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Beyond the “Black Box” of the Therapeutic Community: A Qualitative Psychoanalytic Study

This text is the written version of the public defence of my doctoral thesis which took place on September 22nd, 2014 in “Het Pand” in Ghent. It describes an analysis of the functioning of Therapeutic Communities (TCs) using a variety of qualitative methodologies and a psychoanalytic frame for interpretation. An important finding is that the TC approach succeeds in establishing a fundamental change in the emotional and psychic lives of the residents. A state of general numbness – which is characteristic of those who have been addicted for a long time – evolves in the direction of a re-connection to the Other. I have attributed this transformation (process) to the way in which the TC law is managed, that is, to the way in which both the mother- and the father-function are installed. A further step is that the particularity of each resident is allowed to emerge in the process of transformation. I have concluded that the successful processes of transformation in TCs involve both identification and subjectivization on the basis of which an Other life has become possible.

Clinical Considerations about Addiction: In Search of the Addicted Subject

In this contribution the author examines the specificity of a psychoanalytic orientation in clinical work with addicts. A psychoanalytic approach focuses on the subject and his discontent, rather than on the object, the consumed substance, and does not limit itself to the trivia of the substance use but searches for that for which the drug or alcohol use is a solution. A psychoanalytic focus on addiction aims at what lies beyond the supposedly simple stimulus-response cycle of need and its satisfaction and situates need within the dynamics of desire, related to the Other and mediated by speech. Drug use circumvents those dynamics, which has consequences for the transference. The author contrasts a psychoanalytic treatment, aimed at the symbolic working-through of desire and the letting go of imaginary identifications, with an imaginary treatment, aimed at installing an identification with “the addict” or “the former drug user” with accompanying terminology and prescribed behaviour. Arguments are illustrated throughout with clinical case material.

The Space of Play and Psychoanalysis

Many psychoanalytic theories address the question of the space of play. Based on Freud, the author first of all tries to show that the originality of psychoanalysis lets us consider the space of play as a scene (Bühne) which opens onto the Other Scene, the unconscious. A structural analogy between play space and tragic scene will be considered. Next the author will study the Winnicottian invention of potential space which allows us to explain the experience of play from a psychogenetic point of view. In this perspective it will be important to locate the area in which play takes place, an area of illusion that Winnicott describes as paradoxical. Finally a third perspective considering how play constitutes its own symbolical space will be considered. The author will propose that play institutes a third space allowing something to be said and at the same time a subjective division.

The Transmission of Trauma

Arising from the work of Fonagy and others, the question of the transmission of the effects of trauma is examined, particularly in the context of holocaust trauma and the survivors. Possible mechanisms are explored and the place of Freud’s notion of deferred action is discussed and the mode of its possible operation in this context. It is suggested that this notion offers a more specifically psychoanalytic and more adequate approach to exploring what is operative here. Transmission is considered as a possible case of nachtraglichkeit, which might offer a better account of the phenomena being explored. The implications of the above for the particular trauma that is the reality of death are alluded to and it is suggested that the trauma is commonly dealt with through the mechanism of deferred action.

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The Origins of Freud’s Theory of the Unconscious: A Philosophical Link

The recent publication of Freud’s correspondence to his school friend, Edward Silberstein, has provided new impetus for research into Freud’s relationship with the philosopher Franz Brentano. In this paper I will address one possible objection to any claim that the philosopher could have influenced Freud on a theoretical level. It may be argued that there could be no significant theoretical influence because the psychoanalyst constructed a model of mental functioning which presupposes an unconscious, while Brentano was a philosopher of consciousness, who denied the very existence of unconscious ideas. I will demonstrate that, despite his rejection of unconscious mental functioning, Brentano presents a systematic investigation into what he perceives to be the strongest arguments in favour of the existence of unconscious ideas. Although he finds each account to be flawed, Brentano frequently offers a possible corrective, suggesting certain conditions as principles which must be observed by anyone hoping to formulate a reasonable thesis to support the existence of unconscious ideas. I argue that it is this analysis which helped Freud to formulate a coherent account of the unconscious which does not fall prey to the objections Brentano levelled against preceding conceptions of unconscious mental processes.

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