Psychoanalysis On and Off the Couch

"Psychoanalysis landed in Finland in the 50s; before the Second World War there were one or two persons familiar with psychoanalysis. In the 50s, psychoanalysis got a lot of interest in Finland but then there was no possibility of training in Finland. The pioneers went abroad, some to Sweden and some to Switzerland. They picked up the theoretical preferences in the new countries and new institutes...

"My interest is to rather than continue with the psychoanalytic tilt which has tended to try to find the words - to find the areas of the analyst that has words to engage with these states and then help the patient transform these states into something thinkable and communicable. [In contrast] my interest has been to take the patient where they are; it's kind of a radical way of saying 'meeting th...

"The first line treatment for adolescents with anorexia now is family-based therapy typically, which involves helping the parents facilitate the refeeding of the adolescent. So, I was working with the patient in that way and found it to be helpful and useful, but was consistently struck by the neglect of the patient's inner life, and found, at least based on my experience with many patients, that...

"The ability to play means we can indulge in a kind of illusion, not delusion, and make a distinction. It always amazes me that when the patient arrives, they like the routine of an analysis; nobody breaks that, it's an illusion; it is a piece of theater every time. We open the door to our patients and they lie on the couch, and yet there is something enormously gratifying as the patient works out...

"I was speaking to the tendency of the popular media to perceive narratives of Indian women's sexuality via the lens of oppression. Now, of course, sexual violence against women is an important concern in India, as it is worldwide. But telling the story of violence against women misses the story of how women desire, which is what I wanted to highlight. What struck me from reading the responses fro...

"The genetic asymmetry [with sperm donorship] will create issues and complications -  it puts a strain on the relationship, i.e. who is excluded; who has more rights to this product? In other words, if the sperm donor is from a stranger,  the father feels 'am I really adequately or sufficiently related that I could claim fatherhood'?"   Episode Description: We begin by acknowledging the erroneous...

"As I elaborate in the book, there was no physical contact or romantic engagement. The reason why I chose the 'lover' as the [psychoanalytic] analogy is, in the real world outside of psychoanalytic practice, where else do you have an interpersonal encounter that is so intensely engaging, attentive, respectful, and caring? That would be in the first six weeks or six months of a romantic relationshi...

"What's the spiritual room? For me, it does tend to be a connection to something greater than just me; it is a contemplative space; it is getting to the core of who I am, allowing in some ways for the best of me to come to the fore; to have space for grace. I am humbled by what people bring to tell me. I take what I'm doing in the office very seriously because it is really like sacred work in term...

"My analysis not only allowed me to grieve [my mother], with my analyst patiently pushing me in the direction of my feelings, but it radically transformed my life. I wouldn't have had kids if I hadn't had my analysis because I thought 'I'm an ambitious person, I want a career, you can't do everything'. I didn't know any models of women who had a career and enjoyed motherhood. In my analysis I lear...

"The fact that music is so important for our constitution - that music is almost how we move in the world, that our own bodies are played through by musical forms, that the way we relate to our own way of being in the world is sort of mediated by music - this is powerful stuff. But it's not always very fitting to us. We hear a lot of music in our lives, we don't always choose what we hear. We don'...

"Discrimination is something that is needed for the child to create himself as a person. You need to be discriminated from the other, and the other is useful for you, as Freud said, as a model, as a rival, as an enemy. There are different kinds of relationships with the other - you need the other, and we are persons connected with the other. If you discriminate you from the other, this is benign....

"The situation was that I went with my husband Danny, who is also a clinical psychologist, and we were  on the team that came and told people when family members were identified and that they had been murdered. There was one time when we went to two kids, telling them that their parents were murdered. We were with them in the room with an aunt and another family member. All of a sudden, I said, "D...

"The gift of the [traditional] healer that he shares with those of us who do psychoanalytic work is that we are given an idea of the human mind as being always in a process of mediating the real world and the drives of sex and aggression - which if not moderated can lead to terrible things. We're in there, and that's what our training helps us to do."    Episode Description: We begin with Martha d...

"Instead of the analyst being in a position where they know something about the patient, they are with the patient. As Winnicott says in his late work, if you are a philosopher in your armchair, you have to come out of your armchair and be on the floor with the child playing. I don't think that one should act that out with an adult patient- however  it is that approach to actually being with the p...

"I made a film for PepWeb on the research of Beatrice Beebe. I made the video for her picture book, The Mother-Infant Interaction Picture Book, and various other short films. These are deep dives into mother-infant dyads that reveal something, i.e. rupture and repair, various kinds of dyadic interchanges. These are available for free on YouTube. That's another way that I use my analytic self and m...

"We know as analysts there's a long literature on mourning and its connection to creativity from the time of Freud's work to George Pollock's work and others - but that's too intellectual; let me make it more personal, and then I'll talk about Freud and Maimonides. My father and my mother lost a combination of 10 siblings and a granddaughter murdered by the Nazis, plus their parents and aunts and...

"Conscience represents ethics that are not socially constructed and not socially learned but built-in. In fact, the whole of psychoanalysis is grounded in such an ethic - we all as analysts value life over death, we value truth over lies, we value love over hate, kindness over cruelty. Like those little three-month-old infants that Bloom studied at Yale, these values are grounded in our biology. T...

"One of the changes that analysis provided me with was an awareness about how similar we all are, of course with a few differences. For me, an analyst is before all a person who had the opportunity to realize how we all human beings are very similar. We can familiarize with ourselves and with others thanks to these similarities and continuities. I would say like all my colleagues I asked for analy...

"Technology is based on the premise that there can be an optimization of things through algorithmic understanding. 'Ones and zeros' data can be manipulated and thus produce an optimal outcome which is a lovely idea for certain kinds of things. It's not necessarily, in my opinion, the best idea for the psyche or for happiness or for developing a life that's meaningful. I think a psychological minds...

"In divorce it's fundamental that even though the couple ends, there's not an end to the family. We still owe a debt to the other - that other who offered to love us, who we had the opportunity to love, our debt to the children of that union. We are irrevocably called to ethics and to the continuing sense of responsibility to that other. Even though the marriage doesn't survive, the family needs t...

"The basic principle in defense analysis is that one approaches what is going on right now -  it's an experience-near technique. You don't make conjectures about what would be called experience-distant phenomenon until you have a lot of material, a lot of knowledge about the patient. As the treatment goes on you really stick with what the patient is doing right now."   Episode Description: Leon sh...

"He [Bernays] proposed to his uncle that he'd do a translation of this book that had been given to him and Freud, perhaps without thinking too much about it,  approved the idea.  Bernays went about hiring a translator who was a psychology Ph. D. student that he found at Columbia University and he got Stanley Hall to write an introduction for what was published in 1920 as 'A General Introduction to...

"Analytic candidates in training struggle with the fact that you tend to get thrown into the deep water before you really know what you're doing. Then, the anxious candidate will typically struggle to find something to hang on to - and it's much easier to hang on to a theory than it is to hang on to the subtle and irreproducible nuances of clinical work. Candidates tend to latch on to theory and d...

"When you're with a patient you take all that you know in your head, all the theory, and you throw it away. You have to listen to the patient and then maybe afterward something becomes clear - you use that 'in-between' as a way maybe in the next session. But if you were sitting there and thinking: 'Now the patient is in the paranoid/schizoid position…' that would be disastrous. You have to listen...

"I've long had concerns about the practice of psychoanalysis and that the theory underlying it has become a veritable Tower of Babel. We have these multiple views where everything is accepted as 'psychoanalysis,' but they really can't be because they're very different models and they call for very different things. I also feel that our field in general is drifting into sociology so that our nation...