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PubMed1994

Psychoanalysis as a lifeline: a clinical study of a transference perversion.

Case material from the analysis of a fetishistic cross-dresser is reported. The evolution of a transference perversion and treatment impasse, in the form of the recalcitrant symptom of anal flatulence, is described. The patient's contrasting needs to cling perversely and addictively to the analyst, on the one hand, and to provoke an acting out of the countertransference, on the other, are placed in the context of his dread of rejection and potentially suicidal reaction. The author argues in favour of offering psychoanalysis as a lifeline, but with the condition that the psychoanalytic setting and boundaries are maintained and that gratifications are denied. Limited but precise interpretive psychoanalytic work in the transference was maintained. The relatively good outcome is explained in terms of the provision of safety, survival of the analyst and avoidance of countertransference acting out, which, in the author's view, represents an implicit and mutative transference interpretation, the specific factor in bringing about psychic change. This enabled the patient to recognise and accept the analyst as a 'new' object and, as a consequence, to question and reject his idealisation of the anal universe that he inhabited.

Acting Out↗

PubMed1993

The manifest problem as the psychoanalytic unit in the interpretation of dreams.

A psychoanalytic view of dream interpretation is presented based on a previous study demonstrating that the manifest content of the dream reflects ongoing significant problems and dilemmas of the dreamer. It is argued that a specifically psychoanalytic dream interpretation is one in which the focus is on the transference and resistance manifestations produced by the treatment situation, rather than a never ending search for distorted infantile or childhood motivations.

Defense Mechanisms↗

PubMedDate not supplied

[Psychodynamics of psoriasis vulgaris in the Rorschach test].

The intention of this report has been to proof the pattern of psychosomatic aspects in Psoriasis vulgaris, as it was developed by Vogel. The method used was the psychoanalytic interpretation of the Rorschach-Test. First this method is described. Important test-results are reported and discussed in comparison with the psychosomatic aspects found by Vogel. There is some coincidence, particularly in sexualisation of intentional and oral desires, and also in the somatisation of the conflict between libidinous and aggressive impulses. Finally an example of test-setting is reported to demonstrate the method of interpretating.

Adult↗

PubMedDate not supplied

[Attempt at a psychoanalytic approach to "concept art"].

In a short review the development of psychoanalytic explorations in art from "pathography to psychobiography" is given. Chasseguet-Smirgel's critique on a limitation to looking for connections between the biography of the artist and his work is discussed as well as Eissler's proposal of an "endopoetic approach". The characteristic of most of the psychoanalytic publications is their orientation on the psychoanalytic conflict-model. New impulses to psychoanalytic interpretations of art were given by ego-psychology. The author tries to understand the artistic creations of "Concept Art" which appeared in the late Sixties, by the psychoanalytic model. It can be shown that especially in these productions which made their theme the "idea" and which are characterised by a degree of abstractness which had not been known before the ego-psychological approach seems to be the most adequate one. Ego performances manifest themselves in these works of concept art at an extreme intensity while the conflictual material of the id is reduced to a minimum or is totally eliminated. The concept artist is not only showing us a mirror of the pathology of our time, but is also giving us ways to overcome these problems. The hypothesis is formulated that concept art is giving us responses to three main problems of our time which is makes it's theme and by doing so tries to solve: it is dealing with the fear of a common psychic disintegration, especially with the danger of outbreaks of aggressive impulses. Moreover single central ego-functions are demonstrated by the concepts to the recipient and he has (actively) to discover them. Lastly the communicative function of art is formulated in concept art in such a radical way as has not been known before. In some of the artistic concepts the recipient is not only meant to reflect upon them, but is also forced to communicative actions.

Art↗

PubMed1987

Unrealistic wishes and physiological change. An overview.

This paper examines postulated relationships between physiological change and unrealistic wishes in a population of women with histories of depression. Findings are discussed within an evolutionary framework with emphasis on species-typical functions of imagining, and postulated interactions between behavior, imagining, unrealistic wishes and physiological systems. The ideas developed may be of interest to psychoanalysts in that they appear to increase the breadth and precision of psychoanalytic interpretations.

Adult↗

PubMed1971

Basic psychoanalytic concepts. X. Interpretations and other interventions.

Explore the source record for details and available documents.

Crisis Intervention↗

PubMed1986

Psychodynamics of perinatal loss.

Medical and mental health professionals have been slow to recognize and treat the often traumatic impact of perinatal death. It has only been within the past ten years that researchers have begun to appreciate that a miscarriage, stillbirth or neonatal death can be a devastating loss to the parent, especially the mother (Berezin 1982; Borg and Lasker 1981; Friedman and Gladstein 1982; Peppers and Knapp 1980a). Bereaved mothers mourn pregnancy loss through the grieving process, which includes denial, yearning and despair, usually followed by recovery. Typical maternal reactions during the first months of grief are shock, disbelief, sleeplessness, irritability, crying, sadness, rage, anxiety, somatic distress and sometimes hallucinatory experience of the dead baby (Dunlop 1979; Giles 1970; Kennell et al. 1970; Kirkley-Best and Kellner 1982; Peppers and Knapp 1980b). This paper will explore the impact of perinatal death on the psychological resolution of pregnancy. In order to evaluate the outcome of maternal bereavement, the meanings of the perinatal death in the context of the revived conflicts and identifications occurring in the pregnancy will be considered. After presenting key concepts in the psychoanalytic interpretation of pregnancy, I will discuss the unique aspects of perinatal loss. A clinical case will then be described in some detail to illustrate an adaptive resolution of perinatal loss.

Adult↗

PubMedDate not supplied

[Psychological aspects of anti-Semitism in fascist writers].

We feel sure that the different psychoanalytical interpretations concerning antisemitism as a general phenomenon or concerning the personality of the antisemite each contain part of the truth. We simply wish to show that one of the possible explanations of antisemitism is to be found in narcissistic disturbances of the personality. We study four fascist writers: Louis-Ferdinand Céline, Lucien Rebatet, Robert Brasillach and Pierre Drieu La Rochelle. We come to the conclusion that the racist and antisemitic attitudes of these writers are caused by a lack of empathy and that this becomes a party to narcissistic disturbances of the personality.

Europe↗

PubMed1998

Persephone, the loss of virginity and the female oedipal complex.

The ancient myth of Persephone and her mother, Demeter, has been characterised as the most important myth about women and the mother-daughter relationship. Previous psychoanalytic interpretations of the myth have neglected its depiction of the girl's defence against a sense of agency over her sexuality. The authors present two examples of the use of this myth by an analytic patient and the writer, Edith Wharton. Both women consciously identified in childhood with the figure of Persephone. Aspects of the myth contributed to a central unconscious fantasy that illuminated their dynamics and sexual conflicts. The authors argue that the Persephone myth is essentially a portrayal of the oedipal dilemma that emphasises a conflict of loyalty towards father and mother, fear of loss of virginity and adult sexuality and a peaceful resolution. The female oedipal conflict is seen as different from that of the male, because the girl competes with the mother on whom she must depend as primary care-giver. Separation issues are encompassed within the female oedipal phase proper. It is proposed that the Persephone complex is better suited to representing women's issues than is the myth of Oedipus.

Adult↗

PubMed1995

[Rainer Werner Fassbinder's "Garbage, the city and death"-- a German landscape of the soul].

No other recent "art event" has aroused so much public debate in Germany as Fassbinder's play "Garbage, City, Death" (1976). The controversy it sparked on its appearance has still not entirely died down. In a painstaking psychoanalytic interpretation Vogt first shows that the play achieves an artistic representation of the unconscious dilemma besetting the second generation of non-Jewish Germans in their relationship to National Socialism. In Fassbinder's play this dilemma, which is bound up with vicarious guilt feelings, is however only presented and not in any way worked out. The upshot is that all those forms of identification with German traditions that have been repudiated on a conscious level re-enter, as it were by the back door, and attain a new virulence. The author demonstrates that at the heart of the play a mechanism of guilt-refusal is operative that inverts the historical culprit-victim relation and makes the Germans themselves into the real victims. In the second part of his article Vogt is concerned to situate the play and the controversy surrounding it in a broader political context--Bitburg (1985), the "historians' conflict" (1986), Jenninger's speech (1988)--revealing a specific collective psychological inscape in present-day Germany for which, in its profounder well-springs, Fassbinder's play may be legitimately regarded as symptomatic. Fassbinder (born 1945) articulates for his generation aspects of an "ethnic disturbance" (George Devereux) which continues to persist precisely because there is a German past "that refuses to go away" (Ernst Nolte).

Drama↗

PubMed1963