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Biomedical subjects

S S Weiss

Publications and source records attributed to S S Weiss.

8 recordsLinked to original sources

Inner obstacles to psychoanalysts' retirement: personal, clinical, and theoretical perspectives.

To live, age, and retire successfully, life must have meaning. The aged Freud bestowed passionate commitment exclusively on psychoanalysis. Therefore life lost meaning when he stopped analyzing, and so Freud sought death. Identified with this exclusive commitment, successor generations of analysts also aspired to die in harness. Successful retirement requires the conviction that there is life after analysis, with the actualizing of multiple antecedent or new passions. The reactions of three patients to the retirement announcement are discussed.

Anecdotes as Topic↗

Aging and retirement: a difficult issue for individual psychoanalysts and organized psychoanalysis.

Organized psychoanalysis has a long history of discussing and formulating policies on retirement, but follow-through has been lax and few analysts retire unless forced by illness. Institutes tend to avoid and deny the problem of the impaired analyst. Procedural guidelines are needed for assessing competency and imposing involuntary retirement. The authors recommend that all institute appointments be time-limited and that medical clearance specifically addressing conditions potentially impairing professional functioning be required for appointment and renewal.

Aged↗

Pemphigus vulgaris of the esophagus in women.

A case of pemphigus vulgaris with esophageal involvement is discussed and 10 other reported cases are reviewed. Esophageal involvement is a rare but serious occurrence. It is most readily diagnosed by endoscopy when dysphagia or odynophagia in a patient with pemphigus vulgaris or with a history of pemphigus vulgaris does not respond to appropriate adjustment of corticosteroid or other therapy. All patients with esophageal pemphigus vulgaris were middle-aged women. None had skin lesions at the time esophageal disease was diagnosed, and five patients appeared to be in complete remission, with neither skin nor oral lesions, when esophageal involvement was discovered.

Adult↗

The two-woman phenomenon.

A distinct type of phenomenon that has not been previously noted as such is named and described. Men who present a two-woman phenomenon retain a commitment to wife and marriage while loving another woman. Conflict arises only when one of the women has to be relinquished. It is postulated that many men with this pattern of loving have experienced a traumatic childhood and an oedipal conflict which defensively involved two maternal objects in fantasy or reality. One mother was hated, the other loved. This dynamic is one possible determinant leading to the two-woman phenomenon.

Conflict, Psychological↗

Three visits to eternity: Freud, Wiesel, and Patient X.

Freud's experience on the Acropolis is reviewed and reappraised. Also, the experience of Elie Wiesel at the Wall in Jerusalem and Patient X's reaction visiting an Egyptian temple are examined. Carl Jung's wish to go to Rome and his inability to do so are noted. The aim of the paper is to offer deeper understanding about intense reactions many sensitive and creative people experience over travel to special places. These places are treated as idealized and ambivalently loved transference objects. Normal anticipatory pleasure prior to the trip is impaired and reality pleasure at the site cannot be enjoyed. When these spots are reached, ego regression is initiated by the intolerably intense narcissistic pleasure mobilized by the gratification of fantasies that were felt to be unrealizable. The fantasies can be conscious or unconscious and from oedipal as well as preoedipal and postoedipal developmental levels; however, they always involve the fulfillment of overwhelmingly powerful wishes. The deep ego regression, archaic fantasies, and the complex defenses mobilized are frightening since there may also be concern about ego dissolution or irreversible transformation. One highly adaptive solution which helps master these conflictual and developmental experiences is creative ego activity. While maintaining integrity for the individual ego and enhancing the self, creative work and accomplishment also enrich and advance the cultural process.

Adult↗

Evaluation of progress in supervision.

Evaluation is an ongoing process in psychoanalytic education and is most active during supervision. Here we formulate five learning objectives relevant to evaluating competence in analyzing that can be used by both supervisor and candidate to assess progress throughout the supervisory experience. Session-by-session evaluation produces the core material for periodic progress reports.

Aptitude↗