Jahrbuch der Psychoanalyse: Band 31

Klinische Beiträge:

• Werner Balzer: Der Tod und der Kompaß. Überlegungen zur trügerischen Plausibilität bei der psychoanalytischen Behandlung narzißtischer Patienten
  Abstract

  The induction of false plausibility by certain narcissistic patients is a very destructive defense which differs, nevertheless, from overt lies and which masks negative transference in treacherous meaning. By the seduction to attribute false meanings the patients try to manipulate the analyst’s process of thinking in order to avoid any new experience and to safeguard the - for the analytic process - destructive illusion, that nothing helpful can come from the analyst, which they themselves had not put omnisciently into his mind before. The resulting pseudo-analysis seemingly lacks resistances but also therapeutic regression, appears to make a lot of sense, but no change. The subject is unfolded along a story of J. L. Borges, in which a detective, narcissistic himself, becomes the victim of his own illusive capacity to look through everything. Clinical material is given in order to illustrate the phenomenology and dynamics of this situation, also with respect to the deadlock of a collusive entanglement in the countertransference. Instead of a narcissistic /?;ypercathexis of understanding there is a plea for the countertransference analysis of the feeling of convincing evidence itself. This may be a technical way out of the transference dilemma of such patients, who, on the one hand, lose their self-respect when they really need and take something from the analyst, and, on the other hand, all hope when they succeed, by means of false plausibility, in devaluating the analysis and in letting it run idle.
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• Bela Grunberger: Abriß einer psychodynamischen Theorie des Masochismus
  Abstract

  While neglecting a variety of aspects of masochism which in part have already been investigated in other places, we have made an attempt at elaborating a mechanism which can always be observed in masochism and which in our view can be seen as specific for this condition: 1. A defense of the ego, which wants to convince the super ego that the person concerned this renouncing any gratification of instinct because this is linked to the castration of the father. This castration is denied by proving the opposite according to the following formula: a) I am the one who is being castrated and not my father; b) my conflict puts me into opposition to my mother and not to my father. 2. This defense is reinforced by constant projection of the wish to castrate the father on to the bad mother. At the same time the masochist demonstrates to us that he would like to hold on to this projection by expressing his refusal to identify with the bad mother. 3. Behind the veil of this defense mechanisms the moral masochist pursues his aim of castrating his father in an introjecting anal sadistic way, yet constantly demonstrates his failure to do so. As far as the perverse masochist is concerned, he succeeds - with the help of a masochistic game of hide and seek - to deceive his super ego much more comprehensively and frankly, and thus he acquires genital pleasure.
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• Michel de M’Uzan: Während der Sitzung. Überlegungen zum psychischen Geschehen im Analytiker
  Abstract

  The psychic experiences in the analyst embrace in every analysis whose course takes a radical turn besides countertransference resistances alterations of the ego as a result of a deepening identification with the analysand, which is limited by what the author calls a protective antenne, whilst a »paradox system« thanks to a capacity for primary identification and a tolerance for experiences of depersonalization and a floating of the identity distinction between subject and object and facilitate an additional understanding of the patient. The hazards the author describes are the tendencies to use the other by projection (positioning of the egg), covetousness and dominance. The product of the unconscious of both protagonists which are intertwined the author calls the chimera: the analyst takes over the confused psychic experiences of his patient in order to develop them. In the struggle against the psychic aphanisis, the loss of being, a positive value is accorded to the attack on the functions of his own psychic apparatus. Only after the asymptotic approach to this danger does the analyst rediscover the natural otherness of the outer world and the solid delineation of beings.
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• Horst Brodbeck: »Von der Ver-Wicklung zur Ent-Wicklung« – Zur Relevanz interaktioneller Gegenübertragungskonzepte für den psychoanalytischen Prozeß
  Abstract

  This paper attempts on the basis of a course of treatment to describe the participation of the analyst in the »processes of dynamic interaction« (J. Sandler) and to show how the interrelations between analysand and analyst controll the process of recognition in the analyst and how he is influenced by concepts and theories. To describe interactional and communicative processes as represented by the classical setting, terms are resorted which originated outside psychoanalysis, i. e. systemic and kybernetic, constructivistic and bioepistemological approaches are included in the considerations. As a result a number of basic epistemological questions for analysts and their methods arise which speak for the use interactional concepts of countertransference.
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• Matthias Hirsch: Psychoanalytische Therapie mit Opfern inzestuöser Gewalt
  Abstract

  The nature of the therapy of victims of incestuous violence - similar to that of the victims of other forms of violence - may be described as a problem of externalization of the traumatic introject and of separation from it as well as the processing of its subsequent assimilation by identification and its renunciation. For this process the following points are essential: 1. The repetition of the trauma in the transference and the projection of its contents connected with the experience of split-off feelings of anxiety, aggression, sexualization without their being acted out in reality. 2. Positive, even sexual and aggressive countertransference feelings of the therapist are communicated in due course - again without acting out - thereby promoting the differenciation of subject and object - and reinforcing the borders between the inner and the outer world.
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Theoretischer Beitrag:

• Judith S. Kestenberg: Außen und Innen, Männlich und Weiblich (Teil I) Buy article

Beiträge zur angewandten Psychoanalyse:

• Annelore Werthmann: Hildegard von Bingen. Narzißtischer Rückzug in eine großartige Bilderwelt
  Abstract

  This psychoanalytical approach to medieval literature tries to understand the visions of Hildegard von Bingen (1098-1179) as a visualized inner world of objects. In a narcissistic withdrawal the medieval abbess reacts to traumatic loss and overcomes it by artistic creativity. Already as a child she was admitted into a convent. In the second half of her life Hildegard von Bingen wrote several books on her personal visions in which she interprets the order of the universe as a well organized salvation system. Structure, process and associative context of a great number of her visions allow us to understand them as a progressive detachment from the objects in order to create a grandiose »Ersatz«- world to compensate personal losses.
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• Dietlinde Eckensberger: Die Anfänge der deutschen Liebeslyrik
  Abstract

  Medieval poetry of courtly love is the first appearance of modern lyric poetry. Its topic is love as the subject’s inner experience. Poetic form is the verse. A psychoanalytic interpretation of form and content of the first German love lyric is attempted through the example of Danubian Minnesongs. Minne-love is understood as expressing the formation of psychic desire and the mental representation of the object after the primary loss, the arising of the affect of longing, elation as the basic mood of separation and the threatening of love by inner persecutors. The poetic device of minnesongs is created by means of rhyming syllables reactivating the dynamics of separation and unification. The first poets are known by name, but we don’t know anything about their personal life histories. Therefore an attempt is made to reconstruct the »average expectable environment« of children in medieval noble classes. Medieval child rearing practices inflict separation on children at the various developmental stages. Psychohistorical links to the emergence of the individual and the formation of the concept of love in European history of the mind are demonstrated.
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Beiträge zur Geschichte der Psychoanalyse:

• Lawrence M. Ginsburg: Die Bedeutung von Freuds Interesse an Stachelschweinen für die psychoanalytische Untersuchung von Massenbildungen
  Abstract

  Freud’s retrodictive balancing of his interest in porcupines vis-a-vis his Clark University lectures is deeper and certainly sadder than one might initially surmise. It not only provided a symbolic focus which he related to the uncivilized realities of the outer world, but may have forced him to confront painful preoccupations of his own inner world. The poised tension ascribed to porcupines was not limited to a »subhuman« society. It dramatized and perhaps became emblematic of mankind’s cruder propensities. Freud’s animal sentry undoubtedly served as a bleak reminder of the behavioral predilections which »men in general« still shared with their evolutionary ancestors and remains mirrored in the development of its guardian’s central thesis that »libidinal ties are what characterize a group« (S.Freud, 1921c, p. 101).
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• Peter Kutter: Psychoanalyse in Deutschland
  Abstract

  The autor sketches the history of psychoanalysis in Germany beginning with the arrival of Karl Abraham in Berlin in 1908 up to 1933 and its destruction through »Gleichschaltung« in the Third Reich and focusses on the description of the structure of the DPV from its forming in 1950 to the present. He outlines its considerable growth including 12 training institutes, which is owed partly to the inclusion of analytical psychotherapies in the health benefits catalogue of the German health insurance companies, the university and extra-university institutions and scientific debates influenced by psychoanaylsis, trends within psychoanalysis as well as some outstanding personalities and their works. The coexistence of DPV and DPG and the overall organisational function of the DGPT are mentioned.
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