| 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 SMUs
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. Newmans 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.
Wittigs "The Mark of Gender," and L. Irigarays "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. Newmans commentary, and Irigarays
"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 forcesthe 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. Newmans 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 Freuds 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 Benjamins concepts
to anthropology, to Womens Studies, and to a clinical case.
The Evolving Paradigm Change
"The mothers 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. Dinnersteins (1976) Mermaid and
the Minotaur, Beebes seventies research on the bi-directional influence of
infants and mothers, and Sterns (1985) demonstration of the childs
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
Freuds inability to recognize womans subjectivity was at the heart of
Freuds 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
subjects space to include the space of "the other," a Winnicottian view,
Benjamins point is that neither Hoffman, Ogden, Stern, nor Winnicott resolve
Freuds 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 mothers 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 Freuds awareness of little girls
action when he compared their doll-play to their mothers 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, Freuds 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 Freuds Gender
Formulation
Benjamins thesis regarding the
dilemma underlying subject-object complementarity and why it affects differential
recognition of the mothers subjectivity was supported by an explication of
Freuds 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.
Freuds 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
mothers containing function protects the boy, such a view under represents erotic
containment, as the boy is barred from identifying with mothers 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 mothers 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 days presentation
Speaking from the standpoint of
Womens 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 others 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 |