Psychotherapy and Psychoanalysis

Background: The pregnancy and psychological status of infertile couples has always been a concern, but there is no clear evidence for the efficacy of psychotherapy for infertile couples. This study aimed to summarize the current evidence of the effects of psychotherapy on psychological and pregnancy outcomes for infertile couples. Method: We searched Ovid MEDLINE, Ovid EMbase, The Cochrane Library, and Web of Science for articles published from 1946 to June 26, 2020. The pregnancy outcomes, psychological outcomes, and acceptability were involved (...) in the study. Results: Overall, 29 studies with a combined total of 3,522 adult participants were included in the meta-analysis. Compared with a placebo, psychotherapy was associated with the pregnancy rate [risk ratio = 1.43, 95% CI [1.07, 1.93]], total psychological scales associated with infertility [standardized mean difference = −0.33 95% CI [−0.63, −0.02]], subsymptoms of psychological scores using the 28-item version of GHQ, and the integrative body–mind–spirit ; total psychological scales associated with infertility using other treatments and more than a month; and anxiety using BMS had significant statistical significance. The funnel plots of all outcomes were approximately symmetrical, and no significant publication bias was found. Conclusions: The study showed that psychotherapy can lead to improvements in the pregnancy rate for infertile patients, especially for patients receiving assisted fertility. In addition, it may help improve total psychological scales associated with infertility and depression. CBT and BMS play an important role in improving rate of pregnancy, and BMS is associated with reducing anxiety. Although psychological interventions had limited effects on the pregnancy outcomes of infertility, our study still recommended that psychotherapies, in particular CBT and BMS, were applied to the therapeutic regimen for infertility, especially for patients receiving assisted fertility. (shrink)

Objective: To systematically analyze the effects of art therapy on the levels of depression, anxiety, blood glucose, and glycated hemoglobin in diabetic patients.Methods: We searched Cochrane Library, PubMed, Embase, and ClinicalTrials.gov databases from inception to January 24, 2021. The language of publication was limited to English. Randomized controlled trials that used art therapy to improve mental disorders in diabetic patients were involved. After selection of eligible studies, data were extracted, including the first author's full-name, year of publication, the first author's (...) country of residence, number of intervention and control groups, the mean age of participants, method of intervention, duration of follow-up, and outcome measures. Assessment of quality of the included studies and data extraction were independently carried out by two researchers. RevMan 5.3 software was used to perform statistical analysis.Results: A total of 396 samples from five studies were included, and the eligible studies were RCTs with a parallel design. Methods of art therapy included music therapy and painting therapy. The results showed that compared with the control group, art therapy could positively affect the levels of depression [standardized mean difference, −1.36; 95% confidence interval, ; P < 0.00001] and blood glucose in diabetic patients [mean difference, −0.90; 95% CI, ; P < 0.0001], while it had no influence on the levels of anxiety [SMD, −0.31; 95% CI, ; P = 0.32] and glycated hemoglobin [MD, 0.22; 95% CI, ; P = 0.07].Conclusion: Art therapy may have significant effects on the levels of depression and blood glucose for diabetic patients. (shrink)

Diese Rezension bespricht Sama Maanis ersten Essayband zum Verhältnis von Kulturkritik und Psychoanalyse mit dem Titel "Respektverweigerung. Warum wir fremde Kulturen nicht respektieren sollten. Und die eigene auch nicht" (2015).

This paper argues that severe and ongoing trauma (SOT) can lead to impairment at the level of the minimal self (MS), which is the core element in the structure of subjectivity. In the long-term, such impairments can result in complex post-traumatic stress disorder (CPTSD) and schizophrenia. The paper tackles this issue while trying to create meaningful bridges between phenomenology and neuroscience.

The purpose of this paper is to understand if and how interactions with Sexual Robots will modify users’ relational abilities in human-human relations. We first underline that, in today’s scholar discussion on the ‘symbolic argument’, there is no theoretical framework explaining the process of symbolic shift between human-robot interactions (HRI) and human-human interactions (HHI). To clarify the symbolic shift mechanism, we propose the concept of objectual mediation. Moreover, under the lens of Winnicott’s object-relation theory, we argue that HRI can structurally (...) modify users relationality, degrading intersubjective abilities: Sexual Robots may blurry the limit between the ‘internal object’ and the external one. We conclude that, under certain conditions, interactions with Sexual Robots may bring the user back to an infantile object-relation setting, worsening the user ability to manage relational frustration. This will negatively impact on human-human interactions and social values in general. -/- . (shrink)

Freud’s fascination with the ruins of ancient Rome was an element in the formation and development of psychology. This article concerns the intersection of psychoanalysis with archaeology and history in the study of that city. Its substantive content is an analysis of the life and career of Andrea Carandini, the best-known Roman archaeologist of the past 40 years. He has said and written much about his changing views of himself and about what he is trying to do in his approach (...) to the recuperation of the Roman past. His scholarly publications and autobiographical testimonies are at the core of this article. After an early commitment to Marxism that ended in disenchantment and a crisis in his personal life, Carandini spent a decade undergoing psychoanalysis with the Chilean-born expatriate Ignacio Matte-Blanco. The latter gained a following as a theorist who built upon Freud’s ideas about the unconscious by producing a set of mathematically inspired concepts concerning the workings of temporality in human history in which emotional intuition took priority over the rational logic of empiricism. Much influenced by his psychoanalyst, Carandini developed a highly personal approach to the writing of archaeology and history. These writings are explored here in terms of Roman historiography, and in the wider arena of formulations of how the past is to be addressed and written about. (shrink)

Background: Mental health professionals working in correctional contexts engage a double role to care and control. This dual loyalty conflict has repeatedly been criticized to impede the development of a high-quality alliance. As therapeutic alliance is a robust predictor of outcome measures of psychotherapy, it is essential to investigate the effects of this ethical dilemma. Methods: This qualitative interview study investigates patients’ perceptions of their therapists’ dual role conflict in court-mandated treatment settings. We interviewed 41 older incarcerated persons using a (...) semi-structured interview guide, the interviews were subsequently analyzed following thematic analysis. Results: We first present the patients’ perceptions of their treating psychotherapist’s dual loyalty conflict, which was linked to their overall treatment experience. In a second step, we outline the study participants’ reasons for this judgment, which were most commonly linked to feelings of trust or betrayal. More specifically, they named certain therapist characteristics and activities that enabled them to develop a trustful therapeutic alliance, which we grouped into four topics: respecting the patient’s pace and perceived coercion; patient health needs to be first priority; clarity in roles and responsibilities; and the art of communication – between transparency and unchecked information sharing. Discussion: Developing a high quality alliance in mandatory offender treatment is central due to its relationship with recovery and desistance. Our findings show that some therapists’ characteristics and activities attenuate the negative impact of their double role on the development and maintenance of the alliance. To increase the effectiveness of court-mandated treatments, we need to support clinicians in dealing with their dual role to allow the formation of a high quality therapeutic alliance. Our qualitative interview study contributed to this much-needed empirical research on therapist’ characteristics promoting a trustful relationship in correctional settings. (shrink)

The concept, benefits and recommendations for the cultivation of compassion have been recognized in the contemplative traditions for thousands of years. In the last 30 years or so, the study of compassion has revealed it to have major physiological and psychological effects influencing well-being, addressing mental health difficulties, and promoting prosocial behavior. This paper outlines an evolution informed biopsychosocial, multicomponent model to caring behavior and its derivative “compassion” that underpins newer approaches to psychotherapy. The paper explores the origins of caring (...) motives and the nature and biopsychosocial functions of caring-attachment behavior. These include providing a secure base and safe haven for offspring along with physiological regulating functions, which are also central for compassion focused therapy. Second, it suggests that it is the way recent human cognitive competencies give rise to different types of “mind awareness” and “knowing intentionality” that transform basic caring motives into potentials for compassion. While we can care for our gardens and treasured objects, the concept of compassion is only used for sentient beings who can “suffer.” As psychotherapy addresses mental suffering, cultivating the motives and competencies of compassion to self and others can be a central focus for psychotherapy. (shrink)

I am focusing on the following questions that were raised in the commentaries: How to (re)awaken reflexive thinking? How to understand hallucinations as voices of sanity? How to become an effective therapist? How could the pattern that connects be described? How can psychotherapy contribute to psychological well-being?

I emphasize the relevance of Barnes and Možina’s metalogue for some topical issues in the psychotherapy field of current times. The dialectical and recursive approach of the authors, in both the form and content of their work, points to what psychotherapy needs most: the re-awakening of reflexive thinking.

Inspired by the exquisite invitation to join the flow of metalogue between two psychotherapists, teachers and cyberneticians, I reflect on a few chosen elements in their story. The ecology of relationships is suggested as a possible pattern that connects conversational partners who touch upon many topics and perspectives while contemplating on how to understand Bateson.

The paper aims to define the concept of “felt sense”, introduced in psychology and psychotherapy by E. T. Gendlin, in order to clarify its relation to bodily sensations and its difference from emotions. Gendlin’s own definition, according to which the felt sense is a conceptually vague bodily feeling with implicit meaning, is too general for this task. Gendlin’s definition is specified by pointing out, first, the different layers of awareness of bodily feelings and, second, the difference between bodily readiness for (...) action and motivation for action. According to the more precise definition, the felt sense is the awareness of readiness to act carried by the configuration of bodily sensations. The felt sense differs from emotions because it is not able to motivate the action for which it makes us ready. The article also discusses the intuition that led to the founding of Gendlin’s psychotherapeutic technique and compares it with the psychoanalytic concept of working through resistance during therapy. (shrink)

For John Forrester, the ‘case’, particularly in its psychoanalytic version, makes possible a science of the particular – knowledge open to the differences of individuals and situations. This article takes up that aspect of Forrester’s account that linked the psychoanalytic case with forms of autobiography – new narrations of that particular self. After Freud, many authors – literary and psychoanalytic – have taken up the challenge of narrating subjectivity in new forms, engaging a quasi-psychoanalytic framework. Focusing on Luisa Passerini’s text (...) Autobiography of a Generation, which deals with the Italian experience of 1968, the article examines some of the features of such hybrid texts, and argues that psychoanalysis makes a contribution not just to the forms of self-investigation they pursue, but more significantly to the search for a radically new methodology of narration. Such models end up as ‘impossible’ cases, but in so doing they explore new interdisciplinary means for understanding the historical shaping of subjectivity. (shrink)

This article argues that the foundational separation between psychoanalysis and experimental psychology was challenged in important ways by psychoanalytic infant researchers. Through a close examination of American psychoanalyst René Spitz, it extends John Forrester’s conception of reasoning in cases outside classic psychoanalytic practices. Specifically, the article interrogates the foundations of reasoning in cases—the individual, language, and the doctor–patient relationship—to show how these are reimagined in relation to the structures of American developmental psychology. The article argues that the staunch separation of (...) experimental psychology and psychoanalysis, reiterated by philosophers and historians of psychology, is flimsy at best—and, conversely, that the maintenance of these boundaries enabled the production of a cinematic case study. Spitz created films that used little language and took place outside the consulting room with institutionalized infants. Yet key aspects of the psychoanalytic case, as put forth by John Forrester, were depicted visually. These visual displays of transference, failure, and interpersonal emotions highlight the foundations of what Forrester means by reasoning in cases. The article concludes that Spitz failed at creating classic psychoanalytic evidence, but in so doing stretched the epistemology of the case. (shrink)

Picking up on John Forrester’s disclosure that he felt ‘haunted’ by the suspicion that Thomas Kuhn’s interests had become his own, this essay complexifies our understanding of both of their legacies by presenting two sites for that haunting. The first is located by engaging Forrester’s argument that the connection between Kuhn and psychoanalysis was direct. However, recent archival discoveries suggest that that is incorrect. Instead, Kuhn’s influence in this regard was Jean Piaget. And it is Piaget’s thinking that was influenced (...) directly by psychoanalysis. Psychoanalysis then haunts Kuhn’s thinking through Piaget, and thus Piaget haunts Forrester through Kuhn. To better understand this second site of the haunting—which is ultimately the more important one, given the intent of this special issue—Piaget’s early psychoanalytic ideas are uncovered through their interaction with his early biology and subsequent turn to philosophy. But several layers of conflicting contemporary misunderstandings are first excavated. The method of hauntology is also developed, taking advantage of its origins as a critical response to the psychoanalytic discourse. As a result of adopting this approach, a larger than usual number of primary sources have been unearthed and presented as evidence. Where those influences have continued to have an impact, but their sources forgotten, they have thus been returned. They can then all be considered together in deriving new perspectives of Forrester’s cases/Kuhn’s exemplars/Piaget’s stages. (shrink)

John Forrester’s book Thinking in Cases does not provide one ultimate definition of what it means to ‘think in cases’, but rather several alternatives: a ‘style of reasoning’, ‘paradigms’ or ‘exemplars’, and ‘language games’, to mention only a few. But for Forrester, the stories behind each of the figures who suggested these different models for thinking are as important as the models themselves. In other words, the question for Forrester is not only what ‘thinking in cases’ is, but also who (...) might be considered a ‘thinker in cases’. Who could serve as a case study for such a thinker? The major candidates that Forrester considers in his book to be ‘thinkers in cases’ are Kuhn, Foucault, Freud, and Winnicott. In what follows, I will argue that one name is missing from this list, as well as from Forrester’s book more generally: Michael Balint. This name is missing not only because Balint was a great ‘thinker in cases’, but also because we have some reasons to believe that Forrester himself thought so and wished to add him to the list. Forrester, I will argue, found in Balint an exemplar for a thinker in cases that combined elements from Winnicott’s psychoanalytic theory and Foucault’s philosophy of the case-based sciences. (shrink)

The psychoanalytical case history was in many ways the pivot point of John Forrester’s reflections on case-based reasoning. Yet the Freudian case is not without its own textual forebears. This article closely analyses texts from two earlier case-writing traditions in order to elucidate some of the negotiations by which the case history as a textual form came to articulate the mode of reasoning that we now call ‘thinking in cases’. It reads Eugène Azam’s 1876 observation of Félida X and her (...) ‘double personality’—the case that brought both Azam and Félida to prominence in late 19th-century French science—against a medico-surgical case penned by the Bordeaux physician in the same decade. While the stylistics of Azam’s medical case mirror its epistemic underpinnings in the ‘vertical’ logics of positivist science, the multiple narratives interwoven in Félida’s case grant both Azam and his patient the role of knowledge-making actors in the text. This narrative transformation chimes with the way Azam reasons ‘horizontally’ from particulars to Félida’s singular condition, but sits in tension with his choice to structure the observation along a ‘vertical’ axis. Between the two, we glimpse the emergence of the psychological observation as a mode of writing and thus of thinking in cases. (shrink)

The case history in the colonial context was a hybrid form, caught between bureaucratic pressures toward racialization, aggregation, and generalization, on the one hand, and the individualistic bias of the genre, on the other. This tension posed a problem for colonial rulers. In their drive to harvest neat, ideologically reliable knowledge about the minds of colonial subjects, officials and researchers in the 20th-century British Empire read case histories in selective ways, pared them down to simplistic fables, and ultimately bypassed them (...) whenever they could. In other words, although they worked mightily to bend the case history to their purposes, they never fully succeeded. The authority granted to personal testimony and the capaciousness of the detail in case histories always contained a subversive potential. As a result, the politics of the colonial case history were underdetermined, overflowing the categories and resisting the generalizations that colonial rulers sought to impose. (shrink)

The paper analyzes S.N. Spielrein’s scientific contribution to development K.G. Jung’s ideas. It starts with a list of areas pioneered by S.N. Spielrein’s and a review of literature which, as the author points out, is often biased, focusing not on the ideas of one of the first women in psychoanalysis, but on her personal life and individual characteristics. Further the paper analyzes several principal conceptions (with the exception of the original conception of destruction) where S.N. Spielrein’s contribution was essential. She (...) tried to give a more strict definition to C.G. Jung’s theory of the complex which played a key part in development of analytical psychology. S.N. Spielrein was the first to prove empirically in her dissertation the potential of the theory which contradicted classical psychoanalysis. S.N. Spielrein also played a part in development of C.G. Jung’s notions of philo- and ontogenesis of the mind in the process of the so called ‘complex intergrowth’ and gradually developing a common core in the form of I-consciousness. She also worked to define genesis of schizophrenia as a process of replacement of the personal content of the mind by collective contents. She contributed to development of the notion of the collective unconscious. The author analyzes her conception of ‘ancestral soul’ in the context of later achievements of analytical psychology, pointing out similarities in definitions. The author suggests a hypothesis on reasons why, after her separation from C.G. Jung, all mention of the collective unconscious disappeared from S.N. Spielrein’s publications. In conclusion, on the basis of characteristics of the female mind, identified by S.N. Shpilrein, the author hypothesizes on why actuality of her ideas has not been appreciated. Статья посвящена оценке научного вклада С.Н. Шпильрейн в развитие идей К.Г. Юнга. Основной текст предваряется указанием областей, в которых Шпильрейн оказалась первопроходцем, а также библиографическим обзором с выявлением слабых мест сложившейся традиции, сторонники которой предпочитают фокусироваться не на идеях одной из первых женщин-психоаналитиков, а на ее личной жизни и психологических особенностях. В основной части подробно рассматриваются несколько ключевых для аналитической психологии концепций (за исключением оригинальной концепции деструкции), вклад С.Н. Шпильрейн в развитие которых оказался наиболее существенным. Во-первых, анализируются ее усилия по уточнению сформулированной К.Г. Юнгом теории комплекса, сыгравшей ключевую роль в становлении аналитической психологии. С.Н. Шпильрейн стала первым исследователем, который в своей диссертации на конкретном эмпирическом материале доказал приемлемость этой теории, идущей вразрез с классическим психоанализом. Во-вторых, эксплицируется вклад С.Н. Шпильрейн в развитие представлений К.Г. Юнга о филогенезе и онтогенезе психики в результате так называемого комплексного срастания и постепенного обретения единого стержня в форме Я-сознания. В-третьих, отмечается роль Шпильрейн в уточнении генезиса шизофрении как процесса замещения личностных содержаний психики коллективными психическими содержаниями. В-четвертых, рассматривается вклад С.Н. Шпильрейн в развитие понятия коллективного бессознательного. В частности, анализируется ее учение о «душе рода» или «родовой душе» в контексте более поздних открытий аналитической психологии, указываются сходства формулировок. Кроме того, выдвигается гипотеза, почему после разрыва с К.Г. Юнгом в трудах С.Н. Шпильрейн полностью исчезают концепты, близкие понятию коллективного бессознательного. В заключение на основании выявленных С.Н. Шпильрейн особенностей женской психики строится предположение, почему ее идеи только сегодня стали по-настоящему актуальными. (shrink)

This article historicises a dream analytic intervention launched in the 1930s by Scottish psychiatrist and future professor of psychological medicine at the University of Glasgow, Thomas Ferguson Rodger. Intimate therapeutic meetings with five male patients are preserved within the so-called ‘dream books’, six manuscript notebooks from Rodger’s earlier career. Investigating one such case history in parallel with lecture material, this article elucidates the origins of Rodger’s adapted, rapport-centred psychotherapy, offered in his post-war National Health Service, Glasgow-based department. Oriented in a (...) reading of the revealing fourth dream book, the article unearths a history of the reception and adaptation of psychoanalysis from within a therapeutic encounter and in a non-elite context. Situating Rodger’s psychiatric development in his Glasgow environment, it then contextualises the psychosocial narrative of the fourth book in relation to contrasting therapeutic commitments: an undiluted Freudianism and a pragmatic ‘commonsense’ psychotherapy, tempered to the clinical psychiatric, and often working-class, interwar Glasgow context. An exploration of pre-recorded dreams, transcribed free associations, and ‘weekly reports’ reveals that in practice, Rodger’s Meyerian attitude worked productively with Freudian techniques to ennoble the patient’s psychosocial testimony and personal wisdom. This psychotherapeutic eclecticism underpinned and made visible the patient’s concurrent faith in and resistance to psychoanalytic interpretation. Chronicling a collaborative route to psychotherapeutic knowledge within a discrete encounter, the article situates post-war treatment values in the interwar impasse of outpatient psychiatry. (shrink)

Histories of psychoanalysis largely respect the boundaries drawn by the psychoanalytic profession, suggesting that the development of psychoanalytic theories and techniques has been the exclusive remit of professionally trained analysts. In this article, I offer an historical example that poses a challenge to this orthodoxy. Based on extensive archival material, I show how British psychiatric social workers, a little-studied group of specialist mental hygiene workers, advanced key organisational, observational, and theoretical insights that shaped mid-century British psychoanalysis. In their daily work (...) compiling patient histories, conducting home visits, and interviewing the parents of ‘maladjusted’ children, psychiatric social workers were uniquely positioned to expose the importance of family relationships in the development of childhood neuroses. As this article details, their analytic attention to these dynamics not only influenced, but fundamentally constituted the innovative research on maternal-child relationships and family therapy pioneered by eminent psychoanalyst John Bowlby. In addition, psychiatric social workers produced and published independent psychoanalytic research, and fiercely debated the limitations of analytic concepts such as transference. In presenting the relationship between British psychiatric social work and psychoanalysis, this article suggests a new way of telling the history of both. (shrink)

After coining the term “philopsychy” to describe a “soul-loving” approach to philosophical practice, especially when it welcomes a creative synthesis of philosophy and psychology, this article identifies a system of geometrical figures (or “maps”) that can be used to stimulate reflection on various types of perspectival differences. The maps are part of the author’s previously established mapping methodology, known as the Geometry of Logic. As an illustration of how philosophy can influence the development of psychology, Immanuel Kant’s table of twelve (...) categories and Carl Jung’s theory of psychological types are shown to share a common logical structure. Just as Kant proposes four basic categories, each expressed in terms of three subordinate categories, Jung proposes four basic personality functions, each having three possible manifestations. The concluding section presents four scenarios illustrating how such maps can be used in philosophical counseling sessions to stimulate philopsychic insight. (shrink)

Recent studies of consciousness and unconscious processes have neglected the numerous reports of psychoanalysts. The fluctuating boundary between conscious and unconscious mental life observed and worked with in psychoanalysis constitutes a major untapped source of data for consciousness studies. In this paper major hypotheses about these processes since Freud are reviewed and assessed. The frequent misunderstandings about psychoanalysis as a science, for which Freud was responsible, fail to recognize its intersubjective nature. A similar neglect applies to current cognitive approaches.

A review of writings on the presence of the analyst and a phenomenologic approach.

We want here to suggest the hypothesis that the finalistic process inherent in the psyche as Jung describes it, is eminently of spiritual nature and "based" on the quantum-psychoid connection between the instinct of religiosity and the Self archetype. Which in our hypothesis evokes the possibility of a plausible extension of the Self quantum psychoid conception, with a series of consequences such as to believe it possible a development in quantum psychoid dimension of the analytical psychology itself.

The historical forces of war and migration impacted heavily on the disciplinary locations, practitioners, and structures of sexology and psychoanalysis that had developed in the first decades of the 20th century. By the late 1940s, the US was fast becoming the world centre of each of these prominent fields within the modern human sciences. During these years, the work of Alfred C. Kinsey and his team became synonymous with a distinctly North American brand of empirical sex research. This article offers (...) the most nuanced account to date of the shifting relationship between these two fields in the late 1940s to mid 1950s. It argues that this was more collaborative and mutually influential than previous historians have assumed, even as, following the publication of the first ‘Kinsey report’, tensions grew between the Indiana team and the conservative brand of psychoanalysis that by this stage dominated 1950s North American psychiatry. A keen sense of professional competitiveness accelerated the growing split between these two fields, as Kinsey’s team developed a distinctly modern, technologized brand of statistically oriented sexology that contrasted with the older patient case history, and assumed a very different approach to conservative analysts on ideas of homosexuality and ‘normal’ sexual behaviour. Yet this story of divergence is also tempered through consideration of other aspects of ‘situated knowledge’ such as religion and gender identity, even as accounts of cross-disciplinary competitiveness are expanded by contrasting Kinsey’s positions on psychoanalysis with those of contemporaries such as Harry Benjamin. (shrink)

Nel quadro di una teorizzazione, derivante da più ambiti, indebolente, non fondazionalistica, dell'approccio alla realtà fenomenica, la nostra attenzione si è soffermata sull'ambito psicologico, nel quale contestiamo una visione statica, atemporale e oggettivistica dell'identità soggettuale, e sosteniamo, tra l'altro, l'imprescindibilità, per la psicoterapia, del rimando alla sintomatologia dei significati esperiti dall'individuo.

This article examines the role of time as a methodological tool and pathological focus of clinical psychiatry and psychology in the first half of the 20th century. Contextualizing ‘psychopathologies of time’ developed by practitioners in Europe and North America with reference to the temporal theories implicit in Freudian psychoanalysis and Henri Bergson’s philosophy of durée, it illuminates how depression, schizophrenia, and other mental disorders such as obsessive-compulsive behaviours and aphasia were understood to be symptomatic of an altered or disturbed ‘time-sense’. (...) Drawing upon a model of temporal synthesis whereby in healthy individuals, a subjective temporal sense was perceived and understood in relation to objective time frameworks, clinicians argued that mentally ill patients were unable to synthesize Ichzeit and Weltzeit, using variations in this disturbance to define specific pathological conditions. (shrink)

We tend to think of memory as the brain's storing of experiences so that they can later be called up into reflective awareness. Recent phenomenological theorizing, medical, epigenetic, and neuroscientific findings, as well as observations from body psychotherapies have refined and altered this notion, and we now understand the storing of experiences as occurring not only in the brain but also throughout the body. For the implicit part of those processes, phenomenology speaks of body memory. All advances in our understanding (...) of memory carry profound significance for the practice of psychotherapy. In particular, there is increasing support for the idea that the bodily movement of both the psychotherapy client and the therapist can be leveraged for therapeutic change. The Moving Cycle is a body psychotherapy method that works with body memory by using conscious movement sequencing during sessions, movements that are themselves an act of remembering, a remembering that is held and cared for in the emotionally attuned movement responses of the therapist. This relational holding of body memories enables patients to uncover, process, and cope with difficult memories within their current lived experience of safety and understanding. In this article, we ask whether we can understand the Moving Cycle as phenomenological method, argue for this position, and invoke clinical examples to strengthen this argument. (shrink)

From a psychoanalytic point of view it is well established that an early development of a sense of self is crucial to a person's healthy development. At the same time, the psychoanalytic process can to a large extent be described as a deconstruction of narcissistic and illusionary apprehensions of oneself. With this as a background, I want to discuss the notion of self within a psychoanalytic perspective in relationship to the meaning of self and no-self within spiritual traditions. The most (...) striking similarity between psychoanalytical and spiritual practice is identified as the ego's surrender or letting go. The article ends with an attempt to characterize the self that is disclosed in the liberating experience of letting go. (shrink)

Psychoanalysis was introduced to Greece in 1915 by the progressive educator Manolis Triantafyllidis and was further elaborated by Marie Bonaparte, Freud’s friend and member of the Greek royal family, and her psychoanalytic group in the aftermath of the Second World War. However, the accumulated traumas of the Nazi occupation, the Greek Civil War, the post-Civil-War tension between the Left and the Right, the military junta and the social and political conditions of post-war Greece led this project and all attempts to (...) establish psychoanalysis in Greece, to failure and dissolution. The restoration of democracy in 1974 and the rapid social changes it brought was a turning point in the history of Greek psychoanalysis: numerous psychoanalysts, who had trained abroad and returned after the fall of the dictatorship, were hired in the newly established Greek National Health Service, and contributed to the reform of Greek psychiatry by offering the option of psychoanalytic psychotherapy to the non-privileged. This article draws on a range of unexplored primary sources and oral history interview material, in order to provide the first systematic historical account in the English language of the complex relationship between psychoanalysis and Greek society, and the contribution of psychoanalytic psychotherapy to the creation of the Greek welfare state. In so doing, it not only attempts to fill a lacuna in the history of contemporary Greece, but also contributes to the broader historiography of psychotherapy and of Europe. (shrink)

In 1988, Colorado instituted a new regulatory system that was opposed by psychologists and social workers. We surveyed 306 psychotherapists about their attitudes regarding this system, which included profession-specific licensing boards and an omnibus board to handle grievances. Social workers and psychologists, members of more established professions, opposed creating an omnibus licensing board and favored the return of profession-specific grievance functions. Members of the newer professions and unlicensed psychotherapists were not as opposed to omnibus boards. All groups agreed in their (...) positive ratings of the performance of the Colorado grievance structure. These results are discussed in terms of "capture" theory, which postulates that professions capture governmental regulation and use it for their own interests. (shrink)

Martin Heidegger (1889–1976) is one of the most influential philosophers of the twentieth century. His influence, however, extends beyond philosophy. His account of Dasein, or human existence, permeates the human and social sciences, including nursing, psychiatry, psychology, sociology, anthropology, and artificial intelligence. In this chapter, I outline Heidegger’s influence on psychiatry and psychology, focusing especially on his relationships with the Swiss psychiatrists Ludwig Binswanger and Medard Boss. The first section outlines Heidegger’s early life and work, up to and including the (...) publication of Being and Time, in which he develops his famous concept of being-in-the-world. The second section focuses on Heidegger’s initial influence on psychiatry via Binswanger’s founding of Daseinsanalysis, a Heideggerian approach to psychopathology and psychotherapy. The third section turns to Heidegger’s relationship with Boss, including Heidegger’s rejection of Binswanger’s Daseinsanalysis and his lectures at Boss’s home in Zollikon, Switzerland. (shrink)

Reports of patients with schizophrenia show a fragmented and anomalous subjective experience. This pathological subjective experience, we suggest, can be related to the fact that disembodiment inhibits the possibility of intersubjective experience, and more importantly of common sense. In this paper, we ask how to investigate the anomalous experience both from qualitative and quantitative viewpoints. To our knowledge, few studies have focused on a clinical combination of both first- phenomenological assessment and third-person biological methods, especially for Schizophrenia, or ASD therapeutics (...) and diagnosis. We will thus attempt to bring forward a second-person scientific design, accounting for both the first-person subjective experiential aspects, and respective third-person neurobiological correlates of embodied aesthetics in anomalous experience. From this proposal, we further explore the consequences to clinical and research practice. (shrink)

Schizophrenia is usually described as a fragmentation of subjective experience and the impossibility to engage in meaningful cultural and intersubjective practices. Although the term schizophrenia is less than 100 years old, madness is generally believed to have accompanied mankind through its historical and cultural ontogeny. What does it mean to be “mad”? The failure to adopt social practices or to internalize cultural values of common sense? Despite the vast amount of literature and research, it seems that the study of schizophrenia (...) and of the psychoses is suffering from a generic disintegration. In this introduction, we offer an historical overview of the variety of theories and approaches to schizophrenia. We also provide an overview of how the authors in this volume attempt an integrative account where training, practice, theory and research are considered as parts of a larger whole. This is a varied and pluralistic volume, and it is up to the readers to make use of different chapters according to their own needs. (shrink)

Michael Lacewing’s argument in this paper is impressive. His basic case is that research in social and clinical psychology threatens to undermine Hopkins’ (1988) well-known defense of psychoanalysis. This defense claims that psychoanalysis is an extension of, and as valid as, commonsense psychology. By questioning the reliability of commonsense psychological inferences, research in social and clinical psychology also challenges psychoanalytic validity. For, in extending commonsense psychology, psychoanalysis inherits its flaws. This is a fascinating contribution to arguments about psychoanalytic epistemology. Lacewing (...) deepens his contribution by attempting to respond to this challenge. He identifies .. (shrink)

This article deals with the relationship between the creator of psychoanalysis, Sigmund Freud, and the Latvian-born Chilean professor of physiology – and endocrinologist and anthropologist – Alejandro Lipschütz. Up till now, the historiography of psychoanalysis in Chile has ignored the existence of this relationship, that is to say, the fact that there exists an interesting exchange of correspondence as well as references to Lipschütz in some important works published by Freud and in Freud’s correspondence with the Hungarian psychoanalyst Sándor Ferenczi. (...) There are also references to works on psychoanalysis carried out by Lipschütz in Chile. The Freud–Lipschütz relationship allows us to examine two interesting topics in contemporary historiographical approaches to psychoanalysis. First, it permits us to reflect on the connections that Freud and Ferenczi sought to establish between psychoanalysis and biology as a strategy to address criticism of the scientific foundations of psychoanalysis and, therefore, to help legitimize psychoanalysis in the field of science. Second, the relationship between Freud, working in a culturally influential city such as Vienna, and Lipschütz, working in a ‘peripheral’ country such as Chile, paves the way to reflect on the consequences of a history of psychoanalysis written from the perspective of the ‘margins’. This is a history that focuses not on regions where early industrialization and modernization processes, along with an important academic and scientific tradition, help explain the interest in and reception of psychoanalysis, but on regions where different sets of conditions have to be examined to explain appropriation and dissemination processes. (shrink)

The idea that prescribing physicians should be guided by the most reliable scientific evidence seems obvious, but the actual methodology of evidence-based medicine was only introduced in the early 1990s by an international group of clinicians and researchers led by Gordon Guyatt. Since then it has provided a new paradigm for the scientific foundation of medicine and has influenced other disciplines outside of medicine, for example, evidence-based psychotherapy, science and government. The novel concept of evidence-based medicine is based on hierarchies (...) of evidence from opinions of respected authorities, mechanistic reasoning, and reports of expert committees at the bottom to... (shrink)

This article will briefly explore some of the ways in which the past has been used as a means to talk about psychotherapy as a practice and as a profession, its impact on individuals and society, and the ethical debates at stake. It will show how, despite the multiple and competing claims about psychotherapy’s history and its meanings, historians themselves have, to a large degree, not attended to the intellectual and cultural development of many therapeutic approaches. This absence has the (...) potential consequence of implying that therapies have emerged as value-free techniques, outside of a social, economic and political context. The relative neglect of psychotherapy, by contrast with the attention historians have paid to other professions, particularly psychiatry, has also underplayed its societal impact. This article will foreground some of the instances where psychotherapy has become an object of emerging historical interest, including the new research that forms the substance of this special issue of History of the Human Sciences. (shrink)

How we narrate our lives can affect us, for good or ill. Our narrative practices make an undeniable difference to our psychosocial well-being. All so-called "talking cures" – including traditional psychoanalytic and psychodynamic approaches to therapy and newer techniques – are motivated by this insight about the power of personal narratives. All therapies of the discursive ilk make use of narratives, in one way or another, as a means of enabling individuals to frame, or reframe, and to manage their life (...) circumstances in richer or new ways.Narrative Therapy, an important sub-class of talking therapies, breaks faith with more traditional psychodynamic approaches in adopting a... (shrink)

Schizophrenia is a mental disorder that calls the mineness of one's own sensations, thoughts and actions into question and threatens the person with a loss of self. In order to understand this illness in its essence, an approach based on phenomenological psychopathology is therefore indispensable. Conversely, disorders of the self in schizophrenia should be of crucial interest for any philosophy of subjectivity in order to test its concepts of self-awareness, personhood and intersubjectivity by reference to empirical phenomena.Contemporary neurobiological concepts of (...) schizophrenia predominantly emphasize the importance of impaired integration of somatosensory inputs into stable central-nervous representations... (shrink)

Acknowledging the power of the id-drives, Freud held on to the authority of reason as the ego’s best tool to control instinctual desire. He thereby placed analytic reason at the foundation of his own ambivalent social theory, which, on the one hand, held utopian promise based upon psychoanalytic insight, and, on the other hand, despaired of reason’s capacity to control the self-destructive elements of the psyche. Moving beyond the recourse of sublimation, post-Freudians attacked reason’s hegemony in quelling disruptive psycho-dynamics and, (...) focusing upon the social domain, they sought strategies to counter the oppressive social restrictions and conformist impositions impeding individual freedom that result from thwarted desire. Postmodern celebration of desire at the expense of reason and sublimation leaves the Enlightenment prospects altogether and moves psychoanalysis into a new terrain, where the very notion of rationality and an autonomous ego upon which much of Freudianism rests has been deconstructed. Thus the debate that begins with Freud’s social theories reflects the deeper divisions, which arose with postmodern ethics and discarded Cartesian–Kantian notions of personal identity. Here we consider the moral framework in which Freudian social theory sits and a contrasting understanding of agency that confronts his modernist conception. In that debate, we discern the larger humanist confrontation with postmodernity. Yet, all who engaged Freud shared some version of his utopian ethos, albeit radically restructuring the theory upon which social reform might occur. (shrink)

Jeffrey Masson's version of the seduction theory episode in Freud's early career, as presented in The Assault on Truth, is very plaus ible as a revised account of the traditional story. However, close examination of the seduction theory papers and of other contemporary documents reveals that Freud's later reports of the episode, the foun dation on which Masson builds his case, are false. Some purported his torical events that Masson uses to buttress his case are also shown to be without (...) foundation. The several accounts of the episode Freud gave in his writings are dissected to demonstrate that they are tendentiously misleading and serve to conceal what actually occurred with his patients during the period in question. Some consequences of the widespread acceptance of the traditional account are briefly discussed. (shrink)