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DALLAS SOCIETY FOR PSYCHOANALYTIC PSYCHOLOGY
Exploring and promoting the psychoanalytic perspective

Volume XVI Number 7

April 2000

Contents

Preview of May Meeting
Quote of the Month
From the Editor
DSPP Retreat
Review of March Meeting
Review of Spring Workshop
DSPP on the Web
Announcements

MONTHLY MEETING PREVIEW

William Gordon, III, Ph.D.

The Desire to be an Authority

As we come to the end of DSPP's year of "Authority and Desire in the Analytic Relationship," we welcome Dr. William Gordon's discussion of, "The Desire to be an Authority."

William K. Gordon, III received his Ph.D. from N.T.S.U. in clinical psychology, did his internship at L.S.U. Medical School in New Orleans, and has been in practice since 1982. A longstanding member and past president of DSPP, Dr. Gordon is the Director of Psychological Services for the Fairhill School & Diagnostic Assessment Center, specializing in individual psychotherapy with adolescents, adults, learning disabilities and ADHD.

In preparation for the May meeting, members are asked to consider the following questions:

  1. Imagine a triangle with corners representing fiction, myth, and fact. Where within the area of the triangle would you place various terms, concepts, and even persons relevant to psychoanalytic thought to illustrate best their current status? Examples: id, the unconscious, projective identification, transference, object-relations school, S. Freud, and authority.
  2. What are the roots of the therapist’s authority and how might they change during the course of psychotherapy?
  3. In our field does authority entail responsibility, and, if so, how do we deal with these responsibilities?

QUOTE OF THE MONTH

Like Freud's recognition 100 years ago, in the Interpretation of Dreams, the task is one of learning and understanding what is cryptic and unknown. A long journey started then, in 1899, with Freud's rather cognitive detective work on dream symbols. It concludes, today, with the intuitive learning from the moment-to-moment experience of two partners interacting, and struggling to know about that interaction. The knowledge we seek is now the immediacy of the analytic moment, the configuration of projections and introjections that make up both the communication and also the defensiveness in the analytic setting

--R.D. Hinshelwood

 

MAY MONTHLY MEETING

Date: Wednesday, May 3, 2000
Social Time: 7:00 PM
Presentation: 7:30-9:00 PM
Location: Pecan Creek Office Park
8340 Meadow Road
Dallas, Texas
Speaker: William Gordon, III, Ph.D.
Topic: The Desire to Be an Authority

FROM THE EDITOR:

Due to the early month schedules for the Spring Workshop (April 1) and the May monthly meeting (May 3), a joint April / May Bulletin issue is being published the last week of April. That Bulletin will be followed by an end of the year Special Issue in May.

Special Request of All Members:

Please submit an item of your choice for the year's final issue. You may submit comments about the program year, visions for next year, thoughts about the field of psychoanalytic psychotherapy, your own favorite quote, poem...whatever moves you.

I am also interested in any feedback/comments regarding the newsletter, additions you would like to see included next year, items you did not care for this year, etc.

It is much more pleasant for me when I don't feel like I am "hounding" people for item submissions, so please respond in a timely manner. Deadline for items to be included in the May Special Issue is May 22.

Volunteers Needed

Volunteers to assist with the newsletter next year are also welcome. I have pretty much gotten a system down for the technical aspects, but publishing the newsletter can be a big job for one individual. I would like volunteers to assist with reporting news from our psychoanalytic community, submitting brief articles occasionally, proofreading my goofs and any other creative endeavors the group as a whole envisions. If you are interested in helping with any of these activities associated with publishing the newsletter, please contact me.

 

---Brandy Miller
DSPP Bulletin Editor
  editor@dspp.com
214-384-2395

DSPP ANNUAL RETREAT

YOU ARE INVITED!

The first retreat held by DSPP included society members other than just the executive committee. The purpose was twofold: to provide continuity in a structure where the leadership changes every year and second, for those members most interested in the ongoing mission of DSPP to think together creatively about the year just completed as a means of promoting our future.

This year, in the spirit of that first retreat, and in recognition of the need for us to function as a task-oriented group whose members do work together, I am inviting all members to the retreat. We will begin promptly at 9 a.m. and work until 1 p.m., after which we will have a celebration lunch.

On Tuesday, May 2nd I must submit the number for lunch to the caterer. Therefore you must reply -- to me -- to reserve a meal. We have the same delightful caterer as last year, so lunch promises to complement the work and fun of this occasion. There is a nominal charge of $5.00, the remainder of the cost for each meal being covered by DSPP. You may respond to my phone: 972-233-0647, or by e-mail to m.little@airmail.net. Make checks payable to DSPP and bring them to the retreat.

Sarah and Robert Aberg have graciously provided their home for our meeting. For address and directions you may call Robert at 214-691-2084, or Sarah at 214-368-3736. I will leave my cell phone on, if anyone has difficulty you may call me that morning.

See you at the retreat to give our president-elect and her team our support!

---Myrna


  REVIEW OF MARCH MEETING

Gender and Language
Speaker: Beth Newman, Ph.D.
By
Scott Nelson, Student

We enjoyed the insights of Beth Newman, Ph.D. at the March meeting of DSPP. Our speaker joined us from SMU’s Department of English, where she serves as Associate Professor of English. In addition to authoring commentaries on Jane Eyre, Victorian femininity, and nineteenth-century British literature, Professor Newman has taught courses on feminist theory. Beyond the traditional feminist authors, Dr. Newman’s courses include the work of analytic authorities in readings and class discussion. Her lecture to DSPP extended an already deep relationship with the Dallas analytic community--Dr. Newman is one of the founding members of the Interdisciplinary Psychoanalytic Consortium.

Dr. Newman presented material from M. Wittig’s "The Mark of Gender," and L. Irigaray’s "This Sex Which is Not One." From Wittig, "To destroy the categories of sex in politics and in philosophy, to destroy gender in language (at least to modify its use) is therefore part of my work in writing as a writer." Dr. Newman’s commentary, and Irigaray’s "This sex which is not one," asked the audience to think of, and visualize, the female definition as the "missing" sex. The feminine lacking of an obtruding organ.

The discussion focused upon the role of gender in language. Specifically, that gender in language, by its nature, divides the world into two separate forces—the masculine and the not male, or feminine. It was stated that in language the feminine is always marked as so, which is not the case for the man. Language excludes women from the "Subject" stance and forces her into the place of "Object." The duty of modern feminism stands "to restore women to the place of subject," from a history as the object.

A question arises in the context of feminine-as-object, or female as not-male language: is there a space for "a specifically feminine desire?" Not in a "masculine language world which does not leave room for the feminine creation." Further, that to discover or create a language which does not differentiate the feminine, one would have to dig before the Greek foundations of our Western culture to discover "pre-masculine" language.

Though only each individual may decide to what extent, this discussion posits that language continuously shapes our experience of, thought about, and language of the body and sexuality. Dr. Newman’s discourse leaves us with many thoughts, insights and questions. Most controversial and provocative of the speakers questions—"why do women allow themselves to be dominated" in language, culture and sexual relations?


REVIEW OF SPRING WORKSHOP

Beyond Either / Or:
Gender, intersubjectivity and the Post-Oedipal
Speaker:
Jessica Benjamin, Ph.D.

By Myrna Little, Ph.D.

Following the title of her presentation, Dr. Jessica Benjamin at the April workshop presented to the psychoanalytic community an alternative to the "Either/Or" of masculinity and femininity as originally articulated by Freud, and held by psychoanalytic theory ever since. Without reading her material, Benjamin walked her audience through evolution of the radical notion of the seventies – that the infant actively constructs his own life when/because the mother is there to be recognized – and concluded with a revision of Freud’s ideas concerning gender and identity. This included a consideration of "the active-passive didactic," several case examples, and interaction with the audience. In the afternoon three respondents provided a lively discussion of the relation of Benjamin’s concepts to anthropology, to Women’s Studies, and to a clinical case.

The Evolving Paradigm Change

"The mother’s subjectivity," said Dr. Benjamin in her opening statement, "…changed the whole psychoanalytic paradigm," a change from a subject-to-object, one-person approach, to a subject-to-subject, two-person intersubjectivity. Dinnerstein’s (1976) Mermaid and the Minotaur, Beebe’s seventies research on the bi-directional influence of infants and mothers, and Stern’s (1985) demonstration of the child’s intersubjective birth, generated for Benjamin an interest in subjectivity, particularly the effect on psychic structure of identification relationships and gender development when "subjectivity" also resides in the sovereign self of the mother. For Benjamin, this theme of identification is central in establishing the relationship of sameness to differentness, as well as for transformation to the post oedipal resolution.

Whereas Leon Hoffman contended that Freud’s inability to recognize woman’s subjectivity was at the heart of Freud’s problematic assumptions about femininity (where ‘subjectivity’ is defined as the capacity of the self to posit itself as independent), Benjamin asserted the problem was that Freud correlated activity with masculinity, when, more accurately, activity is correlated with ownership and authorship, regardless of gender. It was the Kleinians, and most clearly Ogden (1986), who had said there is no subjectivity in the paranoid-schizoid position; that subjectivity comes when there is a mediating space which the subject creates between self and an object. While Stern extended the idea of the subject’s space to include the space of "the other," a Winnicottian view, Benjamin’s point is that neither Hoffman, Ogden, Stern, nor Winnicott resolve Freud’s repeated statements about femininity and masculinity. As a consequence, no one has understood femininity since Freud except in terms of castration, in terms of the father, in terms of the penis, and in terms of the reviled mother.

Whereas Juliet Mitchell (1974) followed Lacan (the only way to understand the relation to the father is through the absence of the phallus), Chodorow (1978), following Stoller, argued that neither the presence nor the absence of the phallus is determinative, but, rather, identification with the mother. Benjamin contends instead that neither the mother, the father, nor the phallus is constitutive of femininity, and that Chasseguet-Smirgel (1976) first revised Freud in her claim that both boys and girls deny mother’s sex because of her frightening, invasive womb. For both Dinnerstein and Chasseguet-Smirgel, phallic power is a hedge against maternal power. They (and Benjamin) acknowledged Freud’s awareness of little girls action when he compared their doll-play to their mother’s child-care, but because he continued to hold the mutually exclusive binary poles of active and passive, an unconscious theory became: if a woman reverses and becomes active, she will eat us up. Men will be devoured if women become rapacious and/or sexual. This, argued Benjamin, is where Freud left us. In his formulation of the Oedipus complex there is no depressive position, there is only reversal. Subjectivity – the "I" of ownership of meaning – resides with the father. Further, Freud’s inability to identify passion and aggression in girls toward their mothers normalizes a notion that the girl turns away from the mother, leaving women with a legacy of either rivalry or remaining in a preoedipal position with the mother, while boys loose a preoedipal position with her.

Revision of Freud’s Gender Formulation

Benjamin’s thesis regarding the dilemma underlying subject-object complementarity – and why it affects differential recognition of the mother’s subjectivity – was supported by an explication of Freud’s 1914 paper "On Narcissism." In this paper "anaclitic love" (loving the one who feeds or protects you) describes only men who love women. Woman, on the other hand, loves narcissistically, and wants to be loved just as the child was by the mother. She is not interested in reciprocal love, and so the adored woman takes the place of "his majesty the baby." From this representation a mass of confusions arise and a variety of constellations result. For example, a woman loving a man is a reversal; men love unobtainable mothers; the beautiful, adoring love of the baby for the mother is absent; neither girls nor boys are seen to experience erotic love for the same sex parent. Thus there is no mutuality, no reciprocal love, only a one-way street. Freud’s enduring problem is not only his inability to conceive of reciprocal love, he does not know what to do with the problem behind mutual loving; i.e., he cannot see a man identify with maternal activity as the lost ideal of his feminine self because of his repudiation of the ever vexing maternal. Identification would mean reversal, he would become passive. The boy cannot relate to an active breast, and therefore must turn the female into a baby. Because everything written later builds on this, the structure of our gender thinking must be unraveled from here.

The Active-Passive Didactic.

In describing the dynamics of the active-passive didactic for boys, Benjamin first redressed the sexual excitement evoked by the mother in the boy (in contrast to being only an anaclitic object). This can be both shaming and/or terrifying – shaming because he cannot have it, terrifying if he can. When actual excitement evokes the fear of being excited and passive, the masculine coping mechanism typically is repression. Whereas the classic view holds that the mother’s containing function protects the boy, such a view under represents erotic containment, as the boy is barred from identifying with mother’s containing function. Having no internal container, various constellations can result: he must either find a woman to contain his sexual feelings, create a container through the male phallus, or discharge into a container without a desire of her own. In this latter situation the object of demand becomes most often the oedipal daughter whose passivity is potentially stimulating, evoking as it does the former boy in relation to his mother, when he felt passively stimulated. This is a reason that little girls are so stimulating to men. The movie, "American Beauty" demonstrates this eroticized energy, and shows at the end a man recognizing himself in lovely little girls without a parent.

The question naturally follows, why would a girl accept this position? Benjamin said because the girl perceives the dependent, baby aspect of the father, aligns with the mother, and wants to take care of him, just as Anna O and Dora both found something gratifying in nursing sick fathers. Father becomes the tyrannical baby she is never allowed to be, and she is enslaved by motherhood. Benjamin talked of the image in our culture of the girl who is helpless, androgynous, waif-like, and enormously appealing. She can look like a boy and escape mother’s power, satisfying both masculinity and femininity simultaneously.

Benjamin's post Oedipal resolution calls for going beyond the active-passive dichotomy, one that reworks Freud and relies on identifications of both sexes with both parents. Even Little Hans wanted to have a baby, which was not pathology, but doing that which we hope for all our children--imaginatively splitting the ego--recognizing desire when he knew he could not have a baby. Whereas latency in this culture is characterized by "I am OK and the other (sex) is weird, i.e., a role-dominated period, in adolescence and after both conscious and unconscious identifications with both mother and father can be integrated. Benjamin spoke of the many girls who have used their father for identification preoedipally, have been dad's buddy until they develop breasts, (depending upon the organization of family life), and the great tendency then to become masochistically attached to another man. The case illustrations presented examples of a girl conflicted by her own repudiation of the active, and lodging it in the therapist; of another whose father was seductive yet humiliated her erotic interest; of another woman who invited sadomasochistic complementarity as a means of being both passive and aggressive. With each case the countertransference situation as a key to the transference was also discussed.

The first respondent following the lunch break was psychoanalyst Dr. David Hershey, who, speaking from an anthropological perspective suggested that Dr. Benjamin's views lack empirical evidence and universal applicability. This evidence, he argued, can be found in cultures where women are fulfilled, perhaps even dominant. This evoked considerable controversy from Dr. Benjamin and from the audience, who found the argument more anecdotal than substantive, but which provided a useful counterpoint for the day’s presentation

Speaking from the standpoint of Women’s Issues, Professor Nina Schwartz addressed modern feminism in relation to patriarchy and the great difficulty in coming to consciousness of the loss that Lacan conceptualizes as lack. Since the phallus is a myth, men and women alike are castrated, experience sacrifice and loss, and it is this that constitutes human subjectivity.

The final respondent was Dr. Melissa Black, representing DSPP, who presented an ongoing case of extraordinary difficulty. The highlight of the afternoon, perhaps of the day, was this case as Dr. Benjamin seamlessly drew out the countertransference and the presymbolic containment which in fact the therapist was adequately, though painfully, providing.

Dr. Benjamin closed the day with comments concerning who contains the container, a dynamic that was apparent to this reviewer as active within the large group process. As Bion has said, in our work what matters more than love or hate is knowledge, knowledge of the other’s subjectivity, that is, the L, H, and K of intersubjectivity.

References

Chassequet-Smirgel, J. (1976). Freud and female sexuality. IJPA, 57, 275.

Chodorow, N. (1978). The Reproduction of Mothering. Berkeley: U of CA.

Dinnerstein, D. (1976). The Mermaid and the Minotaur. New York: Harper and Row.

Freud, S. (1914). On narcissism. SE 14, 67-102. London: Hogarth.

Ogden, T. (1986). The Matrix of the Mind. Northvale NJ: Aronson.

Mitchell, J. (1974). Psychoanalysis and Feminism. New York: Pantheon.

Stern, D. (1985). The Interpersonal World of the Infant. New York: Basic Books


Looking at the Impact of Managed Care on Psychoanalytic Psychologists

Margie Yavil, Psy.D.
Philadelphia Society for Psychoanalytic Psychology

The growing dominance of managed care organizations as providers of mental health care in the United States is having an impact not only on the practice of psychotherapy but it is also impacting on the way psychotherapists view themselves (Hansen, 1997). The therapists that are being most affected by managed care policies and practices are the psychoanalytic therapists because many of the basic tenets of psychoanalytic psychotherapy conflict with those of managed care. Some of the main concerns of psychoanalytic psychologists are the establishment of a safe, holding environment for the patient, confidentiality, and the resolution of disturbances within the underlying character structure. These concerns are not fostered by managed care's utilization review procedures and its bias in favor of brief-behavioral therapy (Alperin, 1994). Many practicing, psychoanalytic therapists have decided to treat only patients who pay out of pocket. Others, out of economic necessity, are complying with managed care dictates and are adjusting their treatment delivery (Sand, 1994).

The purpose of my recent dissertation research was to focus only on psychoanalytic psychologists and to structure an attitude scale around a limited number of general concerns that psychoanalytic psychologists have in respect to managed care policies and pressures. A 16-item questionnaire and demographic data sheet were developed. A factor analysis of the questionnaire resulted in a four-factor structure accounting for 65% of the variance. The internal reliability of the questionnaire and the factors were established.

The demographic characteristics of the 161 doctoral level psychoanalytic psychologists who responded to the questionnaire were compared using the factors as dependent variables. No significant differences for gender on the four factors were found. Areas of particular concern for all age groups included fear of the future for traditional psychoanalytic therapy and the survival of solo practices in the current managed care environment.

The results of this study suggested that the professional self-image and job satisfaction of the majority of psychoanalytic psychologists remains high. However, results also indicated that managed care impacts more negatively upon the self-image and job satisfaction of psychoanalytic psychologists who take managed care clients compared to those who do not take managed care clients.

Respondents who treat managed care clients reported more concern about the future of traditional psychoanalytic therapy than those who do not take managed care clients. Likewise, respondents with annual incomes of less than $100,000 reported more concern about the future of traditional psychoanalytic practice than high-income psychoanalytic psychologists. A significant negative impact on job satisfaction and professional self-image was reported by those psychoanalytic psychologists who had made changes and adjustments in their therapy practices because of managed care pressures. The more changes that the respondents made the lower their job satisfaction, motivation for practice, and professional self-image. Those psychoanalytic psychologists who indicated that they did not agree with managed care policies but had changed their practices in order to work with managed care companies were the most negatively affected. They reported feeling more disempowered by managed care practices and more fearful of the future than did the respondents who had not felt compelled to change their practices. The overwhelming majority of psychoanalytic psychologists who responded to the survey strongly agreed that managed care was not helpful to psychologists.

References

Alperin, R. (1994). Managed care versus psychoanalytic psychotherapy; conflicting ideologies. Clinical Social Work Journal. 22 (2), 137-148.

Hansen, James (1997). The impact of managed care on the therapeutic identity of psychotherapists. Psychotherapy in Private Practice 16 (3), 53-65.

Sands, H. (1994). Overview: Psychoanalysis and dynamic psychotherapy, the mental health provider and managed care. Psychoanalysis and Psychotherapy, 11, 107-112.

Reprinted from PSPP News with the permission of the author and the Philadelphia Society for Psychoanalytic Psychology.


DSPP on the Web
By Cheryl Martin RN, LPC

A new feature of the DSPP web site is the Psychoanalytic Community News and Announcements section. Individuals and local psychoanalytic organizations may submit relevant items of interest for the Dallas psychoanalytic community to be posted to the web site.

There was significant interest in the DSPP/Fairhill Scholarship papers at the recent Spring Workshop. As a result, Daniel Kluge's undergraduate paper, "Psychoanalysis and Film" has been placed online. Future award recipients will have an opportunity to include their papers as well. We welcome these developing students into the DSPP Community and the field of psychoanalytic thought.

As DSPP's calendar year begins to wind down, the web site will continue to provide a source of connection with the psychoanalytic community at large throughout the summer months. Plans are also underway to include an option to renew or apply for membership with an online payment system.

As always, comments and suggestions for the web site are welcome. Visit www.dspp.com .

 Quotable Quotes

"A man should not strive to eliminate his complexes but to get into accord with them: they are legitimately what directs his conduct in the world."
-Sigmund Freud

"The significant problems we face cannot be solved at the same level of thinking we were at when we created them."
-Albert Einstein

"What lies behind us and what lies before us are tiny matters compared to what lies within us."
-Ralph Waldo Emerson


ANNOUNCEMENTS

DSPP / Fairhill Scholarship Competition

We are pleased to announce the award recipients for the 1999-2000 DSPP/Fairhill Scholarship Competition. The competition is designed to encourage and reward scholarship in the area of psychoanalytic theory and practice among area students. The competition is open to all students enrolled in an academic degree program in the Dallas area and surrounding communities, and students from any academic field are welcome to compete. Award recipients receive a one year free DSPP Membership, a recognition plaque and a $1000 financial scholarship.

Congratulations!

Graduate: Deborah M. Sharp, MA graduate student in the Ph.D. Clinical Psychology program at Texas Tech University for her paper, " Core Conflictual Relationship Themes of Women with Bulimia Symptoms."

Undergraduate: Daniel Kluge, a senior psychology student at the University of Dallas, for his paper, "Psychoanalysis and Film"

For additional information check the DSPP web site www.dspp.com

ARTS EVENT

The Arts Committee of
Dallas Society for Psychoanalytic Psychology
presents

"Night Journey"
a gallery talk
by Susan kae Grant

Sunday, May 7
5:00-7:00 p.m.
5501 Columbia Art Center in Dallas


ATTENTION EARLY CAREER THERAPISTS

Are you an early career therapist who is interested in practice development issues?

I'm interested in meeting regularly with other early career therapists (that is, those who have been licensed for up to 5 years) who want to share helpful information about the following topics: marketing a private practice, developing oneself professionally, juggling work and family, etc. If you fit this early career category, please contact Steve Patrick, PsyD at (972) 934-1485.


PSYCHE MATTERS THERAPIST DIRECTORY

Therapists wishing to be added to the Psyche Matters Therapist Directory are encouraged to visit www.psychematters.com . Psyche Matters is a comprehensive psychology and psychoanalytic resource guide with online papers, bibliographies and numerous links to psychoanalytic resources online. The volume of traffic to the site is high and includes a large local and international audience. The directory is open to all therapists and includes several options for listing including a Free Two-Page Web Site developed and hosted by Psyche Matters. (There is a hosting fee)

Visit Psyche Matters at
www.psychematters.com

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