A transference resistance in male patients with inhibition of urination in public places.
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Freud's Irma dream and the description of the real events accompanying the dream contained in his letters to Fliess reveal Freud's attempt to contain a traumatic experience of childhood by means of effacement and reversal. The seemingly weak patient Emma Eckstein (Irma) proves to be strong; the reversal is to the credit of the distorting (male) scientific description; the gaze upon the female experiential world is to be effaced.
The term 'phantasy' may be used by psychoanalysts to mean an imaginative fulfillment of frustrated wishes, conscious or unconscious. This approximately condenses what is generally seen as Freud's main use of the term. It may also be used, inter alia, to denote the primary content of unconscious mental processes, as the mental representative and corollary of instinctual urges, and as based on or identical with Freud's postulated 'hallucinatory wish-fulfillment' and his 'primary introjection', which reflects Melanie Klein's extension of Freud's concept. The differences between the two notions were first clearly aired during the Controversial Discussions conducted by the British Psycho-Analytical Society during the war. This paper gives a necessarily abbreviated and incomplete account of some of the points made then, to give some detail of how widely the two notions differed. It then notes how the term 'phantasy' is still used for such widely differing notions: to indicate the problems that must exist, of what we mean and of how to communicate our ideas, if different people mean such different things by one technical term that is in constant use.
The paper presents, in a preliminary way, my observations and reflections on some aspects of the experience and the underlying psychodynamics of the sudden occurrence of new ideas, as well as its short-term and long-term sequel. I discuss a few instances pertaining mainly to the following aspects: the moment of occurrence of a new idea and the urge to share it, as well as inhibitions to sharing it immediately with others; the immediate sequel to its occurrence; the further pursuit of the new idea with the intention of making it public. The processes involved are discussed in terms of major underlying conflicts whose particular balance may determine the fate of the new idea. Specifically, I examine Archimedes' 'eureka', some aspects of Freud's work, then turning to a self-analysis of my own experiences and associative notes regarding an idea that occurred to me in the course of writing the present paper. Finally, I reflect on the occurrence of new ideas to analysts within the clinical setting, as well as on why I chose to present my own personal material in this paper.
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This report on a brief treatment of an anorexic girl is intended (from a structural point of view) to describe Anorexia Nervosa as a sort of Predepressive Transitivism in father-daughter relationship. The effect of intervention concerning this case-study is the result of a newly composed fairy-tale.
This paper explores the origins of two clinical phenomena which are frequently related in analytic practice, namely sexual deviancy and inhibition in creative or intellectual work. The analysands in question seek psychoanalytic help not for their sexual acts and object-choices but because of blockage in their professional activities. In the author's opinion the roots of both sexual deviancy and creativity may often be traced back to early psychic trauma. The sexual 'solution' and the creative activity both represent ways of attempting to overcome the traumatic situation of infancy. These propositions are illustrated by the case of an author who sought help because her writing was completely blocked and because her homosexual love-relations caused tension and concern. The sudden death of her father when she was fifteen months old and her mother's disturbed way of handling the tragic situation were decisive factors in both the patient's sexual and professional life.
The question which has been addressed in this paper is that of how broad or narrow our definition of fetishism should be. Can speech and words be included in the category of fetishistic phenomena? A detailed clinical case has been presented of an obscene telephone perversion in which obscene words, seen, heard and spoken, were utilized to deal with conflicts involving dread of the sight of the 'castrated' female genital and to ward off intense castration anxiety by supporting the illusion of a female phallus. The clinical observations have been utilized to illustrate the conclusion that although fetishism most often employs concrete objects for the defensive purposes involved, there are other instances in which abstract words and speech can be used concretely in place of or in addition to the more familiar concrete items. A brief discussion has been made of certain aspects of language development that are pertinent in this regard.
A piece of psychoanalytical treatment is used to present projection or projective identification as the activation of inner experience in the recipient and as the mechanism basic to all human interaction. The patient activates inner experience in his psychoanalyst and the result of the subsequent interaction will depend both on the ability of the psychoanalyst to reorganize his own internal experience, connect it with words and consciousness and convey this new knowledge and meaning to the patient, as well as the response of the patient. This clinical material is also used to define differentiation (which involves linking) and dissociation as two opposing functions, the former being fundamental, in the author's view, to the communicative and empathetic function of projective identification and the latter to the defensive aspect of projective identification. Direct experience and recent research about the capacities of newborn babies support the author's view that the capacity to differentiate is a primary function existing from birth in the quiet, alert state. This is the fundamental structuring function in healthy emotional and intellectual evolution. Dissociation, on the other hand, is used when anxiety becomes intolerable, but if the dissociation is not excessive or too sustained then normal evolution is not disturbed.
A survey of several psychoanalytic conceptions of projective identification is followed by a discussion, with case illustrations, of its communicative and defensive function. In this context, special attention is paid to the use of language as an instrument for the destruction of the object--in this case, the analyst--who is simultaneously yearned for and experienced as a threat.
This paper deals with a particular analytic approach to the clinical use of dreams: the analysis of defenses in dreams. Clinical vignettes are used to demonstrate various ways that defenses can be depicted in dreams and the manner in which the patient's attention may be drawn to those defenses. Dreams can offer an especially vivid view of defenses and hence can heighten patients' emotional conviction about the nature of their conflicts.
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In this paper I have considered acts of blaming as an approach to a psychoanalytic contribution to a theory of moral values--a search for a way of thinking about the mental processes mediating values and valuations. Many modern philosophers do not believe their own discipline will be able to develop complete, valid, acceptable, and workable nondeistic ethical understandings alone. Psychoanalysts cannot either, but psychoanalysis can contribute necessary components in its unique understandings of mental operations. The study of blaming as a part of a larger system of values can also be an avenue to the study of intrapsychic-interactional theoretical propositions. The stability or lack of stability of the "worlds" in which we live has influences on all of us, especially those who are most vulnerable to "external" influences. Empirically, in addition to responses to immediate threats from the outside world, an internal world of blaming always remains. The self may be blamed for its failure to live up to its own standards and rules. Often this internal blaming and acceptance of the blame--thus guilt--operate unrealistically. Nevertheless, some such operations continue in even the most mature people, but in mature people it is possible to transform blaming systems into responsibility systems. Along with other transformations that accompany sublimations, the wholeness of personality can be restored in part. One of the faces of a responsibility system is turned toward inner, passionate, often contradictory animal needs which remain in us all. Unless "owned," channeled, restrained, some wishes would be externally disastrous if converted directly into behavior and personally disastrous if totally repressed instead of channeled. Not only this, their disguised expressions can again become externally harmful to oneself and others when projected outward in the form of blame. The other face is turned toward the ways the individuals' motives join (or rejoin) the affairs of the collective "other"--some of which have to do with the most transcendent qualities in man.
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