Metapsychology

"Intuition" is probably the most frequently used term in all Bion's writings. However, in order to understand its role in his thought it is essential to give it the clearest possible definition. The thesis of this article is that by intuition Bion means a "specific" psychoanalytic concept. It is thus possible to extract intuition from the vague and mystifying reading of it by some authors, whic runs the risk of falling into an empty "intuitionism". For Bion, intuition is a psychoanalytic function of the analyst, the principal factors of which are the various expressions of dream-thought and insight...

This paper argues that, despite its title, "The Ego and the Id" can be seen as the book of the superego, and although it is a metapsychological work, Freud's introduction of the new conceptual tools provided by the structural model was a response to the clinical problems he faced. The implications of Freud's introduction of the superego for the analytic relationship are discussed, with an attempt to deepen our understanding of what he had in mind by reading "Group Psychology and the Analysis of the Ego" alongside "The Ego and the Id"...

The paper explores the concept of truth in Bion's theory and in the post-Bionian context of the analytic field. Truth is addressed on three levels: epistemological, metapsychological, and clinical. Bion criticizes positivism in psychoanalysis, and the same vertex when it appears in psychoanalysis itself, stating that the search for truth at all costs is similar to the arrogance and stupidity of the psychotic part of the personality. He revolutionizes the analytic concept of truth by orienting it to the function of the emotional linking between analyst and patient rather than to content...

Identity is a paradoxical expression for psychoanalysis because importance is placed on 'becoming', the decentring of subjectivity and the avoidance of rigid identifications. There is no settled understanding of metapsychological terms and practices or the relationship between theory and practice. The development of psychoanalysis in Asia creates wonderment and anxiety for both Western and Eastern psychoanalysts. Western psychoanalysts are concerned about the threat to Western ideals and sensibilities to define psychoanalytic identity...

The concept of pensée opératoire (operational thinking) was introduced by French psychoanalysts in 1963 and a decade later was included as an essential component of the alexithymia construct as formulated by the U.S. analysts John Nemiah and Peter Sifneos. Despite a large body of research on alexithymia, the pensée opératoire component is not well understood, especially among clinicians and researchers who are not familiar with French psychoanalytic literature. In this article we clarify the definition and metapsychological conceptualization of the concept, review findings from some relevant empirical studies, and critique a recent proposal for redefining the alexithymia construct that departs from the original understanding of pensée opératoire...

Psychoanalysis has long lost its historical influence on U.S. academic psychiatry. Psychoanalytic theory, however, provides us with a rich and remarkably comprehensive knowledge of human development, both normative and pathologic. This article describes a psychoanalytic concept that enriches our understanding of the mind and its disorders: Freud's structural hypothesis. This core concept provides a theoretical foundation for understanding the clinical features of both neurotic and personality disorders. It also informs a psychodynamic psychotherapy...

This theoretical paper discusses three variations on the death drive, developed by Sándor Ferenczi. We present a brief history of the use of the term death drive among the first psychoanalysts and argue that, as early as 1913, the notion is used by Ferenczi and serves as a conceptual background for his thinking. During the 1920s, Ferenczi revisits part of this concept, focusing on what he identifies as a primacy of self-destruction. The destructive drive gains an adaptive character responsible for the mortification of parts of the individual, in exchange for the survival of the whole...

The terms unrepresented and unrepresented states are increasingly being referred to in psychoanalytic discourse, without our having established a generally agreed upon consensus about their definition, use or meaning. While these particular designations were never used by Freud, a careful reading of his work reveals them to be qualities that characterize the initial state of both the drive and perception. This paper attempts to place these terms in a clinically useful, metapsychological perspective by reviewing their conceptual origin in Freud and examining their elaboration and clinical relevance in the work of Bion, Winnicott, and Green...

The author questions the conceptual basis of the unrepresented , a set of terms including: the unstructured unconscious, figurability, and reverie . Because this terminology proposes a profoundly different metapsychology than Freud developed, the author contextualizes the fate of Freud's metapsychology in America and how it was confused with the authority of the classical analyst. Then excerpts of texts by Howard B. Levine, one of the main proponents of the unrepresented, are analyzed to show that the decisive element in Levine's claim of creating meaning for patients is figurability ...

INTRODUCTION: Freud proposed that slips of the tongue, including apparently simple ones, always have a sense and constitute « a half-success and a half-failure » compromise resulting from defensive mechanisms. MATERIAL AND METHODS: A total of 55 subjects participated in a French adaptation of the Spoonerisms of Laboratory Induced Predisposition or SLIP-technique including 32 "neutral" and 32 taboo spoonerisms and measures of defensiveness. In accordance with a psychoanalytical and empirically supported distinction, we considered two kinds of defenses: elaborative or primary process and inhibitory or secondary process defenses, which were operationalized with the GeoCat and the Phonological-Nothing (PN) WordList, respectively...

At present, the therapeutic approach for young children with autism spectrum disorder is a major challenge for child psychoanalysis. These patients place us in a special clinical and metapsychological terrain with its own characteristics and call our technique into question. What tools do we have for working in situations where speech has not yet acquired a communicative value? How can we intervene when an experiential subject has still not been constituted? How can psychoanalysis benefit these patients? The purpose of this paper is to show an adaptation of technique in the treatment of three children who came to my practice between the ages of two and three with a diagnosis of autism spectrum disorder...

A particular epistemology of trauma now wields an outsized hold over psychoanalysis. Trauma, we are trained to think, has destructive effects whose ghostly lingerings can, nevertheless, be durably turned into ancestors. But what if we got this wrong? What if trauma is not a piece of shrapnel to be removed but a cause of becoming? And what if the tenet that trauma may be worked through is but a manifestation of a disciplinary spell?Introduction of the concept of traumatophobia invites readers to rethink the relationship of psychoanalysis to healing or repair, and to become attentive, instead, to what subjects do with trauma ( traumatophilia )...

The authors present a summary of sadomasochism, its centrality in all pathology and the difficulties encountered by all analysts in working with sadomasochism. An integrative model is presented with determinants and manifestations from all phases of development, including the transmission of pathology between generations. Addiction to pain and the formation of hostile omnipotent beliefs are described as components of sadomasochism that explain how resistant sadomasochism is to change and growth. The emergent idea of two systems of self-regulation is presented and its utility for technique is described...

Benno Rosenberg's work has been little translated into English. Yet, his work on masochism is a landmark in France. He set himself the goal of deploying all the richness and implications of the second Freudian drive theory and the introduction of the death drive. He therefore returns to "the Economic Problem of Masochism" to give all its value to the drive fusion that it achieves internally and which is therefore for it "guardian of life", even if it is can also be fatal. He draws consequences on the psychic construction of the ego, the superego and on that of temporality...

The majority of psychoanalysts today admit that the body and the mind are not separate, but are on the contrary deeply intertwined with each other. Thus, it is possible to consider the psychic life as stemming from the vital necessity to process sensory information. Based on the recent discoveries of embryology, it becomes possible to rethink the consequences of the first inscriptions in the construction of the psyche, in connection with sensory experiences. This new knowledge makes it necessary to revise the metapsychology, making the first impulse appear as "tact-pulsion"...

This paper tries to read What Where as Beckett's realistic and pessimistic presentation of the ontological conditions of the human history, which the play defines as investigation, exploitation and quest for the ultimate truth. Its analysis finds that this presentation has important threads in common with the criticism of civilization in the later Freud's metapsychology, which formulated "an all-embracing, grand theory of the psyche" in terms of the development of the individual as well as the evolution of the entire species on the basis of the maxim that "ontogeny recapitulates phylogeny" What Where enacts this Freudian vision in theatrical terms as its theater version foregrounds the phylogenetic scale with the physical subjections happening among the characters and its television version the interior depth of the mind with the maneuvering of the television images...

Freud's theorising about anxiety has traditionally been based on its nosographical categories (anxiety neurosis, anxiety hysteria) or on the relationship between anxiety and repression (first and second theories of anxiety). While these types of approach have made it possible to identify some milestones in the development of the concept of anxiety, they have also obscured the relevance that Freud attributed to the phylogenetic argument. This article reviews the historical and conceptual context of Freud's main evolutionary references (Lamarck, Darwin, Haeckel, Weismann), and then analyses their presence and function in Freud's work, especially in his conception of anxiety...

In a scholarly yet playful conversation, the authors explore why analytic thought about trans remains so intransigently difficult. They propose that countertansferential responses to trans patients manifest not just in clinical work but also as blockages to psychoanalytic theorizing. They draw on extensive experience treating trans and non-binary patients, on teaching and supervisory work, and on analytic scholarship to think about why and how theorizing on trans stalls. Whereas in the social realm trans bodies are often hyper-sexualized, in metapsychology and the consulting room trans is notably desexualized...

Jacques Lacan was a French psychiatrist and psychoanalyst who created an original metapsychology based on a close reading of the work of Sigmund Freud combined with the structural linguistics of Ferdinand de Saussure. Lacan's concept of the unconscious is that of a highly structured entity consisting of interlacing chains of signifiers (sounds, printed words, and images) based on principles of metaphor and metonymy. In this review article, the author provides a brief biographical summary of Lacan's formative years, his education, and his career, followed by a discussion of some of his major theoretical concepts...

This article explores the psychical expression of autoimmunity in the analytic situation; it is informed by biological theories of autoimmunity in contemporary immunology. Several of my patients developed autoimmune conditions in the course of their analyses, leading me to consider the role of psychical change in disrupting one's somatopsychic equilibrium. In the psychoanalytic literature, autoimmunity is used metaphorically for attack against what is foreign or unwanted in ourselves. Contemporary immunology, however, suggests a somewhat different metaphor...