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Recent advances in the cognitive, affective and social neurosciences have enabled these fields to study aspects of the mind that are central to psychoanalysis. These developments raise a number of possibilities for psychoanalysis. Can it engage the neurosciences in a productive and mutually enriching dialogue without compromising its own integrity and unique perspective? While many analysts welcome interdisciplinary exchanges with the neurosciences, termed neuropsychoanalysis, some have voiced concerns about their potentially deleterious effects on psychoanalytic theory and practice. In this paper we outline the development and aims of neuropsychoanalysis, and consider its reception in psychoanalysis and in the neurosciences. We then discuss some of the concerns raised within psychoanalysis, with particular emphasis on the epistemological foundations of neuropsychoanalysis. While this paper does not attempt to fully address the clinical applications of neuropsychoanalysis, we offer and discuss a brief case illustration in order to demonstrate that neuroscientific research findings can be used to enrich our models of the mind in ways that, in turn, may influence how analysts work with their patients. We will conclude that neuropsychoanalysis is grounded in the history of psychoanalysis, that it is part of the psychoanalytic worldview, and that it is necessary, albeit not sufficient, for the future viability of psychoanalysis. [ABSTRACT FROM AUTHOR]

Translations of summary In their paper 'The case for neuropsychoanalysis' Yovell, Solms, and Fotopoulou (2015) respond to our critique of neuropsychoanalysis (Blass & Carmeli, 2007), setting forth evidence and arguments which, they claim, demonstrate why neuroscience is relevant and important for psychoanalysis and hence why dialogue between the fields is necessary. In the present paper we carefully examine their evidence and arguments and demonstrate how and why their claim is completely mistaken. In fact, Yovell, Solms, and Fotopoulou's paper only confirms our position on the irrelevance and harmfulness to psychoanalysis of the contemporary neuroscientific trend. We show how this trend perverts the essential nature of psychoanalysis and of how it is practiced. The clinical impact and its detrimental nature is highlighted by discussion of clinical material presented by Yovell et al (2015). In the light of this we argue that the debate over neuropsychoanalysis should be of interest to all psychoanalysts, not only those concerned with biology or interdisciplinary dialogue. [ABSTRACT FROM AUTHOR]

A letter to the is presented in response to the article "Affirming 'That's not psycho-analysis!': On value of the politically incorrect act of attempting to define the limits of our field," by Rachel Blass in the 2010 issue.

That there is a lack of consensus as to how to decide between competing, at times even contradictory theories, and about how to integrate divergent concepts and theories is well known. In view of this situation, the IPA Committee on Conceptual Integration (2009-2013) developed a method for comparing the different versions of any given concept, together with the underlying theories and fundamental assumptions on which they are based. Only when situated in the same frame of reference do similarities and differences begin to appear in a methodically comprehensible and reproducible form. After having studied the concept of enactment followed by the publication of a paper in this Journal in 2013, we proceeded to analyze the concept of unconscious phantasy while at the same time continuing to improve our method. Unconscious phantasy counts among the central concepts in psychoanalysis. We identified a wide range of definitions along with their various theoretical backgrounds. Our primary concern in the present paper addresses the dimensional analysis of the semantic space occupied by the various conceptualizations. By way of deconstructing the concepts we endeavoured to establish the extent to which the integration of the different conceptualizations of unconscious phantasy might be achieved. [ABSTRACT FROM AUTHOR]

This paper has two aims: first, it seeks to understand the absence of treatment manuals in psychoanalysis. Secondly, it summarizes the treatment manual of the Tavistock Adult Depression Study, which describes the form of psychoanalytic psychotherapy whose effectiveness has been evaluated both in the Tavistock Adult Depression Study ( TADS); and in the German Die Langzeittherapie bei chronischen Depressionen ( LAC) Studie. Throughout the history of psychoanalysis, opinions about treatment manuals, empirical research and their antecedents have been deeply divided. After tracing the often polarized unfolding of these matters, the paper proposes that emotional and cognitive difficulties as well as scientific ones underpin their persistence. It is suggested that greater familiarity with them may lead to better combinations of outcome research and psychoanalysis: for example, the Tavistock manual seeks to match one account of the objects, aims, values, spirit and methods of psychoanalysis (as well as of connected forms of psychoanalytic psychotherapy); and also to meet what is required of treatment manuals by random allocation controlled trials. It has been a crucial element in the above studies of the outcome of long-term psychoanalytic psychotherapies with chronically depressed patients. After describing the Tavistock Manual, the paper concludes suggesting that, if appropriately constructed, treatment manuals can make a contribution to the advancement of specifically psychoanalytic knowledge. [ABSTRACT FROM AUTHOR]

This paper is based on a talk given at the conference to celebrate the Work of Hanna Segal and attempts to summarise her contribution to psychoanalysis. I suggest that in addition to being the important presenter of the work of Melanie Klein, she made major contributions to our understanding of many analytic ideas, for example, symbol formation, the usefulness of the concept of the death instinct and the relation between phantasy and reality. She was a pioneer in the analytic treatment of psychosis and sh wrote important papers on literature and aesthetics. She was a great teacher and emphasised the central role played by the analytic setting in representing the attitude of the analyst. [ABSTRACT FROM AUTHOR]

With respect to theorisations of psychical splitting, this paper explores the psychical mechanisms that underlie different forms of social splitting. The paper first outlines Freud's and Kleins different theorisations of the psychical mechanisms of splitting, where the good is split from the bad, the inside split from the outside, and the painful disavowed. I then consider the psychical mechanisms of splitting that underlie ideological supports of certain social systems, specifically that of National Socialist Germany, East Germany during the Cold War period, and neoliberal capitalism. Here, I consider ideological splits between good and evil, the relation between external and internal splits, the relation between geographical, social and internal splitting, as well as splitting as disavowal of the other. [ABSTRACT FROM AUTHOR]

Silvano Arieti was an Italian psychoanalyst who undertook psychoanalysis of schizophrenic patients in the 1960s and 1970s. He left Italy in 1939 at the age of twenty-four following the Race Laws of 1938, and moved to New York until his death in 1981. A training analyst and author of several psychoanalytic and academic books, Arieti kept his research open in a wide variety of directions, giving equal weight to the internal world - as it seen from the psychoanalytic viewpoint - and to the organic functioning of the brain, as viewed from the perspective of the neurosciences. Arieti's interpretation of schizophrenia helped to overcome the dichotomies between the classical psychoanalytic approach, neurobiological research, and research into cognition, and opened up new paths for an interdisciplinary understanding of mental functioning and creative processes. This paper examines Arieti's book The Parnas (1979); this is a partly-fictionalised account of a pre-eminent figure (Parnas in Hebrew means 'head') in the Jewish community in Pisa, Giuseppe Pardo Roques, in the 1930s and early 1940s, who experienced mental illness and was killed in the Nazi extermination of Jews. The paper examines Arieti?s reflections on what he sees as the 'insights' provided by mental illness, which are considered through the figure of Giuseppe Pardo Roques, and in the context of the trauma of the Shoah in Italy. [ABSTRACT FROM AUTHOR]

It is difficult to say what anxiety is, Freud tells us. This paper suggests various dimensions of anxiety. Anxiety evokes the original experience of helplessness; it is an affective state that is accompanied by physical sensations and bodily symptoms—expression of an excess that it is not possible to process psychically. Anxiety is also linked to the fear of loss of the imaginary integrity of the body, as well as of primary objects. Furthermore, anxiety marks the passage from the world of the narcissistic father and/or mother, in which the individual is alienated from his own history, to the dead father configuration that inserts the individual into his subjective temporality in the après-coup of an analysis. A detailed narrative of an analysis that gave rise to these ideas is presented. In this analysis the transsexual emerges to give shape to something that had not previously reached representation. [ABSTRACT FROM AUTHOR]

This article seeks to explore, from a Bionian and post-Bionian perspective, the field of hallucinosis and its transformations, and to show how a certain kind of analytic work can take the patient from hallucinosic functioning to symbolic competence. The author refers to clinical situations where symbolic competence is markedly defective, and uses the term “Munch-patients” to refer to such persons, drawing on the metaphor suggested by the biography of the painter for its affinities with the suffering experienced by such patients. The case of Alice is used to develop these ideas. The patient, faced with her inability to cope with a certain psychic pain, transforms this pain in hallucinosis. Having to face the emotional turbulences present in the field, the analyst becomes involved in an enactment, culminating in a state of somato-psychic hallucinosis during a session. Alice’s pain enters the relationship through the illness of the field, brought on stage, as it were, by the hallucinosis of the analyst, who manages to set in motion a metabolic cycle by means of her oneiric functions. The paper suggests regarding hallucinosis as a bridge between psychotic and oneiric functioning and emphasizes the importance of oneiric functions in enabling the transition from concreteness and raw facts to real emotions. [ABSTRACT FROM AUTHOR]

The “squiggle game” is, above all, a method for relating and encouraging mutual exchange between the analyst and the patient (no matter if child, adolescent, or adult), enabling him to experience holding and freely explore different communication possibilities. After having explored the “technique” as it has been developed by Winnicott, this study also exposes some theoretical considerations, and some variations in the basic technique, brought together by the crucial role played by reciprocity: “Me a little and you a little.” The paper is a clinical case with a Chinese adolescent. [ABSTRACT FROM AUTHOR]

Today the importance of working through the analyst’s countertransference is stressed throughout all different schools of psychoanalysis. This article aims to make the microprocesses more transparent regarding the transformations of transference and countertransference, from the beginning of the anchoring of a projection in the analyst up to the re-internalization of a transformed projection in the patient. This is introduced by a survey of the history of two central terms: Projective Identification (on the side of the patient) and Countertransference (coming from the side of the analyst). How the analyst is also a “do-er” and how this fits in with the projective identifications of the patient is a newer development in psychoanalysis and is the main subject of this paper. Alongside the clinical material shown is described what the patient triggers in the analyst with his projections, and how the analyst manages to work through his countertransference where the patient becomes a temporary object, connecting with objects of the analyst until—if all goes well—the analyst manages to transform the projection of the patient while “triangulating with his inner understanding parents”. [ABSTRACT FROM AUTHOR]

In Mourning and Melancholia, written in 1915, Freud proposed a coherent and convincing theory of the nature and origin of melancholic states and offered startling new insights into the growth of the mind. Freud’s essay represented a new metapsychological formulation and the beginning of a “paradigm shift” in the still young discipline of psychoanalysis; it is recognized as containing the origins of contemporary object relations theory. The present paper argues that this clarity of understanding and the transformative power of Freud’s essay represented the culmination of a long period of transformation within Freud himself. The evolution of Freud’s thinking and theory are considered in relation to two important periods and experiences of mourning: first, that of his “self-analysis” and mourning the death of his father, and second, his experience of disillusion and mourning in response to World War I. The metapsychological shifts in Mourning and Melancholia will be identified, along with Freud’s synthesis of clinical observation and theory. The text challenges George Klein’s contention that Freud was never able to achieve integration between his “clinical theory” and his “metapsychological theory”. Wilfred Bion’s differentiation between the integrative thinking of the “selected fact” experience and rational logical thinking will be used to reconsider the clinical theory/metapsychological theory dichotomy. [ABSTRACT FROM AUTHOR]

This paper presents the case of a patient on the autistic spectrum (ASD) and proposes a theoretical and technical model which seeks to illustrate the characteristics of the relational and intersubjective perspective in psychoanalysis. Along a complementary axis this perspective combines the knowledge which psychoanalytic research, starting from Kanner and Asperger, has developed through the studies by among others Tustin and Meltzer. The model is conceived from the vertex of a psychoanalysis which seeks to deal with disorganized and unrepresentable states of mind. Important is the personality of the analyst, who must be prepared to experience nothingness, meaninglessness and the chaos of a contiguous-autistic (CA) position. We can then consider a wider oscillation in the field in addition to PS↔D, namely CA↔PS↔D. Disorganized states of mind exist that result from a cumulative trauma which occured very early on, during the pre-natal or at least pre-verbal and pre-representational stages of psychic development. Such states then become the effect of a basic deficit that the analytic field can oneirically transform into trauma which, through reciprocity, micro-attunements, the encounter with the analyst's negative capability and rêverie, can then evolve into a traumatic experience which can finally be subjected to symbolic alphabetization. [ABSTRACT FROM AUTHOR]

Freud defined hypochondria as an actual neurosis. In this paper the actual neurosis will be interpreted as unbound traumatic elements which threaten the self. In severe hypochondria, breakdowns have occurred, as outlined by Winnicott. The nameless traumatic elements of the breakdown have been encapsulated. The moment these encapsulated elements are liberated, an actual dynamic takes place which threatens the self with annihilation. Projective identification is not possible because no idea of containment exists. The self tries to evacuate these elements projectively, thus triggering a disintegrative regression. However, the object of this projection, which becomes a malign introject, is felt to remove the remaining psychical elements, forcing the worthless residue back into the self. In a final re-introjection, the self is threatened by unintegration. To save the self, these elements are displaced into an organ which becomes hypochondriacal, an autistoid object, protecting itself against unintegration and decomposition. An autistoid dynamic develops between the hypochondriac organ, the ego and the introject. Two short clinical vignettes illustrate the regressive dynamical and metapsychological considerations. [ABSTRACT FROM AUTHOR]

The integration of psyche and soma begins with a baby's earliest contact with his or her parents. With the help of maternal empathy and reverie, β-elements are transformed into α-elements. While we understand this to be the case, we would like to enquire what actually happens to those parts of the affect which have not been transformed? For the most part they may be dealt with by evacuation, but they can also remain within the body, subsequently contributing to psychosomatic symptoms. This paper describes how the body serves as an intermediate store between the psychic (inner) and outer reality. The authors focuses on the unconscious communicative process between the analyst and the analysand, and in particular on how psychosomatic symptoms can spread to the analyst's body. The latter may become sensitive to the analysand's psychosomatic symptoms in order to better understand the psychoanalytical process. Sensory processes (visual and auditory) and psychic mechanisms such as projective identification can serve as a means for this communication. [ABSTRACT FROM AUTHOR]

This paper describes The Group Affective Model, a method for teaching psychoanalytic concepts and their clinical application, using multi-channel teaching, process and review in group settings, and learning from experience in an open systems learning community for psychoanalysts and psychotherapists. This innovation arose in response to criticism of existing methods in psychoanalytic education that have subordinated the primary educational task to that of the training analysis. Noticing this split between education and training analysis, between cognition and affect, and between concepts of individual and group unconscious processes, we developed the Group Affective Model for teaching and learning psychoanalysis and psychotherapy in an open psychological space in which students and faculty experience individual and group processes of digestion, assimilation, and review, which demonstrate the concepts in action and make them available for internalization selectively. We discuss our philosophy and our educational stance. We describe our institution and our participants. We give examples of teaching situations that we have studied to provide some insight about assimilation and internalization of the concepts and clinical approaches being taught. We discuss the transferability of the Group Affective Model to other teaching settings and psychoanalytic training institutions and propose it as the fourth pillar of psychoanalytic training, next to analytic treatment, clinical supervision, and didactic seminars. [ABSTRACT FROM AUTHOR]

Parent-infant psychotherapy, a rather new field in psychoanalysis, raises questions of how to conceptualize the clinical process. Previous publications have used semiotic concepts to account for the therapist's non-verbal communication and investigated the countertransference, including what the baby might grasp of its variations. The present paper focuses on another argument for using verbal interventions to a baby in therapy; they present him with a symbolic order that differs from that of the parent. The qualitative difference between the parent's and the analyst's address is conceptualized by Dolto's term parler vrai. The therapeutic leverage is not the analytic interventions' lexical content but their message that words can be used to expose conflicts. Thereby, one can transform warded-off desires into demands that can be negotiated with one's objects. The reasons why this address catches the baby's attention are discussed. A prerequisite for such attention is that the infant brain is prewired for perceiving words as a special communicative mode. Relevant neuroscientific research is reviewed in regard to this question. The presentation relies on concepts by Dolto, Lacan and Winnicott and findings from neuroscience and developmental psychology. It also briefly discusses Chomsky's linguistic concepts in relation to these therapies. [ABSTRACT FROM AUTHOR]

Translations of summary The power of Dante's Divine Comedy is unmistakable, but surprising in view of its theological structure and assumptions that are no longer current among most modern readers. This paper suggests that its power derives from the deep psychological truthfulness with which Dante deals with the painful personal crisis that underlies the poem and is his starting point. It attempts to clarify what may have constituted that crisis, and why the structure of the Comedy, and in particular its use of two guides, Virgil and Beatrice, who might be thought a somewhat incompatible pairing, point significantly to the nature of the solution Dante arrived at. In particular it suggests that the puzzling fictions to do with Statius in the Purgatorio are a clue to Dante's own difficulties in bridging the classical and Christian traditions, and that his highly original solution to these difficulties, by no means conforming to conventional Christian orthodoxy in the 13th/14th century, was needed with special urgency in a time of pervasive civil conflict. [ABSTRACT FROM AUTHOR]

Translations of summary This paper addresses Nietzsche's reflections on the phenomenon of dreams as a crucial precedent of Freud's Die Traumdeutung. The works of Nietzsche and Freud are scrutinized to establish and compare the most relevant aspects of their understanding of dreams. The philosophical impact of both accounts is assessed in terms of the transvaluation of religious and metaphysical values, which reveals three epistemological shifts: the replacement of Metaphysics by History/Genealogy (Nietzsche) and by Metapsychology (Freud), and the expansion of rationality beyond the limits of consciousness (Nietzsche and Freud). Both authors are shown to consider dreams as figurative expressions of a postponed desire - or, more specifically, as the imaginary fulfillment (compensation) and the evocation/awakening of desire. As captured by the phrase 'Memento libidines', dreams are portrayed in both accounts as the guardians of sleep and desire. Finally, and in contrast with Assoun, a new interpretation of Thus Spoke Zarathustra is proposed, as an interpretation of the prophet's dreams reveals the presence of individual desire within the Nietzschean understanding of the phenomenon. [ABSTRACT FROM AUTHOR]

Translations of summary In 'Destruction as Cause of Come-into-being', Spielrein argues for the need of postulating the existence of a death instinct in mental functioning. The idea that she thus anticipated the concept of death instinct Freud introduced in 1920 is often found in psychoanalytic literature. But the specific meaning of Spielrein's hypothesis is seldom discussed, as well as the extent to which she anticipated Freud's concept. In fact, there are important differences between their views. Besides, a closer analysis of Spielrein's text reveals other ideas that come close to fundamental aspects of Freud's theories from 1920 onwards, particularly the assumption of a more primordial mental functioning than the one regulated by the pleasure principle. But also here there are important differences between the views sustained by both authors. With this in view, the objective of this paper is firstly to discuss some hypotheses formulated by Spielrein in her 1912 work in order to elucidate her concept of death instinct as well as her hypothesis of the existence of a more primitive mental functioning than the one governed by the pleasure principle. Next, the question of the possible similarities and differences with regard to Freud's concepts is also addressed. [ABSTRACT FROM AUTHOR]

This paper suggests that in the analysis of women by women a melancholic core may be encountered at the centre of the transference/countertransference situation that is an expression of the loss of the primary maternal object that has never been mourned. The attachment to the primary, lost object may be preserved in a melancholic, invisible way, and the longing that it is connected to might only reach representation in the après coup of the analytic process. The links between this primary love, melancholia and the unrepresentable in the analysis of women will be explored. These analyses powerfully evoke the relationship to the somatic. The internalization of the body of the mother, which is a requirement in the development of a woman, can take on frightening, fragmented, part-object qualities. An example of a five times a week analysis is discussed. [ABSTRACT FROM AUTHOR]

In spite of the fact that Freud's self-analysis was at the centre of so many of his discoveries, self-analysis remains a complex, controversial and elusive exercise. While self-analysis is often seen as emerging at the end of an analysis and then used as a criteria in assessing the suitability for termination, I try to attend to the patient's resistance to self-analysis throughout an analysis. I take the view that the development of the patient's capacity for self-analysis within the analytic session contributes to the patient's growth and their creative and independent thinking during the analysis, which prepares him or her for a fuller life after the formal analysis ends. The model I will present is based on an over lapping of the patient's and the analyst's self-analysis, with recognition and use of the analyst's counter-transference. My focus is on the analyst's self-analysis that is in response to a particular crisis of not knowing, which results in feeling intellectually and emotionally stuck. This paper is not a case study, but a brief look at the process I went through to arrive at a particular interpretation with a particular patient during a particular session. I will concentrate on resistances in which both patient and analyst initially rely upon what is consciously known. [ABSTRACT FROM AUTHOR]

In this paper I present a novel interpretation of family secrets. Leaning on Bion's concept of -K, the constitution of secrecy is interpreted in terms of family dynamics that actively prevent knowledge formation and mental growth. Family secrets are interpreted as a destructive process that attacks the family's truth-generating-space - the shared semiotic space within which meanings are constituted through family relationships. The paper explores the microstructure interpersonal process of -K through the analysis of Mike Leigh's movie, Secrets and Lies. Two scenes in the movie are used to demonstrate how -K is worked out in the form of a specific intersubjective semiotic endeavor that unconsciously blocks the process of meaning-making. [ABSTRACT FROM AUTHOR]

This paper presents 'the shame of existing' as a form of shame that is deeper and more extensive than those customarily encountered. 'The shame of existing' is defined as shame about existing as we are and especially at the fact that we are. It is accompanied by merciless and total rejection of the subject's self and by feelings of extreme worthlessness and inferiority coupled with the all-pervasive conviction that it would be better not to exist. On the basis of clinical material, consideration is given to the specific transference and countertransference aspects of analyses in which the shame of existing constitutes an important part of the patient's pathology. Disturbance of handling and holding by the primary objects right from birth is suggested as the earliest developmental basis of the shame of existing. This disturbance is attributed to hate and rejection of the infant by the primary objects and to the infant's not being touched emotionally and physically and not having its right to exist acknowledged. The paper begins with an introduction to shame as an affect and as a concept in psychoanalytic theory. [ABSTRACT FROM AUTHOR]

What mostly interested Winnicott was to detail the ineffable connections between the intrapsychic, the interpsychic and the interpersonal that he saw as a lifelong struggle for the psyche (Winnicott [6]). 30th November 2021 Dear Editor, The aim of my paper "On Winnicott's Concept of Trauma" (commissioned by the Education Section of the I IJP i ), was to examine and outline Winnicott's writings on intrapsychic trauma. 5 Winnicott, D. W. 1958a. "On "Separation Anxiety": By John Bowlby (CW 5).". [Extracted from the article]

In parent-infant treatments, babies sometimes exhibit symptoms such as screaming, clinging, and fearful gaze avoidance of the analyst. The paper investigates if such phenomena may be regarded as transference manifestations, and if so, if they appear both in younger and older infants. Based on three case presentations, it is concluded that some babies are capable of forming both brief and enduring transferences. The term 'indirect infant transference' refers to when a baby reacts emotionally to the analyst as long as the parent's transference remains unresolved. 'Direct transference' refers to when a baby reacts in a non-mediated way to the analyst. The necessary tool of investigation for discovering these phenomena is a psychoanalytic method with an explicit, though not exclusive, focus on the baby. Discerning them in the clinical encounter may help us understand the baby's predicament and when and how to address the baby or the parent. These treatments constitute an empirical field awaiting more extensive clinical and theoretical investigation. Already now, they suggest that transference may be rooted in, and may appear during, very early developmental stages. The paper's positions are compared with those put forward by other parent-infant clinicians. [ABSTRACT FROM AUTHOR]

This paper describes the twice-weekly psychoanalytic psychotherapy of a young woman who had undergone major bowel surgery in her early 20s, with no clear medical indication for the surgery. Whilst the concept of 'No Entry' described by Williams (, b) aptly describes many features of more 'typical' anorexic patients, this paper describes a particular group of anorexic patients, referred by their physicians for multiple medical procedures; and proposes there is a group of anorexic patients, repeatedly referred for medical investigations, into whom particular types of entries occur. These are entries into the body 'legitimized' as medical, with a trajectory towards multiple procedures, examinations and surgical operations. Other entries (outside the medical setting) may occur in a state of altered consciousness, under the influence of alcohol or drugs, such that any wish for intrusion is disowned and denied. In both sets of events, intrusion is both invited, and consciously denied. The case example illuminates some of these features, and aspects of the countertransference are also described. Attention is drawn to relevant research focusing on surgical intrusion. Finally, there is an exploration as to how such patients may invite intrusions into the body through surgery and medical procedures. [ABSTRACT FROM AUTHOR]

In this paper the author approaches mental pain and the problems in a psychoanalytic treatment of patients with difficulties in the psychic transformation of their emotional experiences. The author is interested in the symbolic failure related to the obstruction of development of phantasies, dreams, dream-thoughts, etc. She differentiates symbolization disturbances related to hypertrophic projective identification from a detention of these primitive communications and emotional isolation. She puts forward the conjecture that one factor in the arrest of this development is the detention of projective identifications and that, when this primitive means of communication is re-established in a container-contained relationship of mutual benefit, this initiates the development of a symbolization process that can replace the pathological 'protection'. Another hypothesis she develops is that of inaccessible caesuras that, associated with the detention of projective identification, obstruct any integrative or interactive movement. This caesura and the detention of projective identifications affect mental functions needed for dealing with mental pain. The personality is left with precarious mental equipment for transforming emotional experiences. How can a psychoanalytical process stimulate the development of creative symbolization, transforming the emotional experiences and leading towards mental growth? The author approaches the clinical problem with the metaphor of the psychic birth of emotional experience. The modulation of mental pain in a container-contained relationship is a central problem for the development of the human mind. For discovering and giving a meaning to emotional experience, the infant depends on reverie, a function necessary in order to develop an evolved consciousness capable of being aware, which is different from the rudimentary consciousness that perceives but does not understand. The development of mature mental equipment is associated with the personality's attitude towards mental pain. The differentiation between psychotic, neurotic or autistic functioning depends on what defences are erected to avoid mental pain. The primary link between infant and mother is where the building of mental equipment takes place, through communicational forms that, to begin with, are not verbal. The author suggests the need for the development of an ideo-grammar (in gestures, paralinguistic forms, etc.) in primary relations, as the precursor forms that will become the matrix for the mental tools for dealing with emotional experiences in a mature way. The paper stresses the significance of the parental containing function for the development of symbolization of prenatal emotional experiences. This containment develops ideograms, transformations of sense impressions into proto-symbols, instruments that attenuate the traumatic experiences of helplessness. The author takes Bion's ideas about extending the notion of dream-work to an alpha function that goes on continually, day and night, transforming raw emotional experiences in a 'dream'. In order to acquire a meaning, facts need to be 'dreamed' in this extended sense. Meaning and truth are the nurture of the mind. Mental growth, the development of adequate tools - including reverie - for dealing with mental pain, seen from a psychoanalytic perspective including reverie, implies that the object becomes a provider of meanings. Analysis begins to aim primarily at the generation or expansion of the mental container, instead of predominantly working on unconscious contents as such. [ABSTRACT FROM AUTHOR]

The paper explores the formation of psychic elements from an epistemological point of view, drawing on the work of Bion to examine a clinical case of autistoid perversion. Distinguishing the qualification of psychic elements from the realization of pre-conceptions, the paper argues that psychical elements are constituted through a mutually shared experience of presence, and so they should be understood in a paradoxical way - through being-O and transformations into K . These ideas are explored via a clinical case concerning a patient with an autistoid-perverse organization. The patient had been denied any bodily contact with her parents during her first year of life due to an infection; in later life she exhibited an autistoid coprophilic perversion. During the course of her treatment, as it became possible to break down the autistoid organization, the nameless contents surfaced in a mutually shared experience of presence. The analyst was able to hold on to their meaning, which was unavailable to the patient. The absent analyst, however, turned into the mother who 'put the child down' and was experienced by the patient as a suicidal threat. In being-O , the analyst was able to endure the paradox of being the one who 'put her down' in order not to put her down; the paradox of being-O functioned as a container for the destructive objectal dimension of the state of 'being put down'. [ABSTRACT FROM AUTHOR]

This paper explores the relationship between play and interpretative verbalization in child analysis. Through examination of a clinical case, the paper distinguishes between two different modes of interpretative interventions in play. It is the contention of the paper that the analyst's capacity to tolerate tension and respond to the roles the child assigns him widens the area of play, facilitating a space for thinking through. Interpretation is formulated in two distinct ways: (a) interpreting from the context of the roles the analyst assumes within play, respecting the games and facilitating the patient's understanding; (b) interpreting at a distance from play, on the one hand distinguishing the area of play, and on the other hand analyzing that which occurs verbally and non-verbally. [ABSTRACT FROM AUTHOR]

Translations of summary Did Winnicott replace or transform Freud's metapsychology? The author's aim is to explore more deeply the views developed in a previous paper based solely on Winnicott. Here the author draws on other studies to respond to two questions recently posed by Fulgencio concerning the meaning of the term metapsychology and the existence of a new topography in Winnicott's work. For many authors, Winnicott does not reject Freudian metapsychology and says nothing new in this field; in the field of paediatric anthropology, however, he focuses on dependence, and in the field of the living embodiment of the drives on being and self as different from ego. But Green notes the existence of a third topography, that of self/object, and also examines the vicissitudes of being by isolating the concept in Winnicott's work. For the author, however, being seems in continuity with his whole anthropological and ontological perspective; and when Winnicott introduces environmental factors of which the infant is unaware, he also introduces a heuristic distinction between early and deep: there is thus neither a rejection nor a reformulatation of the metapsychological theorization, but rather a coexistence of two paradigms. [ABSTRACT FROM AUTHOR]

Translations of summary In this paper fascination phenomenologically is described as a state of radically being captured by an imposing object. What is left of the impoverished and paralysed subject clings to the exclusive fascinating object. Fascination is the eye of the storm of extreme ambivalence towards an exclusive object: being the only remaining object it is necessary for living in an object world, but at the same time it is threatening to life by absorbing the subject totally. So the subject is sucked in by a yet frightening object. From a metapsychological point of view fascination is understood as the congealed result of excessive projective identification and a strong confusional state connected with it: the subject empties itself so much in the object that it comes to stand for the subject. The fascinating object embodies in a condensed way - as a special form of a bizarre object - split off unconscious threatening material. So fascination is linked to the Kleinian theory of anxiety. Two clinical vignettes illustrate how states of fascination can be understood as an ultimate defence against unconscious menacing material welling up. The hypothesis is developed that fascination points to a revelation of fundamental psychic truth that promptly cramps the subject because the reintegration of it is felt as annihilating. In the vignettes this takes the form of a 'transformation in hallucinosis'. Fascination is at the same time 'the moment of truth' and possibly a serious obstruction of the analytic process. This unconscious truth seems to concern primitive 'superego violence'. The challenge consists in thawing the frozen fascinating object by linking it to other material. [ABSTRACT FROM AUTHOR]

Translation of summary In the early 20th century, many analysts - Freud and Ernest Jones in particular - were confident that cultural anthropologists would demonstrate the universal nature of the Oedipus complex and other unconscious phenomena. Collaboration between the two disciplines, however, was undermined by a series of controversies surrounding the relationship between psychology and culture. This paper re-examines the three episodes that framed anthropology's early encounter with psychoanalysis, emphasizing the important works and their critical reception. Freud's Totem and Taboo began the interdisciplinary dialogue, but it was Bronislaw Malinowski's embrace of psychoanalysis - a development anticipated through a close reading of his personal diaries - that marked a turning point in relations between the two disciplines. Malinowski argued that an avuncular (rather than an Oedipal) complex existed in the Trobriand Islands. Ernest Jones' critical dismissal of this theory alienated Malinowski from psychoanalysis and ended ethnographers' serious exploration of Freudian thought. A subsequent ethnographic movement, 'culture and personality,' was erroneously seen by many anthropologists as a product of Freudian theory. When 'culture and personality' was abandoned, anthropologists believed that psychoanalysis had been discredited as well - a narrative that still informs the historiography of the discipline and its rejection of psychoanalytical theory. [ABSTRACT FROM AUTHOR]

After the Isaacs' seminal work on the nature and function of unconscious phantasy (1948), several authors (mostly in the British Society) have reflected on the topic and tried to extend the concept of fantasy. In this paper I shall examine the contributions of Winnicott, Gaddini, Joseph and Anne Marie Sandler that aim at broadening this psychoanalytic concept. The authors that I have considered share a focus mostly on the early stages of child development. Both Winnicott and Gaddini belong to a line of thinking that explores the vicissitudes of the primary emotional development of the infantile self (in the mother-infant relationship) involving the earliest processes of holding and bodily and kinaesthetic fantasy that form the bodily integrity of the person. The Sandlers focused mostly on the concept of the past unconscious understood as a place of primitive vicissitudes with a deficit in figuration where the process of repression is missing. The present unconscious phantasy (that is located in the here and now) has the function of rendering the past unconscious phantasy partly accessible; otherwise it would remain unknowable. [ABSTRACT FROM AUTHOR]

Analysts may incorporate many of Melanie Klein's important contributions (e.g., on preoedipal dynamics, envy, and projective identification) without transforming their basic analytic approach. In this paper I argue that adopting the Kleinian notion of unconscious phantasy is transformative. While it is grounded in Freud's thinking and draws out something essential to his work, this notion of phantasy introduces a radical change that defines Kleinian thinking and practice and significantly impacts the analyst's basic clinical approach. This impact and its technical implications in the analytic situation are illustrated and discussed. [ABSTRACT FROM AUTHOR]

Translations of summary Starting with an outline of Buddhist history from a psychoanalytic perspective, this paper uses ideas from philosophy and psychoanalysis to consider the nature of the psychological effectiveness of religious objects. It suggests that the development of the devotional cult of Buddhas 'without form' such as Amitābha, at-first-glance surprising when juxtaposed with the founding vision of Gautama Siddhartha, tells us a great deal about the psychological needs that impel the evolution of religious thinking. Distinguishing religious objects from mythological ones, it argues that 'religious objects' are, more specifically, allegorical objects that can be encountered in the second person; that these may not always be well described as 'illusion'; and that they may in some cases be better understood as providing opportunities for experience that, like the transference in psychoanalysis, may have far-reaching psychological impacts. [ABSTRACT FROM AUTHOR]

Utilizing detailed, in-depth material from supervisory hours from around the world (explored in End of Training Evaluation groups), this paper shows that supervisors are subject to multiple, diverse and, at times, ongoing intense countertransferences and impingements on their ability to evaluate candidates' progress. Multiple external and internal sources of these impingements are explored. It is suggested that supervisory countertransferences and their manifestation in parallel enactments remain under-recognized, their impact underappreciated, and the information they contain underutilized. It is argued that the recognition, containment, and effective use of the parallel process phenomena and supervisory countertransferences are essential in order to evaluate candidates' progression and readiness to graduate. Common signals of such entanglements in the supervisor's evaluative function are identified. Three remedies, each of which provides a 'third,' are offered to assist supervisors in making effective use of their countertransference: self-supervision, consultation, and institutional correctives. [ABSTRACT FROM AUTHOR]

Translations of summary Recent epidemiological studies show that 2% of babies in ordinary paediatric clinics suffer from infantile anorexia. In the first part of this paper we present a case study from our hospital clinical activity. Our framework combines clinical psychoanalytic sessions and perinatal videos. In the second part, we will focus on the concepts of instinct and excitation proposed by Sigmund Freud and the concept of mastery proposed by Anna Freud. In the third part, we will examine these concepts in the light of the case study. The fourth part is devoted to clinical recommendations from our hospital psychoanalytic practice. In conclusion, unlike other clinical settings, the psychoanalytic setting allows for the elaboration of the parental hatred included in the libidinal cathexis. Our psychoanalytic setting (sessions/videos) makes it possible to decontaminate parental intrapsychic elements overloaded with excitement, saturated with hate elements, and rendered sterile by the instinct for mastery. An initial part of the treatment process involves working through the intersubjective elements observed in the video. [ABSTRACT FROM AUTHOR]

Translations of summary This paper focuses on the study of temporality used as a clinical pointer to processes of affect regulation in patients who express their suffering through a discourse driven by bodily allusions. Differences between symptoms revealed by body language that conveys an experience of conflict (psychoneurotic symptoms) and somatizations are reviewed. Somatization is examined as a benchmark for the failure to resolve states of tension. The body in the session is conceptualized as a speech event. The body is considered as a psychical construction organized in the exchanges with a fellow human-being. It is thus established as a support for subjectivity. Two discourse registers are described: the discourse of the evoked body and the discourse of the perceived body. The study of Greek mythology allows us to distinguish two different types of temporality: Chronos and Kairos. Chronos represents chronological whereas Kairos subjective time. Both are present in the subject; but if greater mental disorganization supervenes, Chronos predominates as it paves the way for a defence against suffering, designed to avoid the unbearable meaning of ceasing to be. Adherence to one or other mode of temporality signals different conceptions of analytic work. The topics addressed are illustrated by various clinical vignettes. [ABSTRACT FROM AUTHOR]

It is likely that under the impact of impending Nazism, aggression theory in late Freud, as presented in Civilization and its Discontents (1930), left the entirety of guilt to self-punishment, thus retracting his view that love functions in the superego as remorse and restitution. This change however, essentially withdraws provision for treating victims of abuse, violence and terror. This paper proposes a paradigm shift that reframes Freud's late instinct theory into a theory of dehumanization by recovering reparative and relational components of guilt. This reframe has major implications for the position taken with regard to the role of witnessing and the moral imperative in recovery from dehumanizing experience, which orthodox psychoanalytic theory has essentially bypassed. It is propose that victim treatment, as case examples illustrate, reformulates guilt as drawing on the life instincts to revivify victims' humanity through analytic witnessing and acknowledgment. Indeed, unless breaches of humanity are confronted by a witness, the life instincts stay merely rhetorical, if not contradictory, by leaving the death instincts to grow unseen and, thus, unopposed. A two-fold formulation of guilt may better address and redress disorders of dehumanization, whereby 'death guilt' (under the sway of aggression) signifies the orthodox, irrevocable guilt of self-reproach for the bad we may have done, and 'life guilt' (under the sway of a moral imperative) the redeemable guilt for the good we have still to do. [ABSTRACT FROM AUTHOR]

Translations of summary This paper is an attempt to deal with some questions raised by the so-called 'compulsion of destiny' constellation. In presenting the standpoints of Freud and of psychoanalysts who after him were concerned with this problematic, the author takes the view that several aspects of the configuration merit further discussion. Accordingly, the dynamics of repetition compulsion, the complexity of the projective strategy, the coexistence of passive and omnipotent trends are considered. Concerning compulsive repetitions the dimension of drive intrication is underlined, thus moderating the understanding of this clinical entity as mainly related to death drive trends. Projection is understood as serving complex psychic demands. The coexistence of passive and omnipotent trends is envisaged, as manifested in phantasies of submission / participation of patients to a force that exceeds human limitations. For certain cases the consonance of somatic and psychic experiences is noted. Finally, elements from the material of two cases are presented which pertain to the problematic of the compulsion of destiny in which random events are submitted to heavy psychic necessities. [ABSTRACT FROM AUTHOR]

Enrique Pichon Rivière's work, fundamental to Latin American and European psychoanalytic development, is largely unknown in English-language psychoanalysis. Pichon's central contribution, the link (el vinculo), describes relational bonds in all dimensions. People are born into, live in, and relate through links. Psychic structure is built of links that then influence external interaction. Links, expressed in mind, body and external action, continuously join internal and external worlds. Links have two axes: vertical axis links connect generations through unconscious transgenerational transmission; horizontal axis links connect persons to life partners, family, community and society. For Pichon, treatment constitutes a spiral process through which interpretation disrupts existent structures, promoting new emergent organizations at successively deeper levels. Psychic and link structures evolve over time unless repetitive cycles stunt growth. For Pichon, transference is constituted in the here-and-now-with-me because of the analytic link. Pichon also undertook family and group psychoanalysis where individuals become spokespersons for unconscious links and family secrets. He developed operative groups that apply psychoanalysis to both analytic and non-analytic tasks. After describing Pichon's major contributions, the paper compares Pichon Rivière's ideas with those of Klein, Fairbairn, Bion, Winnicott and Bowlby, and contemporary writers including Ogden, Kaës, and Ferro whose works echo Pichon Rivière's thought. [ABSTRACT FROM AUTHOR]

Translations of summary This interdisciplinary article takes a philosophical approach to The Interpretation of Dreams, connecting Freud to one of the few philosophers with whom he sometimes identified - Immanuel Kant. It aims to show that Freud's theory of dreams has more in common with Bion's later thoughts on dreaming than is usually recognized. Distinguishing, via a discussion of Kant, between the conflicting 'epistemological' and 'anthropological' aspects of The Interpretation of Dreams, it shows that one specific contradiction in the book - concerning the relation between dream-work and waking thought - can be understood in terms of the tension between these conflicting aspects. Freud reaches the explicit conclusion that the dream-work and waking thought differ from each other absolutely; but the implicit conclusion of The Interpretation of Dreams is quite the opposite. This article argues that the explicit conclusion is the result of the epistemological aspects of the book; the implicit conclusion, which brings Freud much closer to Bion, the result of the anthropological approach. Bringing philosophy and psychoanalysis together this paper thus argues for an interpretation of The Interpretation of Dreams that is in some ways at odds with the standard view of the book, while also suggesting that aspects of Kant's 'anthropological' works might legitimately be seen as a precursor of psychoanalysis. [ABSTRACT FROM AUTHOR]

The author places the subject of his paper in the context of the original views of a school of Argentinian psychoanalysts that differed from traditional conceptions of man and his relationship with the sociocultural context - that is, with reality. These were the analysts who followed Enrique Pichon Rivière and further developed his ideas - namely, Madeleine and Willy Baranger, José Bleger, and David Liberman. The author begins his exposition with a discussion of Pichon Rivière and culture. He then offers an outline of Pichon Rivière's particular conception of man, followed by a section on the Internal Group as the nexus between the psyche and reality. Further sections address the idea of reality in the analytic situation as a dynamic field and the operative definition of the transference; the distinction between perceptual reality and the reading of reality, with a consideration of the notion of 'critical judgement'; and lastly the issue of health and illness in terms of adaptation to reality. In addition, on the basis of a quotation from Antonio Damasio, the author draws a parallel between these psychoanalytic thinkers' 'psychosocial' approach to man and the findings of contemporary neuroscience as presented by one of its paradigmatic protagonists. [ABSTRACT FROM AUTHOR]

This paper presents the clinical case of a patient with autistic features. One of the main difficulties in his treatment was the particular rapid rhythm of his projections, introjections and re-projections that constrained the analyst's capacity for reverie and hindered the use of effective projective identification processes. These alternating defensive constellations lead either to an expelling autistic barrier or to an engulfing symbiotic fusion. Their combination can be seen as the expression of a defence against an unintegrated and undifferentiated early experience of self that was in this way kept at bay to prevent it from invading his whole personality. Maintaining the symbiotic link, in which I kept included by staying partially fused to what was being projected and using my analytic function in a reduced way, helped to relate to what was in the patient's inside. Leaving this symbiotic link let my interpretations appear to 'force' their way through the autistic barrier. Yet as the process developed they allowed to show the patient how he ejected me and what was happening in his inside, behind his autistic barrier. So I found myself on the one hand accepting the symbiotic immobilization and on the other hand interpreting in a way that seemed forced to the patient, because it implied a breaking of the symbiotic position. The inordinate speed of projections and introjections could thus be interrupted, creating a space for awareness, reflection and transformation, and allowed the emergence of a connection between the patient's inside and outside. In the course of treatment I realized that this kind of dual defence system has been described by the late Argentinian analyst José Bleger. He assumes the existence of an early 'agglutinated nucleus' that is held together by a psychic structure he calls the 'glischro-caric' position, in which projective identification cannot take place because there is no self/object differentiation. I have considered the rapid and fugitive use of projection and re-introjection I met in my patient to be a manifestation of the dual defence system Bleger describes. Although he does not specifically mention this particular vicissitude of operative defences he does give hints about a rhythm in the patients' projections and introjections. [ABSTRACT FROM AUTHOR]

Translations of summary Ignacio Matte Blanco (1908-1995) left very few specific indications about the applications of his theoretical notions to his interpretative style. The author shows how he uses Matte Blanco to formulate some of his own interpretations. The first part of the paper uses clinical vignettes to illustrate some of Matte-Blanco's concepts. Their theoretical vocabulary is thus made explicit. Then two psychoanalytic sessions are discussed at greater length, together with one from a therapy, so that the use of Matte-Blanco's notions can be seen clearly, allowing for a fresh perspective on areas of psychoanalytic theory, particularly dreams, psychopathology viewed according to the proportions of asymmetrical and symmetrical functioning in the patient's bi-logical mental system, the multidimensionality of the unconscious, the structural unconscious, the emotion-thought relationship, projective identification, resistance, and negative therapeutic reaction. The practical consequences of all this are elaborated, particularly the ensuing possibility of 'thinking with the patient' in the session. This enables the patient to introject a form of mental functioning in which the asymmetrical mode is not invaded by the symmetric mode (a parallel can be seen here with the Bionian concept of dialogue between the psychotic and non-psychotic parts of the mind). [ABSTRACT FROM AUTHOR]

Translations of summary My aim in this paper is to examine the role of reverie in facilitating the development of the child-subject, that is, the child's continuous motion towards subjectivity. I begin by briefly reviewing the concept of reverie and proceed with an examination of elements I believe are fundamental and common to both reverie and child psychotherapy, that is, primary thought processes and primitive impulses. I then describe and demonstrate the atmosphere created by these elements using three examples from the psychotherapy of 8 year-old Jonathan. Next, I discuss an intersubjective parallel of Bion's reverie and a developmentally oriented version of Ogden's reverie, focusing on its relation to processes of destruction and recognition. I argue that reverie provides the recognition of the child's struggle for his own birth and growth as a subject, that is, of his child-subject. Finally, I refer to the presence of reverie from the primary preoccupation of mother and father till the child's reverie of himself, his day-dreaming. [ABSTRACT FROM AUTHOR]

Translations of summary Dreams about the analytic session feature a manifest content in which the analytic setting is subject to distortion while the analyst appears undisguised. Such dreams are a consistent yet infrequent occurrence in most analyses. Their specificity consists in never reproducing the material conditions of the analysis as such. This paper puts forward the following hypothesis: dreams about the session relate to some aspects of the analyst's activity. In this sense, such dreams are indicative of the transference neurosis, prefiguring transference resistances to the analytic elaboration of key conflicts. The parts taken by the patient and by the analyst are discussed in terms of their ability to signal a deepening of the analysis. [ABSTRACT FROM AUTHOR]

The article presents notes to remember for contributors in submitting their original contributions which are welcomed whether hard or soft copy that covers any psychoanalytic topic, particularly with papers previously published in a language other than English. These include the sole responsibility of the author to gain and fund all necessary permissions to re-use any other works within their accepted manuscript, provide an abstract of English language and copyright responsibilities.