38 results match your criteria: "Psychoanalytic Institute of Northern California[Affiliation]"

This paper engages a Winnicottian formulation of the analytic field to highlight the often unspoken, implicit erotic dimensions of analytic work. Material from an analysis with a very inhibited, emotionally constricted man shows both patient and analyst encountering difficulty in "locating" each other within the analytic field. Paradoxically, a felt sense of connection was also palpable, and possibly/impossibly erotic.

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Demonstrating how psychoanalysts can be useful in community settings outside the conventional consulting room, this paper describes consultation and group interventions conducted at a San Francisco mental health agency serving a largely Asian community. In the traumatic context of the COVID-19 pandemic, agency staff became fragmented, due to remote working conditions and differential work assignments, including mandated deployments to emergency sites. Two psychoanalysts worked with agency leadership to devise a weekly process group held by video conferencing over 6 months, in an attempt to heal resentments and splits in the fabric of the agency.

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Rethinking the concepts of the unconscious and analytic time.

Int J Psychoanal

June 2024

Supervising and Personal Analyst, Psychoanalytic Institute of Northern California, San Francisco, California.

The author proposes ways of rethinking the concepts of the unconscious and time in the analytic setting, including the very existence of the unconscious. Freud (1915) stated that the success psychoanalytic thinking has in making inferences about the patient's unconscious makes the existence of the unconscious "incontrovertible." The author submits that this success does not establish the existence of the unconscious; rather, the inferences we think we make about the unconscious are inferences about consciousness itself - the totality of our experiences of thinking, feeling, sensing, observing, and communicating with ourselves.

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In this essay the author describes some of the transformations that occur as one moves from preverbal functioning to verbally symbolic language. In preverbal experience, there is a direct connection between the sign and what is signified. An infant or child signifies displeasure by throwing his food or other objects to the floor.

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In "Mind and its relation to the psyche-soma," Winnicott reinvents the concept of psyche-soma by viewing it as a set of experiences located neither in the body nor in the brain, and in fact, not located anywhere. Psyche, in health, is understood to be the imaginative functioning of mental processes, and soma is understood to be the experience of physical realness and aliveness. Winnicott offers a clinical illustration of work with a patient who feels unreal to herself.

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In his reading of Winnicott's "Transitional objects and transitional phenomena," the author views Winnicott as engaged in offering a way of conceiving of the fundamentally human task of creating states of being in which the individual's ideas, feelings, and bodily sensations come to feel alive and real to him or her. The author proposes that the concept of paradox captures something of both the idea and the experience of transitional objects and phenomena. The author then looks closely at the new clinical illustration that Winnicott presents in the fourth and final version of his paper.

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The proleptic unconscious and the exemplary moment in psychoanalysis.

Int J Psychoanal

December 2019

San Francisco Center for Psychoanalysis, Psychoanalytic Institute of Northern California, San Francisco, CA, USA.

In this paper I argue that a central feature of manifestations of the unconscious in clinical work is its proleptic dimension. In its essence, the proleptic unconscious is anticipatory and futural in its orientation. The classical view of unconscious mental life posits the existence of a spacial location filled with positive content there to be discovered; but this view risks reification and a clinical approach in which the analyst "finds what she is looking for.

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The concept of parallel process has played a central role in psychoanalytic supervision for the last 60 years, generating continuing interest in the power of the unconscious to create unexpected intersections between the analytic and supervisory relationships. I track the evolution of the concept, starting with its invention by an interpersonalist psychoanalyst, adoption by two ego psychologists, enrichment by object relations theory, and, finally, redefinition as a multi-directional dynamic by relational psychoanalysts. I then further elaborate the relational view of parallel process, illustrating its complex, multidirectional nature with an extended vignette.

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This article presents an in-depth study of one institute's efforts to recover from effects of ethical violations by two senior members. Qualitative data analysis from voluntary member interviews details the damage that spread throughout the institute, demonstrating that a violation of one is a violation of many. Members at all levels reported feeling disturbed in ways that affected their emotional equilibrium, their thinking processes, and their social and professional relationships.

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This is a clinical paper in which the author describes analytic work in which he dreams the analytic session with three of his patients. He begins with a brief discussion of aspects of analytic theory that make up a good deal of the context for his clinical work. Central among these concepts are (1) the idea that the role of the analyst is to help the patient dream his previously "undreamt" and "interrupted" dreams; and (2) dreaming the analytic session involves engaging in the experience of dreaming the session with the patient and, at the same time, unconsciously (and at times consciously) understanding the dream.

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Uses of guilt in the treatment of dehumanization.

Int J Psychoanal

April 2017

Psychoanalytic Institute of Northern California, 530 Bush St., San Francisco, CA 94108, USA.

It is likely that under the impact of impending Nazism, aggression theory in late Freud, as presented in Civilization and its Discontents (1930), left the entirety of guilt to self-punishment, thus retracting his view that love functions in the superego as remorse and restitution. This change however, essentially withdraws provision for treating victims of abuse, violence and terror. This paper proposes a paradigm shift that reframes Freud's late instinct theory into a theory of dehumanization by recovering reparative and relational components of guilt.

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The author's focus in this paper is on the role that language plays in bringing to life the truth of the patient's lived experience in the analytic session. He discusses particular forms of discourse that enable the patient to experience with the analyst the truth that the patient had previously been unable to experience, much less put into words, on his own. The three forms of discourse that the author explores-direct discourse, tangential discourse, and discourse of non sequiturs-do not simply serve as ways of communicating the truth; they are integral aspects of the truth of what is happening at any given moment of a session.

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One of Bion's least-acknowledged contributions to psychoanalytic theory is his study of the relationship between the mind of the individual (the ability to think), the mentalities of groups of which the individual is a member, and the individual's bodily states. Bion's early work on group therapy evolved into a study of the interplay between mind and bodily instincts associated with being a member of a group, and became the impetus for his theory of thinking. On the foundation of Bion's ideas concerning this interaction among the thinking of the individual, group mentality, and the psyche-soma, the author presents his thoughts on the ways in which group mentality is recognizable in the analysis of individuals.

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Bion's "Notes on Memory and Desire" (1967a) is an impossible paper that this article's author has struggled with for decades. He views the paper, only two and a half pages in length, as a landmark contribution. Despite its title-and its infamous dictates to resist the impulse to remember past sessions and desire for "results"-the paper is not, most importantly, about memory and desire.

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The author uses a "professional memoir," a story about his first experiences in clinical work, to illustrate what he believes to be certain fundamental aspects of an analytic attitude. Taking place in a psychiatric hospital, it is meant to highlight the central place of intuition, emotional receptivity, empathy, relatedness-and their inherent dangers-in engaging therapeutically with patients' emotional disturbances. The author postulates that these and related aspects of clinical psychoanalysis are not sufficiently emphasized in psychoanalytic training and are often eclipsed by idealizations of psychoanalytic theories and their derivative techniques, third-party demands for evidence-based data, preoccupations with neurobiological correlates of experience, etc.

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Through an examination of Freud's Lecture 33, "Femininity" (1933), and "Mourning and Melancholia" (1917), the author proposes a reading of Freud's description of the girl becoming a woman. Female development is retold as a melancholic narrative-one in which the girl's entrance into the positive Oedipus is founded on unconscious grievance and unmourned loss of the early relationship with her mother. Castration and penis envy are reconceived as melancholic markers-the manifest content of the subjectivity of refusal, loss, and imagined repair of the early maternal relationship.

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Certain patients overwhelm the analyst's capacity to contain both the patient and the analyst's own unbearable feelings. Though some such failures of containing may lead fairly quickly to self-correction and others to clinical impasse, our focus is on an in-between state in which the analyst's ability to tolerate his inevitable failures and gradually to (re)establish his containing capacities through difficult self-analytic work can lead to significant change that might not otherwise be possible. The authors argue that this internal psychological work on the analyst's part, which may require considerable time, effort, and suffering, is an important aspect of "good enough" containing.

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The author describes how her own internal change was a vital part of transformation between herself and two patients. She draws on Loewald's work as she discusses how change in her own internal relationship with her father was part of a lifelong emotional reorganization of Oedipal relations. She describes a process of mutual change whereby her and her patients' unconscious growth each stimulated the other.

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Psychoanalysis, which at its core is a search for truth, stands in a subversive position vis-à-vis the contemporary therapeutic culture that places a premium on symptomatic "cure." Nevertheless, analysts are vulnerable to succumbing to the internal and external pressures for the achievement of symptomatic improvement. In this communication we trace the evolution of Freud's thinking about the relationship between the aims of psychoanalysis and the alleviation of symptoms.

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The author believes that contemporary psychoanalysis has shifted its emphasis from the understanding of the symbolic meaning of dreams, play, and associations to the exploration of the processes of thinking, dreaming, and playing. In this paper, he discusses his understanding of three forms of thinking-magical thinking, dream thinking, and transformative thinking-and provides clinical illustrations in which each of these forms of thinking figures prominently. The author views magical thinking as a form of thinking that subverts genuine thinking and psychological growth by substituting invented psychic reality for disturbing external reality.

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The ways in which Kafka and Borges struggled with the creation of consciousness in their lives and in their literary works are explored in this two-part essay. In Part II, a biographical sketch of Jorge Luis Borges is juxtaposed with a close reading of one of his fictions, "The Library of Babel" (1941a). In this story, the universe is an infinite Library, a psychological/literary space comprised of books that contain everything that has ever been or ever will be written.

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