Combat and human existence: Toward an intersubjective approach to combat-related PTSD.

The author proposes a short-term, intersubjective model for treating combat-related post-traumatic stress disorder (PTSD). Psychodynamic approaches to adult-onset PTSD lack the evidence and popularity of other approaches because adult-onset traumas are fundamentally distinct from the developmental, or childhood-based, traumas that psychoanalysis evolved to treat. An approach based in intersubjective systems theory can address this problem. The writings of Robert Stolorow (2007) in Trauma and Human Existence, which the author first read while deployed to Iraq as a psychiatrist, fundamentally changed his understanding of trauma and its treatment. The author gives an overview of Stolorow's ideas about trauma, and then describes his six-phase short-term intersubjective treatment approach. Extensive case material from a treatment that occurred in Iraq illustrates each of these phases. The author then compares his and Stolorow's views to those of other contemporary relational psychoanalytic writers. Future directions include the manualization and empirical testing of this approach in order to determine its replicability, its utility for therapists who lack extensive psychoanalytic training, and its generalizability to populations with adult-onset trauma outside the military. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Review of The Life and Work of Sigmund Freud. Volume I. The Formative Years and the Great Discoveries, 1856-1900.

Reviews the book, The Life and Work of Sigmund Freud. Volume I. The Formative Years and the Great Discoveries, 1856-1900 by Ernest Jones (see record 1954-03633-000). According to the reviewer, the first volume of the trilogy Dr. Jones promises is a book of unparalleled interest and importance for psychologists of all schools and theoretical persuasions. It presents an absorbing story which will never be more fully nor better told. The historical importance of Freud and his ideas hardly needs to be labored, and it is perhaps enough to say that this book is, in the reviewer's opinion, the best available introduction to an understanding of the man and of psychoanalysis as he developed it. For it presents the work as well as the life of Freud, and carefully traces the development of psychoanalytic ideas up to their first great climax in The Interpretation of Dreams. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The foundations of psychoanalysis: A philosophical critique.

Reviews the book by A. Grünbaum, a work of importance in the current, apparently ever-widening, debates about the "scienticity" of psychoanalysis. Grünbaum makes it clear that the inquiry moves toward a verdict of unproven with respect to the scientific claims of psychoanalytic clinical theory, perhaps even the stronger verdict of unprovable in the terms in which it is traditionally cast. Yet Grünbaum is not hospitable to the promiscuous reconstructions that set psychoanalysis apart from the mainstream of scientific endeavor, whether on subjectivist or phenomenological or hermeneutical grounds. As Grünbaum sees it, Freud rightly claimed that psychoanalysis was to be judged as a science in its study of human processes. Grünbaum's respect for Freud is given body by examining how Freud at various stages of his development formulated the logic of his own position and the structure of objections which he was setting out explicitly to answer. The first third of the book deals with broader philosophical foundations, the remainder with the specific critique of psychoanalytic clinical theory. Grünbaum's critique taps the deeper issues of the comparison of the sciences of nature and those of man, of the relation of science and the humanities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Contexts of being: The intersubjective foundations of psychological life.

Reviews the book, Contexts of being: The intersubjective foundations of psychological life by Robert D. Stolorow and George E. Atwood (see record 1992-98615-000). In this book, the authors present a well-organized and systematic presentation of their intersubjective approach to psychotherapy. This book represents the culmination of at least the past thirteen years of Stolorow and Atwood's research program. They make good use of the limited space by addressing some of the most pivotal concepts in the field of psychotherapy. This work is likely to become a recognized contribution within the history of psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Sexualities and homosexualities.

Reviews the book, Sexualities and homosexualities by Jaime P. Stubrin (see record 1994-97944-000). Stubrin's primary goal for this book is to outline the various theories that apply to an understanding of what he calls the sexual "deviations" ("perversions, neosexualities, and paraphilias"). He wants this consolidation of information to serve as a resource for psychoanalysts who may be feeling overwhelmed by all of the material on this topic. One theme repeated throughout the book is the need for analysts to approach "sexual deviants" with the "same affection and sympathy" which they feel toward obsessive, hysterical, borderline, or psychotic patients. Stubrin challenges the tendency in traditional psychoanalytic theory to assume mental illness or degenerative tendencies in those whose sexuality is not considered "normal." Throughout the book, Stubrin draws on literature, Freud's original work, and case examples to breathe life into his theoretical musings. The book is engaging and easy to read. At times, the translation (from Spanish) is quite choppy, but the ideas remain solidly stated. In summary, the reviewer believes that Stubrin accomplishes his primary goals of generating unrest and controversy through a challenging discussion of difficult psychoanalytic topics. The book will be of interest to those who hold very traditional psychoanalytic theoretical positions as well as those who work with the various sexualities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Not a piano key: Reply to Orange (1999).

What I called "minor quibbles" with a book I found appealing appear to reflect some major issues. The authors may have intended the book for readers in the tradition of European phenomenology, but I reviewed the book for psychoanalytic psychologists who are members of an American Psychological Association, not for a journal of philosophy or of psychoanalysis alone. I don't fault the authors for not writing a literature review or a work of scholarly criticism. Prospective readers will wonder, however, if they are saying something different from other writers they are already familiar with—if they are "introducing" any new ideas or if their ideas differ from others' ideas (I had just reviewed Benjamin's book, for example). (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Recent developments in psychoanalysis.

Reviews the book, Recent developments in psychoanalysis by Morris N. Eagle (see record 1987-98252-000). This volume is a timely and important addition to psychoanalytic literature. Eagle states that it is "intended as a systematic overview of recent ideas with the aim of providing a coherent account of the current status of psychoanalytic theory." His overview is generally fair, but penetrating, and exposes much of the irrationality and confusion that have plagued psychoanalytic thinking recently. He suggests that this confusion has arisen out of the tendency of psychoanalytic theorists to ignore advances in other areas of psychological research and related fields, particularly in the area of psychology of child development. Further confusion has been created by their attempt to formulate new concepts and ideas within the framework of classical Freudian metapsychology, which is rooted in instinct theory. These attempts, in many cases, have led to the use of a psychoanalytic language full of jargon, rendering theoretical formulations expressed in this way totally incomprehensible and aloof from logical consideration, while pretending to add metapsychological depth. Ultimately, however, he tries to elucidate the many real contributions to psychoanalytic theory by these theorists and to integrate their work into a coherent framework. His efforts in this regard reflect a sympathetic approach to the aims and ideals of psychoanalysis as a social science and a form of therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reik's theory of psychoanalytic listening.

The present article attempts to systematize Reik's theory of psychoanalytic listening through a detailed reading of Listening with the Third Ear. Although Reik's work anticipated current debates on intersubjectivity, countertransference, and hermeneutics, it is rarely cited in contemporary literature. This article begins to lay the foundation for assessing Reik's contributions to psychoanalysis by clarifying his views. Reik's theory is organized around an emphasis on sequencing. Psychoanalytic listening has a natural sequence that begins with unconscious conjectures about patient's dynamics and ends with conscious case formulations. Psychoanalytic conjectures crystallize out of the intersubjective, reciprocal illumination of the therapist's and patient's unconscious minds. Psychotherapists understand patients most deeply by becoming conscious of their subjective reactions to patients and rigorously examining these reactions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Relational theory and the practice of psychotherapy.

Reviews the books, Relational theory and the practice of psychotherapy by Paul L. Wachtel (2009). Paul Wachtel has done it again. After writing for many years about integrating psychoanalytic, behavioral and family approaches to psychotherapy in addition to cultural issues, Wachtel has returned to his psychoanalytic origins to explicate his ideas about cyclical psychodynamics from the perspective of contemporary relational psychoanalysis. This book is an excellent way for psychotherapists unfamiliar with how psychoanalysis has changed since Freud to familiarize themselves with recent developments from a writer who does not get lost in the jargon that distances many who find psychoanalytic language lacking in clarity. Psychoanalysts will find some critiques of traditional views and expansions of ways of looking at the clinical situation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The need for a "psychoanalytic psychology" in the cognitive science field.

Cognitive science has incorporated seminal concepts of psychoanalysis without acknowledging this influence. This article covers psychoanalytic ideas already incorporated—implicitly or explicitly—in modern cognitive psychology, as well as ideas whose inclusion would benefit the cognitive field. These include the emphasis on mental models, mind–body interaction, unconscious processes, dual processes of thought, and naturalistic research milieus. The article discusses reasons why the psychoanalytic roots of these ideas have not been acknowledged and shows how the theories of multiple coding and the referential process provide a basis for bridging the psychoanalytic and cognitive science fields. Finally, it is argued that scientific psychology requires a subfield of psychoanalytic psychology that covers the integration of information-processing functions, including somatic and emotional processes, in the context of an individual's overall goals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Clinical interaction and the analysis of meaning: A new psychoanalytic theory.

Reviews the book, Clinical interaction and the analysis of meaning: A new psychoanalytic theory by T. Dorpat and M. Miller (see record 1992-98407-000). This text views psychoanalysis and psychoanalytic psychotherapy from the perspective of the newly proposed concept of "Meaning Analysis." The authors purport to advance psychoanalytic theory and technique by taking a fresh perspective on two important aspects of analytic encounter: the interaction between the analyst and analysand (therapist and patient) and how interactions in this relationship affect transference and countertransference. This book also examines the analysis of meaning and how treatment can assist in the understanding and reconstruction of client beliefs. The authors present a reanalysis of Freud's theory and the goal of the book is to elucidate the "flaws" in his work. The reviewer believes that many readers will be intrigued by the criticisms of Freud and the blending of more recent research into analytic models. This book is recommended for both analytically oriented therapists and interested readers who want to learn more about analytic treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Intrapsychic intersubjective conflict and defense in modern Freudian theory: A response to Stolorow (2005).

Stolorow (see record 2005-01622-017) objected to my stating in my discussion of signal anxiety--the modern Freudian notion of conflict--(Shill, see record 2004-11107-008) that intersubjective psychoanalysis does not address conflict "at all." Instead of addressing the issue of intrapsychic conflict, which is the actual focus of my article and the context of my comment, Stolorow counters with his own "vocabulary" of conflict that is confusing and vague. Stolorow rejects the notion of intrapsychically generated conflict and "the intrapsychic" because he focuses exclusively on the intersubjective aspects of conflict and does not consider that, in the last instance, psychological conflict is always internal and intrinsic to the manner in which the mind functions. By contrast, contemporary Freudian conflict theory--signal anxiety theory--is an intrapsychic, intersubjective theory in which the ego rehearses the feared scenario unconsciously in fantasy--intersubjective in nature--and triggers a defensive response aimed at quelling or at least mitigating the signal anxiety being experienced. Signal anxiety is a hypothetical construct and its operation refers to subjectively experienced affect states in an intrapsychic intersubjective conflict. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relevance of a psychoanalytic perspective in exploring religious and spiritual identity in psychotherapy.

The attempt to make meaning of the soul is inherent to psychoanalytic inquiry, despite its historical diminution of religion and spirituality. Feminist ideology and multicultural psychology have played a critical role in challenging traditional psychoanalytic conceptions of the practice of religion and spirituality as pathological and/or regressive. Contemporary psychoanalysis that emphasizes two-person psychology, and the intersubjective aspects of the analytic space has also allowed for more open inquiry into the spiritual lives of clients and therapists. Both psychoanalysis and spirituality share the goal of a search for particular aspects of one's identity. This search for one's real or true self becomes particularly poignant for both the therapist and the client, as it is highly reliant on the therapist's and the client's specific religious and spiritual contexts. This paper examines the development of identity as influenced by religious and spiritual beliefs. The author discusses a clinical case to illustrate the complex interaction between religious traditions and individual experiences of religion and spirituality, and related implications of a contemporary psychoanalytic approach to psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The Assault on Truth: Freud's Suppression of the Seduction Theory.

The reviewer contends that this book deserves admiration for its masterly review of historical events in the development of psychoanalysis. It should be read by psychoanalysts not only for its enormous fund of skillfully assembled information about the formative years of Freud's thinking, but for its story of how new information was treated by some leaders of the psychoanalytic establishment. In the guise of protecting psychoanalysis, this information was dismissed as harmful. It is precisely such a well-meaning upholding of psychoanalytic doctrine that can throttle its growth. Although some of Masson's interpretations are made in the best Freudian style, Lewis remains unconvinced that, in what Masson calls a "failure of courage," Freud suppressed the truth. Nor did Freud's abandonment of the seduction theory lead to the present-day "sterility" of psychoanalysis, as Masson believes. Rather, the spurious need to defend psychoanalysis that Masson encountered during his investigations has also made many institutes sterile places. Masson thus confounds the limitations of some parts of the psychoanalytic establishment with the future of psychoanalysis itself. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Trauma and human existence: Autobiographical, psychoanalytic, and philosophical reflections.

Reviews the book, Trauma and human existence: Autobiographical, psychoanalytic, and philosophical reflections by Robert Stolorow (see record 2007-07947-000). The author discribes his book as a “project (that) has occupied (him) now for more than 16 years” (p. 45) starting six months after the tragic death to metastatic cancer of his 34-year-old wife Daphne (“Dede”) Stolorow, on February 23, 1991. His book exemplifies a value, deeply shared by the author and his late wife, that of “staying rooted in one’s own genuine painful emotional experiences” (p. 46). The volume is very dense (50 pages of text, total), the product of 16 years of intense and sensitive reflection. It condenses in very short order the history of his intersubjective perspective on developmental trauma, (the outcome of invalidating malattunement in the “parent–child mutual regulation system” lending to unbearable affect states in search of a “relational home”), his theory of the phenomenology of trauma (the shattering of “absolutisms of everyday life”), trauma’s temporality (trauma freeze frames the past and the future into an eternal present), and, finally an analysis of the ontological or universally constitutive aspect of trauma in our lives. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The ability to mourn: Disillusionment and the social origins of psychoanalysis.

Reviews the book, The ability to mourn: Disillusionment and the social origins of psychoanalysis by Peter Homans (see record 1989-98118-000). Within the broadly defined goal of investigating the social origins of psychoanalysis, this book undertakes a series of strikingly original and thought-provoking explorations into the history of the psychoanalytic movement, its place in the traditions of Western culture, and its possible role in defining a more satisfactory relationship to modernity. In addition to providing a sociological study of one of the most influential movements of our time, the book also attempts to put forward a new psychoanalytic theory of culture capable of overcoming the limitations of Freud's cultural theories. The book is divided into three parts, the first two of which are devoted primarily to the origins and early development of psychoanalysis while the third takes up the contemporary cultural significance of psychoanalysis and the author's own theory of culture. The underlying thesis of the first two parts of the book is that psychoanalysis arose from a centuries-long process of mourning dating as far back as the 14th century. In his search for a theory of culture appropriate to the problems of modernity, as in his explorations of the history of the psychoanalytic movement and the origins of psychoanalysis, Homans provides an unusually creative and original perspective on issues of fundamental importance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Attachment in psychotherapy.

Reviews the book, Attachment in psychotherapy by David J. Wallin (see record 2007-05421-000). This intellectual and clinical tour-de-force is what we have been waiting for: a book that is on the one hand a coherent, creative, thoughtful, and remarkably integrated view of contemporary psychoanalysis, with attachment, and attachment processes, at its core, and on the other a reflection on our daily, complex, work with patients. The book has three broad aims: first, to ground the reader in attachment theory and research, second, to broaden the reach of attachment theory by building bridges to other aspects of contemporary psychoanalytic theory and science, and third to apply this broader, deeply psychoanalytic, clinical attachment theory to understanding the dynamics of an individual patient and the dynamics of clinical work. This book should be essential reading for anyone interested in contemporary psychoanalysis. Few writers have the ability to write so directly and clearly about complex science and theory; his scholarship and reach are extraordinary. This book is also a book for therapists at all levels of experience. Throughout every section of the book, Wallin writes about his work with patients, about the therapeutic process, about the therapeutic situation, and about the therapeutic relationship, in all its complexity. In the end, he creates a truly contemporary vision of human development, affect regulation, and relational processes, grounded in the body and in the brain, and in the fundamental relationships that make us who we are, as therapists, as patients, and as human beings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)