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Biomedical subjects

H K Gediman

Publications and source records attributed to H K Gediman.

10 recordsLinked to original sources
PubMed1985

Imposture, inauthenticity, and feeling fraudulent.

This paper deals with imposturous tendencies as ubiquitous and heterogeneous. They may enter into neurotic conflict and compromise, and also reflect an ego function disturbance involving multiple, shifting identities and subsequent problems in the subjective sense of reality of the self and objects. Imposture in a person undergoing analysis is, however, not only a function of individual character and psychopathology; it is also a function of certain inevitable requirements of the analytic situation which constitute a "pull" for its emergence. Vulnerable individuals will respond to this pull in revealing ways. Three case summaries illustrate the spectrum of imposturous tendencies.

Adult↗
PubMed1984

Actual neurosis and psychoneurosis.

A comprehensive and unitary psychoanalytic approach must acknowledge the importance of the so-called 'contentless mental state' of mounting psychic tensions. These states, once called the actual neuroses, are probably always further elaborated in fantasy. Once these states are endowed with meaning through free association and the joint constructive efforts of analyst and analysand, they may also be drawn into the orbit of neurotic conflict, if they have not already been drawn in by the patient alone, and then they may be dealt with analytically in connexion with the components of compromise formations which have interpretable meaning. Any person may be subject to traumatic states. Such states do not necessarily comprise a separate nosological category. What we are dealing with is a quantitative dimension of human existance that cuts across all conditions. Along with severe early traumata, weakness of the biologically determined stimulus barrier may predispose to later and life-long susceptibilities to traumatic states. If we substitute the notion of actual neurotic states for the older 'actual neuroses', we come closer to a fully integrated psychoanalytic approach, to understanding and treatment of actual- and psychoneurotic conditions.

Humans↗
PubMed1983

Annihilation anxiety: the experience of deficit in neurotic compromise formation.

This paper considers the problem of annihilation anxiety as a 'test case' to question some polarization tendencies in psychoanalysis. One such polarization, deficit versus conflict, encourages either-or diagnoses, such as narcissistic or neurotic. An alternative scheme is proposed here, a continuum on which most cases are 'mixed' rather than 'pure', and where annihilation concerns along the range are reviewed and documented. The non-specific dread of the strength of the instincts reactivates what Kohut has called early traumatic failures in maternal empathy. Conversely, current failures in empathy may produce great intensities of signal anxiety, anticipating the helplessness of the original traumatic state. These accruals may be experienced in terms of self annihilation. It is here proposed that the term annihilation anxiety be used to refer to a variety of phenomena, including susceptibility to traumatic states, and intensities of anxiety which may always be further elaborated with conscious or unconscious mental content. Once that anxiety, whatever its origin, oedipal or pre-oedipal, is capable of psychic representation, it may become a component of intrapsychic conflict.

Adolescent↗
PubMed1981

On love, dying together and Liebestod fantasies.

The study of the legend of Tristan and Iseult in terms of the multiple fantasies it might express adds to our understanding of the psychology of love. In a previous paper (1975), I delineated, via allusion to the Tristan legend, the romantic-erotic conditions sometimes involved in creativity. In this one, I have approached the question of love from the other direction and have tried to delineate the creative-adaptive conditions required for integrating the experiences of loving and being in love. The "High tale of love and death," the Liebestod fantasy realized, is still with us, but the happier ending may be a realistic, viable alternative.

Fantasy↗
PubMed1980

The parallelism phenomenon in psychoanalysis and supervision: its reconsideration as a triadic system.

In psychoanalytic superivision, supervisees manifest toward their supervisors many psychic patterns which parallel processes that are prominent in their interactions with their patients. The reverse influence is also observed: analyst and patient re-enact events of the supervisory situation. An expanded explanation for parallelism is offered which indicates how the structural and dynamic similarities of analysis and supervision link patient, analyst, and supervisor in a complex, multidirectional network that guarantees the emergence of this phenomenon.

Female↗