame, guilt, withdrawal, and depression than non-Oedipal subjects, as well as less success in sexual activity and commitment to the homosexual partner.

Adult↗

Problems in falling in love.

Certain patients enter psychoanalysis because of their inability to love another person. Often they report a repetitive erotic pursuit of desired partners, without being able to experience or maintain loving feelings. Kernberg has understood such difficulties as representing effects of early narcissistic disappointments and/or of difficulties in resolving oedipal conflicts. In this paper, Lacanian concepts of the mirror phase and symbolic love are employed to develop these issues. Sexualization of problems in mirroring may be fused with oedipal conflicts in some cases. An extended vignette is presented to illustrate the technical and theoretical issues.

Humans↗

Some Jungian and Freudian perspectives on the Oedipus myth and beyond.

The authors traces some of the differences and similarities between those psychoanalysts and analytical psychologists who met in London to discuss contemporary attitudes to the oedipal situation. The conference provided an opportunity to consider briefly whether the characterisation of Jung as an apostate was correct or whether this was a consequence of the political need, following the separation of Jung and Freud, to protect psychoanalysis from professional criticism until it had become sufficiently well-established to be able to tolerate dissenting opinion. The author considers the misjudgements of history, why psychoanalysts do not read Jung, and some of the differences between the conceptual foundations of psychoanalysis and those of analytical psychology. After setting out some of the directions in which Jungian thought has been moving, particularly in respect of the work of Fordham, Klein and Bion, the author compares current clinical approaches as exemplified by established practitioners and includes parts of the discussion between members of the two associations. A brief indication of what the papers contained is also included.

Freudian Theory↗