Comment on Faber's analysis of Jocasta's suicide in "Oedipus Rex".
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Countertransference was viewed from the perspective of a 2 x 2 x n factorial typology (source x degree of consciousness x depth). This typology incorporated the conscious and unconscious influences of nonpsychological variables and their theoretical schema upon the analyst's therapeutic recommendations.
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A psychiatrist trained in Jungian analytical psychology looks at the dreams of nine Australian Aborigines from Arnhem Land. Religious imagery and the theme of intercultural conflict predominate. The relationship between religious imagery and the concept of Self in Jungian psychology and Self psychology is discussed.
Oscar Wilde and George Bernard Shaw are introduced as great exponents of the cult of individuality and as providing examples of the two poles of the self as defined by Kohut. Wilde's need for mirroring, and his use of defensive strategies to support the self, is contrasted with Shaw's compensatory use of idealization to create a strong and stable self. While acknowledging the way self psychology can explain some aspects of the personalities of these great men, it is also suggested that it does not explain all, and in particular does not explain the economic aspect. Questions about the latter are raised in conclusion.
This paper describes the historical method of psychiatric research and compares it with the method of natural science. Examples are provided of methodological errors in the use of this method: errors in the gathering of clinical evidence and the drawing of inferences. The paper concludes that the historical method need be no less rigorous in its application than the method of natural science, and that both methods are necessary in the comprehensive formulation of a psychiatric case.
This article takes a psychoanalytic perspective on incest and child sexual abuse. It concentrates on what could be called "the loss of the sense of reality" that is experienced by the victim of incest. The position in which a child of five is placed when she is sexually abused by her father is considered; this is followed by detailed material from the analysis of a woman who had an incestuous relationship with her brother. Transference and counter-transference difficulties that arise in work with abused patients are explored. A theoretical explanation of the damaging effects of an incestuous relationship is outlined.
Silence is an important aspect of human interaction, but is often experienced with discomfort and quickly filled with words. While quantitative parameters of silence such as timing and duration are easily recognised, qualitative experiential aspects are much more difficult to identify and describe. Emotions are experiential and complex, having antecedents in personal history, but words used to describe emotions are generally inadequate and simplistic. Silence is a useful experiential medium in which to identify and work with emotions. It is necessary to recognise what is being communicated by silence in each silence. This paper explores types of silences encountered in clinical work, and techniques to deal with them, avoiding symbolized language and technical terms of individual schools of psychotherapy.
We present here a psychodynamic model for treating brain-injured patients. In contrast to the common assumption that brain-injured patients remain in an emotional vacuum, our model uses dream material to enable a direct access to the psychic inner life of the patient. It thus refutes the view that these patients can only benefit from supportive psychotherapy.
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This article describes the psychodynamic approach to work developed in the '70 in France by Christophe Dejours. It consists of an interdisciplinary approach that views the organization of work as both a source of pleasure and suffering as well as the origin of defensive strategies of individuals who strive to reconcile the demands of the workplace with personal efforts to protect their health. The psychodynamic approach is part of the comprehensive subjectivist paradigm based on a hermeneutic philosophy. The author's purpose is to make this approach more widely known by researchers who seek a better understanding of mental health problems that arise in the workplace.
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The author explores how clinicians may use the construct of the schizoid dilemma as a means to understand young adult punk rockers. The basic dilemma, in Fairbairn's formulation, is whether to withdraw from relational attachments because of a history of disappointments by others. The punk phenomenon may be understood as an object-relational stance resulting from a particular resolution of the schizoid dilemma. The author describes characteristics of punk individuals in terms of this construct, and discusses their relation to such possible pathology as depression and substance abuse. Finally, an explanation is offered for the phenomena that both drive an individual to treatment and lead to premature termination of it.
In this paper, the author makes metaphorical use of the astrophysical term 'black hole' to describe the impact of the psychically 'dead' mother. The 'dead' mother constitutes a 'black hole' experience in the interpersonal, intersubjective space of her child because of the intense grip and compelling pull of her world of inner deadness. Individuals under her influence are either trapped in her deadening world or, if they succeed in detaching themselves, are petrified in their interpersonal space, because of the imminent threat of being drawn back in again. Consequently, they are unable to form object relations of closeness, love and intimate bonding. Can analysis provide the enormous counter-forces needed for freeing them from the grip of these powerful, devouring forces? The author describes the analysis of a man who grew up with a 'dead' mother. Analysis began with a patient who was emotionally disconnected, developed into patient (and analyst) being drawn into a 'black hole' of deadness and dying, and eventually progressed to his extrication. The emphasis here is on the analytic experience and analytic experiencing. The author relates experientially and theoretically to the pivotal role of the patient-analyst's survival of the deadening, destructive processes in this analysis, and the analyst's capacity (and struggle) to both hold and contain the patient, and remain alive, while experiencing and going through annihilation and death along with the patient.
The author notes a parallel between his heightened capacity to experience pleasure in life after discovering that he has metastatic cancer and the surprising mobilisation of therapeutic forces displayed by his patients after sharing with them the news of his illness. He presents four clinical vignettes and compares and contrasts his findings with those reported in the relatively sparse and inconclusive literature which emphasises the negative aspects of dealing with this kind of threatening reality. The author notes the usefulness of sharing external realities with his patients, which then functions in dialectical interplay with a classical focus on unconscious fantasy, both in extreme and ordinary therapeutic circumstances. This extends and elaborates on the author's previously reported work on 'comprehensive counter-transference' being a 'real person' and therapeutic action.