Psychoanalysis in times of Science An Interview With Paul Verhaeghe, 2011
When you are working analytically, you have the so-called preliminary conversations. That means that you postpone the moment when you have someone lying on the sofa, on the couch. You have to have an indication of when to begin, a point where you can say: now is the time that I can put someone on the couch. With a number of people this point was never reached because the problem for which they came was of such a nature that putting them on the couch would have had a contra-therapeutic or contra-analytic effect. Then I ask myself why this is the case. What problem am I dealing with here? Which diagnosis, with all the nuances of the word diagnosis, which diagnostic structure is facing me? The first answer that I could defend, that I could do something with and which I still defend, was an old Freudian category, Aktualpathologie. Here I found a description in part of a number of symptoms present among these people, primarily panic attacks and somatisation, in combination with an inadequate potential to symbolise, to work through something, to put something into words. This entailed that our most important instrument, namely free association, was disabled. You then have to deal with, as it were, meaningless symptoms, panic attacks, and you had people that could not express it — whatever ‘it’ may be.
That is why I continued working face-to-face with this group and very consciously sought other ways to deal with them. To make a long story short, as concerns the method of treatment, with this group you have to, so to say, do the opposite as with the other group. The classic group of psychoneurosis suffer from an excess of meaning, an excess of history, an excess of the imaginary, and this you have to deconstruct. With the new group there is a lack on all these levels. They do not trust the other. If there is transference, it is negative transference. They hardly have the potential for symbolising. They hardly have a history. They have a history, but they cannot verbalise that history. You have to provide them as it were the instruments and in particular develop a relationship with them by which they can work through a number of things. That means that I indeed work psychoanalytically, but in the opposite direction. To return to the social aspect, I ask myself why the radical shift?
Why is it that we see classical hysteria and obsessional neurosis far less than before? Then we arrive at your question about the risk of psychologisation, the risk of decontextualisation. The most obvious answer is found in psychology and to some extent in contemporary attachment theory, which is more or less psychoanalytic, although it is becoming increasingly cognitive. The answer there is the reference to the mother, the processes of reflection that occur between mother and child — mirroring. Although with this you all too quickly end up in a psychologising model, in a decontextualising model and in the mother-blaming model, because it is the fault of the mother. Consequently, we have to widen our scope: if it is indeed the case that mothers no longer function as they used to function, then that must have to do with a different social context. Then you have to try — and this is very difficult for a classically trained analyst/psychologist — to obtain some insight into those social factors.
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The most common term of abuse used these days on the playground at primary school is ‘loser’. Isn’t that terrible? It has to do with children eight, nine years old. If they call each other loser, what does that say about the model of our society? Can I do something with this psychoanalytically? Yes, psychoanalysis always works on the tension between individual and society on the level of enjoyment and desire. If you want to summarise the core of Freud’s theory, this is what it is about. There is the individual, there is society, and society ensures certain rules when it comes to pleasure and desire. The individual resists them, but at the same time also needs them. But the social model in which we are now living is exactly the opposite of the model in Freud’s time. In his day, all emphasis was on desire. Pleasure was for the afterlife, by way of speaking. These days the accent is on pleasure. We should enjoy ourselves immensely; pleasure has become a commodity, on credit if need be, but in any case pleasure is everywhere. Desire has been killed….