Pub Date : 2022-05-04DOI: 10.1080/1551806X.2022.2048615
Shir Bar Emet
Investigating physical experiences in order to understand the psyche is a cornerstone of early psychoanalysis. In describing the infant’s first year, Klein emphasized the emotional aspects of both mother and infant but neglected the physical aspects of the act of nursing. My re-reading of Klein’s concept of the splitting of the “good breast” and the “bad breast” is based on my survey of breastfeeding mothers’ descriptions, as well as information provided in breastfeeding guidebooks. Both claim that infants prefer one (good) breast while rejecting the other (bad) breast. Presenting the actual experiences of breastfeeding mothers, I argue for an interpersonalization of Klein’s theory, and claim that states of consciousness identified with the paranoid-schizoid position operate during breastfeeding in both mother and infant. Implications for psychotherapeutic treatment are discussed by linking the good/bad metaphor to actual nursing experiences.
{"title":"Good Breast, Bad Breast: Integrating Psychoanalytic Theory with Maternal Practice","authors":"Shir Bar Emet","doi":"10.1080/1551806X.2022.2048615","DOIUrl":"https://doi.org/10.1080/1551806X.2022.2048615","url":null,"abstract":"Investigating physical experiences in order to understand the psyche is a cornerstone of early psychoanalysis. In describing the infant’s first year, Klein emphasized the emotional aspects of both mother and infant but neglected the physical aspects of the act of nursing. My re-reading of Klein’s concept of the splitting of the “good breast” and the “bad breast” is based on my survey of breastfeeding mothers’ descriptions, as well as information provided in breastfeeding guidebooks. Both claim that infants prefer one (good) breast while rejecting the other (bad) breast. Presenting the actual experiences of breastfeeding mothers, I argue for an interpersonalization of Klein’s theory, and claim that states of consciousness identified with the paranoid-schizoid position operate during breastfeeding in both mother and infant. Implications for psychotherapeutic treatment are discussed by linking the good/bad metaphor to actual nursing experiences.","PeriodicalId":38115,"journal":{"name":"Psychoanalytic Perspectives","volume":"19 1","pages":"212 - 229"},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43701545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-04DOI: 10.1080/1551806x.2022.2048616
C. Loew
Sally’s moving and complicated memoir piece confirms why so many people write about loss. The literature on grief is voluminous and resonates with readers of all ages. Two books in particular come to mind: Meghan O’Rourke’s “The Long Goodbye,” about mourning her mother, and Joyce Carol Oates’ “A Widow’s Story,” about the death of her husband. Oates and O’Rourke illustrate how love and loneliness can produce lengthy books in search of meaning.
{"title":"Introduction to Private Lives: Sally Donaldson’s A Long Goodbye to My Mother","authors":"C. Loew","doi":"10.1080/1551806x.2022.2048616","DOIUrl":"https://doi.org/10.1080/1551806x.2022.2048616","url":null,"abstract":"Sally’s moving and complicated memoir piece confirms why so many people write about loss. The literature on grief is voluminous and resonates with readers of all ages. Two books in particular come to mind: Meghan O’Rourke’s “The Long Goodbye,” about mourning her mother, and Joyce Carol Oates’ “A Widow’s Story,” about the death of her husband. Oates and O’Rourke illustrate how love and loneliness can produce lengthy books in search of meaning.","PeriodicalId":38115,"journal":{"name":"Psychoanalytic Perspectives","volume":"19 1","pages":"230 - 231"},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43436614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-15DOI: 10.1080/1551806x.2022.2047399
E. Mendelsohn
In this paper, first meetings in analytic therapy are considered thematically, experientially and pragmatically. Attention is given to how we think and feel about beginning therapy, and how these first sessions can be structured so as to facilitate the start of a collaborative analytic project. The history of ideas about first meetings is reviewed and the perspectives in this paper are located in this unfolding narrative. The contributions of several psychoanalytic writers whose ideas have influenced my own are considered. The focus throughout is on the hopes and anxieties of both patient and therapist and how these emerge experientially and procedurally in first meetings. The relational traditions introduced in first meetings can structure opportunities for collaborative, transformational work over the course of time. The ideas presented in this paper are illustrated by an extended case example.
{"title":"First Meetings in Analytic Therapy: Poetics and Pragmatics","authors":"E. Mendelsohn","doi":"10.1080/1551806x.2022.2047399","DOIUrl":"https://doi.org/10.1080/1551806x.2022.2047399","url":null,"abstract":"In this paper, first meetings in analytic therapy are considered thematically, experientially and pragmatically. Attention is given to how we think and feel about beginning therapy, and how these first sessions can be structured so as to facilitate the start of a collaborative analytic project. The history of ideas about first meetings is reviewed and the perspectives in this paper are located in this unfolding narrative. The contributions of several psychoanalytic writers whose ideas have influenced my own are considered. The focus throughout is on the hopes and anxieties of both patient and therapist and how these emerge experientially and procedurally in first meetings. The relational traditions introduced in first meetings can structure opportunities for collaborative, transformational work over the course of time. The ideas presented in this paper are illustrated by an extended case example.","PeriodicalId":38115,"journal":{"name":"Psychoanalytic Perspectives","volume":"19 1","pages":"143 - 164"},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49087649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-02DOI: 10.1080/1551806X.2021.2000795
Noelle Burton
This paper discusses Janine de Peyer’s “Unspoken Rhapsody: Female Erotic Countertransference and the Dissociation of Desire,” elaborating on the professional and clinical aspects of working with female erotic countertransference with male patients, with a focus on dissociation and containment in these contexts. Perspectives from evolutionary psychology and affective neuroscience are offered to better understand how female analyst/male patient dyads differ from that of male analyst/female patient.
本文讨论了Janine de Peyer的《未说出口的狂想曲:女性情色反移情和欲望的分离》，详细阐述了与男性患者一起处理女性情色反移情的专业和临床方面，重点是在这些背景下的分离和遏制。从进化心理学和情感神经科学的角度提供了更好地理解女性分析师/男性患者的两分体与男性分析师/女性患者的两分体有何不同。
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Pub Date : 2022-01-02DOI: 10.1080/1551806X.2021.2000797
Janine de Peyer
This brief response discusses the analyst’s management of erotic stimulation, engaging Noelle Burton’s questions about how differences in hormonal levels between males and females might influence the analyst’s capacity to contain his/her sexual desires toward patients. More subtle manifestations of erotic themes in male patients’ transference toward female analysts are considered. Adrienne Harris’ Laplanchian analysis of the case of Blake is also examined, focusing on the transformational potential of the convergence between erotic elements from the analyst’s personal history and the patient’s projections. The possible defensive function of heightened sexual arousal is explored, as well as its capacity to serve as conduit to the attainment of transcendental interconnectedness.
{"title":"Desire as Gateway to Interconnectedness: Reply to Burton and Harris","authors":"Janine de Peyer","doi":"10.1080/1551806X.2021.2000797","DOIUrl":"https://doi.org/10.1080/1551806X.2021.2000797","url":null,"abstract":"This brief response discusses the analyst’s management of erotic stimulation, engaging Noelle Burton’s questions about how differences in hormonal levels between males and females might influence the analyst’s capacity to contain his/her sexual desires toward patients. More subtle manifestations of erotic themes in male patients’ transference toward female analysts are considered. Adrienne Harris’ Laplanchian analysis of the case of Blake is also examined, focusing on the transformational potential of the convergence between erotic elements from the analyst’s personal history and the patient’s projections. The possible defensive function of heightened sexual arousal is explored, as well as its capacity to serve as conduit to the attainment of transcendental interconnectedness.","PeriodicalId":38115,"journal":{"name":"Psychoanalytic Perspectives","volume":"19 1","pages":"40 - 45"},"PeriodicalIF":0.0,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43014970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-02DOI: 10.1080/1551806X.2021.2000801
Shelley L. Heusser
The discussions by Celenza and Itzkowitz underline the therapeutic principle that the splintered internal worlds of dissociative patients can be accessed in multiple ways. In my response to their commentaries, I will discuss how the use of theory can become a simulacrum of the colonial mind-set. I also echo Celenza’s idea (this issue) that the enactment of maternal eroticism is crucial in clinical work with psychopathy and perversion. I add that there is no degree of preparation or style of participation that protects the therapist from encounters with his own alterity.
{"title":"Alterity, Initiation, and the Call to Suffer: Response to Commentaries by Celenza and Itzkowitz","authors":"Shelley L. Heusser","doi":"10.1080/1551806X.2021.2000801","DOIUrl":"https://doi.org/10.1080/1551806X.2021.2000801","url":null,"abstract":"The discussions by Celenza and Itzkowitz underline the therapeutic principle that the splintered internal worlds of dissociative patients can be accessed in multiple ways. In my response to their commentaries, I will discuss how the use of theory can become a simulacrum of the colonial mind-set. I also echo Celenza’s idea (this issue) that the enactment of maternal eroticism is crucial in clinical work with psychopathy and perversion. I add that there is no degree of preparation or style of participation that protects the therapist from encounters with his own alterity.","PeriodicalId":38115,"journal":{"name":"Psychoanalytic Perspectives","volume":"19 1","pages":"120 - 124"},"PeriodicalIF":0.0,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43091873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-02DOI: 10.1080/1551806X.2021.2000802
S. Itzkowitz
The case of Daniel, a patient with distinct dissociated self-states, is discussed from the perspective of a psychoanalyst with expertise in the treatment of Dissociative Identity Disorder. Early assessment of the patient’s dissociative mental structure is emphasized to inform and guide the treatment of profound early childhood trauma. Also discussed is developing and maintaining interpersonal relatedness not only between the patient and analyst but—importantly—between the dissociated internal self-states as well.
{"title":"Through the Lens of a DID Specialist","authors":"S. Itzkowitz","doi":"10.1080/1551806X.2021.2000802","DOIUrl":"https://doi.org/10.1080/1551806X.2021.2000802","url":null,"abstract":"The case of Daniel, a patient with distinct dissociated self-states, is discussed from the perspective of a psychoanalyst with expertise in the treatment of Dissociative Identity Disorder. Early assessment of the patient’s dissociative mental structure is emphasized to inform and guide the treatment of profound early childhood trauma. Also discussed is developing and maintaining interpersonal relatedness not only between the patient and analyst but—importantly—between the dissociated internal self-states as well.","PeriodicalId":38115,"journal":{"name":"Psychoanalytic Perspectives","volume":"19 1","pages":"108 - 119"},"PeriodicalIF":0.0,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43013117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-02DOI: 10.1080/1551806X.2021.2000800
A. Harris
This paper discusses Janine de Peyer’s paper on erotic countertransference, “Unspoken Rhapsody: Female Erotic Countertransference and the Dissociation of Desire,” from the perspective of ontological and relational models of treatment. Its argument also draws on the work of Laplanche on sexuality, enigmatic seduction and the radical alterity of human sexuality.
{"title":"Discussion: Janine de Peyer’s “Unspoken Rhapsody: Female Erotic Countertransference and the Dissociation of Desire”","authors":"A. Harris","doi":"10.1080/1551806X.2021.2000800","DOIUrl":"https://doi.org/10.1080/1551806X.2021.2000800","url":null,"abstract":"This paper discusses Janine de Peyer’s paper on erotic countertransference, “Unspoken Rhapsody: Female Erotic Countertransference and the Dissociation of Desire,” from the perspective of ontological and relational models of treatment. Its argument also draws on the work of Laplanche on sexuality, enigmatic seduction and the radical alterity of human sexuality.","PeriodicalId":38115,"journal":{"name":"Psychoanalytic Perspectives","volume":"19 1","pages":"34 - 39"},"PeriodicalIF":0.0,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48065178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-02DOI: 10.1080/1551806X.2021.2000796
A. Celenza
The essential experience of suffering with our patients is discussed in relation to Daniel, a man with prominent psychopathy and dissociative disorder. The ways in which the author, Shelley Heusser, was receptive to Daniel despite repeated power plays and doer-done to relational dynamics, is highlighted, with appreciation for Heusser’s steadfastness, courage and devotion. Mutual vulnerability and fallibility are discussed as crucial to the development of internal strength for both therapist and patient alike, even as these are attempted to be sadistically vanquished by reciprocal, dyadically triggered “internal predators.” Descriptive accounts of perverse scenarios are presented to establish boundaries around which empathy can take root and grow. These do not substitute for mutually living through necessary enactments that may involve life or death struggles.
{"title":"Necessary Suffering, Bravery of Prey: Commentary on “Dominant Perversions; Perverse Dominance: Eroticized Schemata and Dissociative Phenomena in the Case of Daniel”","authors":"A. Celenza","doi":"10.1080/1551806X.2021.2000796","DOIUrl":"https://doi.org/10.1080/1551806X.2021.2000796","url":null,"abstract":"The essential experience of suffering with our patients is discussed in relation to Daniel, a man with prominent psychopathy and dissociative disorder. The ways in which the author, Shelley Heusser, was receptive to Daniel despite repeated power plays and doer-done to relational dynamics, is highlighted, with appreciation for Heusser’s steadfastness, courage and devotion. Mutual vulnerability and fallibility are discussed as crucial to the development of internal strength for both therapist and patient alike, even as these are attempted to be sadistically vanquished by reciprocal, dyadically triggered “internal predators.” Descriptive accounts of perverse scenarios are presented to establish boundaries around which empathy can take root and grow. These do not substitute for mutually living through necessary enactments that may involve life or death struggles.","PeriodicalId":38115,"journal":{"name":"Psychoanalytic Perspectives","volume":"19 1","pages":"96 - 107"},"PeriodicalIF":0.0,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47630286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-02DOI: 10.1080/1551806x.2021.2000804
Shelley L. Heusser
In this paper, I describe my ongoing journey with Daniel, a patient with a severe dissociative disorder. With detailed explorations of major enactments, I illustrate how issues around desire, excitement, and intimacy shape our eroticized transference-countertransference imbrication and compel episodic relational states of deadness and terror. Reflecting on the shifting roles of dominance, submission and states of dissociation, I explicate the powerful effects of spontaneity and self-disclosure in the navigation of seemingly intractable stalemates.
{"title":"Dominant Perversions; Perverse Dominance: Eroticized Schemata and Dissociative Phenomena in the Case of Daniel","authors":"Shelley L. Heusser","doi":"10.1080/1551806x.2021.2000804","DOIUrl":"https://doi.org/10.1080/1551806x.2021.2000804","url":null,"abstract":"In this paper, I describe my ongoing journey with Daniel, a patient with a severe dissociative disorder. With detailed explorations of major enactments, I illustrate how issues around desire, excitement, and intimacy shape our eroticized transference-countertransference imbrication and compel episodic relational states of deadness and terror. Reflecting on the shifting roles of dominance, submission and states of dissociation, I explicate the powerful effects of spontaneity and self-disclosure in the navigation of seemingly intractable stalemates.","PeriodicalId":38115,"journal":{"name":"Psychoanalytic Perspectives","volume":"19 1","pages":"76 - 95"},"PeriodicalIF":0.0,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45107877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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