A semiotic model of mind

The use of elements of Peirce's philosophy by four well-known psychoanalytic authors

This article highlights elements of Peirce's philosophy used by four well-known psychoanalytic authors, Ricardo Steiner, André Green, Bjorn Salomonsson and Dominique Scarfone, showing how contributions from Peirce's ideas could clarify psychoanalytic matters. The subject of Steiner's paper is how Peirce's semiotic could help to fulfill a conceptual gap mainly in Kleinian tradition in relation to phenomena that occur between what are called "symbolic equations" (representations lived as facts, by psychotic patients) and symbolization. Green's writings question Lacan's conception that the unconscious is structured like a language, suggesting that Peirce's signs, particularly the icons and indices, would be more appropriate to think about the unconscious than the linguistics used by Lacan. One of the Salomonsson's papers gives a good example of how Peirce's philosophic notions can be enlightening in the clinical area, as they are used to answer the criticism that words could not be understood by a baby in a "mother-infant" treatment; the other uses Peirce's conceptions to give interesting suggestions about Bion's beta-elements. The last paper, from Scarfone, broadly address the constitution of significations in psychoanalysis, but we will limit ourselves to consider how Peirce's concepts are used in the model proposed by Scarfone.

Thinking about Psychoanalytic Curricula: an Epistemological Perspective

The author discusses the role that curriculum development can play in preparing psychoanalytic candidates to understand the challenges created by theoretical pluralism in our field and by the growth of knowledge in neighboring disciplines. Curriculum design can be used to encourage the development of epistemological perspectives that can serve as organizing frameworks to help candidates think critically about psychoanalytic knowledge. It is possible to teach these complex matters in a way that students find accessible and useful. The author presents exemplars taken from the curriculum at the Columbia University Center for Psychoanalytic Training and Research in New York.

The function of language in parent-infant psychotherapy

Parent-infant psychotherapy, a rather new field in psychoanalysis, raises questions of how to conceptualize the clinical process. Previous publications have used semiotic concepts to account for the therapist's non-verbal communication and investigated the countertransference, including what the baby might grasp of its variations. The present paper focuses on another argument for using verbal interventions to a baby in therapy; they present him with a symbolic order that differs from that of the parent. The qualitative difference between the parent's and the analyst's address is conceptualized by Dolto's term parler vrai. The therapeutic leverage is not the analytic interventions' lexical content but their message that words can be used to expose conflicts. Thereby, one can transform warded-off desires into demands that can be negotiated with one's objects. The reasons why this address catches the baby's attention are discussed. A prerequisite for such attention is that the infant brain is prewired for perceiving words as a special communicative mode. Relevant neuroscientific research is reviewed in regard to this question. The presentation relies on concepts by Dolto, Lacan and Winnicott and findings from neuroscience and developmental psychology. It also briefly discusses Chomsky's linguistic concepts in relation to these therapies.

Unplanned reaction or something else? The role of subjective cultures in hazardous and harmful drinking

This study compares the impact of levels of impulsivity and subjective cultures through which subjects interpret their experience of the social environment on the probability of hazardous and harmful alcohol use. A sample of 501 participants from Southern Italy completed a series of questionnaires in order to detect their subjective cultures and levels of impulsiveness (attentional, motor and non-planning). Moreover, alcohol consumption, drinking behavior, alcohol-related problems and adverse reactions during the past year were assessed. A sub-group of hazardous and harmful drinkers (n = 106; 21%) was identified and a healthy control group (n = 127; 25%) was selected. Members of the hazardous and harmful group view the social environment as a significantly more unreliable place, and also scored higher on motor impulsiveness and lower on non-planning impulsiveness. Discussion considers theoretical and clinical implications of the results.

Psychodynamic therapies with infants and parents: a critical review of treatment methods

The theory of psychoanalysis has always relied on speculations about the infant's mind, but its clinical practice was slow in taking an interest in babies and their parents. The therapy methods that nevertheless have evolved during the last 50 years differ in their emphasis on support or insight, which roles they attribute to mother and baby in therapy, and to what extent they focus on the unconscious influences in mother and baby, respectively. They also differ to what extent their theories rely on classical psychoanalysis, attachment psychology, developmental psychology, and infant research. Each method also contains assumptions, most often tacit, about which kinds of samples for which they are most suited. The article describes the most well-known modes of psychodynamic therapy with infants and parents (PTIP). There is a certain emphasis on methods that are less known to the U.S. readership, such as the French and Scandinavian traditions. It submits them and the other methods to a critical review.

Is there a nonverbal period of development?

That the infant lives in a nonverbal sensorimotor world is widely believed. Yet this notion is being challenged by research, in a range of fields, that depicts the young infant as actively attuned to aural speech from birth and able to process and use its sounds and meanings well before the end of the first year. Following a selective review of the research on infant speech processing between birth and age twelve months, three questions are identified that highlight the theoretical and clinical implications of this research for psychoanalytic conceptualizations of infancy, the nature of language, and clinical process. The research, it is concluded, identifies the operation of linguistic and conceptual processes in early life, processes that may intersect with the experiential and emotional processes with which psychoanalysis is already concerned. Moreover, this research raises questions about the view that the nature of infancy is essentially nonverbal.

Silent cries, dancing tears: the metapsychology of art revisited/revised

Against the backdrop of a broad survey of the literature on applied psychoanalysis, a number of concepts underpinning the metapsychology of art are revisited and revised: sublimation; interrelationships between primary and secondary processes; symbolization; "fantasy"; and "cathexis." Concepts embedded in dichotomous or drive/energic contexts are examined and reformulated in terms of a continuum of semiotic processes. Freudian dream structure is viewed as a biological/natural template for nonrepressive artistic forms of sublimation. The synthesis presented proposes a model of continuous rather than discontinuous processes, in a nonenergic, biosemiotic metatheoretical framework.

Embodied language in neuroscience and psychoanalysis

There have been relatively few discussions of systematic studies of language, including neuroscience studies, in the psychoanalytic literature. To address this dearth, a detailed review of research on embodied language in neuroscience and related disciplines is presented, after which their findings are considered in light of diverse views of language in psychoanalysis, specifically the models of the Boston Change Process Study Group, Wilma Bucci, Fonagy and Target, David Olds, and Hans Loewald. The juxtaposition of psychoanalytic models with the findings of research on embodied language shows that scientific studies can focus psychoanalytic understanding of verbal processes, and that integrations with neuroscience neither inherently threaten the traditional psychoanalytic focus on verbal meanings nor reduce the richness and complexity of psychoanalytic theory.

Leaping from brain to mind: a critique of mirror neuron explanations of countertransference

In the current vigorous debate over the value of neuroscience to psychoanalysis, the epistemological status of the links between the data of brain research and the constructs of interest to psychoanalysts has rarely been examined. An inspection of recent discussions of mirror neuron research, particularly regarding countertransference, reveals gaps between psychoanalytic processes and the available brain activation data, and allows the evaluation of evidence for three implicit assumptions frequently made to bridge these gaps: (1) there is a straightforward correspondence between observed brain activity and mental activity; (2) similarity of localized brain activity across individuals signifies a shared interpersonal experience; (3) an automatic brain mechanism enables direct interpersonal sharing of experiences in the absence of inference and language. Examination of mirror neuron research findings reveals that these assumptions are either untested or questionable. Moreover, within neuroscience there are competing interpretations of mirror neuron findings, with diverse implications for psychoanalysis. The present state of mirror neuron research may offer us new hypotheses or metaphors, but does not provide empirical validation of the proposed models. More generally, as we attempt to learn from research findings generated outside psychoanalysis, we must strive to think scientifically, by minding the difference between data and interpretation.

The language of empathy: an analysis of its constitution, development, and role in psychoanalytic listening

Viewed from an epistemological perspective, empathy in psychoanalytic practice is described as that aspect of a specialized attentional stance that opens channels of interaction facilitating the formation of a trusting bond and enabling one to gain access to the emotional qualities of another's experience. A literature overview traces the origins of the concept in Freud and its role in psychoanalytic listening (including its controversial, divisive evolution in our field). Empathy is then examined from a semiotic-developmental framework. Its constitutional origins, differentiated forms, and distinctive purpose in clinical discourse are discussed. A developmental line is proposed, and clear distinctions are drawn between empathy in everyday life and its specialized technical application in clinical work.

Semiotic transformations in psychoanalysis with infants and adults

The author addresses issues that emerge when we compare psychoanalytic experiences with adults and with infants. Two analyses-one with a 35 year-old woman and one with a 2 week-old boy and his mother-illustrate that infant psychoanalytic experiences help us understand and handle adult transference. However, we cannot extrapolate infant experiences to adult work. Truly, witnessing the baby's communication widens our sensitivity to non-verbal layers of the adult's communication. Infant work also offers a direct encounter with the container and the contained personified by a mother with her baby. But we need to conceptualize carefully the links between clinical experiences with babies and adults. When we call an adult transference pattern 'infantile', we imply that primeval experience has been transformed into present behaviour. However, if we view the analytical situation as one in which infantile invariants have transformed into adult symptoms, we face the impossible task of indicating the roots of the present symptoms. The author rather suggests that what is transformed is not an invariant infantile essence but signs denoting the patient's inner reality. He proposes we define transformation as a semiotic process instead of building it on an essentialist grounding. If we view the analytic situation as a map of signs that we translate during our psychoanalytic work, we can proceed into defining containment as a semiotic process. This idea will be linked with a conceptualization of the mother-infant relation in semiotic terms.

From the repression of contents to the rules of the (narrative) self: a present-day cognitive view of the Freudian phenomenon of repressed contents

In psychoanalysis, it is commonly thought that ideas (desires, fears, etc.) may be repressed, and that they can be made conscious. In this article, we shall apply cognitive viewpoints and assert that ideas do not exist in the unconscious as 'ready made', and thus repressed ideas cannot be 'brought' into consciousness. We suggest that the contents of consciousness are formed by processes on four levels: (1) unconscious brain processes, (2) the level of consciousness, (3) the level of self-consciousness, and (4) the level of narrative self-consciousness. From this point of view, the absence (or repression) of certain contents appears to be due to the missing of processes on Levels 1-4. Consequently, repressed contents appear in consciousness when appropriate processes take place. When studied in terms of our four-level model, repression may be treated as part of the study of the self. By applying the viewpoint of the self to the phenomenon of repression, the danger of the homunculus problem can be avoided. It also becomes apparent that certain fundamental problems met in the study of the self are the ones that Freud tried to solve in his meta-psychological writings.

The mind–brain relation and neuroscientific foundations: I. The problem and neuroscientific approaches

Understanding the mind-body relation is crucial for any meaningful advance in the psychoanalytic understanding of the neurobiological integrity of the human person and of the interaction between psychoanalysis and the neurosciences. Recent neuroscientific research has contributed significant findings having important implications for understanding the mind-body relation. Here the author comments on some theoretical positions regarding the mind-body problem of brain researchers in terms of the monistic-dualistic alternatives. Furthermore, the author briefly considers some of the recent technological advancements that have revolutionized thinking specifically about the mind-brain relation.

The mind–brain relation and neuroscientific foundations: II. Neurobehavioral integrations

Neuroscientific research focuses on the mind-brain relation, particularly with respect to patterns of brain arousal and activity in the production of various forms of behavior, both external and mental behavior. In this article the author reviews neuroscientific findings to demonstrate that there are no activities of the human person, whether in the form of external behavior or purely mental activity, that are not produced by activation of the CNS. Areas considered include information processing, development, brain plasticity, language, memory, and affects.

Identification: psychoanalytic and biological perspectives

In recent attempts to bring psychoanalysis into greater contact with other sciences, a number of works have explicated neural science concepts and phenomena--affect, memory, consciousness--for the psychoanalyst. These efforts have helped analysts build a more scientific foundation for their theory and practice. A related task remains--namely, to take psychoanalytic concepts and see how they relate to other sciences. The concept of identification has a long history in psychoanalytic theory. It is seen in parent-child interactions, in teaching and mentoring relationships, and in psychoanalysis and psychotherapy. Neuropsychology and evolutionary biology have explored the phylogenetic precursors of identification, while genetics and infant observation provide insights into individual processes of identification. Finally, neuroscience, particularly recent studies of mirror neurons, offers information about the biological mechanisms of imitation and the relationship of imitation to identification. Findings from these sciences are presented in an effort to further the psychoanalytic understanding of identification, especially its biological underpinnings.

Insight, working through, and practice: the role of procedural knowledge

A conception of insight is proposed, based on a systems and information-processing framework and using current neuroscience concepts, as an integration of information that results in a new symbolization of experience with a significant change in self-image and a transformation of non-declarative procedural knowledge into declarative knowledge. Since procedural memory and knowledge, seen to include emotional and relationship issues, is slow to change, durable emotional and behavioral change often requires repeated practice, a need not explicitly addressed in standard psychoanalytic technique. Working through is thus seen as also encompassing nondynamic factors. The application of these ideas to therapeutic technique suggests possible therapeutic interventions beyond interpretation. An illustrative clinical vignette is presented.

Further thoughts on dualism, science, and the use of medication in psychoanalysis

In response to Deborah Cabaniss's article, "Beyond Dualism: Psychoanalysis and Medication in the 21st Century," the author further considers the differences between the aims of symptom reduction and psychic integration, the concept of mind-body dualism, and the nature of scientific inquiry as they pertain to the use of medication in psychoanalytic therapies. He warns against the collapsing of concepts, aided by a misapplication of science, with respect to how we listen to, organize, and respond to clinical material. He argues that only when such scrutiny occurs can the important and challenging questions pertaining to the use of medication in psychoanalytic therapies be meaningfully considered.