y, e t IC D BACKGROUN

9
THE PSYCHOANALYTIC BACKGROUND Melanie Klein's contributions are so rooted in the basic Freudian discoveries that they cannot be comprehended without some understanding of Freud. However, Freud's fundamental discoveries of the nature of the unconscious, infantile sexuality and the long history to the ideas about transference cannot be dealt with systematically in this book. Nevertheless, I think it is necessary to point towards some aspects of the fundamental ideas which are especially relevant to the developments which Klein eventually made herself. Chapter 1 is therefore a scene-setting exercise; it may perhaps be passed over by readers who are familiar with Freud's work. My elucidation of Freudian concepts is selective - confined to those upon which Klein especially depended - and also rather cursory. Those who need a sounder basis, or want a greater depth, should consult Sandier, Dare and Holder (1973) and Laplanche and Pontalis (1973). When Freud started his research (in the 1880s) into the symptoms of neurotic and hysterical women, the dominant mode of psychotherapy had been developed, principally in France, out of Mesmerism, known in medical and scientific circles as 'hypnosis 1 . Although its value was disputed, a number of French physicians persisted with developing this kind of therapy, a development which culminated in the methods and ideas of Pierre Janet. The general thrust of the French method was that the contents of the mind could be changed by suggestion. Unwanted thoughts and troublesome feelings could be eradicated; attitudes could be changed. However, this depended upon the patients

Transcript of y, e t IC D BACKGROUN

THE

PSYC

HOAN

ALYT

ICBA

CKGR

OUND

Mel

anie

Kle

in's

cont

ribut

ions

are

so

root

ed i

n th

e ba

sic F

reud

ian

disc

over

ies

that

the

y ca

nnot

be

com

preh

ende

d w

ithou

t so

me

unde

rsta

ndin

g of

Fre

ud. H

owev

er, F

reud

's fu

ndam

enta

l disc

over

ies

of th

e na

ture

of t

he u

ncon

scio

us, i

nfan

tile

sexu

ality

and

the

long

histo

ry t

o th

e id

eas

abou

t tra

nsfe

renc

e ca

nnot

be

deal

t w

ithsy

stem

atic

ally

in th

is bo

ok. N

ever

thel

ess,

I thi

nk it

is n

eces

sary

topo

int

tow

ards

som

e as

pect

s of

the

fund

amen

tal

idea

s w

hich

are

espe

cially

rel

evan

t to

the

deve

lopm

ents

whi

ch K

lein

eve

ntua

llym

ade

hers

elf.

Chap

ter

1 is t

here

fore

a sc

ene-

setti

ng e

xerc

ise; i

t may

perh

aps

be p

asse

d ov

er b

y re

ader

s w

ho a

re fa

mili

ar w

ith F

reud

'sw

ork.

My

eluc

idat

ion

of F

reud

ian

conc

epts

is se

lect

ive

- co

nfin

edto

thos

e up

on w

hich

Kle

in e

spec

ially

dep

ende

d -

and

also

rath

ercu

rsor

y. T

hose

who

nee

d a s

ound

er b

asis,

or w

ant a

gre

ater

dep

th,

shou

ld c

onsu

lt Sa

ndie

r, D

are a

nd H

olde

r (19

73) a

nd L

apla

nche

and

Pont

alis

(197

3).

Whe

n Fr

eud

starte

d hi

s re

sear

ch

(in t

he

1880

s) i

nto

the

sym

ptom

s of

neu

rotic

and

hys

teric

al w

omen

, the

dom

inan

t mod

eof

psy

chot

hera

py h

ad b

een

deve

lope

d, p

rinci

pally

in F

ranc

e, o

utof

M

esm

erism

, kn

own

in

med

ical

and

sc

ient

ific

circ

les

as'hy

pnos

is1 . Alth

ough

its v

alue

was

dis

pute

d, a

num

ber o

f Fre

nch

phys

icia

ns p

ersis

ted

with

dev

elop

ing

this

kind

of

ther

apy,

ade

velo

pmen

t whi

ch c

ulm

inat

ed in

the

met

hods

and

idea

s of P

ierre

Jane

t. Th

e ge

nera

l th

rust

of

the

Fren

ch m

etho

d w

as t

hat

the

cont

ents

of th

e m

ind

coul

d be

cha

nged

by

sugg

estio

n. U

nwan

ted

thou

ghts

and

troub

leso

me

feel

ings

cou

ld b

e er

adic

ated

; at

titud

esco

uld

be c

hang

ed.

How

ever

, th

is de

pend

ed u

pon

the

patie

nts

10TH

E FO

UN

DA

TIO

N

bein

g pl

iant

and

will

ing

to a

ccep

t the

sugg

estio

ns. S

ome

phys

icia

nsus

ed h

ypno

sis

to in

duce

the

patie

nt i

nto

a pa

rticu

larly

sug

gest

ible

stat

e of

min

d, w

hile

oth

ers

atte

mpt

ed t

o ac

com

plis

h th

eir

aim

sw

ith th

e pa

tient

in th

e no

rmal

wak

ing

stat

e; b

ut a

ll va

riant

s of

this

ther

apy

had

in c

omm

on th

e fa

ct t

hat t

he d

octo

r too

k ov

er c

ontro

lof

the

patie

nt's

min

d an

d ch

ange

d its

con

tent

s.Fr

eud'

s lin

e of

app

roac

h w

as d

iffer

ent.

He

had

stud

ied

thes

ehy

pnot

ic a

nd s

ugge

stiv

e th

erap

ies

in F

ranc

e, b

ut i

n th

e en

d he

aban

done

d th

em.

Inst

ead

he t

ook

up t

he i

deas

of

a V

ienn

ese

med

ical

col

leag

ue, J

osef

Bre

uer.

Bre

uer

had

foun

d so

met

hing

diffe

rent

: if h

e br

ough

t his

pat

ient

into

a h

ypno

tic tr

ance

, the

n go

the

r2 to

talk

abo

ut h

er s

ympt

oms

and

asso

ciat

ed f

eelin

gs a

ndth

ough

ts, h

e no

ticed

that

a st

rong

em

otio

nal r

espo

nse

deve

lope

ddu

ring

the

tranc

e. T

hen,

afte

r the

em

otio

nal r

elea

se, t

he s

ympt

omab

ated

. Fre

ud b

ecam

e m

ore a

ttrac

ted

to th

is e

xpre

ssiv

e m

etho

d, in

cont

rast

to

th

e di

dact

ic

(or

corre

ctiv

e)

met

hods

of

Fr

ench

sugg

estio

nist

s. A

nd t

his

has

rem

aine

d a

fund

amen

tal

diff

eren

cebe

twee

n ps

ycho

anal

ysis

and

cer

tain

oth

er f

orm

s of

the

rapy

-

expr

essio

n of

wha

t is i

n th

e m

ind

vers

us c

orre

ctio

n of

it.

Thus

Fre

ud's

rese

arch

led

him

to

a m

etho

d fo

r ex

plor

ing

the

patie

nt's

psyc

he r

athe

r th

an c

ontro

lling

it.

It is

now

wel

l kno

wn

that

the

se e

xplo

ratio

ns

led

to

his

disc

over

y of

the

dy

nam

ic'u

ncon

scio

us',

a pa

rt of

the

min

d w

hich

is

activ

e in

inf

luen

cing

thou

ghts

, fee

lings

, rel

atio

nshi

ps, a

ttitu

des a

nd b

ehav

iour

in a

way

whi

ch i

s co

mpl

etel

y un

know

n to

the

per

son.

3 He

soug

ht t

o gi

veex

pres

sion

to

wha

t is n

ot u

nder

con

trol,

rath

er th

an to

con

trol i

t.In

the

proc

ess

he d

iscov

ered

tha

t the

con

tent

s of

this

unc

onsc

ious

min

d de

rived

fro

m c

hild

hood

ups

ets,

traum

as a

nd f

right

enin

gph

anta

sies

; an

d in

par

ticul

ar h

e po

inte

d to

a tr

oubl

ed c

hild

hood

phas

e do

min

ated

by w

orry

abo

ut s

exua

l mat

ters

, esp

ecia

lly a

set o

ffe

ars

and

long

ings

con

nect

ed

with

the

par

ents

' se

xual

ity,

the

emer

genc

e of

bab

ies

from

m

othe

r, an

d an

xiet

y ab

out

sexu

alvi

olen

ce o

f var

ious

kin

ds. T

his

inte

nse,

trou

bled

sex

ual l

ife o

f th

ech

ild c

ame

to b

e kn

own

as th

e O

edip

us c

ompl

ex.

In l

ater

cha

pter

s w

e w

ill s

ee h

ow K

lein

ian

anal

ysts

hav

ede

velo

ped

the

notio

n of

exp

ress

ion

(as o

ppos

ed to

sug

gesti

on)

inte

rms

of co

ntai

ning

, and

the

ther

apeu

tic e

ffect

s of

sim

ply

know

ing,

beco

min

g aw

are,

and

thin

king

thou

ghts

.

THE

PSY

CHO

AN

ALY

TIC

BA

CK

GR

OU

ND

11

SYM

BOL

INTE

RPR

ETA

TIO

N

Beca

use

Freu

d w

as n

ot a

ver

y go

od h

ypno

tist,

his

use

of h

ypno

sis

gave

way

to s

impl

e en

cour

agem

ent

of h

is p

atie

nts,

in th

e w

akin

gst

ate,

to

rem

embe

r th

eir

child

hood

pa

st -

he

calle

d th

is t

he'p

ress

ure

met

hod'

. Ev

entu

ally

he

deve

lope

d th

e m

etho

d of

fre

eas

soci

atio

n, w

hen

he h

ad m

ade a

noth

er d

isco

very

- th

e way

dre

ams

can

be d

ecod

ed a

s set

s of p

erso

nal s

ymbo

ls. In

effe

ct, d

ream

s arc

aki

nd o

f sec

ret c

omm

unic

atio

n w

ith o

nese

lf. W

hy w

ould

som

eone

com

mun

icat

e in

sec

ret

with

the

mse

lves

? It

soun

ds a

bit

odd.

How

ever

, on

ce i

t is

reco

gniz

ed t

hat a

n un

cons

ciou

s pa

rt of

the

min

d is

kept

in so

me w

ay o

ut o

f tha

t per

son'

s con

scio

us a

war

enes

s,th

en th

e iss

ues w

hich

rem

ain

in th

e un

cons

ciou

s, an

d ar

e ac

tive i

nin

fluen

cing

the

m, m

ust b

e re

pres

ente

d in

som

e w

ay w

hich

is n

otat

all

appa

rent

to

the

cons

ciou

s pe

rson

. Thu

s dre

ams

repr

esen

t an

unco

nsci

ous

thin

king

abo

ut t

he s

ecre

t th

ough

ts a

nd p

hant

asie

sw

hich

hav

e to

rem

ain

unkn

own.

So F

reud

thou

ght t

hat t

his m

enta

lac

tivity

, whi

ch is

not c

onsc

ious

ly a

ppre

ciat

ed, c

ould

par

tially

bre

akth

roug

h, a

s it

wer

e, i

nto

cons

ciou

snes

s w

hen

the

min

d is

in th

eun

cons

ciou

s st

ate

of b

eing

asle

ep.

But

the

cont

ents

are

obs

cure

dby

bei

ng r

epre

sent

ed i

n di

sgui

sing

sym

bols.

Fre

ud w

orke

d ou

t am

etho

d fo

r tra

nsla

ting t

hose

sym

bols

. It w

as n

ot a

dic

tiona

ry, o

r a'd

ream

boo

k',

of w

hich

the

re w

ere

man

y at

the

tim

e; i

t w

as a

met

hod

of u

nrav

ellin

g th

e id

iosy

ncra

tic s

ymbo

l sys

tem

dev

elop

edby

eac

h in

divi

dual

per

son.

Eac

h pe

rson

(in

deed

, ea

ch d

ream

)de

velo

ps u

niqu

e sy

mbo

ls fo

r the

imm

edia

te pu

rpos

e - t

o co

ntin

ueco

ncea

ling

the

unco

nsci

ous

cont

ents

of t

he m

ind.

Freu

d fo

und

that

if h

e to

ok h

is o

wn

drea

ms,

wro

te t

hem

dow

n,br

oke

them

up

into

indi

vidu

al el

emen

ts, a

nd a

llow

ed h

is m

ind

free

rein

on

each

ele

men

t (f

ree

asso

ciat

ion)

, so

me

them

e re

peat

edly

emer

ged.

He

jotte

d do

wn

note

s of

the

sequ

ence

the

se t

houg

hts

took

. Wha

t em

erge

d w

as a

clus

ter o

f spe

cific

issu

es, m

emor

ies a

ndw

ishes

. Th

ey b

egan

to

cohe

re t

oget

her

with

cle

arer

, an

d m

ore

mea

ning

ful,

links

bet

wee

n th

em th

an in

the

man

ifest

elem

ents

ofth

e dr

eam

itse

lf. A

certa

in th

eme c

ame

up li

ke a

phot

ogra

phic

pla

tein

the

deve

lope

r. A

lthou

gh it

was

not

exp

licitl

y co

ntai

ned

in th

edr

eam

, he

belie

ved

that

such

a re

curr

ing

them

e w

as a

n und

erly

ing

(and

disg

uise

d) c

onte

nt -

the

late

nt c

onte

nt o

f the

dre

am. I

t was

inth

is w

ay th

at F

reud

thou

ght h

e co

uld

crac

k th

e co

de o

f the

dre

am

12TH

E FO

UN

DA

TIO

N

and

reve

al i

ts h

idde

n m

eani

ng. H

e co

ntes

ted

the

view

tha

t th

esy

mbo

ls o

f a d

ream

wer

e un

iver

sal.

Inst

ead,

eac

h sy

mbo

l is

chos

enid

iosy

ncra

tica l

ly b

y ea

ch in

divi

dual

- th

at is

to sa

y, on

each

occ

asio

nth

e sy

mbo

ls an

d th

e co

de m

ust b

e int

erpr

eted

ane

w. H

e in

terp

rete

da

num

ber

of h

is o

wn

drea

ms

in th

is w

ay,

and

then

inc

reas

ingl

yth

ose

of h

is pa

tient

s; h

e re

veal

ed a

ful

l su

bter

rane

an

life

ofm

emor

ies

and

wis

hes,

and

a w

hole

unk

now

n 'g

ram

mar

' whi

char

rang

ed t

he

sym

bols

-

the

proc

esse

s of

con

dens

atio

n an

ddi

spla

cem

ent.

Mos

t tro

ublin

g was

the

fact

that

thes

e hi

dden

men

tal

activ

ities

so

ofte

n co

ncer

ned

sexu

al t

houg

hts

and

wis

hes.

He

beca

me

very

unp

opul

ar fo

r the

se i

deas

in h

is o

wn

prud

ish

times

,an

d to

day

they

stil

l re

mai

n ve

ry c

halle

ngin

g on

firs

t ac

quai

nt-

ance

, eve

n th

ough

man

y of

them

are

now

qui

te f

amili

ar i

n ou

rcu

lture

.Th

e m

etho

d of

free

ass

ocia

tion

enta

iled

getti

ng th

e pa

tient

to

rela

x an

d to

say

wha

teve

r ca

me

into

the

ir h

ead.

The

stre

am o

fco

nsci

ousn

ess

that

was

then

pro

duce

d co

uld

be d

ealt

with

like

the

elem

ents

in a

dre

am an

d th

e as

soci

atio

ns to

them

. The

psy

choa

na-

lyst

wou

ld g

athe

r th

e re

curr

ing

- al

beit

hidd

en -

refe

renc

es t

o th

epa

st, a

nd to

chi

ldho

od s

exua

l pre

occu

patio

ns.

Thos

e ite

ms

in th

epa

tient

's th

ough

ts w

hich

cam

e ne

xt t

o ea

ch o

ther

in

the

time

sequ

ence

wer

e de

emed

to h

ave

a lin

ked

mea

ning

. Thu

s as

soci

atio

nsar

e m

eani

ngfu

l lin

ks, e

ven

thou

gh th

e m

eani

ng m

ay b

e ob

scur

ed,

just

as t

he d

ream

con

ceal

s th

roug

h th

e us

e of

obs

curin

g sy

mbo

ls.Fo

r the

rest

of h

is w

orki

ng lif

e Fre

ud re

lied

mai

nly

upon

his

met

hod

of s

ymbo

l in

terp

reta

tion

to b

ring

out

the

patie

nt's

expr

essi

on o

fhi

dden

issu

es.

TRA

NSF

EREN

CE

How

ever

Fre

ud's

unde

rsta

ndin

g of

sym

bols,

and

the

way

the

unco

nsci

ous

uses

sym

bols,

was

gra

dual

ly su

pers

eded

by

anot

her

appr

oach

. Thi

s to

o w

as in

itiat

ed b

y Fr

eud

him

self

- in

fact

, by

adi

sast

rous

failu

re h

e ha

d w

ith h

is w

ell-k

now

n pa

tient

Dor

a. H

e ha

din

tend

ed D

ora's

cas

e, b

egun

in

Oct

ober

189

9, t

o ill

ustra

te h

ism

etho

d of

drea

m in

terp

reta

tion i

n ac

tion

with

a pa

tient

. Dor

a br

oke

off h

er tr

eatm

ent a

coup

le o

f mon

ths l

ater

, at t

he e

nd o

f Dec

embe

r,in

the

mid

dle

of F

reud

's w

ork.

He

dela

yed

publ

icat

ion

of th

is c

ase

for s

ome f

ive y

ears

bef

ore h

e pr

esen

ted

it, w

ith a

disc

ussio

n of

wha

t

THE

PSY

CHO

AN

ALY

TIC

BA

CK

GR

OU

ND

1J

had

gone

wro

ng (F

reud

, 19

05).

It se

ems

that

he

had

been

so in

tent

on i

nter

pret

ing

the

deta

ils o

f th

e dr

eam

sym

bols

and

follo

win

gth

em u

p th

roug

h th

e as

soci

atio

ns t

hat h

e co

mpl

etel

y ov

erlo

oked

anot

her

occu

rren

ce. T

hat

occu

rren

ce c

ame

to b

e kn

own

as th

e'tr

ansf

eren

ce'.

It co

nsist

ed

of a

par

ticul

ar d

evel

opm

ent

in t

heco

urse

of t

he tr

eatm

ent -

not

a v

erba

l pre

sent

atio

n of

sym

bols

, but

dire

ct w

ishes

tow

ards

the

psy

choa

naly

st h

imse

lf. F

reud

's re

adin

gof

this

was

tha

t Dor

a de

velo

ped

a pa

rticu

lar w

ish

to fr

ustra

te hi

man

d le

ave

him

dis

appo

inte

d. T

his

she

did

by t

erm

inat

ing

the

treat

men

t. Fr

eud

did

not

real

ize

this

im

porta

nt d

evel

opm

ent

inD

ora's

rel

atio

nshi

p w

ith h

im u

ntil

it w

as t

oo l

ate.

Her

wish

to

frus

trate

Fre

ud a

nd ta

ke re

veng

e on

him

by

disa

ppoi

ntin

g hi

m w

asco

nnec

ted

with

Dor

a's o

wn

frus

trate

d di

sapp

oint

men

t in

rela

tion

to h

er f

athe

r. Fr

ustra

tions

that

bel

onge

d to

her

rel

atio

nshi

p w

ithhe

r fat

her h

ad b

een

take

n ou

t on

Freu

d.Ev

er s

ince

his

wor

k w

ith B

reue

r ten

yea

rs b

efor

e, F

reud

had

know

n th

at p

atie

nts

may

fall

in

love

with

the

psy

choa

naly

st.

How

ever

, it w

as n

ot D

ora's

love

whi

ch to

ok h

im u

naw

ares

- it

was

her h

atre

d an

d re

veng

e. T

he tr

ansf

eren

ce is

strik

ing

beca

use

of th

ein

tens

ity o

f bo

th l

ove

and

hate

; the

y be

tray

its u

nack

now

ledg

edor

igin

- in

chi

ldho

od.

Freu

d le

arne

d fro

m t

his

that

he

need

ed to

inte

rpre

t m

ore

than

the

sym

bolic

con

tent

of t

he p

atie

nt's

drea

ms

and

othe

r ve

rbal

mat

eria

l. H

e ha

d to

atte

nd to

and

int

erpr

et t

hem

eani

ng o

f th

ese

unus

ual -

and

une

xpec

ted

- as

pect

s of

the

rela

tions

hip

with

him

self.

So

he c

ame

to d

istin

guis

h tw

o w

ays i

nw

hich

pat

ient

s pr

oduc

ed t

heir

mem

orie

s of

the

past

: one

was

by

reco

llect

ing

in w

ords

; th

e ot

her

was

by

repe

atin

g, in

som

e fo

rm,

actu

al p

ast

even

ts o

r pha

ntas

ies.

Rep

etiti

on (o

r re

-cre

atin

g) in

the

rela

tions

hip

(the

tran

sfer

ence

), as

an

expr

essi

ve a

ct r

evea

ling

cont

ents

of t

he p

atie

nt's

unco

nsci

ous,

has

beco

me

a co

rner

ston

eof

psy

choa

naly

tic te

chni

que.

It c

ould

be

argu

ed th

at th

is is

perh

aps

the

mos

t im

port

ant

deve

lopm

ent

in t

he

clin

ical

pra

ctic

e of

psyc

hoan

alys

is-

mor

e im

port

ant

than

any

of

the

mul

titud

e of

deve

lopm

ents

in

psyc

hoan

alyt

ic th

eory

, bec

ause

the

trans

fere

nce

is th

e to

ol b

y w

hich

all

the

evid

ence

and

test

ing

of th

e th

eory

take

plac

e.

As

we

go t

hrou

gh t

he

mat

eria

l in

lat

er c

hapt

ers,

the

incr

easi

ng i

mpo

rtanc

e of

tra

nsfe

renc

e in

Kle

inia

n pr

actic

e w

illem

erge

.

14TH

E FO

UN

DA

TIO

N

PSYC

HOSI

S AN

D PS

YCHO

ANAL

YSIS

Jung

was

a ps

ychi

atris

t; Fr

eud

was

a ne

urol

ogist

. Thi

s, am

ong

othe

rdi

ffer

ence

s, cr

eate

d st

rain

s w

hen

Jung

and

his

Zur

ich

grou

p jo

ined

up w

ith F

reud

and

the

Vie

nna g

roup

in 1

906;

and

one

of t

he s

train

sw

as t

hat

Jung

had

con

side

rabl

e ex

perie

nce

treat

ing

psyc

hotic

patie

nts,

whi

le F

reud

did

not

. The

re w

ere

a num

ber o

f oth

er s

train

sto

o, b

ut F

reud

's ex

perie

nce

of ps

ycho

tic p

atie

nts w

as th

at h

e co

uld

not a

naly

se th

em. I

n pa

rticu

lar h

e fou

nd th

at sc

hizo

phre

nics

do

not

rela

te to

the

real

wor

ld, o

nly t

o an

imag

inar

y, c

onst

ruct

ed o

ne. T

hey

live i

n a w

orld

of t

heir

own

delu

sion

s and

hal

luci

natio

ns. A

s a re

sult,

Freu

d's

met

hod,

dep

endi

ng a

s it d

id o

n th

e pa

tient

co-

oper

atin

g in

a re

latio

nshi

p w

ith th

e ps

ycho

anal

yst,

faile

d.Fr

eud

atte

mpt

ed to

und

erst

and

schi

zoph

reni

a by

ana

lysi

ng th

ew

ritte

n au

tobi

ogra

phic

al m

emoi

rs of

Judg

e Sch

rebe

r (Fr

eud,

191

1):

he 'p

sych

oana

lyse

d' th

e bo

ok! O

n th

at b

asis

he

deve

lope

d a t

heor

yof

why

psy

chot

ic p

atie

nts

coul

d no

t be

anal

ysed

. In

the

proc

ess,

in19

14, h

e de

velo

ped

his

theo

ry o

f nar

ciss

ism

.

NA

RC

ISSI

SM

Freu

d to

ok o

ver

the

term

'na

rcis

sism

' fro

m H

avel

ock

Ellis

, an

Engl

ish d

octo

r. Fr

eud

had

take

n a

inte

rest

in

Ellis

bec

ause

bot

hst

udie

d se

xual

diso

rder

s; s

o El

lis, i

n tu

rn, h

ad ta

ken

a kee

n in

tere

stin

Fre

ud. T

he n

arci

ssis

t is d

eepl

y -

even

exc

lusi

vely

- se

lf-in

volv

ed;

so F

reud

thou

ght t

hat t

he s

chiz

ophr

enic

, who

was

so

wra

pped

up

in h

is o

wn

wor

ld c

onst

ruct

ed

with

voi

ces,

hallu

cina

tions

and

delu

sion

s, de

serv

ed th

e te

rm 'n

arci

ssis

tic'.

How

ever

, he

expl

aine

dth

is in

term

s of

the

theo

ries

he w

as u

sing

at t

he ti

me.

LIBI

DO

At t

he

begi

nnin

g of

his

res

earc

h Fr

eud

wis

hed

to m

ake

his

desc

riptio

ns a

s rig

orou

s an

d as

scie

ntifi

c as

pos

sibl

e, a

nd to

giv

eth

e im

pres

sion

tha

t he

cou

ld m

easu

re 'p

sych

ic f

orce

s' (m

enta

len

ergy

) jus

t as G

alile

o or

New

ton

coul

d m

easu

re p

hysi

cal O

iies.

He

used

the

idea

of m

enta

l ene

rgy,

whi

ch h

e ca

lled

'libi

do'.

The

libid

ois

dire

cted

tow

ards

an

obje

ct -

that

is, i

t is i

nves

ted

with

a p

erso

n's

THE

PSY

CHO

AN

ALY

TIC

BA

CK

GR

OU

ND

15

inte

rest

. He t

hen

desc

ribed

the

obje

ct a

s 'ca

thec

ted'

with

the l

ibid

o.Th

e te

rms

'cath

ect',

'ca

thex

is'

and

'libi

do'

wer

e La

tiniz

edsc

ient

ific-

soun

ding

wor

ds i

nven

ted,

in

fact

, by

Fre

ud's

Engl

ishtra

nsla

tors

to

try to

impr

ess

a m

edic

al r

eade

rshi

p. T

hey

wer

e no

tFr

eud'

s ow

n te

rms

in

Ger

man

, w

hich

w

ere

actu

ally

mor

edo

wn-

to-e

arth

. 'L

ibid

o' a

nd '

cath

exis

' re

fer

to t

he i

nter

est

orfa

scin

atio

n th

at s

omeo

ne h

as in

som

e to

pic

or so

me

othe

r pe

rson

.Th

e na

rciss

istic

per

son

is se

lf-in

volv

ed; t

he o

bjec

t of h

is g

reat

est

inte

rest

is h

imse

lf. In

the

case

of t

he p

sych

otic

pat

ient

, int

eres

t in

the

wor

ld a

roun

d ha

s be

en

com

plet

ely

lost.

In

the

scie

ntifi

cte

rmin

olog

y, th

e pa

tient

has

'dec

athe

cted

' all

the

obje

cts i

n th

e re

alw

orld

; ins

tead

, the

libi

do h

as b

een

dire

cted

tow

ards

the

self

- it h

asca

thec

ted

the

ego.

So F

reud

des

crib

ed t

he s

elf-

invo

lvem

ent o

f the

schi

zoph

reni

c as

a w

ithdr

awal

of l

ibid

o fro

m th

e w

orld

; as a

resu

lt,m

enta

l ene

rgy

('lib

ido'

, int

eres

t) ha

s be

en i

nves

ted

in th

e pe

rson

of th

e sc

hizo

phre

nic

alon

e, o

r som

e pa

rt of

the

schi

zoph

reni

c.Fr

eud

disc

usse

d th

e co

mpl

icat

ed r

elat

ions

bet

wee

n th

e na

rcis-

sistic

sta

te,

whe

n th

e lib

ido

has

been

with

draw

n an

d di

rect

edto

war

ds t

he s

elf (

ego-

libid

o, h

e ca

lled

it) a

nd th

e m

ore

usua

l sta

tew

hen

the

wor

ld o

f re

al p

eopl

e an

d th

ings

rem

ains

with

in t

hepe

rson

's in

tere

st (o

bjec

t-lib

ido)

. The

term

'obj

ect'

also

nee

ds a

little

expl

anat

ion.

It i

s us

ed i

n th

e se

nse

in w

hich

the

term

'ob

ject

' is

used

in

gram

mar

- 'su

bjec

t-ve

rb-o

bjec

t': t

he o

bjec

t upo

n w

hich

an a

ctio

n is

per

form

ed b

y a

subj

ect.

Freu

d lik

ened

this

pro

cess

, in

whi

ch in

tere

st i

n so

me

othe

r pe

rson

or

obje

ct c

an b

e w

ithdr

awn

(and

lat

er p

ossib

ly r

etur

ned)

, to

the

proc

ess

in w

hich

an

amoe

bapu

ts o

ut a

thre

ad o

f pro

topl

asm

(a p

seud

opod

ium

) to

war

ds th

ings

in it

s en

viro

nmen

t to

test

them

as p

oten

tial f

ood,

and

so

on, a

idca

n w

ithdr

aw it

if it

is n

ot i

nter

este

d. H

e sa

w th

e w

ithdr

awal

aid

redi

rect

ion

of th

e lib

ido

(inte

rest

) as

a fl

uid

situ

atio

n, o

ne w

hich

expl

aine

d m

any o

ccur

renc

es i

n no

rmal

psyc

holo

gy a

s wel

l as i

n th

esc

hizo

phre

nic.

Goi

ng to

slee

p, fo

r ins

tanc

e, e

ntai

ls a

with

draw

al o

fin

tere

st i

n th

e ou

tsid

e w

orld

and

an

inve

stm

ent

in t

he in

tern

aldr

eam

wor

ld o

f th

e ni

ght.

Then

, in

the

mor

ning

, aw

aken

ing

invo

lves

the

redi

rect

ion

of th

e lib

ido,

or m

enta

l ene

rgy,

out

war

dsag

ain

to t

he w

orld

and

the

peo

ple

and

thin

gs t

hat

inte

rest

the

pers

on.

Sim

ilarly

, in

illne

ss o

r in

pai

n th

ere

is a

with

draw

al o

fin

tere

st i

nto

the

self,

or

into

the

parti

cula

r or

gan

that

is d

iseas

edan

d in

pai

n; a

too

thac

he b

ecom

es t

he o

nly

expe

rienc

e fo

r th

e

16 THE FOUNDATION

sufferer, and the rest of the world pales into insignificance whilethe tooth throbs.

Freud's bewilderment with the seriously narcissistic conditions,the psychoses, led him to call them the 'narcissistic neuroses'. Thebeginning of the way out of the problem of investigating thempsychoanalytically will be the focus of the next chapter, and thediscoveries made in those attempts are the roots of psychoanalyticthinking which became identifiably Kleinian.

INTROJECTION ANDPROJECTION

In this chapter and the next we will consider certain aspects of thedevelopment of psychoanalytic ideas mostly before Melanie Kleinstarted her work. This concerns the attempts, particularly by Freudand a colleague in Berlin, Karl Abraham, to understand certainpsychotic symptoms and patients. In describing primitive defencemechanisms and unconscious phantasies I shall draw at times uponthe fuller understanding that was contributed by Klein and hercolleagues, but these notions were deeply embedded in thethinking of Freud and Abraham, explicitly described by them, andreceived from them by Klein and her followers.

During the time (around 1910) when Freud was concernedabout his failures with psychotic patients, Karl Abraham started anew line of thinking in which Freud collaborated closely. Abrahamwas a German psychiatrist who had trained in psychoanalysis withJung in Zurich, but returned to Berlin in 1907 to found the BerlinPsycho-Analytical Society. He was one of the foremost psychoana-lysts in the first generation of Freud's followers, and he was anoutstanding clinical observer of patients and their mental states.

Abraham had an important idea: if it is impossible to investigateschizophrenia directly, then perhaps psychoanalysts should startelsewhere. In manic-depressive psychosis the patient has intermit-tent psychotic phases with lucid, apparently normal, periods inbetween, so Abraham attempted analysis of these psychoticsduring their periods of 'normality'. He produced a series of paperson his discoveries between 1911 and his death in 1924. In 1917Freud produced a major theoretical paper on the same topic:

18 THE FOUNDATION

'Mourning and melancholia'. That paper became significant,because it took his theory of narcissism a step further forward.

INTROJECTIONThe idea of the withdrawal of the libido (interest) can explain theextreme self-involvement of manic-depressive patients - the libidohas turned from the object to the self (ego). In that process thepatient's interest becomes invested solely in him- or herself,invested in that patient's own world of ideas, feelings, memories,worth, and so on. In this way such patients are similar toschizophrenics. Depressives spend a major part of their timereflecting on their own actions, worth, moods, and so forth. Freuddeveloped this point in his paper.

But something else happens too. With the loss of interest(withdrawal of the libido) the depressive comes to feel differentabout him- or herself, and feels towards someone else as if he orshe were actually that other lost person. It is as if not only has thelibido been withdrawn, like the amoeba's pseudopodium, but theobject too has been drawn back inside the self (ego) with the libido.This is a very peculiar process leading to a peculiar state of mind -in essence, a mad one. Such a process appears to have, said Freud,some similarities with another - and this time quite normal - stateof mind. He compared the melancholia of the manic-depressivewith the state of mourning of someone bereaved. Following abereavement, there is a withdrawal of involvement; the interest inthe lost one has to be given up. Freud recounted how emotionallyhard it is to give up interest in a dead spouse, or parent, or child,for instance. It requires a prolonged period of active psychologicalwork to detach one's interest, and this entails great pain over manymonths, at least. He described how this is a step-by-step process,as if every memory of the loved one has to be brought out and, bitby bit, relinquished. Gradually, over time, interest in the world isre-established. Other interests become more lively, and thecapacity to love slowly turns towards others. In this Freud thoughthe saw an analogous process to the narcissistic states - for example,sleep or illness. The amoeba's pseudopodium withdraws, andslowly another one is put out again elsewhere.

In the case of the depressive, the whole process is problematic.

INTROJECTION AND PROJECTION 19

The depressive has a particularly strong ambivalence towards lovedones; that is to say, she or he not only loves but also hates them.Freud thought that the component of aggression and hatred,inevitable in any relationship, is particularly strong in thispathological condition. Even the slightest rebuffs or slights, hardlynoticeable to others, will make depressives feel that they have losttheir loved one and have only a hated one; as if the loved one hasactually been lost. Attention then turns rapidly towards the self -and stays directed there. This results in a particular quality to therelationship with the self, which resembles the way the persononce related to his or her loved object - that is to say, ambivalently,with a special intensity to the hatred. This, then, is self-hate. Whendepressives ruminate upon their worthlessness, this is the hatredthat was once focused upon the object, turned now towards theself (ego). In Freud's view the same reproaches that the depressiveonce directed against the object are now directed against the self.

Because of the excess of hatred, it seems, the patient becomesabsorbed with that same kind of relationship with him- or herself,stuck in a hostile self-relationship. In mourning, in contrast, the lovefor the object is stronger than the hatred, and this leads to a verydifferent course, which allows the eventual turning out again toobjects in the external world. Depression seems to be a process ofmourning which has gone wrong because of the especial strengthof hatred towards the object.

Thus Freud spelled out in this paper a very curious occurrence:it is as though the object is moved from outside the person, literally,to the inside, to join the identity of that person. This is peculiar,even mad. The loved one, who was once hated (as well as loved),has been relocated inside the person, and the hatred continues tobe directed against the ego of the person, inside which the objectis now believed to be located. It becomes real for the patient thatthe object has been moved inside to become an actual part of hisor her own personality. Not only has the libido been withdrawn,but the object itself is also drawn inside. The person's identitybecomes disturbed: it takes on the characteristics of the loved (andhated) one. Freud called this process 'identification': the 'object' isabsorbed into the identity of the 'ego'. Later, with Abraham, thisprocess came to be known as 'introjection'.

20 THE FOUNDATION

Many of Freud's later theories come directly from this idea of aprocess of internalization ('identification', or 'introjection'). In1921 he used the idea of 'identification' as a basis for a revision ofhis theory of social groups. The solidarity in groups, the 'glue' thatsticks people together, is an identification which they have incommon. They all introject the same person (or idea) as a centralpart of themselves (their egos). Christians, for instance, are joinedin their central belief in Christ, and they each 'carry' him in theirheart. In this later view, however, Freud has taken a new step: theodd manoeuvre of introjecting an object is no longer the particularoddity of the depressive - Freud is now observing its regularoccurrence in ordinary people in ordinary groups.

Later, in 1923, Freud based his structural theory of the mind -id, ego and super-ego - upon the idea of introjection. At some pointa child, in the phase of the Oedipus complex, has to give up mother,or father, as their loved one (sexual loved one). Freud thought thatthis was accomplished through the same slow process ofidentification, similar to that in melancholia - that is, the parent iswithdrawn (introjected) into the ego. The super-ego, he said, is 'theheir to the Oedipus complex'. The super-ego is the special bit ofthe ego into which this is absorbed, and it becomes therebysomewhat separate and apart from the rest of the ego. Thesuper-ego represents the standards of the parents which theperson, from then on, honours and loves in the way that the parentswere loved and honoured. The super-ego becomes an internalobject. It is the result of an internalizing movement (introjection)of an object into the inside of the personality. This process givesrise to a new category of objects, 'internal' objects (or 'introjected'objects; or sometimes 'internalized' objects). The only internalobject with which Freud concerned himself was the super-ego.

Abraham, however, took these ideas in a different direction.Whereas Freud's development was a theoretical advance - thestructural model of the mind that integrated the Oedipus complexas well as painful states of unconscious guilt (and masochism) -Abraham's work remained clinical, and his theoretical conclusionswere more limited. His clinical discoveries did in fact suggestprofound theoretical developments, but these were left to othersto make - notably Melanie Klein. We will now look at some ofAbraham's meticulous clinical reports.

INTROJECTION AND PROJECTION 21

THE LOCATION OF OBJECTSThe fullest expression of Abraham's views was written in 1924, justbefore his early death: 'A short study of the development of thelibido, viewed in the light of mental disorders', where he richlyspecified the clinical manifestations of introjection and projection.Abraham concentrated a special interest upon the fate of the object;this contrasted with the more usual emphasis on the vicissitudes ofthe instincts. In Freud's theory of instincts each instinct, and eachcomponent instinct, has a source (in the body), an aim (to dosomething), and an object (the thing or person upon which the dmis carried out). Abraham changed emphasis: from Freud's emphasison the source and the aim to an emphasis on the object. Or rather,he was driven to take this step by his psychotic patients' interestin their objects. It was their anxious interest in what happened totheir objects that led him to emphasize the importance of the'object'.

Abraham illustrated the concreteness of phantasies aboutmoving the object in and out of the self. He established a centralityfor introjection and projection. (A word of warning: this material,coming from psychotic patients, may seem emotionally disturb-ing.)

Example: Anal holding on

One patient, who had had several periods of depression:

began his analysis just as he was recovering from an attack of this[depressive] kind. It had been a severe one, and had set in under rathercurious circumstances. The patient had been fond of a young girl (orsome lime back and had become engaged to her . . . [But something]caused his inclinations to give place to a violent resistance. It had endedin his turning away completely from his love-object...

You will note that the patient turns away from his loved one - thisamounts to the 'withdrawal of the libido from the object'.

During his convalescence a rapprochement took place between himand his fiancee, who had remained constant to him in spite of his havingleft her.

22 THE FOUNDATION

Abraham is indicating to us that the patient's mental state (theclinical depression) recovered with the rediscovery of his love.With the recovery the patient's interest (his libido) turns outwardsto the object again.

But after some time he had a brief relapse, the onset and termination ofwhich I was able to observe in detail in his analysis.

His resistance to his fiancee re-appeared quite clearly during hisrelapse.. .

Abraham uses the term 'resistance' to indicate an anger towards thefiancee; the patient seems to resist his own love. In this sense heloses her. The loved object is lost, or felt to be lost, because she hasturned suddenly into a hated one. Freud's theory expresses this inobjective terms, the 'direction of the libido'. But Abraham nowemphasizes the patient's concern with the object; it is this kind ofsubjective description of loss which he was beginning to discover.Then he reveals a link between this relapse and a particular kind ofactivity with the object:

. . . . and one of the forms it took was the following transitory symptom:During the time when his state of depression was worse than usual, hehad a compulsion to contract his sphincter ant.

The symptom is a bodily one - holding fast to the contents of thebowels. In linking it with the patient's depressive phase, Abrahamis implying that from the patient's point of view the faeces in thebowel represent his hated ('shitty') fiancee, who is slipping awayfrom him. He attempts to hold on to that object as if it is physicallylocated inside him.

Abraham uses Freud's description of the melancholic's loss ofthe object; but in addition he specifies the melancholic's anxiousattempts to restore the object that has been lost. He then describesanother version of the patient's attempt to hang on to the objectby putting it inside him:

A few days later he told me, once more of his own accord, that he hada fresh symptom which had, as it were, stepped into the shoes of thefirst. As he was walking along the street he had had a compulsivephantasy of eating the excrements that were lying about.

This is a repellent notion. However, it is of great significance; thepatient has, in his strange way, substituted another preoccupationwith faeces, an attempt to put them inside him. Again we are asked

INTROJECTION AND PROJECTION 23

to consider that the faeces are equated with his loved (though alsohated) fiancee; and so, with the phantasy of eating the one, he isinternalizing the other (introjection):

This phantasy turned out to be the expression of a desire to take backinto his body the love-object which he had expelled from it in the formof excrement. We have here, therefore, a literal confirmation of ourtheory that the unconscious regards the loss of an object as an analprocess, and its introjection as an oral one.

Abraham thinks this kind of material conveys the very primitiveways in which the mind of a psychotic patient may connect theoutside world with a phantasied world inside the body (or insidethe self, as it is felt). It does so through a bodily activity - eating. Inaddition, loss may, in this patient, be experienced bodily asdefecating.

These are uncongenial notions, which often seem far-fetched.They are, however, the attempts of that time (the 1920s) to capturethe incomprehensible experiences of the psychotic patient.Abraham repeatedly emphasized the processes of losing andregaining loved ones in terms of losing and regaining substancesand things from and into the body. The importance of objectsbelieved, in phantasy, to be inside the body led to a specialimportance for the bodily processes that bring things (objects)inside the body, or lose them out of the body. These objects arebelieved to be quite real at some primitive level for these patients,and are handled just like bodily, physical objects. Loss of one ofthese objects is experienced, unconsciously, as just as real as theexpulsion of faeces out of the body through the anus.

Abraham's descriptions differ from Freud's paper on melancholiain certain fundamental respects, particularly the extra stress heplaces on the complex to-and-fro motion of the object in and outof the body; the very explicit experience of concrete internalobjects (e.g. just like the bodily experience of something, faeces,in the rectum); the relation of these phantasies to oral and analinstincts (sucking and excreting); and thus a clear link betweenbodily instincts and active relationships with objects. Abrahamdescribes these actual phantasies, in disguised form like thenarratives of dreams, as very primitive processes. Love, loss andrestitution expressed as phantasies of bodily activities are i

24 THE FOUNDATION

considerable amplification of Freud's theories about melancho-liacs. They diverted from Freud's theory of the super-ego, and wereto lead psychoanalytic theory in a new direction.

In summary, Abraham described how his psychotic patientswere preoccupied with very primitive processes which haveimportant characteristics: the concreteness of the phantasies aboutthe personality and its make-up; the belief in a physical presenceof entities inside the body; the connection of phantasies of oralincorporation with the mechanism of introjection, and those ofdefecation with projection. However far-fetched these ideas seemat this point, they can hardly be more strange than the minds ofpsychotic patients. I want to turn our attention in the next chapterto the idea of 'unconscious phantasy', which Freud - and especiallyAbraham - were debating in the early 1920s. I shall repeat theattempt to illustrate this fundamental root of unconsciousmeanings, experiences and activities in phantasies connected withbodily sensations.

UNCONSCIOUS PHANTASY

A further illustration from Abraham's 1924 paper reveals theextraordinarily imaginative, and often desperate, quality ofphantasies that unconsciously underlie and give meaning toexperiences. Bear in mind that in Chapter 2 we saw how thesephantasies are rooted in the experience of the body and itsactivities. In the next example these occurrences are not merelythe mad processes of psychotic patients. Now the discovery is thatthe introjection (and the underlying oral phantasies of incorpora-tion) appear as part of the familiar process of mourning as well asin melancholia. The following illustration refers to 'cannibalism'.The notion comes from the idea of introjection - people, loved orhated objects, may be taken in, through the mouth and in theactivity of eating. This is a bodily expressed notion, or 'phantasy1,which underlies the 'mechanism' of introjection.

Example: The bereaved analysand

Abraham's example is a non-psychotic man whose wife becamevery seriously ill while she was expecting their first child, whichwas eventually born by Caesarean section:

My analysand was hurriedly called to her bedside and arrived after theoperation had been performed. But neither his wife nor the prematurelyborn child could be saved. After some time the husband came back tome and continued his treatment. His analysis, and in especial a dreamhe had shortly after its resumption, made it quite evident that he hadreacted to his painful loss with an act of introjection of anoral-cannibalistic character.