pluralidad y diálogo en psicoanálisis [plurality and dialogue in psychoanalysis]

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Nissim Momigliano L, Robutti A, editors (1992). Shared experience: The psychoanalytic dialogue. London: Karnac. Widerberg B (1969). Adalen 31. Svensk Filmindustri. Antonino Ferro Via Cardano 77, I–27100 Pavia, Italy E-mail: [email protected] Pluralidad y Dia´logo en Psicoana´lisis [Plurality and Dialogue in Psychoanalysis] by Joan Coderch Herder, Barcelona, 2006; 220 pp; e24.90 Both in his clinical practice and in his publications (La InterpretaciɃn en PsicoanƁlisis [Interpretation in Psychoanalysis] and Teorȷa y TȖcnica de la Psicoterapia Psicoanalȷti- ca [Theory and Technique of Psychoanalytic Psychotherapy], among others), Dr Joan Coderch has shown a deep interest in unravelling the complexities of this impossible professionthat is psychoanalysis. He always compares his own clinical experience with the relevant literature without taking shelter in our predecessorsauthority. Coderch seems to be especially concerned with specifying what is the true nature of psychoanalysis and psychoanalysts, and which theories are best suited to sustain it. It is surprising to find that Freud himself was still interested in this topic as late as 1928. At that time he wrote to his disciple Oskar Pfister, ‘‘I want to protect anal- ysis from physicians and from priests. I want to entrust it to a profession that doesnt yet exist, a profession of secular ministers of souls, who dont have to be physicians and must not be priests’’ (Freud, 1963, p. 126). In a subsequent letter Freud clarifies that, when he envisions his psychoanalysts of the future, he is thinking of a very distant future. Such a statement seems to anticipate that the understanding of the true nature of psychoanalysts will demand many years and great effort. I think that we have not truly acknowledged, as Bion has done, that psychoanalytic practice is a new profession for mankind. This fact generates such personal and social apprehension that we all feel reassured if we can refer psychoanalysis to a discipline already known to us (medicine, for example). The novelty of psychoanalysis probably underlies the first problem posited by Coderch, namely, the current plurality of psychoanalytic theories – a tower of Babelthat seems to threaten us with the confusion described in the myth. Coderch appears tolerant toward this theoretical and practical diversity. He even tends to see it as beneficial. Diversity, in his view, offers us the freedom to offset the danger of its triggering inquisitorial responses such as, ‘‘This is not psychoanalysis’’ , ‘‘So and so is not a psychoanalyst’’, and so on. I have some objections to such a benevolent attitude. First, as Coderch himself admits, an old tenet established by Freud himself prescribes that we can call psychoanalyst anyone who sufficiently believes in the psychic unconscious, the transference, resistance, and infantile sexuality or the Oedipus complex. In the past I have found the comparison between psychoanalysis and Darwinism suggestive. Despite debates among current neo-Darwinians, Darwinism has held on to the hard core of its thought – the idea of evolution, the common origin of the ª 2008 Institute of Psychoanalysis Int J Psychoanal (2008) 89 Book Reviews 1059

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Nissim Momigliano L, Robutti A, editors (1992). Shared experience: The psychoanalytic dialogue. London:Karnac.

Widerberg B (1969). Adalen 31. Svensk Filmindustri.

Antonino FerroVia Cardano 77, I–27100 Pavia, Italy

E-mail: [email protected]

Pluralidad y Dialogo en Psicoanalisis[Plurality and Dialogue in Psychoanalysis]

by Joan CoderchHerder, Barcelona, 2006; 220 pp; e24.90

Both in his clinical practice and in his publications (La Interpretaci�n en Psicoan�lisis[Interpretation in Psychoanalysis] and Teor�a y T�cnica de la Psicoterapia Psicoanal�ti-ca [Theory and Technique of Psychoanalytic Psychotherapy], among others), Dr JoanCoderch has shown a deep interest in unravelling the complexities of this ‘impossibleprofession’ that is psychoanalysis. He always compares his own clinical experiencewith the relevant literature without taking shelter in our predecessors’ authority.Coderch seems to be especially concerned with specifying what is the true nature ofpsychoanalysis and psychoanalysts, and which theories are best suited to sustain it.

It is surprising to find that Freud himself was still interested in this topic as lateas 1928. At that time he wrote to his disciple Oskar Pfister, ‘‘I want to protect anal-ysis from physicians … and … from priests. I want to entrust it to a profession thatdoesn’t yet exist, a profession of secular ministers of souls, who don’t have to bephysicians and must not be priests’’ (Freud, 1963, p. 126).

In a subsequent letter Freud clarifies that, when he envisions his psychoanalystsof the future, he is thinking of a very distant future. Such a statement seems toanticipate that the understanding of the true nature of psychoanalysts will demandmany years and great effort. I think that we have not truly acknowledged, as Bionhas done, that psychoanalytic practice is a new profession for mankind. This factgenerates such personal and social apprehension that we all feel reassured if we canrefer psychoanalysis to a discipline already known to us (medicine, for example).The novelty of psychoanalysis probably underlies the first problem posited byCoderch, namely, the current plurality of psychoanalytic theories – a ‘tower ofBabel’ that seems to threaten us with the confusion described in the myth. Coderchappears tolerant toward this theoretical and practical diversity. He even tends tosee it as beneficial. Diversity, in his view, offers us the freedom to offset the dangerof its triggering inquisitorial responses such as, ‘‘This is not psychoanalysis’’, ‘‘Soand so is not a psychoanalyst’’, and so on.

I have some objections to such a benevolent attitude. First, as Coderch himselfadmits, an old tenet established by Freud himself prescribes that we can callpsychoanalyst anyone who sufficiently believes in the psychic unconscious, thetransference, resistance, and infantile sexuality or the Oedipus complex.

In the past I have found the comparison between psychoanalysis and Darwinismsuggestive. Despite debates among current neo-Darwinians, Darwinism has held onto the hard core of its thought – the idea of evolution, the common origin of the

ª 2008 Institute of Psychoanalysis Int J Psychoanal (2008) 89

Book Reviews 1059

species and natural selection. The main difference with psychoanalysis is thatDarwinism does not involve a professional practice, and it is probably at this levelthat the strongest disagreements among psychoanalysts occur. Once again, Bionhas expressed it very clearly:

The gap between what some regard as analysis and what I, as a Kleinian, regard as analysisis very wide and widening. This is attributed to differences in theory. I do not believe thatwhat separates scientists is their difference in theory. I have not always felt ‘separated’ fromsomeone who differs from me in the theories he holds … Conversely, I have felt very far sep-arated from some who, apparently, hold the same theories.

(Bion, 1970, p. 86)

I believe that over the course of his study Coderch has reached a decisive conclu-sion – every interpretation produced by an analyst bears a manifest and an implicit(pragmatic – communicative) content. Through the implicit content ‘analystsconvey their attitude and their way of relating to their analysands’. The manifestcontent varies according to the analysts’ theoretical model. The implicit one, bycontrast, hinges on the setting and on the analysts’ stance regarding the analyticprocess, and remains unchanged throughout it. Based on these presuppositions, theauthor ends this first chapter stating that ‘‘if analysts work properly, they alwaysconvey to their analysands their interest in listening to them and in understandingthem, as well as their wish not to thwart their analysands’ freedom and to helpthem think and become responsible for their actions. This explains why all analy-sands may be helped by their analysts despite differing interpretations’’. In thisphrase – ‘‘if analysts work properly’’ – Coderch is ‘forced’ to state that to provide aclarifying element in our present-day ‘Babel’, we must determine the identity of theanalyst. What is implicit here is that if the pragmatic–communicative aspect ofinterpretation shows that analysts are steering, leading, or subjugating theirpatients, or making them into the analysts’ own image (into their disciples, forinstance), it means that analysts have not understood their role, regardless of theappropriateness of their theories.

Even though the IPA itself has organized meetings on psychoanalytic identity inthe past, it seems that there have been no further attempts to discuss the topic, per-haps out of fear of the inquisitorial persecution mentioned by Coderch. Nevertheless,avoiding an honest discussion of this problem implies ignoring a question oftenraised by Freud himself, not only in his letters to Pfister, but also in texts such asThe Question of Lay Analysis and many others that would take too long to mention.

Finally, even on this point we would be atypical, because in all other professionsthe suitability of their members is openly discussed. Other professionals do not seekshelter in an illusory attempt to belong to a collective that is free of these problems.Moreover, permanent conflict within psychoanalytic associations belies such an illu-sion. I wonder if what lies at the bottom of this conflict is the crucial problem ofthe psychoanalytic identity of their members, which nobody wants to debatecandidly.

In the following chapters Coderch attempts to establish a connection with kin-dred disciplines such as philosophy of language, philosophy of science, hermeneu-tics, neuroscience and sociology. He thus breaks with a dreadful tendency amongpsychoanalysts to withdraw into their own theories and methods, as though fearfulof contamination or of the distortion of their ideas.

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Thus in Chapter 3 the author tries to determine the scientific status of psycho-analysis by means of current findings in philosophy of science. Once again we cansee how the author strives to establish the identity of this new activity and disci-pline called psychoanalysis. I think that if any doubt remained that psychoanalysisis indeed a ‘new and unknown activity for mankind’, it would be dispelled by thefact that one hundred years after its birth we are still trying to discern its nature.

As we all know, the problem stems from the fact that both Freud and his follow-ers have tried to determine whether this new discovery should be considered a natu-ral or a humanistic science. The so-called ‘establishment’ or ‘institutionalpsychoanalysis’ seems to have opted for the wish to belong to the group of the‘hard’ natural sciences, which is, as Coderch states, the most prestigious club. Freudand many of his disciples tried to achieve membership by developing a meta-psychology – a theoretical creation that would gradually become the serious theory,the basic theory of the new science.

Oddly enough, on this point as in many others Freud’s followers seem to havebeen more Catholic than the Pope. Freud himself did not take his metapsycho-logical postulates so seriously. We may recall here that he referred to instincts as‘our mythology’, and to metapsychology as ‘our witch’. Furthermore, he consideredmany of his theories as provisory scaffoldings that might be replaced at any timeby others better suited to explain the observed facts. Yet just like his famous theoryof the death drive, what had started as pressing speculation became for many of hisdisciples a fundamental aspect of the theoretical edifice of psychoanalysis.

Coderch is right again when he introduces here the fundamental criticism of thegroup of anti-metapsychologists led by George Klein. However, he does not quotewhat in my view is this author’s most significant essay, Two Theories or One?(Klein, 1973). The most important aspect of this article is that it shows both howinadequately metapsychology explains psychoanalytic phenomena, and the seriousdistortion created by transforming this set of ideas into the essential and only psy-choanalytic theory. Clinical theory is thus denied its theoretical status, when it isprecisely this conceptualization that revolutionized psychology and the entire cul-ture of the twentieth century as well.

Coderch seems confident that the debate will lean towards the hermeneutic pos-tulates of psychoanalysis. He doubts, however, that we psychoanalysts are capableof resigning our illusion of practising a ‘serious’ science, for we do not acknowl-edge that this metapsychological aspiration renders our discipline the target ofmalicious and groundless attacks by naturalists. We have defended ourselves fromsuch attacks by resorting to the well-worn argument of resistance aroused bypsychoanalysis. Yet we should admit that natural scientists do not usually attackthe validity of humanistic sciences such as history, sociology, anthropology, oreven psychology. These disciplines remain within their research realm withoutclaiming to belong in that of the natural sciences. In addition, it seems to be gen-erally accepted that scientific criticism must be offered by one’s peers. Only physi-cists have the authority to discuss physics theories, or biologists to discussbiology theories, and so on. We should ask then why so many strangers spendtheir time criticizing psychoanalysis with no grounds to do so. Maybe the mainreason is that we pretend to be what we are not. In fact, many of these attacksare reminiscent of the pecks endured by roosters when they try to invade otherfarmyards.

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The author’s research brings to light the fact that just as in 1928, when Freudwas writing to Pfister, in 2006 we have not yet deciphered the nature of our disci-pline. Nonetheless, Coderch takes a big step forward towards establishing our iden-tity when he points out that the use of empathy is an essential and specific aspectof our work. This element is absent from natural scientific research and is present,by contrast, in fields such as cultural anthropology. Cultural anthropologists needto identify with their object so as to understand it and, like us, run the risk of notbeing able to step outside such identification. (It is not rare to learn of anthro-pologists forever trapped in the tribe they were studying.) Ethologists, sociologists,archaeologists, historians, and linguists may need to use empathy to a certainextent, which might be an indicator of our discipline’s membership group. Let usmention here that none of these specialists is the object of impertinent assessmentsby naturalists.

In this sense, it seems to me that Coderch himself shows some doubt regardingthe abandonment of the naturalist dream when he argues in favour of equatingcauses and reasons. In the end, however, he opts for the usefulness of maintainingthe old differentiation established by Dilthey. I usually illustrate this problem withthe example of the Tajo river. During the entirety of its known life, the Tajo hadflowed through the Castilian plateau into the Atlantic Ocean in Portugal, until amanmade project diverted part of its waters to the Mediterranean. It is obviousthat the river has no attachment, intention, or preference for one or the other sea,and that it is moved only by causes such as geographical features and gravity.Human reasons modified its final destination.

What is specific to mental life is precisely intentionality and desire, and henceresponsibility, guilt and, ultimately, freedom. The latter is inherent to human lifeand, in fact, in the metapsychological endeavour there is an attempt to eliminate itbecause philosophy of science used to consider teleology an anathema (there seemsto have been some change regarding this issue). Nevertheless, as George Kleinconcludes:

Grasping intentionality and meaning will always constitute a special level of observation.Psychoanalysts should never feel guilty regarding the goals of their enterprise. There is nosuch thing for analysts as stimuli and responses, but rather encounters that bear meaning.Their task is to decipher that meaning.

(Klein, 1970, p. 591)

At the end of his research Coderch concludes that ‘‘psychoanalysis is a science,albeit not of a scientific–natural nature. It is a human science, because it is basedon observation and its interpretation, but it is conducted by means of a dialoguebetween two human beings’’ (p. 134). This definition, with which I basically agree,contains, however, a very important problem that requires more attention. Bion hasoften remarked on it. I am referring to the fact that observation of psychoanalyticphenomena does not take place through the sensory organs, as does observation inother sciences. Anxiety, love, or envy cannot be touched, seen, or heard, for theypossess no sound or colour. Physicians may see, hear, and touch, but psycho-analysts must perceive the objects of their research through non-sensory perception,even though we may be confused by expressions as common as ‘‘I can clearly seewhat you feel’’; or, like Marcellus’ in Hamlet, ‘‘Something is rotten in the state ofDenmark’’.

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I am certain that Coderch knows Bion’s ideas very well because I have seen themmentioned elsewhere in his work. I believe, however, that it would have been appro-priate to introduce them in this book, because they may be clearly linked to thenotion of empathy. Even though Bion believed that psychoanalytic phenomena areperceived by intuition while Freud considered that they are perceived by conscious-ness, I believe that there are other writings by Freud that are much more relevanthere. For instance, Totem and Taboo, where he states as follows:

For psycho-analysis has shown us that everyone possesses in his unconscious mental activityan apparatus which enables him to interpret other people’s reactions, that is, to undo the dis-tortions which other people have imposed on the expression of their feelings.

(Freud, 1913a, p. 160)

I think that this text strongly supports the specific relevance of empathy high-lighted by Coderch, and also sheds some light on the problem posited by Bion.

Freud always sought contact and support among the scientific disciplines of histime, and sometimes regretted finding neither. For instance, he often yearned for ascience such as ethology, which emerged shortly after his death and would haveserved as the basis for his theory of the drives. Bowlby, Fonagy, and others havedrawn from the findings of this discipline later on. One wonders what Freud wouldhave done with current genetics in connection with his complementary series, withpresent-day anthropology in relation to his ideas on totems and taboos, or withcurrent sociology and his views on civilization and its discontents … Psycho-analysts who succeeded him, however, seem to have preferred to keep his work, asHome has humorously pointed out, like the room of the dead husband – untouch-able, bolted and barred by the negating widow.

Coderch, on the contrary, prefers to open it to let in the fresh air of philosophyof language and philosophy of science. He also welcomes the ideas of neuroscienceon such a fundamental topic in our practice as memory, or its not less decisiveacknowledgment of a non-repressed unconscious. Finally, in his chapter devoted tonarcissism the author studies the sociology of our times. Present-day culture isutterly dominated by a narcissism that negates dependency to the extreme of deny-ing our reliance on our own planet Earth, which we are plundering and pillaging ina manic, inconsiderate and suicidal way. Indeed, as Coderch stresses, it is the exac-erbated narcissism of our society that transforms psychoanalysis itself into a mostunpopular science. The cause of its unpopularity lies in the fact that one of thebases of its theory is precisely the essential need to re-establish the acknowledg-ment, care and respect we owe to the objects upon which our lives depend. Interest-ingly enough, on this point we come into conflict once again with the so-called‘hard’ sciences, whose arrogant materialism makes them accomplices in the deterio-ration of our society.

Bion mentions an exchange he once had with an atomic physicist for whomGreek, Latin, poetry and literature were but trivial matters with which OxfordUniversity pitifully wasted its time. The British psychoanalyst deplores the fact thatscientists seem to be more interested in developing their intelligence and cunning tomake their discoveries than in attaining the wisdom to apply them. That is whyatomic physics and so many other scientific and technological marvels, such as theInternet, are associated with the anxiety caused by their use by ignorant and evilminds.

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Like the humanistic disciplines abused by Bion’s atomic physicist, psychoanalysiscan promote the development of the necessary wisdom to make appropriate use ofsuch dangerous knowledge. Yet I wonder if, immersed as we are in our society,psychoanalysts are aware of this ability, or if we remain dazzled by the sparklingtriumphs of the hard sciences and disregard our own potential.

Coderch’s book devotes a chapter to psychoanalysis and psychotherapy that isthe most clarifying I have read on this topic. Instead of opposing them in amore or less radical and sterile way, as authors usually do, he establishes a dia-logue between these practices that is both enriching and consistent. I only haveone objection to make. Why does he define psychotherapy as applied psycho-analysis? I have always been struck by the fact that psychoanalysts have not fol-lowed Freud on this point, when they have been so orthodox on so manyothers.

As is well known, Freud was eager to consider psychoanalysis as a completelyautonomous discipline that could be applied to very diverse matters such as medi-cine, sociology, religion, history, or the arts – hence his Claims of Psychoanalysis tothe Interest of the Non-psychological Sciences (Freud, 1913b). Nonetheless, his fol-lowers, showing a rare unanimity, only regard as psychoanalysis its medical applica-tion, with three or four weekly sessions and so on. Everything else is appliedpsychoanalysis, which is obviously second-class. Freud, by contrast, applied psycho-analysis to everything, from the Wolf Man to Hamlet, Moses and religion, theprimitive tribe, or Gradiva. The assessment his disciples have made of these studieshas been so confusing that they have not hesitated to place in the highest level,conversely, writings such as Little Hans and The Schreber Case. These should neverbe included in the category of plain psychoanalysis, but rather in that of appliedpsychoanalysis. Why haven’t psychoanalysts followed Freud’s judgement? Have theychosen to do otherwise so that they could remain forever connected with a ‘respect-able’ science such as medicine? Are we aware that this intimate connection was thefate dreaded by Freud, since it reduces psychoanalysis to a small space in the treat-ment section of the psychiatry manuals?

The book ends with a rigorous chapter, along the same lines as the rest of thetext, on The Plurality of Child Psychoanalysis, written by another outstanding Cata-lan psychoanalyst, Joana Mar�a Tous.

One final conclusion: this is the type of research that present-day psychoanalysisneeds if it intends to survive into the twenty-first century. Every psychoanalyst whoreads it, therefore, decisively contributes to his or her own survival.

References

Bion W (1970). Attention and interpretation. London: Tavistock Publications. [(1974). Atencion e interpretacion.Buenos Aires: Paidos.]

Freud S (1913a). Totem and taboo. SE 13:1–164.Freud S (1913b). The claims of psycho-analysis to scientific interest. SE 13:165–92.Freud S, Meng H, editors (1963). Psycho-analysis and faith: The letters of Sigmund Freud and Oskar Pfister,

Mosbacher, translator. London: Hogarth.Klein G (1970). ¿Dos teorıas o una? Rev Argentina Psicoanal 27:553–94.

Juan Francisco RodrıguezAvda. Brasil 4, 28020 Madrid, SpainE-mail: [email protected]

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