Psychoanalytic Review

The author seeks to explore the development and treatment of dissociative symptoms emerging in a 17-year-old nonbinary individual throughout two inpatient psychiatric hospitalizations. The patient endorsed the presence of multiple selves that remained connected with reality and internally with each other, emphasizing their existence in spatial allocations within the patient's mind both while dreaming and in waking life. The author highlights the therapeutic space as an opportunity to allow the interaction between dissociated selves surging from violent childhood experiences in hopes of allowing the integration of the fragmented parts of the main self...

A research adventure on closeness and separateness in psychoanalysis is presented. The theme is explored through the author's daydreams evoked by clinical encounters. These are analyzed and metaphorically illustrated with psychoanalytical theories in dialogue with Tove Jansson's Moominland Midwinter. Closeness is likened to "mother's house" and separateness to "midwinter." Vacillation between and balancing of "mother's house" and "midwinter" following the patient's and the dyad's unique needs are suggested as pivotal for psychic development and creativity...

No abstract text is available yet for this article.

The author depicts, relying on several of Giorgio Agamben's philosophical concepts as well as a psychoanalytic developmental perspective, the origins and features of inoperative love and spaces, especially as they pertain to oppressive situations wherein social, political, and economic apparatuses undermine the psychosocial well-being of individuals, families, and communities. In addition, the author conceptualizes psychoanalytic therapy as an inoperative space wherein patients actualize their capacity for impotentiality and experience singularity and rapport...

On the basis of a previous reading (Olver, 2023) of Freud's work that reveals a bisexuality thesis, the author discusses several interrelated consequences of this thesis, including the nature of desire and primal unity, a restatement of shame, the semiotic model, and the emergence of society and the economy with reference to the ego and the superego. These consequences together encapsulate and describe the dialectic of the subject. The author shows how dialectic movement is arrested by various acts of nomination, most notably the nomination of heterosexuality in the forms of sexual reproduction and financial profit that become social and economic master values in modernity...

Social media has profound impact on how we experience the world and interact with others. Rapidly advancing technology has created platforms that have become increasingly image-based and emotionally manipulative. Do the new patterns of communication change patients' mental processes? Is free association becoming more imagistic? Contemporary clinical settings invite new perspectives on the intersections between the social and individual realms, patients' modes of expression, and analysts' interpretations.

Bion's notion of the contact-barrier formulates a semipermeable membrane responsible for preserving the distinction between the conscious and the unconscious. However, the question of how a newly established contact-barrier manifests itself in dreams remains unanswered. The author proposes that one such manifestation occurs when a patient sees themself asleep in a dream. A case of a severely traumatized woman who had difficulty thinking and being close to others is used to explore these clinical ideas. The author, in response to his reveries in a session, introduced a playful dream-like dialogue between a playwright and his reader...

No abstract text is available yet for this article.

This article exemplifies Reik's use of surprise in his psychoanalytic technique. Reik maintained that analysts should allow themselves to be surprised at times by their response. Such a reaction can offer new possibilities of deepening the treatment. An example is presented of such a nonstandard intervention that proved helpful in resolving the patient's difficulties with communicating.

The author focuses on bisexuality in a continued analysis of Freud's radical sexual theory. A close reading of texts from Freud's work, in particular "The Ego and the Id," demonstrates how Freud puts forward a bisexuality thesis in parallel and as an alternative to his thesis of the Oedipus complex. This bisexuality thesis is premised on the mechanism of object cathexis and identification by which the ego and superego are formed. The textual excavation is extended back to earlier material by Freud and other authors (Trigant Burrow, Isidor Sadger) to reveal the foundational bedrock of the bisexuality thesis in primary identification...

A central role of supervision is to help the supervisee develop the self-as-therapist by internalizing analytic theoretical convictions and clinical practices and creating an individualistic professional identity. Supervisors can help this process by viewing some of the supervisees' narrated therapeutic impasses as manifestations of creative rebellion. This creative rebellion helps them exercise their freedom of choice and become who they are as therapists. The creative rebellion metaphor can sometimes explain disruptions to the therapeutic process without threatening the cohesion of the supervisee's professional self and the integrity of the supervisory process...

No abstract text is available yet for this article.

From a self-psychology perspective, the profound disruption of the will to exist physically and psychically in patients suffering from anorexia can be seen as a primary impairment of the selfobject's capacity to make space for them within itself. Kohut viewed the primary phase of the baby's existence in the mother's mind as its "virtual conception." On this foundation, the author uses the notion of "virtual selfobject" to understand the impaired will to exist in patients with anorexia and describes how the therapist may embrace a standpoint that creates a space-for-being for the patient, facilitating the reactivation of self needs in the transference...

Working through the different faces and vicissitudes of the death drive in the countertransference, and especially through projective identification, is a very challenging process. A thorough and versatile process of containment and working through of the manifold threatening expressions and influences of the death drive is required, experienced most specifically and deeply in the arena of projective identification. This paper demonstrates how each aspect that unfolds in the analyst's countertransference sheds light on a particular layer of anxiety and internal object relations related to it...

The therapeutic encounter with psychotic patients presents therapists with moments in which they may regress, together with the patient, toward primitive and psychotic areas of experience. Within this shared psychotic world, therapists might feel persecuted, as if the ground is slipping from beneath their feet. The author suggests that the psychotic part of the personality, as argued by Bion, is inherent to all of us and may come alive in the psyche of the therapist in response to patients in psychotic states...

Two decades ago, Adrienne Harris published "Gender as a Soft Assembly," a refreshing, far-reaching paper that intertwines both traditional and cutting-edge psychoanalytic gender theory with anecdotes from Harris's own life as a tomboy in the 1970s. In broadening staid models of development, "Gender as a Soft Assembly" provides the potential for freedom, fluidity, and creativity as an antidote to the rigid, binary constructions of masculinity and femininity. In response, I've summarized the most striking aspects of her paper that coincidentally commingle with my having been a tomboy and offer an opportunity for a reconsideration of my own history...

No abstract text is available yet for this article.

Freud's mature theorizing about human morality entrenched the functioning of the superego in anxiety stemming from the fear of punishment, a view with which many later psychoanalysts took issue, producing a debate as to the distinction between superego and conscience. This debate would later be mirrored more broadly in academic psychology concerning distinctions between shame and guilt. This is an area where the clinical observations and theoretical discussions of psychoanalysis have subtly guided research in cognitive psychology and the cognitive and affective neurosciences...

The authors explore the value of using psychoanalysis in a community and a social justice setting. A so-called Mental Health Marathon Project in South Africa left human wreckage in its wake. Psychoanalysis, as a conjunction between ordinary human interaction and psychoanalytic awareness (Parsons, 2007), provided a way of thinking and intervening in this context so that the families were provided with holding and containment, but forensic goals were also achieved in the form of an expert report. This document, named the "Brick Mother Report" (Steiner, as cited in Rey, 1994), attempts to make psychological sense of the impact of the Marathon Project...

Psychoanalysis is an explanatory science, and if our aim is to develop accurate theories of the mind, psychoanalysis would benefit from integrating explanations developed by psychology and neuroscience. The main part of the essay shows how psychoanalysis can be integrated with neuroscience and psychology. The concept of integration is defined in terms of six criteria, and the author argues that no matter how tight the integration is, it does not entail that neuropsychological explanations can replace psychoanalytic theory...