Jahrbuch der Psychoanalyse: Band 21

• J. Wallinga: In memoriam J. Lampl-de Groot Buy article

Theoretische Aspekte:

• Ilse Barande: Das Verbrechen an Moses ersetzt den Todestrieb
  Abstract

  The death instinct of 1920 was not held in due esteem by its creator Freud in his subsequent works. It was sacrificed by a change in his teaching, as can be inferred from »Moses and Monotheism« his last psychoanalytical novel. With his only in part interpreted story of his Moses Freud, who is now 80 years old, creates a supplementary version of the original, in which his personal motives are interwoven with the historical ones and he no longer deals with the death instinct but the history of repentance for the father’s death as represented in Moses - the killing of Moses as assumed by Seilin is an indispensable part of Freud’s reconstruction - as evidence for the omnipotence of the death wish, without which both father and son would be immortal. In this way one eludes both the assumed death instinct and the predicament of simply dying. The positive contrary of sacrificing of the death instinct, the traces of which were extinguished by Freud, is the guaranteed remaining alive and the continued existence of a work, of an idea. Biographical as well as the context of the history of Freud’s work of alteration and transformation of the metapsychological hypothesis of the death instinct are shown as well as stylistic features.
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Klinische Beiträge:

• Peter Canzler: Parsifal und das Mitleiden des Psychoanalytikers
  Abstract

  After a brief outline of the origin and the literary transformations of the Percival Legend in the Middle Ages the paper investigates his further development in Richard Wagner’s solemn festival play Percival. A more exact analysis of this text shows that Percival’s purity and naivety conceal distinct stains of oedipal guilt. The redemption of the King of the Holy Grail, Amfortas, from his excruciating suffering, and hence the change of generations, are not possible until Percival acknowledges in a long maturing process his guilty involvement and is able to make amends. At the same time compassion as a means of emotional and reasonable realization plays an important role. Following a more positive and creative evaluation of countertransference in recent years arises the question of the suffering and compassion of the psychoanalyst in his work. These questions are first pursued with the aid of analytic literature. On the basis of clinical experiences four forms are finally distinguished from each other: concordant, anticipatory, symptomatic and complementary compassion on the part of the psychoanalyst.
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• Werner Bohleber: Die verlängerte Adoleszenz
  Abstract

  If one considers the significance of adolescence for cultural development the psychological concept of extended prolonged adolescence attains special importance for the modern development in society with the formation of a social post-adolescence. Prolonged adolescence is on the one hand an area for solving problems creatively and for new cultural developments; on the other hand, however, it can turn out to be a dead end, which the individual is no longer able to leave for psychodynamic reasons. With reference to Erikson and developmental-psychological papers on identity genesis the concept of identity mediating between individuality and a place in society is accorded a Status of central value in the description of development processes in prolonged adolescence. The focus of this paper is on the psychosocial becoming real of the individual and potential psychic disturbances. Based on two detailed case-studies a type of identity disturbance is described in which narcissistic defense of unresolved Separation problems from the primary object is treated while in late adolescence the bond to the primary object which proves unresolvable and the predominant grandiose self-representations prevent the formation of an own identity. In conclusion psychological structure of identity-formation in late adolescence and in young adulthood is described following three structure lines: the separation of self and object, the feeling of identity as a controlling instrument and, drawing on Winnicott’s concepts, the intermediary space as the psychological location of identity formation. The significance of this intermediary area for creative identity formation is demonstrated.
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• Winfrid Trimborn: Der Analytiker, der Rahmen und die Öffentlichkeit
  Abstract

  By means of parallel consideration of Kleist’s drama »Prinz Friedrich von Homburg« and a case-history the author wishes to show that the patient will only succeed in stepping out of narcissistic regression if the analyst is able to assert his answer ,No’ (the framework, the law), not only towards the patient but also beyond the analytical relationship, i. e. for the public introduced by the patient. Yet it is only the reference to the deficiency of the analyst in the eyes of the public which marks him as the third person, insofar as he does not deny this deficiency. In this way individuation points to beyond a catastrophe and so the patient can renounce his narcissistic regression and symbiotic dream, if the ,No’ uttered publicly is approved by the public. Thus language gains its own space and becomes a symbol of Separation and unity.
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• Samir Stephanos: Die Psychoanalyse als Grundlage für die Psychosomatik
  Abstract

  The article deals with the question of how far psychoanalysis can be of use in treating patients with severe internal diseases and a poor prognosis. With the help of two clinical cases, the author introduces the principle and techniques applied in his ward setting. The case histories serve to demonstrate the underlying aims behind this difficult and complicated analytically-orientated form of psychotherapy - at the limits of psychoanalysis. His interpretation of a contemporary German novel illustrates an essential objective of this therapeutic approach: overcoming the patient’s »malignant isolation«. The discussion of the »episodes« illustrates the special application of counter-transference. This procedure allows the analyst to enter into the biography of a patient with a fatal disease and thus to take up and maintain a therapeutic relationship with him. Slowly and with great difficulty the way is opened to the patient - whose life expectancy is usually very short - to initiate new libidinous cathexis. In this way he creates his own conditions for admitting a liberating mourning process.
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• Christian Eggers: Konversionssymptome und -syndrome bei Kindern und Jugendlichen
  Abstract

  »Conversion« is understood to be the expression of a psychic conflict in physical Symptoms. The latter are manifested in the form of motoric, sensitive, sensory and somatovisceral disturbances, or in the form of various hysterical changes of consciousness (dream states, oneiroid -exstatic states, Ganser-syndrome). The conversion-symptom expresses in a symbolic form the suppressed psychic conflict and has an appellative character. It occurs amongst 0.5% of the age population. Conversion-neurotic symptoms are seldom in infants and young schoolchildren, but there is an increase during puberty and adolescence. Fourteen children aged between 7 and 17 are reported on, who were treated for a conversion neurosis as in-patients at the clinic for psychiatry of children and adolescents in Essen. Walking disturbances, mostly in combination with abasia and astasia were the most frequent (9 patients), seven patients had paralyzed arms and legs. One female patient suffered exclusively from hysterical spells, which occurred with two other girls together with different conversion-neurotic Symptoms. One fourteen years old boy had the typical Symptoms of Ganser-syndrome. In the case of the overwhelming majority of the patients oedipal conflicts with castration anxieties and competetive disputes with the respective parent of the same sex plaid a dominant role. Moreover the conversion-symptoms also served to ward off aggressive impulses and were for just under the half of the patients an additional expression of dependence and Separation conflicts from dominating, restrictive and overprotective parents. Anxieties of loosing the love of the parents plaid a central role particularly with the girls. Typical family constellations are: exaggerated mutual concern, overprotective, dominatingly restrictive mothers, diverging educational attitudes of the parents, unclear intrafamily limits, permeability of the generation barriers and a parentification of the children. The therapeutic task is to release the child from the role forced upon him of a pseudo-stabilizer of disturbed marital relations and to enable the parents to communicate directly to each other and to strive for a Solution to their conflict without involving their children.
• Gisela Pankow: Strukturierende Phantasmen in der Psychose
  Abstract

  In order to Start an analytical psychotherapy with a psychotic patient the author uses the dialectics between the part and the whole of the body. This paper shows how a so called »structurizing phantasm« can intervene in these dialectics of the body. As an example of a structurizing phantasm the author has chosen »the man without a head« in order to demonstrate how this phantasm could cure the dissociation of the body image of a schizophreniac patient, of a psychosis of delusion and of a borderline-patient. The last chapter shows the destroying phantasm of the »transposed heads« after the »Indian Legend« of Thomas Mann.
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• Helmut Reiff: Körper-Ich und Phallus
  Abstract

  Freuds’ dualism of »drive« and »Cognition« serves as startingpoint for the investigation of psychic structures. »Drive« is used in the way of entropy. Means of investigation are taken from semiotics as well as from formal logics. The terms »signal«, »index«, »icon«, and »Symbol« are discussed in this way. According to the System of logical types, drive respectively is superseded by narcissistic identification of body-ego, identification proper by iconic representation of anal, and phallic ego, leading to symbolic representation of post-oedipal stages in the end. Psychoanalytic concepts of libido-, and ego-development so are integrated in a consistent development profile. As to its contents, the image of phallus is dominating. The child in the phase of narcissistic body-ego is phallus (in terms of indicating pleasure) of the mother or rather, is identified with the mother-phallus. The phallic ego however is identified with the phallus of its own; it presents phallus, indicating pleasure. Regarding the inherent tautology of sign and ego, phallus (by now in terms of icon) at the same time is representative of ego. The development of descriptive language, and abstract reasoning meet the requirements of metaphor in connection with the oedipal Situation. Metaphor is the symbol proper, and logically placed over icon. Thereby it supersedes phallus unconsciously. At last theoretical and clinical aspects of the terms »introjection«, »projection, and «identification» are discussed.
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Beiträge zur angewandten Psychoanalyse:

• Eberhard Th. Haas: Brückenobjekte und Brückenrituale in Conrads Novelle «The End of the Tether»
  Abstract

  Using the narration «The End of the Tether» (1902), which is typical for Conrad’s life and work, phenomena such as mourning, failure of mourning work and depressiveness are presented. Special significance is given to linking objects and linking rituals, whose protective function Conrad anticipating subsequent psychoanalytical conceptions analyses with great psychological mastery. The portrayal of the increased alienation and anonymisation of linking objects in the course of the regressive downfall, promotes understanding for addiction to gambling and suicide. Conrad’s novel like all his prose can be read as a literary self-analysis. The characters in the novel embody individual aspects of his biography. Their antagonistic encounter reveals Splitting mechanisms and inclinations to fragmentation while conversely literary handling causes cohesion. In a biographic epilogue relations between novel and Conrad’s life are underlined.
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• Haydée Faimberg: «The Snark was a Boojum"