The Eroticism of the Maternal: So What If Everything Is About the Mother?

The “erotic” bond between the mother and the infant is often idealized as the epitome of the preoedipal, prerepressive utopia in the blissful image of the naked and sacred mother-infant dyad. This article problematizes such a utopian image by identifying the core fantasy underlying that which is maternal. My discussion looks at the mother both as the object of erotic fantasy and the subject who is doing the fantasizing. This study brings together two seemingly disparate theoretical notions, Lacanian feminist psychoanalyst Luce Irigaray's argument about our culture's relationship with the mother and Japanese psychoanalyst Takeo Doi's study of amae. I argue that what Irigaray calls “desire of/for the mother” and what Doi attempted to explain using the everyday Japanese word, amae, a wish to “depend and presume upon another's love or bask in another's indulgence,” are both what is understood in the clinical psychoanalytic language as maternal erotic transference.     

The trainee and the borderline client: Countertransference pitfalls

Acknowledging and overcoming hostile countertransference is a major problem in treating borderline personalities, especially for clinicians in training. Borderline personality dynamics and transference/countertransference phenomena are described, and a compendium of trainess' negative countertransference reactions is offered, following Maltsberger's and Buie's (1974) schema. Myths of omnipotence, seen as antecedents to countertransference reactions, are discussed briefly. A case example illustrates some of the ways that a trainee may inadvertently foster a negative transference/countertransference experience; it also discusses the roles of supervision and consultation in explicating the particular difficulties that the therapist and patient created. The necessity for and nature of limit-setting with borderline patients is noted.     

Reflections on the Therapeutic Action of Desire

When feelings of love and desire for an external object are so powerful that they distract from the treatment relationship or manifest as an erotic transference, they can undermine or destroy an analysis. Likewise, when the analyst's erotic responses are more than he or she can tolerate, acting out can prove fatal. Conversely, when the erotic is contained, desire can become an important part of the therapeutic action. An extended clinical example is presented to explore these themes and related variables of repressed and liberated desire as well as the connection between age and erotic longing.     

JUMPING ON SHADOWS: CATCHING THE UNCONSCIOUS IN THE CLASSROOM

This article discusses case material from a psychoanalytically informed ethnographic research project where the author had a dual role as a teaching practitioner and researcher in an infant school. It suggests that practitioner researchers can deepen a concern with reflexivity in the research process by transferring elements of the practice of the psychoanalytic clinician — specifically, attention to ‘counter‐transference’ — to their research practice. The article reviews the concept of counter‐transference. It suggests that working out the difference between transference and counter‐transference may be connected unconsciously to working out the distinctions between ego and superego. The article then goes on to provide an illustration of the way in which the author attempted to use her own counter‐transference to inform her research into young children's learning, specifically in relation to her experience of being a teacher. The discussion connects this to the teacher's transferential place as a parental and ‘superego’ figure for pupils. Observational extracts are drawn from the case study of ‘Lutfa’, a Bengali girl placed at the lower end of the ability group range. The article concludes by suggesting that attention to counter‐transference dynamics as a form of reflexivity can provide the practitioner‐researcher with valuable information about the research subjects and about dynamics in the setting, particularly the participants' relationships to ‘superego’ figures.     

Where the mystical meets the market: creativity and commerce in the production of popular music

Taking as my theme the familiar opposition between commerce and creativity, this paper contrasts different sociological approaches to the production of popular music and questions some of the assumptions about the rational nature of the market and mystical character of creative inspiration, that are often implied when these terms—‘creativity’ and ‘commerce’—are used in this binary oppositional manner. In arguing for a sociology of the mundane practices that produce‘commercial’ and ‘creative’ texts, I suggest that the production of popular music does not so much involve a conflict between commerce and creativity, but a struggle over what is creative, and what is to be commercial.     

Violating Boundaries

This essay begins by questioning the role that the word “boundary” plays when we say that a “sexual boundary violation” has occurred in an analytic treatment. Boundaries are bright lines drawn to separate lawful from unlawful, consensual from coerced, free from exploited, ownership from trespass, fantasy from reality. But the notion of boundaries fails in a profound and fateful way to capture the inescapable circulation of erotic transference and countertransference feelings in an analysis. Instead, this essay proposes that we look to the notion of sublimation for insights into the psychic dynamics of sexual behavior between analyst and analysand. It explores the ambivalence and mourning that surround the sublimation of desire. This discussion of sublimation sheds light on sexual violations in other types of professional relationships as well as recently adopted affirmative consent laws and policies on college campuses.     

‘Northernness’, gender and Manchester’s creative industries

This article explores northernness and gender in the context of creative industries in Manchester. I argue that a version of northernness has been mobilised by those within the creative industries and that this identity is strongly linked with masculinity. The article examines the emergence of new creative industries in Manchester from the 1980s onwards. Many of these new creative industries were connected with music and club culture and often prioritised ‘lads’ and their interests. The ‘heritage’ and influence of this seedbed stage of Manchester’s creative industries and the dominant discourses about Manchester’s pop cultural creativity has had a profound influence on the ‘gendering’ of subsequent creative industries in this city. A paradigm of northern ‘laddishness’ pervades the creative sector in Manchester, and this is amplified and sustained by a powerful, media fuelled, cultural identity of the city and its popular culture. A number of local specificities have had an impact on linking creativity to ‘northern’ masculinity in the Manchester case. This has contributed to the ascendency of closed, male-dominated networks in the creative sector. This appears to stand in the way of women’s full access to, and participation in, the city’s creative industries. I suggest that all empirical case studies of creative industries could find value in reflecting on the local context and specificities of place. Using Manchester as a case study, I argue that place-specific identities could productively be explored in debates about exclusion and underrepresentation of women in creative industries.     

Dangerous Discourses: Anxiety,Desire, and Disability

The pleasure and danger of sexuality thematizes erotic desire as always accompanied by a certain anxiety. Although some anxiety is material and precautionary, I address the issue somewhat differently through investigating the psychic factors at play in the western imaginary. Discomfort with manifestations of erotic desire is most clearly invoked by differential embodiment where the challenge to the normative body not only results in disqualification from discourses of sexuality but also raises the contested question of who is to count as a sexual subject. My purpose is not to inquire empirically into the ways that people with disabilities are denied sexual subjectivity but to ask what is at stake in the cultural imaginary that requires such a closing down of possibilities. I develop a psychoanalytic approach to sexually marked anomalous embodiment and ask what part the link between desire and lack plays in thwarting a positive model of disability and sexuality.     

Therapeutic Love and Its Permutations

Compensatory treatment theory rooted in object relations and self psychology is typically silent about issues of love in the therapeutic relationship, particularly the erotic and sensually infused affects and enactments that may permeate patient-therapist interactions, even in the treatment of preoedipal patients. This paper presents a series of case reports in which the therapist consciously or unconsciously experienced some permutation of love in response to the patient's loving and/or erotic feelings. The central thesis is that patients benefit when therapists recognize the sensual components in transference-countertransference interactions and use them to inform therapeutic interventions.     

People in a World Between: Psychodynamic Themes in the Treatment of Bisexual Patients

Normal sexual behavior is on a continuum—with homosexuality at one end, heterosexuality at the other, and bisexuality at the midpoint. Most people have some bisexual potential. A bisexual person is capable of having intimacy with either a man or women but may be made uncomfortable by the ambiguity of their libidinal longings, feel different, isolated, and long to make a clearer gender choice—homosexuality or heterosexuality. The sacrifice to the self and the psychic conflicts that block such a lifestyle resolution brings these bisexuals into treatment and clinicians are confronted with a need to apply psychodynamic theory in new and more flexible ways. Using two case studies this paper discusses forms of androgynous transference, pregnancy fantasy, and dream interpretation that can unfold in the psychotherapy of bisexual patients.     

COMMENTARY (12 YEARS ON) ON ‘THE CONTRIBUTION OF OBSERVATION TRAINING TO PROFESSIONAL DEVELOPMENT IN SOCIAL WORK’ BY JUDITH TROWELL AND GILLIAN MILES

This article aims to stimulate discussion about relationships between the lives of professionals and of service users. The idea is that when parallels are explored and developed, power dynamics between professionals and social workers are reduced, the quality of interaction and work with service users can be improved, and professionals can also be helped in overcoming difficulties in their own lives. I start with an outline of my own personal background and highlight my development throughout, including my emerging identity as a Buddhist. I discuss a case study involving ‘Sally’ and her family and our work together while I was a social work assistant in a Children and Family's team. I try to show the interconnections between the different difficulties that we faced and how that informed my work. I look at some of the benefits, pitfalls and boundaries of working from the point of view that service user and professional are both working to overcome their problems. I also interweave interactions I had at the time with Carlos, a drug user friend in a crisis and the impact he had on me. Because I include my own situation I have called this article a ‘case experience’.

Throughout I refer to Buddhist and psychoanalytic thinking and particularly to agreement between the two around ideas that inner‐resistance is the main barrier to personal evolution. I argue that faith is the key to unlocking resistance, and that faith should be understood as the development of a belief within people that they are able to progress rather than be destroyed in the face of inevitable problems.     

Keeping open by re‐imagining laughter and fear

Speaking to the debate on the nature of critique, this article is about the struggle to produce an account when listening to and retelling stories. It begins with the disconcertment over listening to a coherent story that emerges in interviews about the development of performance indicators for Dutch hospital care. The indicators are presented as solutions to the problem of unruliness in the healthcare world. Drawing on Helen Verran's work on generative critique I slow down the ‘problem‐solution‐found’ plot. Instead of contrasting the apparently coherent stories with the complexities of an ‘underlying’ practice of healthcare, I hold on to my initial disconcertment so that ‘fleetingly subtle’ interruptions become entry points for generative critique. Taking Eduardo Viveiros de Castro's understanding of the relation that fear and laughter have to alterity, I show how fear and laughter permit generative critique within seemingly coherent stories. In the case of indicator development, the interviewees ‘laugh away’ what they consider alter from quality and safety in healthcare: having no control over what is going on, polyglotism instead of a common language, and inaction as opposed to taking one's time. Paying attention to disconcerting interruptions generates sensitivity and questions rather than yet another set of (critical) problem‐solution‐found answers. How can ridiculed (laughed away) subjectivity be acknowledged as important entry points for including alterity in supervision? And how to position the acknowledgement, not as an antidote, but as a way of rendering the fear of alterity generative? Nurturing sensitivities is crucial for keeping open, which means resisting both the sticky tendency of normalizing accounts and the fallacy of misplaced concreteness. I conclude that keeping open by re‐imagining critique resonates with the creativity of collective life in actual times and places. Thereby it offers a promising potential for doing worlds differently.     

Transference and countertransference in the treatment of adult survivors of abuse with a somatoform disorder

The understanding of transference and countertransference has changed a great deal since Freud introduced the terms. A case example indicates one way the patient’s and clinician’s past experiences and expectations interact to create a here and now relationship that is highly influenced by transference/countertransference. The understanding of both terms as aspects of a mutually constituted interaction has practice implications for the treatment of adult survivors of abuse who have a somatoform disorder.     

Erotic and pseudoerotic elements in the treatment of male patients by female therapists

This paper describes some aspects of the clinical encounter between the male patient and the female therapist. Examples are given of transference involving erotic, as compared to pseudoerotic (dependency or aggressive) themes. Countertransference and countertransference problems are discussed.     

Profile of Some Patients Who Prematurely Terminate Analysis

This paper is concerned with cases in which patients who have been well established in treatment decide to end it prematurely. In examining the issue among my patients who left against my advice, I isolated in some of them a number of common traits, of which the existence of a long-standing idealizing transference was central. Four of these cases are presented, including two in which the resistance was successfully penetrated and two in which it was not and the patient left treatment. The definition of premature termination is seen in the context of that of a complete analysis.     

Clinical Care of Gambling Disorders: Training, Experience, and Competence Among VHA Psychologists

Problem gambling is a common, highly destructive disorder which is often overlooked by clinicians. Levels of clinical training, clinical experience, and professional competence for providing clinical services for problem gambling were examined in a survey of 181 clinical psychologists working in the Veterans Healthcare Administration (VHA). The results suggest that the majority of clinical psychologists have little or no formal training and little or no past or current clinical experience in the treatment of disordered gambling, nor do they see themselves as competent to evaluate or treat patients with disordered gambling. Most have not referred patients for treatment of problem gambling and do not know of a competent provider to whom they can refer. There is an identifiable subgroup, representing 9% of respondents, who do have more training, provide services, and see themselves as competent to provide care for patients with problem gambling. The amount of formal training is positively correlated with care provided and self-ratings of competence. Despite the lack of training and experience, most respondents expressed interest in receiving additional training. These data suggest that to improve rates of diagnosis and treatment of patients with problem gambling in mental health settings, additional training needs to be made available for mental health providers as a group, with specialized training for clinicians interested in specializing in this area.     

Sexism,Erotophobia, and the Illusory “No”

SUMMARY

I examined erotophobic, sex-negative attitudes toward female sexuality as they relate to acquaintance rape. Evidence suggests that sexist assumptions about female eroticism are intrinsically related to sexual violence against women. The argument is made that society's willingness to acknowledge women as sexual victims while simultaneously failing to validate women as sexual agents creates an ideal breeding ground for acquaintance rape. Accordingly, an analysis will be offered: in a culture that denies women freedom to say “yes” to sex without negative stigma, “no” does not always mean “no.” In this article, I will assert mat those who care about stopping sexual aggression in dating relationships have an obligation to work to eradicate sexist assumptions that neuter women's erotic selves.     

When Is Research Good Evidence? Issues in Reading Research

Although using published research is only one part of the evidence-based practice process, clinical social workers more often doubt their abilities in this area than in client assessment or in the individualizing of treatment approaches to fit client preferences, values and resources. This article reviews the nature of research and the reason it is often a preferred source of information; common flaws to watch for in published research; types of research studies and how different kinds of studies are viewed by those interested in treatment outcome research; and the elements of a published research report that must be considered when deciding on its usefulness for decision-making about practice. It will also include discussion of the controversies that surround these topics, which are significant. While readers will have been introduced to these topics in their professional education, when knowledge is not used it is often not well-remembered. Few clinicians find that reading, assessing, or conducting research is part of their daily work, which is one reason why the discussion of evidence-based practice and other approaches to the use of research in clinical practice can be anxiety-provoking. This “refresher” emphasizes that critical thinking skills, which clinicians often have in abundance, are the single most important element in using research to inform practice.     

Institutional transference: a new look at an old concept

In reviewing the early development of institutional transference, the concept was defined as the patient's identifying the treatment relationship with a clinic rather than with an individual therapist and a form of "distancing." More recently, the literature reflects a debate about whether the phenomenon is an outcome of patients' inability to maintain an individual relationship or their adaptation to changing therapists within a clinic over time. In our clinical experience, we have observed that institutional transference is strongly associated with the clinical outcome. In the clinical examples, we demonstrated that being aware of the potential for institutional transference and allowing it to develop can facilitate the development of a more trusting relationship between the patient and clinic staff. Institutional transference can coexist with individual transference and help facilitate rather than hinder the development of a therapeutic relationship. In our experience, the sense of a relationship with the clinic or treatment center is an important aspect of care. Therefore, recognizing institutional transference enables the clinician to pace the development of the relationship with the patient.