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The relationship between the Greek goddess Athena and her father Zeus, together with the competitive hostility she displays towards other females, is presented as illustrating some previously neglected aspects of triangular developmental conflicts in the little girl. Literature on ‘the Oedipus complex in the female’ is reviewed and discussed. The mythological early histories of both Athena and the female monster Medusa are examined for the light they can shed on female developmental vicissitudes and resultant conflicts in both women and men. Unconscious split representations of women as assertive, phallic and dangerous, or alternatively passive, castrated and receptive result in defensive repudiation of the idea that a woman can be both actively assertive and also feminine and sexual. Athena's enraged action of transforming the beautiful young maiden Medusa into a monster as punishment for the ‘crime’ of having been raped in her temple is discussed as illustrating an outcome of the lack of resolution of the little girl's early triangular conflicts.

The relationship between the Greek goddess Athena and her father Zeus, together with the competitive hostility she displays towards other females, is presented as illustrating some previously neglected aspects of triangular developmental conflicts in the little girl. Literature on ‘the Oedipus complex in the female’ is reviewed and discussed. The mythological early histories of both Athena and the female monster Medusa are examined for the light they can shed on female developmental vicissitudes and resultant conflicts in both women and men. Unconscious split representations of women as assertive, phallic and dangerous, or alternatively passive, castrated and receptive result in defensive repudiation of the idea that a woman can be both actively assertive and also feminine and sexual. Athena's enraged action of transforming the beautiful young maiden Medusa into a monster as punishment for the ‘crime’ of having been raped in her temple is discussed as illustrating an outcome of the lack of resolution of the little girl's early triangular conflicts.

The psychoanalytic literature on altruism is sparse, although much has been written on this topic from a sociobiological perspective. Freud (1917) first described the concept in “Libido Theory and Narcissism.” In 1946 Anna Freud coined the term “altruistic surrender” to describe the psychodynamics of altruistic behavior in a group of inhibited individuals who were neurotically driven to do good for others. The usefulness and clinical applicability of this formulation, in conjunction with the frequent coexistence of masochism and altruism, encouraged psychoanalysts to regard all forms of altruism as having masochistic underpinnings. Since then, there has been a conflation of the two concepts in much of the analytic literature. This paper reexamines the psychoanalytic understanding of altruism and proposes an expansion of the concept to include a normal form. Five types of altruism are described: protoaltruism, generative altruism, conflicted altruism, pseudoaltruism, and psychotic altruism. Protoaltruismhas biological roots and can be observed in animals. In humans, protoaltruism includes maternal and paternal nurturing and protectiveness. Generative altruismis the nonconflictual pleasure in fostering the success and/or welfare of another. Conflicted altruismis generative altruism that is drawn into conflict, but in which the pleasure and satisfaction of another (a proxy) is actually enjoyed. Pseudoaltruismoriginates in conflict and serves as a defensive cloak for underlying sadomasochism. Psychotic altruismis defined as the sometimes bizarre forms of caretaking behavior and associated self-denial seen in psychotic individuals, and often based on delusion. We consider Anna Freud's altruistic surrender to combine features of both conflict-laden altruism and pseudoaltruism. Two clinical illustrations are discussed.

The development of a rageful sadomasochistic transference early in an analysis is presented. We describe key interventions that foster its resolution and offer a reconstruction of the patient's early life, focusing on difficulty in the rapprochement phase. We believe that the intense and difficult to manage sadomasochistic transference was linked to a repudiation of both preoedipal and oedipal triangulation, resulting in the perpetuation of a hostile dependent mother-child dyad and in the patient's unconscious belief that sadomasochistic interactions were the only means of establishing and maintaining a close relationship.