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Psychoanalytic peregrinations. III: Confusion of tongues, psychoanalyst as translator.

A variety of problems cause a confusion of tongues between the psychoanalyst and the patient. In this sense the psychoanalyst faces the same problems as the translator of a text from one language to another. Examples are given of confusion due cultural differences, confusion due translation differences among translators, confusion due translator prejudice or ignorance, confusion due ambiguous visual cues and images, and confusion due to an inherently ambiguous text. It is due to this unavoidable confusion that the humanistic sciences cannot in principle achieve the mathematical exactness of the natural sciences and should not be expected to do so or condemned because they do not.

Communication Barriers↗

A clinical focus on feeling in dreams.

This article, a posthumous presentation of a work in progress of Walter Bonime, one of the maverick thinkers of psychoanalysis of the 20th century, gives us a clear picture of a step-by-step use of feelings in dreams to facilitate the working through process in psychoanalysis. Through a series of dreams occurring during a finite period of the working through process the author shows us how he utilizes the feelings in the dreams to facilitate associations. By connecting past dreams with the actual one being discussed plus writing about his own associations to present and past dreams, while using confrontation and clarification Bonime gives us a clear picture of his day-to-day creative process of collaboration with his patient. As an incomplete work, still in its draft form, this article has the richness of a work in progress. It allows us a clear view of the work of a seasoned, innovative, engaged, and committed analyst with a patient through time, work mainly anchored in his deep understanding of the human psyche, his creative use of dreams, and his commitment to helping the other evolve into his/ her best sense of self.

Adult↗

A royal road from homelessness--the clinical use of dreams.

The author discusses the use of a dynamic psychotherapy technique, specifically dream exploration, in his work with New York City's homeless. Given the short amount of time clinically available in working with this population, discussing the patient's dreams was found to quickly get to the most pressing here-and-now issues. The psychiatrist's interest in the patient's creation of the dream was also noted to enhance the therapeutic relationship and the patient's compliance thereby improving the chances of a successful therapeutic outcome.

Aged↗

The biology of dream formation: a review and critique.

There is great interest in brain function as a result of the new laboratory and imaging techniques in the neurosciences. Psychoanalysis has embraced these contributions without adequate assessment of whether they bridge the mind/brain divide and provide answers to the questions psychoanalysts ask. A review and critique of the biological theories of dreaming highlights their limitations and points out they do not address the semantics, meaning, and content of dreaming nor the pragmatics of dreaming, its function. At best these theories attempt to provide the syntax of dreaming, the form dreaming takes. Brain biology cannot provide the transduction rules to go from neuronal firing to the psychological experience of dreaming or other mind states.

Brain↗

Elements of dynamics III: the face and the couch.

In this article the therapeutic and scientific advantages of face-to-face psychoanalytic treatment are contrasted with the symbolism, power, and mystery of the psychoanalytic couch. Beginning with recent commentary on the meaning of the couch, I consider some problems associated with its use, such as regressive irretrievability of learning, paucity of affective and empathic connection, preservation of shame, and coercive aspects. Compromises between couch and face are offered, and more clinical and research focus on facial affective expression is encouraged.

Affect↗

Phallic narcissism, anal sadism, and oral discord: the case of Yukio Mishima, Part I.

Thus far I have explored Mishima's traumatic childhood and the experiences leading him toward misogyny, phallic narcissism, and the drive to murder his own weakness and sexual vulnerability. Mishima suffered the extraordinary trauma of being separated from his parents and sequestered to the sickroom of a psychotic grandmother for the first twelve years of his life. Intense rage over abandonment and impingement engendered a disgust for femininity and the need to escape feminine messiness through homosexual pursuits. Mishima's entrenched feelings of shame and weakness gave rise to phallic narcissistic tendencies, as he idealized powerful men and eventually strove to become a powerful and beautiful male. In pursuing this erotic masculine image Mishima continued to fantasize about murdering his weak and shameful self-image, and commingled this sadistic impulse with fantasies of sexual merger with murdered love objects. Finally Mishima was the murderer erotically eradicating his sexual vulnerability as both subject and object. His suicide was a repetition of this erotic sadistic fantasy. In a further article I will continue the discussion by examining Mishima's fantasies of murdering beautiful and abandoning love objects. I will also address the complex nature of his ritual suicide as fantasy of rebirth, sexual merger, the murder of toxic introjects, and escape from death, decay, and regression to helpless infancy.

Drive↗