16409 Chapters
Medium 9781780490441

Chapter Nine - Outcome Evidence

Karnac Books ePub

David Todd and Stephen Weatherhead

This chapter presents a pragmatic approach to the challenge of gathering outcome evidence, while balancing applying narrative approaches within the predominantly scientific backdrop of brain injury services. In addition to discussing the philosophical and practical discourses, the chapter makes some recommendations, including the increased development of practice-based research networks, and the collection of multiple forms of outcome data.

A pragmatic approach to narrative and outcomes

I think it is fair to say that we (DT and SW) come from slightly different starting points in exploring this issue. I (SW) am much more inclined to position myself within a non-structuralist or social constructionist frame, viewing one's experience as heavily influenced by the narratives we are able to draw upon at any given time. Whereas I (DT) feel more comfortable describing myself as a scientist–practitioner; valuing the selective application of scientific methodology and quantitative research, but recognising the necessity of postmodern perspectives in seeking to conceptualise the human condition in a complex social world.

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Chapter 4: The developmental school in analytical psychology

Solomon, Hester McFarland Karnac Books ePub

Analytical psychology as elaborated by Jung and his immediate followers did not focus on the depth psychological aspects of early infant and childhood development. Freud and his followers made the imaginative leap required to link the two pivotal areas of analytic investigation—the early stages of development and how such states of mind may manifest in adult patients on the one hand, and the nature and varieties of transference and countertransference in the analytic relationship on the other— and to include them in psychoanalytic theory. Analytical psychology was slow to follow suit, despite Jung's early and continued insistence on the importance of the relationship between analyst and patient, and his study of the Rosarium (Jung, 1966) as a way of understanding the vicissitudes of the analytic couple.

For Jung and the group that had formed around him, the rich and attractive field of creative and symbolic activity and collective and cultural pursuits appeared to be more engaging. Nevertheless, in certain respects it could be said that creative psychic activity, as well as its destructive and distressing aspects, could be located within two pivotal areas of investigation, and could be seen rightfully to belong to the examination of the relationship between primary process (that is, the earlier, more primitive mental processes with infantile foundations) and the later secondary mental processes.

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Medium 9780946439928

14. Summary and conclusions

Michael Saling Karnac Books ePub

We have been able to reach the following general conclusions in this book: ‘Aphasie’ and ‘Gehirn’ were written by Sig-mund Freud. He conceived them during a crucial phase in the development of his thought, whilst he was making his first systematic psychological observations and constructing his first psychological theories. The articles suggest that, during this crucial phase, his approach was implicitly Jack-sonian and explicitly anti-Meynertian. This has important implications for psychoanalysis.

Freud did not endorse Meynert’s (anatomical) ‘cortico-centric’ and (physiological) ‘hydraulic reflex’ models of neural and mental functioning. Freud’s later psychoanalytical metapsychology (especially its economic aspect) has often been criticized in terms of its supposed derivation from these models. This now seems inappropriate. In addition, it is evident that Freud, like Jackson, conceptualized psychological processes independently of their organic substrate. This means that, from the very start, his psychological theorization was probably not derived from any neurophysiological system. In this respect the 1888 articles also throw new light on the ‘Project for a scientific psychology’ and chapter 7 of The Interpretation of Dreams. They contain material that strongly supports the purely ‘psychological’ interpretation of those early metapsychological formulations.

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Wilfred R. Bion Karnac Books ePub

The scientific deductive system and calculus via Euclid

What are the scientific deductive systems that could be used in psycho-analysis? What form would a calculus take? Can it be found in Euclid? That is certainly what I suspect. That is to say that the problem would be associated with the three-kneed thing with equal legs; and this would provoke the search, as described by Poincaré, for the harmonizing fact to be selected. What then?

If this is correct, then one would suppose that the scene described by ‘blood everywhere’ might be formalized, say, as ‘the looking-glass murder’—rather like a film being projected end first so that the scene of bloodshed would depict itself as one in which the ‘blood everywhere’ was being reabsorbed through the original route. Cubism might be a kind of attempt to geometrize a scene: in this way the looking-glass murder would need to be formalized—but how? Do Lewis Carroll's chess rules for Alice Through the Looking-Glass give a clue?

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CHAPTER THREE: The analyst's personal mental makeup in psychoanalysis with perverse patients Rodolfo Moguillansky

Juan Pablo Jimenez Karnac Books ePub

Rodolfo Moguillansky


In this chapter, I explore the analyst's personal mental makeup in the psychoanalysis with perverse patients. It is consistent with the concept I have developed over the years (Costantino, Moguillansky, &Seiguer, 1991; Moguillansky, 1999, 2001a, 2005a,b, 2007; Moguillansky &Vorchheimer, 2003), that perversion is an entity per se with peculiar characteristics in the construction of phantasy—based in ego splitting and in the disavowal of castra-tion—which explains a tendency in perverse patients to perform perverse actings. It would be a subject for a full agenda for a Congress to make clear what analysts mean when speaking about castration. I do not centre this notion in the presence or the absence of the penis. Thinking about it in such a way would be transforming an infantile sexual theory into a psychoanalytic theory. The perspective opened by Melanie Klein (1957) regarding breast envy correlated with penis envy allows us to define castration as the recognition of an ontological lack, not a penis lack.

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