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1
Psychoanalysis
Psychoanalysis(orFreudianpsychology)isabodyofideasdevelopedby
\o"Austria"
Austrian
physician
\o"SigmundFreud"
SigmundFreud
andcontinuedbyothers.Itisprimarilydevotedtothestudyofhumanpsychologicalfunctioningandbehavior,althoughitcanalsobeappliedtosocieties.Psychoanalysishasthreeapplications:
amethodofinvestigationofthemindandthewayonethinks;
asystematizedsetoftheoriesabouthumanbehavior;
amethodoftreatmentof
\o"Psychology"
psychological
or
\o"Emotion"
emotional
illness.
[1]
Underthebroadumbrellaofwhatispsychoanalysis,thereareatleast22theoreticalorientationsregardingtheunderlyingtheoryofunderstandingofhumanmentationandhumandevelopment.Thevariousapproachesintreatmentcalled"psychoanalytic"varyasmuchasthetheoriesdo.Thetermalsoreferstoamethodofstudying
\o"Childdevelopment"
childdevelopment
.
Freudianpsychoanalysisreferstoaspecifictypeoftreatmentinwhichthe"analysand"(analyticpatient)verbalizesthoughts,including
\o"Freeassociation(psychology)"
freeassociations
,
\o"Fantasy(psychology)"
fantasies
,and
\o"Dreaminterpretation"
dreams
,fromwhichtheanalystformulatesthe
\o"Unconsciousmind"
unconscious
conflictscausingthepatient'ssymptomsandcharacterproblems,andinterpretsthemforthepatienttocreateinsightforresolutionoftheproblems.
Thespecificsoftheanalyst'sinterventionstypicallyincludeconfrontingandclarifyingthepatient'spathological
\o"Defensemechanism"
defenses
,wishesand
\o"Guilt"
guilt
.Throughtheanalysisofconflicts,includingthosecontributingto
\o"Psychologicalresistance"
resistance
andthoseinvolving
\o"Transference"
transference
ontotheanalystofdistortedreactions,psychoanalytictreatmentcanclarifyhowpatientsunconsciouslyaretheirownworstenemies:howunconscious,symbolicreactionsthathavebeenstimulatedbyexperiencearecausingsymptoms.
Contents
[
hide
]
1History
1.11890s
1.21900–1940s
1.31940s-2000s
2Theories
2.1Topographictheory
2.2Structuraltheory
2.3Egopsychology
2.4Conflicttheory
2.5Objectrelationstheory
2.6Selfpsychology
2.7JacquesLacan/Lacanianpsychoanalysis
2.8Interpersonalpsychoanalysis
2.9Culturalistpsychoanalysts
2.10Relationalpsychoanalysis
2.11Interpersonal-Relationalpsychoanalysis
2.12Intersubjectivepsychoanalysis
2.13Modernpsychoanalysis
2.14Micropsychoanalysis
3Psychopathology(mentaldisturbances)
3.1Adultpatients
3.2Childhoodorigins
4Treatment
4.1Techniques
4.1.1Variationsintechnique
4.2Grouptherapyandplaytherapy
4.3Culturalvariations
4.4Costandlengthoftreatment
5Trainingandresearch
5.1PsychoanalysisinBritain
5.2Research
6Criticism
6.1Chargesoffascism
6.2Scientificcriticism
6.3Theoreticalcriticism
7References
8Literature
9Critiquesofpsychoanalysis
10Responsestocritiques
11Externallinks
[
\o"Editsection:History"
edit
]History
[
\o"Editsection:1890s"
edit
]1890s
TheideaofpsychoanalysiswasdevelopedinViennainthe1890sby
\o"SigmundFreud"
SigmundFreud
,a
\o"Neurology"
neurologist
interestedinfindinganeffectivetreatmentforpatientswith
\o"Neurosis"
neurotic
or
\o"Hysteria"
hysterical
symptoms.FreudhadbecomeawareoftheexistenceofmentalprocessesthatwerenotconsciousasaresultofhisneurologicalconsultingjobattheChildren'sHospital,wherehenoticedthatmany
\o"Aphasia"
aphasic
childrenhadnoorganiccausefortheirsymptoms.Hewroteamonographaboutthissubject.
[2]
Inthelate1880s,Freudobtainedagranttostudywith
\o"Jean-MartinCharcot"
Jean-MartinCharcot
,thefamedneurologistandsyphilologist,atthe
\o"Pitié-SalpêtrièreHospital"
Salpêtrière
inParis.Charcothadbecomeinterestedinpatientswhohadsymptomsthatmimicked
\o"Generalparesis"
generalparesis
.Freud'sfirsttheorytoexplainhystericalsymptomswastheso-called"
\o"Freud'sseductiontheory"
seductiontheory
".Sincehispatientsundertreatmentwiththisnewmethod"remembered"incidentsofhavingbeensexuallyseducedinchildhood,Freudbelievedthattheyhadactuallybeenabusedonlytolaterrepressthosememories.ThisledtohispublicationwithDr.Breuerin1893ofcasereportsofthetreatmentofhysteria.
[3]
Thisfirsttheorybecameuntenableasanexplanationofallincidentsofhysteria.Asaresultofhisworkwithhispatients,Freudlearnedthatthemajoritycomplainedofsexualproblems,especially
\o"Coitusinterruptus"
coitusinterruptus
asbirthcontrol.Hesuspectedtheirproblemsstemmedfromculturalrestrictionsonsexualexpressionandthattheirsexualwishesandfantasieshadbeenrepressed.Betweenthisdiscoveryoftheunexpressedsexualdesiresandthereliefofthesymptomsbyabreaction,Freudbegantotheorizethattheunconsciousmindhaddeterminingeffectsonhystericalsymptoms.
HisfirstcomprehensiveattemptatanexplanatorytheorywasthethenunpublishedProjectforaScientificPsychologyin1895.
[4]
InthisworkFreudattemptedtodevelopaneurophysiologictheorybasedontransferofenergybytheneuronsinthebraininordertoexplainunconsciousmechanisms.Heabandonedtheprojectwhenhecametorealizethattherewasacomplicatedpsychologicalprocessinvolvedoverandaboveneuronalactivity.By1900,Freudhaddiscoveredthatdreamshadsymbolicsignificance,andgenerallywerespecifictothedreamer.Freudformulatedhissecondpsychologicaltheory—whichpostulatesthattheunconscioushasorisa"primaryprocess"consistingofsymbolicandcondensedthoughts,anda"secondaryprocess"oflogical,consciousthoughts.Thistheorywaspublishedinhis1900
\o"Masterpiece"
opusmagnum
,
\o"TheInterpretationofDreams"
TheInterpretationofDreams
.
[5]
ChapterVIIwasare-workingoftheearlier"Project"andFreudoutlinedhis"TopographicTheory."Inthistheory,whichwasmostlylatersupplantedbytheStructuralTheory,unacceptablesexualwisheswererepressedintothe"SystemUnconscious,"unconsciousduetosociety'scondemnationofpremaritalsexualactivity,andthisrepressioncreatedanxiety.Freudalsodiscoveredwhatmostofustakeforgrantedtoday:thatdreamsweresymbolicandspecifictothedreamer.Often,dreamsgivecluestounconsciousconflicts,andforthisreason,Freudreferredtodreamsasthe"royalroadtotheUnconscious."
[
\o"Editsection:1900–1940s"
edit
]1900–1940s
This"topographictheory"isstillpopularinmuchofEurope,althoughithasbeensupersededinmuchofNorthAmerica.
[6]
In1905,Freudpublished
\o"ThreeEssaysontheTheoryofSexuality"
ThreeEssaysontheTheoryofSexuality
[7]
inwhichhelaidouthisdiscoveryofso-called
\o"Psychosexualdevelopment"
psychosexualphases
:oral(ages0–2),anal(2-4),phallic-oedipal(todaycalled1stgenital)(3-6),latency(6-puberty),andmaturegenital(puberty-onward).Hisearlyformulationincludedtheideathatbecauseofsocietalrestrictions,sexualwisheswererepressedintoanunconsciousstate,andthattheenergyoftheseunconsciouswishescouldbeturnedintoanxietyorphysicalsymptoms.Thereforetheearlytreatmenttechniques,includinghypnotismandabreaction,weredesignedtomaketheunconsciousconsciousinordertorelievethepressureandtheapparentlyresultingsymptoms.
In
\o"OnNarcissism"
OnNarcissism
(1915)
[8]
Freudturnedhisattentiontothesubjectofnarcissism.Stillutilizinganenergicsystem,Freudconceptualizedthequestionofenergydirectedattheselfversusenergydirectedatothers,called
\o"Cathexis"
cathexis
.By1917,In"MourningandMelancholia,"hesuggestedthatcertaindepressionswerecausedbyturningguilt-riddenangerontheself.
[9]
In1919in"AChildisBeingBeaten"hebegantoaddresstheproblemsofself-destructivebehavior(moralmasochism)andfranksexualmasochism.
[10]
Basedonhisexperiencewithdepressedandself-destructivepatients,andponderingthecarnageof
\o"WWI"
WWI
,Freudbecamedissatisfiedwithconsideringonlyoralandsexualmotivationsforbehavior.By1920,Freudaddressedthepowerofidentification(withtheleaderandwithothermembers)ingroupsasamotivationforbehavior(GroupPsychologyandAnalysisoftheEgo).
[11]
Inthatsameyear(1920)Freudsuggestedhis"dualdrive"theoryofsexualityandaggressionin
\o"BeyondthePleasurePrinciple"
BeyondthePleasurePrinciple
,totrytobegintoexplainhumandestructiveness.
[12]
In1923,hepresentedhisnew"structuraltheory"ofan
\o"Id,ego,andsuperego"
id,ego,andsuperego
inabookentitled,
\o"TheEgoandtheId"
TheEgoandtheId
.
[13]
Therein,herevisedthewholetheoryofmentalfunctioning,nowconsideringthatrepressionwasonlyoneofmanydefensemechanisms,andthatitoccurredtoreduceanxiety.Notethatrepression,forFreud,isbothacauseofanxietyandaresponsetoanxiety.In1926,inInhibitions,SymptomsandAnxiety,Freudlaidouthowintrapsychicconflictamongdriveandsuperego(wishesandguilt)caused
\o"Anxiety"
anxiety
,andhowthatanxietycouldleadtoaninhibitionofmentalfunctions,suchasintellectandspeech.
[14]
.Inhibitions,SymptomsandAnxietywaswritteninresponseto
\o"OttoRank"
OttoRank
,who,in1924,publishedDasTraumaderGeburt(translatedintoEnglishin1929asTheTraumaofBirth),exploringhowart,myth,religion,philosophyandtherapywereilluminatedbyseparationanxietyinthe"phasebeforethedevelopmentoftheOedipuscomplex"(p.
216).ButtherewasnosuchphaseinFreud’stheories.The
\o"Oedipuscomplex"
Oedipuscomplex
,Freudexplainedtirelessly,wasthenucleusoftheneurosisandthefoundationalsourceofallart,myth,religion,philosophy,therapy—indeedofallhumancultureandcivilization.Itwasthefirsttimethatanyoneinthe
\o"Innercircle(psychoanalysis)"
innercircle
haddaredtosuggestthattheOedipuscomplexmightnotbetheonlyfactorcontributingtointrapsychicdevelopment
By1936,the"PrincipleofMultipleFunction"wasclarifiedbyRobertWaelder.
[15]
Hewidenedtheformulationthatpsychologicalsymptomswerecausedbyandrelievedconflictsimultaneously.Moreover,symptoms(suchas
\o"Phobia"
phobias
and
\o"Compulsivebehavior"
compulsions
)eachrepresentedelementsofsomedrivewish(sexualand/oraggressive),superego(guilt),anxiety,reality,anddefenses.Alsoin1936,
\o"AnnaFreud"
AnnaFreud
,Sigmund'sfamousdaughter,publishedherseminalbook,TheEgoandtheMechanismsofDefense,outliningnumerouswaysthemindcouldshutupsettingthingsoutofconsciousness.
[16]
[
\o"Editsection:1940s-2000s"
edit
]1940s-2000s
FollowingthedeathofFreud,anewgroupofpsychoanalystsbegantoexplorethefunctionoftheego.LedbyHartmann,Kris,RappaportandLowenstein,thegroupbuiltuponunderstandingsofthesyntheticfunctionoftheegoasamediatorinpsychicfunctioning.Hartmanninparticulardistinguishedbetweenautonomousegofunctions(suchasmemoryandintellectwhichcouldbesecondarilyaffectedbyconflict)andsyntheticfunctionswhichwerearesultofcompromiseformation.These"EgoPsychologists"ofthe'50spavedawaytofocusanalyticworkbyattendingtothedefenses(mediatedbytheego)beforeexploringthedeeperrootstotheunconsciousconflicts.Inadditiontherewasburgeoninginterestinchildpsychoanalysis.Althoughcriticizedsinceitsinception,psychoanalysishasbeenusedasaresearchtoolintochildhooddevelopment,
[17]
andhasisstillusedtotreatcertainmentaldisturbances.
[18]
Inthe1960s,Freud'searlythoughtsonthechildhooddevelopmentoffemalesexualitywerechallenged;thischallengeledtothedevelopmentofavarietyofunderstandingsoffemalesexualdevelopment,manyofwhichmodifiedthetimingandnormalityofseveralofFreud'stheories(whichhadbeengleanedfromthetreatmentofwomenwithmentaldisturbances).Severalresearchers
[19]
followed
\o"KarenHorney"
KarenHorney
'sstudiesofsocietalpressuresthatinfluencethedevelopmentofwomen.MostcontemporaryNorthAmericanpsychoanalystsemploytheoriesthat,whilebasedonthoseofSigmundFreud,includemanymodificationsoftheoryandpracticedevelopedsincehisdeathin1939.
Inthe2000sthereareapproximately35traininginstitutesforpsychoanalysisintheUnitedStatesaccreditedbythe
\o"AmericanPsychoanalyticAssociation"
AmericanPsychoanalyticAssociation
[4]
[20]
whichisacomponentorganizationofthe
\o"InternationalPsychoanalyticalAssociation"
InternationalPsychoanalyticalAssociation
,andthereareover3,000graduatedpsychoanalystspracticingintheUnitedStates.TheInternationalPsychoanalyticalAssociationaccreditspsychoanalytictrainingcentersthroughouttherestoftheworld,includingcountriessuchasSerbia,France,Germany,Austria,Italy,Switzerland,andmanyothers,aswellasaboutsixinstitutesdirectlyintheU.S.FreudpublishedapaperentitledTheHistoryofthePsychoanalyticMovementin1914,GermanoriginalbeingfirstpublishedintheJahrbuchderPsychoanalyse.
[21]
[
\o"Editsection:Theories"
edit
]Theories
Thepredominantpsychoanalytictheoriescanbegroupedintoseveraltheoretical"schools."Althoughthesetheoretical"schools"differ,mostofthemcontinuetostressthestronginfluenceofunconsciouselementsaffectingpeople'smentallives.Therehasalsobeenconsiderableworkdoneonconsolidatingelementsofconflictingtheory(cf.theworkofTheodoreDorpat,B.Killingmo,andS.Akhtar).Asinallfieldsofhealthcare,therearesomepersistentconflictsregardingspecificcausesofsomesyndromes,anddisputesregardingthebesttreatmenttechniques.Inthe2000s,psychoanalyticideasareembeddedinWesternculture,especiallyinfieldssuchas
\o"Childcare"
childcare
,
\o"Education"
education
,
\o"Literarycriticism"
literarycriticism
,
\o"Culturalstudies"
culturalstudies
,and
\o"Mentalhealth"
mentalhealth
,particularly
\o"Psychotherapy"
psychotherapy
.Thoughthereisa
\o"Mainstream"
mainstream
ofevolvedanalytic
\o"Idea"
ideas
,therearegroupswhofollowthe
\o"Precept"
precepts
ofoneormoreofthelatertheoreticians.Psychoanalyticideasalsoplayrolesinsometypesofliteraryanalysissuchas
\o"Archetypalliterarycriticism"
Archetypalliterarycriticism
.
[
\o"Editsection:Topographictheory"
edit
]Topographictheory
TopographictheorywasfirstdescribedbyFreudin"TheInterpretationofDreams"(1900)
[22]
[23]
ThetheorypositsthatthementalapparatuscanbedividedintothesystemsConscious,Pre-consciousandUnconscious.Thesesystemsarenotanatomicalstructuresofthebrainbut,rather,mentalprocesses.AlthoughFreudretainedthistheorythroughouthislifehelargelyreplaceditwiththeStructuraltheory.TheTopographictheoryremainsasoneofthemetapsychologicalpointsofviewfordescribinghowthemindfunctionsinclassicalpsychoanalytictheory.
[
\o"Editsection:Structuraltheory"
edit
]Structuraltheory
Structuraltheorydividesthepsycheintotheid,theego,andthesuper-ego.Theidispresentatbirthastherepositoryofbasicinstincts,whichFreudcalled"Triebe"("drives"):unorganisedandunconscious,itoperatesmerelyonthe'pleasureprinciple',withoutrealismorforesight.Theegodevelopsslowlyandgradually,beingconcernedwithmediatingbetweentheurgingsoftheidandtherealitiesoftheexternalworld;itthusoperatesonthe'realityprinciple'.Thesuper-egoisheldtobethepartoftheegoinwhichself-observation,self-criticismandotherreflectiveandjudgementalfacultiesdevelop.Theegoandthesuper-egoarebothpartlyconsciousandpartlyunconscious.
[
\o"Editsection:Egopsychology"
edit
]Egopsychology
\o"Egopsychology"
Egopsychology
wasinitiallysuggestedbyFreudinInhibitions,SymptomsandAnxiety(1926).Thetheorywasrefinedby
\o"HeinzHartmann"
Hartmann
,Loewenstein,andKrisinaseriesofpapersandbooksfrom1939throughthelate1960s.LeoBellakwasalatercontributor.Thisseriesofconstructs,parallelingsomeofthelaterdevelopmentsofcognitivetheory,includesthenotionsofautonomousegofunctions:mentalfunctionsnotdependent,atleastinorigin,onintrapsychicconflict.Suchfunctionsinclude:sensoryperception,motorcontrol,symbolicthought,logicalthought,speech,abstraction,integration(synthesis),orientation,concentration,judgmentaboutdanger,realitytesting,adaptiveability,executivedecision-making,hygiene,andself-preservation.Freudnotedthatinhibitionisonemethodthatthemindmayutilizetointerferewithanyofthesefunctionsinordertoavoidpainfulemotions.Hartmann(1950s)pointedoutthattheremaybedelaysordeficitsinsuchfunctions.
Frosch(1964)describeddifferencesinthosepeoplewhodemonstrateddamagetotheirrelationshiptoreality,butwhoseemedabletotestit.Deficitsinthecapacitytoorganizethoughtaresometimesreferredtoasblockingorlooseassociations(
\o"EugenBleuler"
Bleuler
),andarecharacteristicoftheschizophrenias.Deficitsinabstractionabilityandself-preservationalsosuggestpsychosisinadults.Deficitsinorientationand
\o"Sensorium"
sensorium
areoftenindicativeofamedicalillnessaffectingthebrain(andtherefore,autonomousegofunctions).Deficitsincertainegofunctionsareroutinelyfoundinseverelysexuallyorphysicallyabusedchildren,wherepowerfuleffectsgeneratedthroughoutchildhoodseemtohaveerodedsomefunctionaldevelopment.
Egostrengths,laterdescribedby
\o"OttoF.Kernberg"
Kernberg
(1975),includethecapacitiestocontroloral,sexual,anddestructiveimpulses;totoleratepainfulaffectswithoutfallingapart;andtopreventtheeruptionintoconsciousnessofbizarresymbolicfantasy.Syntheticfunctions,incontrasttoautonomousfunctions,arisefromthedevelopmentoftheegoandservethepurposeofmanagingconflictualprocesses.Defensesaresyntheticfunctionsthatprotecttheconsciousmindfromawarenessofforbiddenimpulsesandthoughts.Onepurposeofegopsychologyhasbeentoemphasizethatsomementalfunctionscanbeconsideredtobebasic,ratherthanderivativesofwishes,affects,ordefenses.However,autonomousegofunctionscanbesecondarilyaffectedbecauseofunconsciousconflict.Forexample,apatientmayhaveanhystericalamnesia(memorybeinganautonomousfunction)becauseofintrapsychicconflict(wishingnottorememberbecauseitistoopainful).
Takentogether,theabovetheoriespresentagroupofmetapsychologicalassumptions.Therefore,theinclusivegro
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