Pub Date : 2022-09-01DOI: 10.1521/prev.2022.109.3.213
Nicolas Evzonas
{"title":"Multivoiced Dialogue, Becomingness, and All-Embracing Countertransference: Introduction to the Special Issue.","authors":"Nicolas Evzonas","doi":"10.1521/prev.2022.109.3.213","DOIUrl":"https://doi.org/10.1521/prev.2022.109.3.213","url":null,"abstract":"","PeriodicalId":39855,"journal":{"name":"Psychoanalytic Review","volume":"109 3","pages":"213-225"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40334020","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 : 2022-09-01DOI: 10.1521/prev.2022.109.3.277
Adrienne Harris
Using theory from philosophy and from race studies, the author explores the countertransference confusions and enactments that can arise in working with trans and gender nonbinary patients. Case material is presented to explore in vivo the potential for enactments and toxic anxiety in the analyst in work with patients exploring or inhabiting new forms of desire and identity. Primitive states of anxiety and dysphoria may inhibit the analyst's capacities to allow freedom and reflection in cases of complex gender construction.
{"title":"Transgender and Analytic Countertransference.","authors":"Adrienne Harris","doi":"10.1521/prev.2022.109.3.277","DOIUrl":"https://doi.org/10.1521/prev.2022.109.3.277","url":null,"abstract":"<p><p>Using theory from philosophy and from race studies, the author explores the countertransference confusions and enactments that can arise in working with trans and gender nonbinary patients. Case material is presented to explore in vivo the potential for enactments and toxic anxiety in the analyst in work with patients exploring or inhabiting new forms of desire and identity. Primitive states of anxiety and dysphoria may inhibit the analyst's capacities to allow freedom and reflection in cases of complex gender construction.</p>","PeriodicalId":39855,"journal":{"name":"Psychoanalytic Review","volume":"109 3","pages":"277-286"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40336214","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 : 2022-09-01DOI: 10.1521/prev.2022.109.3.309
Oren Gozlan
New medical advances and options for transitioning along with an array of gender representations have provided gender diverse children and adolescents liberating possibilities. The transitioning youth's demands for recognition and/or support for initiation of medical intervention pushes against the analyst's theories of gender and challenges conservative understanding of sexual identity, moving it closer to the multidetermined nature of dreamwork. In this article, the author traces recurrent metaphors in discussions about gender transitioning with a focus on selected articles recently published in the International Journal of Psychoanalysis, particularly an essay authored by David Bell (2020) entitled "First Do No Harm." The author focuses on three images-contagion, the naturality of gender, and amputation-to ask, what do these apparently disparate signifiers reveal about the anxieties in the field?
{"title":"Has Psychoanalysis Reached Its Limits in the Question of the Trans Child and Adolescent?","authors":"Oren Gozlan","doi":"10.1521/prev.2022.109.3.309","DOIUrl":"https://doi.org/10.1521/prev.2022.109.3.309","url":null,"abstract":"<p><p>New medical advances and options for transitioning along with an array of gender representations have provided gender diverse children and adolescents liberating possibilities. The transitioning youth's demands for recognition and/or support for initiation of medical intervention pushes against the analyst's theories of gender and challenges conservative understanding of sexual identity, moving it closer to the multidetermined nature of dreamwork. In this article, the author traces recurrent metaphors in discussions about gender transitioning with a focus on selected articles recently published in the <i>International Journal of Psychoanalysis</i>, particularly an essay authored by David Bell (2020) entitled \"First Do No Harm.\" The author focuses on three images-contagion, the naturality of gender, and amputation-to ask, what do these apparently disparate signifiers reveal about the anxieties in the field?</p>","PeriodicalId":39855,"journal":{"name":"Psychoanalytic Review","volume":"109 3","pages":"309-332"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40336212","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 : 2022-06-01DOI: 10.1521/prev.2022.109.2.121
Brett H. Clarke
The author endeavors to reassess how metaphor functions psychoanalytically by distinguishing it from more inclusive conceptualizations of symbolism and metaphor, and from the idea of metaphor as a primary cognitive structure. The author adapts aspects of Ricoeur's metaphor theory, and explores metaphor as organized around tensions of similarity and difference, and of something "being and not-being" simultaneously. Such a model anchors metaphoric meaning in the subject's capacity for metaphoric experience and its relation to unrealized unconscious meaning. The author suggests that this perspective on metaphor-which connects it experientially to mature transitional experience, sublimation, play, and mourning-helps us understand how metaphoric experience functions as our most potent agent of intrapsychic change.
{"title":"\"It Was and It Was Not\": Metaphoric Tension in Psychoanalysis.","authors":"Brett H. Clarke","doi":"10.1521/prev.2022.109.2.121","DOIUrl":"https://doi.org/10.1521/prev.2022.109.2.121","url":null,"abstract":"The author endeavors to reassess how metaphor functions psychoanalytically by distinguishing it from more inclusive conceptualizations of symbolism and metaphor, and from the idea of metaphor as a primary cognitive structure. The author adapts aspects of Ricoeur's metaphor theory, and explores metaphor as organized around tensions of similarity and difference, and of something \"being and not-being\" simultaneously. Such a model anchors metaphoric meaning in the subject's capacity for metaphoric experience and its relation to unrealized unconscious meaning. The author suggests that this perspective on metaphor-which connects it experientially to mature transitional experience, sublimation, play, and mourning-helps us understand how metaphoric experience functions as our most potent agent of intrapsychic change.","PeriodicalId":39855,"journal":{"name":"Psychoanalytic Review","volume":"109 2 1","pages":"121-150"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47401639","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 : 2022-06-01DOI: 10.1521/prev.2022.109.2.97
K. Israelstam
The author describes how the parasitic coronavirus encircled and disrupted the analytic frame and situation, activating anxiety in both therapist and patient. A patient is described with core intimacy difficulties whose primitive anxieties manifested in him the dis-regulation of the too-far (agoraphobic), too-near (claustrophobic) intimacy dialectic. Drawing on Winnicott, the author describes how these increased dialectic tensions, when contained, created a potentially transformational transitional space that helped to enhance the patient's mental and symbolizing capacity, that is, a capacity to make more from less.
{"title":"Making More From Less in a Corona-Encircled Analytic Frame and Situation.","authors":"K. Israelstam","doi":"10.1521/prev.2022.109.2.97","DOIUrl":"https://doi.org/10.1521/prev.2022.109.2.97","url":null,"abstract":"The author describes how the parasitic coronavirus encircled and disrupted the analytic frame and situation, activating anxiety in both therapist and patient. A patient is described with core intimacy difficulties whose primitive anxieties manifested in him the dis-regulation of the too-far (agoraphobic), too-near (claustrophobic) intimacy dialectic. Drawing on Winnicott, the author describes how these increased dialectic tensions, when contained, created a potentially transformational transitional space that helped to enhance the patient's mental and symbolizing capacity, that is, a capacity to make more from less.","PeriodicalId":39855,"journal":{"name":"Psychoanalytic Review","volume":"109 2 1","pages":"97-119"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44012786","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 : 2022-06-01DOI: 10.1521/prev.2022.109.2.151
G. Riefolo
It is always hard for psychoanalysis to connect free associations and action. With Freud, action could be interpreted only when it referred to the transference; otherwise, action was a resistance to the possibility of free association. Unlike Freud, Ferenczi recognized the importance of the analyst's acting-out as the patient's unconscious request for experiences of trauma to be mobilized. By presenting a clinical case, the author offers the analyst's error as the mobilization of a traumatic block. The error activates a "Process of enactment," whereas if the error is not considered positively, it is simply a mistake, or the loss of a creative opportunity.
{"title":"\"Call Me by Your Name\": The Wrong Action: From Ferenczi to Enactment as a Process.","authors":"G. Riefolo","doi":"10.1521/prev.2022.109.2.151","DOIUrl":"https://doi.org/10.1521/prev.2022.109.2.151","url":null,"abstract":"It is always hard for psychoanalysis to connect free associations and action. With Freud, action could be interpreted only when it referred to the transference; otherwise, action was a resistance to the possibility of free association. Unlike Freud, Ferenczi recognized the importance of the analyst's acting-out as the patient's unconscious request for experiences of trauma to be mobilized. By presenting a clinical case, the author offers the analyst's error as the mobilization of a traumatic block. The error activates a \"Process of enactment,\" whereas if the error is not considered positively, it is simply a mistake, or the loss of a creative opportunity.","PeriodicalId":39855,"journal":{"name":"Psychoanalytic Review","volume":"109 2 1","pages":"151-166"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67224755","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 : 2022-06-01DOI: 10.1521/prev.2022.109.2.167
K. Zerbe
Recognizing somatic countertransference reactions is an essential tool for the psychodynamic clinician. Although the analyst's bodily reactivity has been written about throughout the history of our field, contemporary neuroscience, multiple code theory, and nonlinear system dynamics provide scientific buttressing to understand embodied phenomena. Patients often speak with and about their bodies, and the clinician who pays attention to these communications, as well as those emanating from his or her own body, has an additional resource to help the patient. Elvin Semrad's classic but largely unremembered "tour of the body" is one tool that can assist clinicians in how to receive and process body reactions that may be unconsciously split off, consciously withheld, or felt dangerous or beguiling. Three examples are used to illustrate embodiment and somatic countertransference as important clinical guides. An argument is made that these concepts should be taught and integrated into psychodynamic curricula.
{"title":"Aches, Pains, Rumbles, and Stumbles: Applying Somatic Countertransference and Body Reactivity in Clinical Work and Teaching.","authors":"K. Zerbe","doi":"10.1521/prev.2022.109.2.167","DOIUrl":"https://doi.org/10.1521/prev.2022.109.2.167","url":null,"abstract":"Recognizing somatic countertransference reactions is an essential tool for the psychodynamic clinician. Although the analyst's bodily reactivity has been written about throughout the history of our field, contemporary neuroscience, multiple code theory, and nonlinear system dynamics provide scientific buttressing to understand embodied phenomena. Patients often speak with and about their bodies, and the clinician who pays attention to these communications, as well as those emanating from his or her own body, has an additional resource to help the patient. Elvin Semrad's classic but largely unremembered \"tour of the body\" is one tool that can assist clinicians in how to receive and process body reactions that may be unconsciously split off, consciously withheld, or felt dangerous or beguiling. Three examples are used to illustrate embodiment and somatic countertransference as important clinical guides. An argument is made that these concepts should be taught and integrated into psychodynamic curricula.","PeriodicalId":39855,"journal":{"name":"Psychoanalytic Review","volume":"109 2 1","pages":"167-193"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44206895","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 : 2022-06-01DOI: 10.1521/prev.2022.109.2.91
M. Eigen
Moment-to-moment dialogue between analyst and patient opens themes relating to psychic depths, inhibitions, and support for a need to grow. The therapy partners grow together as they engage psychic contact and explore elements that previously forced the patient to be hospitalized. A result is appreciation for ways contact with the depths can aid more playful, caring, and resourceful ways of being together and working with oneself.
{"title":"Festering: Mini-moments.","authors":"M. Eigen","doi":"10.1521/prev.2022.109.2.91","DOIUrl":"https://doi.org/10.1521/prev.2022.109.2.91","url":null,"abstract":"Moment-to-moment dialogue between analyst and patient opens themes relating to psychic depths, inhibitions, and support for a need to grow. The therapy partners grow together as they engage psychic contact and explore elements that previously forced the patient to be hospitalized. A result is appreciation for ways contact with the depths can aid more playful, caring, and resourceful ways of being together and working with oneself.","PeriodicalId":39855,"journal":{"name":"Psychoanalytic Review","volume":"109 2 1","pages":"91-96"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47870505","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 : 2022-03-01DOI: 10.1521/prev.2022.109.1.35
Joyce M Rosenberg
Historically, the psychoanalytic profession has been populated by white analysts. That has been changing as more people of color have enrolled in analytic institutes. But more is needed for institutes to truly be inclusive. White analysts need to be more sensitive to the experience of colleagues and candidates of color. They need to be aware of the dynamic known as White privilege, and how their own White privilege may affect their interactions with people of color. Institutes need to look at their curricula and how they teach candidates to analyze. The early generations of psychoanalytic theorists including Freud worked with White patients. The theories they wrote-and that are still being taught-have led to many analysts knowing how to work with White people, but not necessarily people of color.
{"title":"A Call for Inclusiveness in the Psychoanalytic Community.","authors":"Joyce M Rosenberg","doi":"10.1521/prev.2022.109.1.35","DOIUrl":"https://doi.org/10.1521/prev.2022.109.1.35","url":null,"abstract":"Historically, the psychoanalytic profession has been populated by white analysts. That has been changing as more people of color have enrolled in analytic institutes. But more is needed for institutes to truly be inclusive. White analysts need to be more sensitive to the experience of colleagues and candidates of color. They need to be aware of the dynamic known as White privilege, and how their own White privilege may affect their interactions with people of color. Institutes need to look at their curricula and how they teach candidates to analyze. The early generations of psychoanalytic theorists including Freud worked with White patients. The theories they wrote-and that are still being taught-have led to many analysts knowing how to work with White people, but not necessarily people of color.","PeriodicalId":39855,"journal":{"name":"Psychoanalytic Review","volume":"109 1 1","pages":"35-38"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41955619","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 : 2022-03-01DOI: 10.1521/prev.2022.109.1.13
Lee Jenkins
The author, an African American, reflects on what it means to be a psychoanalyst and the effectiveness of psychoanalytic thinking in response to the racial dilemma in the United States. The current climate is a result of longstanding inequality of the races and reflects the social unrest prompted by the Black Lives Matter movement and the police killings of unarmed Black people. Three poems are also presented expressing some of the ideas discussed in the meditation.
{"title":"Meditations on Psychoanalysis, Race, and the Divided Self.","authors":"Lee Jenkins","doi":"10.1521/prev.2022.109.1.13","DOIUrl":"https://doi.org/10.1521/prev.2022.109.1.13","url":null,"abstract":"The author, an African American, reflects on what it means to be a psychoanalyst and the effectiveness of psychoanalytic thinking in response to the racial dilemma in the United States. The current climate is a result of longstanding inequality of the races and reflects the social unrest prompted by the Black Lives Matter movement and the police killings of unarmed Black people. Three poems are also presented expressing some of the ideas discussed in the meditation.","PeriodicalId":39855,"journal":{"name":"Psychoanalytic Review","volume":"109 1 1","pages":"13-33"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44664083","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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