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PubMed2005

Nested ideation and the problem of reality: dreams and works of art in dreams.

This study uses seven well-analyzed dreams to establish three empirical generalizations about dreams and works of art nested in dreams: (1) Those dreams attempt to deny a painful reality in some way depicted in the nested element; (2) they present an antithetical view of that reality (both denying and affirming); and (3) they are consistently associated with the problem of reality (the problem of deciding what is real or true). The explanation of these empirical generalizations is based on a hypothesis derived from Freud's 1911 formulation of the dream within a dream.

Adult↗
PubMed2005

Categories as symptoms: conceptions of love in the psychoanalytic relationship.

An invitation to participate in a conference, especially the phrase, "we hope that your [contribution] might deal with same-sex love," reveals the persistent, lingering effects of the creation of the categories homosexual and heterosexual. Analysis of the phrase suggests a fantasy condensed in the invitation: that a gay psychoanalyst loves and works differently than his heterosexual colleagues and that this difference is determined by his sexual orientation. Approaching the creation of these categories as a symptom of a process of repudiation and projection, the author seeks to begin identifying and sorting through the projected psychic contents that keep these categories' specious effects alive.

Attitude↗
PubMed2005

We are driven.

Is metapsychology out-or in again? Is it a millstone tied around our necks-or is it an intriguing Freudian witch whom we can even dance with? Is the concept of drives an outmoded oddity-or an indispensable companion, inspiring our understanding of the patient's material and even opening new windows for further development? Can we proceed with the concept of structures and object relationships alone -or do we need the concept of drives in order to understand what these object relationships are all about? The author clearly opts for the second option in each of these pairs of alternatives. Musing on the sophisticated metapsychology debate that unsettled psychoanalysis in the United States for many years, she reviews some of the most frequently quoted objections to the concept of drives. Further, she offers an introduction to modern drive theory with the new duality of sexual and preservative drives, as well as a different concept of aggression, and explains how drives relate to structures-specifically, to the representations of self and object.

Drive↗
PubMed2006

Whiteness.

This paper seeks to make meaning of the experience of being white in the United States at this point in history. The self-awareness of white people is limited by a blind spot around the meaning and impact of being white in a multiracial society. Using psychoanalytic and literary methodology, the author seeks to cast light with which to explore this blind spot. Everyday experiences are used to illustrate the widely pervasive impact of race in the lives of white people, and a clinical vignette illustrates how race might show up in a white-on-white psychotherapy. Enactments within this paper are noted when they are evident to the author

Black or African American↗
PubMed2006

The filial piety complex: variations on the Oedipus theme in Chinese literature and culture.

The Oedipus complex is central to Western tradition, but not to Chinese culture. Occurrence of oedipal themes in Chinese literature is almost negligible. This phenomenon seems to support a contra-Freud claim: that a theory of European origin, the Oedipus complex, is not universal to human experience in non-Western cultures. However, this article suggests that powerful moral repression may cause the Oedipus complex to undergo structural transformations in some cultures. Through studying a sample of Chinese literary and film representations, the author argues that the Oedipus complex in Chinese culture has been transformed into a filial piety complex. Some conceptual issues are considered from a cross-cultural perspective.

Asian People↗
PubMed2006

Unity of analysis: similarities and differences in the analysis of children and grown-ups.

When comparing child analysis with that of grown-ups, we are confronted with a substantial unity of psychoanalytic method, beyond the apparent differences. The more we consider the analysis as a here-and-now interaction between analyst and patient with transformative potential, the more age-dependent differences become blurred, and the specificity of a particular analytic couple acquires more significance. At the same time, what seems to be all the same--the actual patient before us--is quite different, with several components (the child, adolescent, and adult parts), implying a need to recognize the part we should address at any given point.

Adolescent↗
PubMed2006

Existence in time: development or catastrophe.

The experience of existing in time is closely bound up with the phenomenology of the depressive position and, as such, represents a major developmental achievement. However, for some patients, awareness of time and their place in it is felt not as offering the possibility of development, but instead is dreaded as an imminent catastrophe that has to be evaded. This is achieved through the creation of an illusory timeless world, which, although offering some relief compounds the feeling of threat. The author draws on material from Oscar Wilde's novel The Picture of Dorian Gray (1890) and on clinical material from a psychoanalysis to illustrate the attractions and dangers of life in this illusory world, where the "picture in the attic" represents the threat that can never be fully faced nor fully erased. The link between the awareness of time passing and the capacity to mourn is discussed in relation to Freud's paper "On Transience" (1916), which in the author's view anticipates certain features of the depressive position as described by Klein (1935, 1940). The author makes further observations on the relation between instantiation in time, which brings a world of causes and consequences, as well as the capacity for bearing guilt.

Adult↗
PubMed1989

The use of contracts in the inpatient treatment of the borderline personality disorder.

This paper reviews and describes the clinical, administrative, and psychodynamic aspects of the use of contracts. The particular focus is on how the characteristic difficulties which borderline personality disorder patients encounter on inpatient services are helped by contracting. The use of contracts facilitates the therapeutic alliance, and aids in the avoidance of excessive regression and acting out. The improved stabilization of the patient permits a more constructive use of transference and countertransference, and facilitates a clearer examination of Axis I diagnosis and the use of medication. The contracting process can be a useful addition to the inpatient treatment of borderline personality disorder patients.

Acting Out↗
PubMed1989

"Afterwork": a clinical-phenomenological report.

This paper explores a number of the dimensions of the process of "afterwork": the psychological work that former patients engage in after treatment has terminated. Ten former patients, who had worked with 10 different therapists, were interviewed utilizing a semi-structured interview protocol, and their experiences form the basis for the findings and observations that are described. It was found that subjects remembered little by way of lessons or insights; rather, what remained with them were changes of perspective, the internalization of the "process" of the treatment, and the experience of their therapists' human qualities. In addition, it was found that most subjects had had some form of contact with their therapists post-termination. The implications of these findings are discussed.

Adaptation, Psychological↗
PubMed1993

The conflict and process theory of Melanie Klein.

This article depicts the theory of Melanie Klein in both its conflict and process dimensions. In addition, it outlines Klein's strategic place in psychoanalytic history and in psychoanalytic theory formation. Her major contributions are seen in light of their clinical imperatives, and aspects of her metapsychology that seem negligible are differentiated from these clinical imperatives. Klein's role as a dialectical fulcrum between drive and object relations theories is explicated. Within the conflict theory, drive derivatives of sex and aggression are reformulated as object-related passions of love and hate. The process dimensions of Klein's theory are outlined in terms of dialectical increments of depressive position process as it alternates with regressive paranoid-schizoid-position mental phenomenology. The mourning process as a developmental process is particularly high-lighted in terms of self-integrative progression within the working through of the depressive position.

Aggression↗
PubMed1976

Oedipus of Thebes: the myth and its other meanings.

Sigmund Freud used the Oedipus myth to represent a crucial part of sexual development. Careful attention to the details of the myth as related by Sophokles points the way to entirely different and fruitful understandings. Myth is seen as an external representation of man's inner life; omens and the gods are viewed in this context. We can then see Oedipus' suffering as inseparable from loss and growth. In his struggle and ambivalence, Oedipus represents that suffering and transcendence for all of us. The myth tells us of the responsibilty, the pain, and the courage which are necessary ingredients in all human growth.

Blindness↗
PubMed1983

The genius of the dream.

In Act V of A Midsummer Night's Dream, Theseus and Hippolyta exchange views on the dreamlike adventures reported by the young lovers. Theseus dismisses their stories as fantasies of wish fulfillment, but Hippolyta points out that despite their strangeness, the tales reflect an adaptive change in the psychic reality of the lovers. The dramatic action of the play supports Hippolyta's view. The release of Demetrius from his transferential infatuation with Hermia comes at the moment of awakening from a dream in which he has matched his current feelings for Hermia with a repressed libidinal fantasy of childhood. This example of a correction dream illustrates how condensation in dreams functions adaptively in matching a new experience with previously stored representations of related events in the past. It also illustrates the ability of the matching process to go beyond the narrow logical categories of waking thought to reach deeper levels of experience otherwise inaccessible to the dreamer. This ability accounts for the important role played by dreaming in the creative process generally and in the day-to-day working-through process of psychoanalytic therapy. The adaptive function of dreaming is subject at many points to interference from the censorship mechanisms discovered and emphasized by Freud. A theory of dreaming combining these antagonistic processes is more consistent with the data of the sleep laboratory than the traditional psychoanalytic theory alone. It also provides a better fit with the introspective date more familiar to the analyst as illustrated by Freud's well-documented analysis of his own dreams.

Creativity↗