Audience

Thursday, 15 July 2021

 

Dear Friend (Name not mentioned for privacy)

It is good to hear from you. I ment to the members part of the list. There were very few comments. I was  unable to get to any of your published comments on the list or any other place. In fact I haven't come across any of your published opinions. I wonder if there is another list that I am not a member of. No Lance, I meant it. The human subject had changed like everything else in life and it was changed to a great extent by the influence of the psychoanalytic culture itself.

  

I noticed two comments that were negative (childish: like being accused of being a secret communist agent who is to destroy USA psychoanalysis). I decided to go back to my blog where I get feedback from several countries... not all positive but all from psychoanalysts who link to what I publish, not take them as pro or against the APaA or the IPA. 

 

I knew that using 'useless 'will not sit well with people who are making a living of practicing that same psychoanalysis. It is impossible that analysts in the USA- who are less than 4 thousands- are not aware that all the efforts made to at least keep psychoanalysis viable did not bring any results to show that they have found the right way to revive it (??? you are the most dedicated and honest person who is concerned about that situation). I am convinced (I have the right to have convictions) that  the old 'justified' narcissism analysts enjoyed for decades is still controlling our self-perception.  But now we have nothing to nourish our narcissism to being psychoanalysts. There are reasons but no justification to not like our true image. Just compare how we handled our disagreement in the last four decades and the splits in England and France. 

 

I will take your objection to something I said as a step toward explaining my changed position from the list and my blog. You quote me saying: "Parents are more informed about childhood and its psychological conflicts'', I have no doubt the Oedipus Complex is not a common term anywhere in the world. The parents of any education and cultural background are now aware that their relationships with children in childhood have consequences (I come from Egypt that is  backward because of the educational system and the prevalence of Islamic thinking in it. I saw mothers who can hardly read and write making remarkable observations about bringing up kids intelligently, which my mother and aunts  had no clue about .

My position lately is that we have a poor version of the old classical psychoanalysis because of the haphazard additions and discarding of main ideas about the human subject left us with a seriously disfigured psychoanalysis. Society and the human subjects have changed in a drastic ways lately, with the availability of the internet worldwide.. All we psychoanalysts are concerned about is training and  the number of candidates and patients seeking psychoanalysis. Those concerns are 'results' of poor psychoanalysis and dealing with them is cosmetic. .

The birth of psychoanalysis came with the birth of new and modern subjects (males and females) who invited exploring their unspoken psychological conflicts. In other and better ways: psychoanalysis was the response to a change in the human subject that needed a new approach to continue the March Of The Race. Change is inevitable and after over a hundred years we would be just protecting our narcissism to think that the psychoanalysis of a hundred or forty years ago is still valid till now.

 

From the reactions I got from the membership I easily could say: not only patients have changed as a natural result of time, but analysts are still maintaining  an old narcissistic self concept. The old psychoanalysis WAS excellent but a new one has to be discovere to deal with new kinds of psychopathology. Calling for a new psychoanalysis does not consider the old one as useless, Just that it lived its life  we should move on to know who we are now: Oedipus or Narcissus (Thank you Jane).

 

Wednesday, 14 July 2021

 

In response to an analyst who believes that the problem is not in psychoanalysis but in what the Ego does !! (the ego is the personal pronoun I in Greek). he could not disagree with my opinion more. Here is my opinion.   

For sure our old psychoanalysis is useless now and more so in the future. It was based on conflicts between good and bad in some interpersonal relationships (sexuality, aggression, parental dictates, poor or wrong psychodynamics, etc.). The new subject (patient) has nothing of that: sexuality is no longer a field of prohibitions and conflict. Aggression has been streamed away from shouting and mussels to more group activity not individual quality. Parents are more informed about childhood and its psychological conflicts and more from society, media, and schools in bringing up their children.

We have to consider two things: a new psychoanalysis geared to understanding the human subject of now (which will not come from A Freud or many of him), and the cooperation of of other humans sciences' specialists in exploring the nature of the human subject. Those two things require contemporary psychoanalysts to prepare themselves for  be just part of big circle of knowledgeable professionals
We, old analysts should hand out psychoanalysis to a new generation of human scientists, thinkers, psychotherapist, educators.  Our bags have nothing to offer anymore.

Saturday, 10 July 2021

 

 

The Future of Psychoanalysis and Future Psychoanalysis

The Difference Between Evolution and Change

2.The Discovery of the Subject and the Psyche

 

This post is likely be considered boring. Not even few analysts would consider it related to what they are presently doing. However, I will continue writing and publishing it because I am convinced that the recent efforts to resuscitate psychoanalysis-especially in North America- have already failed. Psychoanalysts in the whole world are 12,000. The figure tells it all. Even if the 12000 are in one country they validate and attest to that it is a profession close to its last downfall. To cut it short: this could be for one (and only one) of two reasons: either psychoanalysis has outlived its usefulness, or there is something missing in our perception and conception of what happened to it. Personally, I am convinced that old psychoanalysis that we learned until the late Seventies-early Eighties has outlived its usefulness. What we face now is a new human object who has no concerns about sexuality, gender, parental relationships, aggression whether public or private. We need a new psychoanalysis that is different in its topics and who is the subject we will be dealing with in our future psychotherapy.   

                 I am making the first section of the post a problematic because our old psychoanalysis had and has a history that explains whey it emerged in the end in the nineteen century. If we will have a new psychoanalysis it has to have a similar background history too.

Tuesday, 6 July 2021

 

The Future of Psychoanalysis and Future Psychoanalysis

The Difference Between Evolution and Change

1.The Discovery of the Mind 

Dealing with this topic again could easily cause a feeling of boredom and considered useless if not even harmful. Psychoanalysts- at the present time and maybe more acutely in North America than in other parts of the world-are dealing with serious issues about the curricula of learning psychoanalysis and modernizing its training. They also face as partitioners issues pertaining to restructuring the organizations they belong to. Psychoanalysts, after three or four decades of worrying about the declining interest in psychoanalysis, are awaking to the fact that cosmetic rearrangements of issues will not bring any improvement to the dire condition of psychoanalysis, whatever the term psychoanalysis means to the discussant. However, there is no doubt that now psychoanalysts acknowledge their uncertainty about a solution or the right way to pose the main questions regarding psychoanalysis as a field of interrelated issues, not just a a problem with apprenticeship. A preliminary aspect of that question is: should we confront the topic of the future of psychoanalysis instead of ‘negating' the issue by just thinking that we are making the necessary adjustment in its course of evolution? Is psychoanalysis changing or just evolving?

Psychoanalysts might claim to differ theoretically about psychoanalysis, but most of them if not all, never differ in considering it –basically-a profession of psychotherapy. This attitude creates two unfavorable attitude that were behind every crisis psychoanalysis has gone through. A. Although we are not an independent filed of practice (certifiable like medicine or law), and we are also not a well identified field of knowledge (economics, history), we consider ourselves distinct from our original academic foundation or any other academic entity. B. The second attitude is that psychoanalysis could evolve and change but not as result of external factors or new knowledge, or a need for revising one of its old points of view.  In other words, psychoanalysis to the psychoanalysts is a closed system of knowledge and an exclusive filed of practice. After my colleagues reject to this assessment of our silent nature, I should ask them: what is your counter argument to that characterization of our field. As the saying says: it takes a thief to catch a thief. I am a psychoanalyst, and I was of that same nature for many years if not most of my years in practice and in the organization. It is the failure of the organization since 1995, and the haphazard and even bizarre suggestions made by some colleagues that claimed to have come up with 'a natural evolution of the theory of practice’ pushed me to revisit the topic of this posting several times before. This time I am not suggesting solutions but revealing the risk of dealing with psychoanalysis as an issue that has no link to its history or limit its history to the history of psychotherapy.

Whether we like it or not psychoanalysis is not a spontaneous independent discovery or creation. Our pride in Freud’s discovery of psychoanalysis has to be put in its historical context, because without that context it looks like just a silly act of a great mind that was searching for a specialty in medicine that he could not find. Psychoanalysis is a product of and a contributor to the ongoing thinking endeavors of its culture. Therefore, when we say that the history of psychoanalysis goes back to the birth of German Idealism it means that without looking at what we practice as part of something bigger we will end up with a self-perpetuating narrow-minded view of ourselves. That self-perpetuating idea is that we are psychotherapists. This fixed idea is the reason we remained captive of the primitive model of apprenticeship that controlled our training and caused its deterioration. We do psychoanalysis within a wider scope of knowledge that gave birth-for the first time-to the notion of psychotherapy, to replace prayers, holy waters, apothecary, and even physical punishment in forcing corrections of pathological behaviors.

In the Middle Ages thinkers engaged in a litany of explorations, investigations, discussions, analyses of the main problematics that occupied the human mind for centuries without any conclusion.  Thinkers gradually became aware and systematic in studying the works of the mind. Religious issues and the religious texts were not only included in that undertaking, but they were also the main and best issues in the field for such an exercise. Priests who were dealing with that material were the best educated in that time and place. The human mind was examined through its responses to what was previously Givens which did not raise any questions. Scholastic philosophy discovered that “man has a mind”. Translating this axiom into spoken languages it meant that the human being is not an object like everything else the world, but a subject that is distinct in his being. This might sound facetious now but then it was a foundational shift in our psychological life. Man was defined by his manifestations: Christian serf in lord W’s estate. So, a human could redefine himself to others as others define themselves to him. But, at that moment came Descartes to as the Question of all questions: I prove myself to others but how could I prove myself to myself.  If it were not for Descartes’s Cogito it would have been impossible for the practice of hypnotism to result in discovering the unconscious, or for psychoanalysis to have been born. Psychoanalysis could not have been discovered before the Cartesian cogito, and the nature of the issue in ‘I think therefore I am’ is that the human subject needs himself to both define him to himself ad to conceive of that defining of the self. The cartesian Cogito reveal the true nature of the subject that is no more an object of nature: he is a duality: thinker and thought of. As analyst we can see the significance of stating the duality of the subject: the birth of the objective and the subjective pronouns needed for the subject to exist I have to notice that the thinking is me.

Reaching this point in the argument takes me to a common question that is always asked by practicing psychoanalysts: do analysts need to know those things, and maybe other things of the same nature? Yes, a psychoanalyst who does not know what psychoanalysis comes from will think, believe, and limit his idea of psychoanalysis to being merely a discovery achieved by a genius [called Freud] who if not created it, it was his brilliant mind that figured it out. A short support to this direct answer to the question is: could any analyst specify one or few works by Freud that are enough to learn from them Freudian psychoanalysis? No. Freud’s text or the Standard Edition is one essential journey in the mind of that man, and one-way continuous step by step unmasking of unconsciousness. Similarly, the history of German Idealism is one journey that led to psychoanalysis. Analyst do not need to read Hegel, Kant, or Nietzsche but should know what those thinkers were dealing with in the nature of the human subject. Analyst should know that when Freud worked on Anna O, he did not work as a physician but as a thinker who learned from Bernheim about the dual consciousness of the subject and from Hegel the dialectics of opposites.  

In the next part of this posting, I will try -as an amateur- to show how after the scholastic philosophers explored the existence of a mind in the human subject Western thinkers carried the ball further to show how that mind works. I will try to reach the point when it was time to reveal the presence of ‘unconscious’ aspect to all their revelations.     

Thursday, 10 June 2021

 

 

Mistake:

I hope you will forgive me in making the mistake I am trying to correct now. It could be referred to something unconsciously playing with my understanding of the unconscious, or it might be just “a return of the repressed”.

In the past posting I used a clinical experience to show the manner the practicing psychoanalyst usually deals with the unconscious aspects in a patient’s associations. Instead of showing what may be a better way to giving the unconscious the chance to unfold in a gradual way I went directly to its content.  

                                       >>>>>>>>>>>>>>>>

Here is the corrected mistake:

While in training my patient mentioned with some annoyance that sometimes he feels that his deceased mother is behind him watching what and how he does things. My supervisor (very Kleinian) asked me to ask the patient where exactly his mother stands behind him when he feels her presence. Although I very seldom ask my patients questions, I asked the patient, the first time he mentioned his difficulty with his mother’s presence. He replied: ‘She stood a couple of feet behind him to just feel her presence but not see her’. I mentioned to him that she stands in the same space I occupy with him laying on the couch i.e., he could be speaking about me too in his complaint. My remarks were meant to show the patient that his speech could unconsciously reveal things that he is talking about without being aware.

This remark came from realising that the patient-in an unconscious way- created a metaphor that (also unconsciously) depicted the psychoanalytic situation as the situation and relationship he lived with his mother growing up. The metaphor was quite revealing of this patient’s tendency to construct other situations in the same manner. In other terms, the patient’s unconscious identification of me with his mother reveals several possible unconscious leanings in his psychological relations with people: need for approval, narcissistic sensitivities, repressed anger, potential to regression to dependency demands. The point to underline here is that every patient has his own metaphor of his analysis as every analyst has his own unconscious metaphor of his practice. This notion is important in termed of ‘counter transference’ because analysts have to minimize, as much as it is possible for them, the works of the metaphor they live in being psychoanalysts.

The point I wanted to underline with this correction I am trying to make is that the analyst has to uncover the unconscious in the relationship with him before just going around our rich vocabulary to find the best term to use to form his interpretation. The analyst has to uncover the unconscious interplay in each analysis separately from a general conception of “THE UNCONCSIOUS”.

This remark was instrumental in analyzing the relationship the patient had with his mother through his transference relationship with me. In other terms, the unconscious is not something conscious that became unconscious, or something happened before the emergence of consciousness during psychoanalysis, so it was never conscious in the first case. The unconscious is a psychical process that is active all the time, shaping the present by something of the past family psychodynamics. The unconscious creates -by participation of consciousness- the psychical life of the subject as a natural part or aspect of the living present. The unconscious in this case is not a psychical entity, it is the psychical process that made the patient’s phantasy of his mother watching him, and analyst listening to him, overlap in one mentioned event. His upset about his mother’s interference meant something else too.

What I would like to strongly emphasises is that we should discover WHAT is unconscious in the analytic situation and gradually use it to rebuild the evolution of the original events that furnishes the unconscious in the patient’s life in general. The most unnoticed thing (which is the most important) is hurrying up to find a term, a verb, a concept a word in our repertoire of vocabulary that could explain what we are doing, when we should avoid the closure on the process of analysing for no gain from making the best choice.  

Sunday, 30 May 2021

 

Training in the Age of Learning Psychoanalysis

I will start with an issue that was the fabric of my postings in- at least- the last two years. When the term ‘psychoanalysis’ is mentioned in a conversation with ordinary people they assume that we are talking about psychotherapy. Analysts are slightly different. They think of the profession of psychotherapy. Those two assumptions are partially right, but incomplete. Psychoanalysis is the body of knowledge of which an aspect of it could be a profession of psychotherapy. But there is more to it than that. Psychoanalysis is discoveries in the nature of our psychical quality of lif. This quality created the duality of the subjective I and the objective me, and the potential and the need for language to facilitate a link between those two aspects of within the human being, and the emerging phenomenon of communication between humans. The emergence of language uncovered the subject’s sense of being, which is the uniqueness of homosapiens among other creatures. We also do not just see; we like or dislike what we see, i.e.., we have a psychical life that parallels our physical sense of being or self. Freud found out that the psychical nature of our existence could be analyzed to reveal immense unobvious features that go beyond the obvious and the conscious. A substantial part of our consciousness of consciousness is unobvious. Psychoanalysis, thus, is not psychotherapy; it is the knowledge we already learned and should continue to learn about the psyche and was also able to explain aspects of the subject’s psychical psychopathology. Better, psychoanalysis is the “knowledge” that we could acquire from analyzing what is pathological in terms of the natural, and from analyzing the natural in terms of the pathological.  

Basic Psychoanalysis:

At the beginning of the psychoanalytic movement, in the late nineteen century, there was nothing of psychoanalysis to be taught. The first papers on technique came out twelve years after the Interpretation of Dreams. Maybe after 1912 some material on the technique of psychoanalytic therapy were derived from the shared and combined observations of other clinicians. The notion of a theory of psychoanalysis took a central place in the history of the movement around the time of founding the IPA’ (1910). Psychoanalysis’s first shot on theory was the libido theory, which became the basis of Ego Psychology few years later. Ego psychology freed psychoanalysis from the captivity of psychopathology but led it to the field of psychical mechanisms. Without the concept of the libido, which was used as the initiator of psychical life, the problem of the force behind the psychical mechanisms had to be resolved. Psychoanalysis became a theory of psychodynamics in which the libidinal energy and the mechanisms combine to create the psychical phenomena. Obsessive compulsive phenomena were created by anxiety regarding rage that had to be dynamically turned into symptoms.  Psychoanalysis did not offer any serious material to learn but became rich in vocabulary with some grammar (common terminology like the blockage of the libido, reinverting the libido in the self, etc., and few elaborations of old insights. It created a limited field of communication between analyst but without a language that none analysts too could learn and speak. (A. Freud’s ego psychology and Klein’s object relations were accents not languages for psychoanalysis). Other analysts tried to construct their own language of psychoanalysis like Lacan, but it was impossible to do that without sharing an explanation of psychoanalysis. If we talk without the listeners agreeing on what we are speaking-because of the absence of a common language there will be no chance to translate to each other what we are saying.

What is psychoanalysis??!!

It will take a lot of time and space to answer this question. I also cannot say that what I endeavored to do to answer this question for myself would be satisfactory to others. However, if I mention the names of analysts who did magnificent work in the domain of explaining psychoanalysis you will know what I mean: Matte-Blanco, Laplanche, Ricoeur, Bouvet, Erickson, Bion. They worked on the vocabulary of psychoanalysis and used it as the framework or background of their psychoanalytic meanings. For example, Erikson put psychoanalysis in the framework of building the intrapsychic in the early years of life, while Ricoeur put it in the framework of understanding the significance of interpretation in psychical life. Thus, an Ericksonian could talk to a Bouvetian about trust and mistrust in the context of Orality and they could understand each other. Psychoanalysis must be understood as one of the human endeavors, not a simple system of reaching the unconscious that parallels an associated consciousness.

 

Mistake:

I hope you will forgive me in making the mistake the mistake I am trying to correct now. It could be referred to something unconsciously playing with my understanding of the unconscious, or it might be just “a return of the repressed”.

In the past posting I used a clinical experience to show the manner the practicing psychoanalyst usually deals with the unconscious aspects in a patient’s associations. Instead of showing what may be a better way to give the unconscious the chance to unfold in a gradual way I went directly to its content.  

                                       >>>>>>>>>>>>>>>>

While in training my patient mentioned with some annoyance that sometimes he feels that his deceased mother is behind him watching what and how he does things. My supervisor (very Kleinian) asked me to ask the patient where exactly his mother stands behind him when he feels her presence. Although I very seldom ask my patients questions, I asked the patient, the first time he mentioned his difficulty with his mother’s presence. ‘She stood a couple of feet behind him to just feel her presence but not see her’. I mentioned to him that she stands in the same space I occupy with him laying on the couch i.e., he could be speaking about me too in his complaint. My remarks were meant to show the patient that his speech could unconsciously reveal things that he is talking about two subjects and could speak about them together or separately, if in a different context.

This remark came from realising that the patient-in an unconscious way- created a metaphor that (also unconsciously) depicted the psychoanalytic situation as the situation and relationship he lived with his mother growing up. The metaphor was quite revealing of this patient’s tendency to construct other situations in the same manner. In other terms, the patient’s unconscious identification of me with the mother reveals several possible unconscious leanings in his psychological relations with people: need for approval, narcissistic sensitivities, repressed anger, potential to regression to dependency demands.

The point I wanted to underline with this correction I am trying to make is that the analyst has to uncover the unconscious in the relationship with him before just going around our rich vocabulary to find the best term to use to form his interpretation.

This remark was instrumental in analyzing his relationship with his mother through his transference relationship with me. In other terms, the unconscious is not something conscious that became unconscious, or something happened before the emergence of consciousness during psychoanalysis, so it was never conscious in the first case. The unconscious is a psychical process that is active all the time, shaping the present by something of the past. The unconscious creates -by participation of consciousness- the psychical life of the subject as a natural part or aspect of the living present. The unconscious in this case is not a psychical entity, it is the psychical process that made the patient’s phantasy of his mother watching him, and analyst listening to him, overlap one mentioned event. His upset about his mother’s interference meant something else too.

What I would like to strongly emphasises is that we should discover WHAT is unconscious in the analytic situation and gradually use it to rebuild the evolution of the original events that furnishes the unconscious in the patient’s life in general. The most unnoticed thing (which is the most important) is hurrying up to find a term, a verb, a concept a word in our repertoire of vocabulary that could explain what we are doing when we should avoid the closure on the process of analyzing for no gain from making the best choice.  

A clinical example could be useful. While in training my patient mentioned with some annoyance that sometimes he feels that his deceased mother is behind him watching what and how he does things. My supervisor (very Kleinian) asked me to ask the patient where exactly his mother stands behind him when he feels her presence. Although I very seldom ask my patients questions, I asked the patient the first time he mentioned his difficulty with his mothers presence. ‘She stood a couple of feet behind him to just feel her presence but not see her. I mentioned to him that she stands in the same space I occupy with him laying on the couch i.e., he could be speaking about me too in his complaint. My remarks were meant to show the patient that his speech could unconsciously reveal things that he could speak about if in a different context. This remark was instrumental in analyzing his relationship with his mother through his transference relationship with me. In other terms, the unconscious is not something conscious that became unconscious, or something happened before the emergence of consciousness, so it was never conscious in the first case. The unconscious is a psychical process that is active all the time, shaping the present by something of the past. The unconscious creates -by participation- the psychical life of the subject as a natural part or aspect of the living present. The unconscious in this case is not a psychical entity, it is the psychical process that made the patient’s phantasy of his mother watching him, and analyst listening to him, overlap one mentioned event. His upset about his mother’s interference meant something else too.

What we call unconscious is the process that makes an event a psychical event, i.e., a meaningful event. Without a contribution from an unconscious process to our regular present events they will all be void of meaning. Waiting for the bus to arrive means waiting because it unconsciously relates that to somethings related to time. The unconscious is the process that manages our psychical life; therefore, it is not an entity but the process that creates entities of the present events. The unconscious, in that sense, is something to study because as a process we will always have to elicit it from consciousness, which requires a good grasp of its formation and functioning.

Studying the Unconscious:

          After more than a century of making the unconscious explain things to us-psychoanalysts- it is time to study the unconscious itself. The reason is that we -psychoanalysts- mean several and differing things when we use the term unconscious? The most serious about that is not the absence of agreement on its meaning but the absence of clear disagreements on its connotation. We keep hedging about that for reasons: we consider it a psychical entity, the reversal of consciousness, the outcome of a process of repression that we assume its presence, or at least we consider it a thing. Therefore, there is no ‘ one understanding’ of the basic essential of our practice.

My suggestion comes from the fact that Freud did not explain his multiple definitions or identifications of the term unconscious. He started with the unconscious as the content of what is consciously rejectionable. He then moved from its status as an object (content) to a more subjective connotation of the individual’s own psychodynamics and subjective dealings with his own self creating his own preference to the unconscious. It changed from being an entity of rejected instinctual urges to become the processes that manage altering the personal rejection of a certain content. Thus, the uncosncious could get some conscious recognition from the subject. Freud’s tendency to find an acceptable meaning for unconsciousness made him think of it differently based on the context its mentioned. He specified three domains for the unconscious to be activated: topographic, dynamic, and systemic (1915). This classification was not recognized as of significance by the psychoanalysts, but it showed that unconsciousness exists in every aspect of psychical life. We can talk about the degrees of unconsciousness (Cs, Pcs, Usc)., or topographically as in (Ego-Id-Super-Ego), and dynamically as (repressed, transformed, sublimated, etc.).

Learning the unconscious has to start with Freud’s first distinction between the primary processes the and the secondary processes as in primary narcissism and secondary narcissism. He also distinguished between the primal of an issue and the issue itself (primal repression and repression proper). The ‘primary’ is the earliest while its evolution(s) generate its secondary and more elaborate forms. The primary processes are expressed in our language in the double format of metaphors and metonymies, in speech or messaging. Consciously we use, and literature the primary process is a style of speech, but psychologically it is the earliest way of using language (It takes long months for a child to recognize that mother person who has a special function).  The primary process in psychoanalysis is the means by which the unconscious would use the formats of metonymy and metaphor in moving from the cognitive to the thoughtful and from specific to general. In the Irma dream the gathering of the physicians was metonymy of the medical profession while the patient’s reluctance to open her mouth to be examine was a metaphor of her resistance to cooperate. The unconscious is an amalgam of primary and secondary process, and primal states of psychical entities. Being such a complex psychical function, it is ‘a must’ study subject in psychoanalysis because without knowing how the unconscious penetrate all our conscious life will make consciousness most difficult to comprehend. We do not only need to know it well, but we also have to know how to respond to it, which is another issue.

Learning and Training in Psychoanalysis:

As a psychoanalyst myself who got his formation as analyst in the old days (early1960), a formation that is still ongoing system of training I know well that what I have presented till now and what I am proposing is quite foreign to the minds of the contemporary analysts. In spite of all that it is a duty to use experience to improve psychoanalysis. There is a great deal of new and better understandings of the vocabulary of psychoanalysis, but unexpectedly are done by none-analysts. I mean by the vocabulary of psychoanalysis is the establish ideas, conceptions, practices and modalities of training. It was acceptable- till maybe the mid-seventies- to use the old IPA model of forming the new psychoanalysts via its training modality of the tripartite, but now, with all what we knew and know, and the changes in the sphere of the formation of analysts that happened, that model is not quite enough. we should consider learning psychoanalysis has to replace training in psychoanalysis. The difference is make studying psychoanalysis and teaching it under a strict system of academic education the way to go and look into the aspect of psychotherapy separately. If there is going to be transmission of knowledge from senior teachers to junior candidate it should be done via extensive supervision and not personal analysis. Supervision could be wider in scopes and more enriching to groups of candidates, and maybe some of the personal blindness to the unconscious be better discussed that a personal analysis. However, students of psychoanalysis who want o work in the field of therapy might consider a period of personal analysis as part of training.

                                 …………………………………………..

Psychoanalysis was training in doing psychotherapy based on whatever was learned about it, which was much less that what should have been. Whatever was learned in psychotherapy was confined to limited knowledge about psychical mechanisms, dynamics, processes, wrapped in few terminologies that sounded as carrying meanings beyond their ordinary meanings. There was also a lot of reliance on the basic clinical education of the candidate. Despite the gradual deterioration of that narrow scope of background, it seemed that the notion of reviewing the whole scope of psychoanalysis did not get enough attention to seek its revision.  It is our duty as psychoanalyst to encourage and work on moving the learning of psychoanalysis to academic institutions. We should let the specialists in philosophy, linguistics, child development, cognitive psychology, history of civilization, psychiatric issues, and several other issues pertaining to the human subject be the basis of a new psychoanalysis.   

Saturday, 8 May 2021

 

Is There Future Psychoanalysis

     The evidence of sincerity of any criticism is to have an alternative to offer, or at least a suggestion of an alternative. My criticism of the situation in psychoanalysis comes from stagnation and desperate attempts at covering up its deterioration, in both status and condition. Forty years ago, psychoanalysis has had a rich volume of vocabulary of novel discoveries about the human subject. After several decades, two generations of analysts, and no serious evolution of the psychoanalytic discoveries, that vocabulary acquired the status of a theory. Analysts used that vocabulary as if it conveyed an established theory of psychopathology and psychotherapy. However, that vocabulary was the regular speech of the daily life of ordinary people but some of its words were given additional connotations that were derived from discoveries in the field of psychical phenomena. We, psychoanalysts used common words to connote psychological processes, along with their daily usage. For instance, defense got an additional meaning of avoiding psychical pain that accompanies revealing something objectionable. We still should not forget that psychoanalysis is vocabulary without a theory that distinguishes it from lay-man’s speech.

    There are gaps in any standard way of learning psychoanalysis. They come from its vocabulary, because it always has two meanings: the direct simple daily meaning and another implicit connotation of a psychical nature. This bland banal observation puts us face to face with a complex issue. Is there profound commonality amongst us about our vocabulary, which is now treated as concepts in a theory. Do we all agree on the meaning of the analytic terms we use? How much do we know about the implicit psychological meaning of our vocabulary?  Do we ask once in a while: what do we mean by transference? (what is projection, narcissistic identification, etc.)? Without visiting those connotations and the meaning of our terminology we would not know what we are talking about. Even Freud, when he noticed transference in practice, he was undecided about it. He could not be definite if to consider it resistance or an additional source of revealing unconscious material (1912). But few years later he said: “This transference alike in its positive and negative form is used as a weapon by the resistance; but in the hands of the physician, it becomes the most powerful therapeutic instrument and it plays a part scarcely to be overestimated in the dynamics of the process of cure”. (1923,247).  The issue I want to raise is that the necessity and also benefits of revisiting the terminology of psychoanalysis as it is coined by Freud, and very few analysts who came after him. This effort could be like Rediscovering psychoanalysis anew.     

The Old Psychoanalysis: Overcoming Stagnation.        

    If not out of reality it would be out of self-respect that we should admit that psychoanalysis has changed over the years, advanced and regressed, but possibly also improved. Therefore, explaining its current crisis should address the possibilities of taking the wrong direction in our progress, or maybe just reluctance to examining its concepts (vocabulary) in light of all what has transpired in the last decades about their meanings. I will give a personal example of rediscovering psychoanalysis with and implicit permission from you.

    After mentioning that narcissism is a condition that exists in the gap between the I and the ME, or between the subjective I and the objective me, and the variety of its pathological conditions depending on the depth and nature of that gap, I received a comment from a very experienced respectable colleague wondering what would have happened if the myth of Narcissus had been the central myth of psychoanalysis instead of the Oedipus myth. This comment made me think of how much we could have taught ourselves if we looked at narcissism in the Oedipus ‘complex’, and how narcissism is better in explaining ‘castration anxiety’ than castration anxiety explaining narcissism.    

    I mention this personal experience in regard to two important issues my colleague has opened up for further thinking and reconsidering: Why does the phenomenon of transference brings the past in the present in every psychoanalytic work (no analysis without transference)? Why when that happens, and we bring that to the patient’s attention, he changes not only the transference but with it the psychopathology undergoes radical changes (the most powerful therapeutic instrument). I will give here a brief account of the thoughts that came to my mind about that issue to emphasize that there a vast amount of new knowledge awaiting discoveries and ‘our’ old psychoanalysis could be replaced easily, safely, with much better psychoanalysis if we let the old terminology evolve and gain from the accumulated experience we gained.    

    The first thing that came to my mind is that the patient-the I speaks talking about his me. If I listen to the gap in his speech, I will find out another person who was formed by his psychological history; meaning that I am not listening to history but the history of forming the narcissistic entity of my patient. Eliciting that history and giving it back-interpreted-to the patient it will change the narcissistic gap. Both I and me will get better acquainted. I wanted to just give an idea how the vocabulary of old psychoanalysis is full of new meanings that is the new psychoanalysis we aspire to have. The hope is groups of young, motivated, perceptive psychoanalyst and thinkers, and ‘knowledgeable’ middle aged psychoanalysts cut loose from the current systems of learning and training in psychoanalysis. They review the old past, look into the recent past, and do away with the present, to work on a new theory of the human subject. The hope is that this new breed of analysts will not forget or repress that the vocabulary of the old theory, which at its time was a very significant breakthrough and built a theory the of psychoanalysis and was that we-the old generation- learned. It was a brilliant effort to discovering latent meaning in the regular daily language of the time. But now, if the latent meanings that are taken as concepts of in a theory psychical phenomenon that need explanations and expanding its connotations, those same words will be the way to progressing toward a new psychoanalysis, if and only if a new system of training is adopted.

    This is an important point that needs more space, time, and interest raise.