Table Of ContentIDENTITY, GENDER,
AND SEXUALITY
CONTROVERSIES IN PSYCHOANALYSIS SERIES
IPA Publications Committee
Leticia Glocer Fiorini (Argentina), Chair; Salman Akhtar (Philadelphia); Thierry Bokanowski (Par-
is); Alessandra Lemma (London); Sergio Lewkowicz (Porto Alegre); Mary Kay O’Neil (Montreal);
Piers Pendred (London), Ex-officio as Director General; Cesare Sacerdoti (London), Ex-officio as
Publications Director
IDENTITY, GENDER,
AND SEXUALITY
150 Years after Freud
Edited by
Peter Fonagy, Rainer Krause,
Marianne Leuzinger-Bohleber
Foreword by
Cláudio Laks Eizirik
Controversies in Psychoanalysis Series
KARNAC
Figure 3.1 (p. 67) reprinted from Bright Air, Brilliant Fire by Gerald Edelman (New
York: Basic Books, 1992; Harmondsworth: Penguin, 1994), p. 84, by permission of
The Perseus Books Group, New York, and Penguin UK.
“Colin’s Story” (pp. 125–129) reprinted with permission from “The etiology of
boyhood gender identity disorder: A model for integrating psychodynamics, tem-
perament and development”, by S. Coates, R. Friedman, & S. Wolfe; Psychoanalytic
Dialogues, 1 (1991): 481–523; The Analytic Press Publishers.
First published in 2006 by
The International Psychoanalytical Association
This edition published in 2009 by
Karnac Books
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London NW3 5HT
Copyright © 2006, 2009 by The International Psychoanalytical Association
All contributors retain the copyright to their own chapters
The rights of the editors and contributors to be identified as the authors
of this work have been asserted in accordance with §§ 77 and 78 of the
Copyright Design and Patents Act 1988.
All rights reserved. No part of this publication may be reproduced,
stored in a retrieval system, or transmitted, in any form or by any means,
electronic, mechanical, photocopying, recording, or otherwise, without
the prior written permission of the publisher.
British Library Cataloguing in Publication Data
A C.I.P. for this book is available from the British Library
ISBN: 978–1–85575–764–6
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Edited, designed, and produced by Communication Crafts
Printed in Great Britain
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CONTENTS
CONTROVERSIES IN PSYCHOANALYSIS SERIES
IPA Publications Committee vii
ACKNOWLEDGEMENTS ix
ABOUT THE EDITORS AND CONTRIBUTORS xi
FOREWORD
Cláudio Laks Eizirik xv
1 Psychosexuality and psychoanalysis:
an overview
Peter Fonagy 1
2 Sexuality:
a conceptual and historical essay
André E. Haynal 21
COMMENTARY Sverre Varvin 33
v
v i Contents
3 Psychodynamic and biographical roots
of a transvestite development: clinical and
extra-clinical findings from a psychoanalysis
Marianne Leuzinger-Bohleber 43
COMMENTARY Linda C. Mayes 74
4 The issue of homosexuality in psychoanalysis
Richard C. Friedman 79
COMMENTARY Anne-Marie Sandler 98
5 Developmental research on
childhood gender identity disorder
Susan Coates 103
COMMENTARY Sheila Spensley 132
6 Research, research politics, and clinical experience
with transsexual patients
Friedemann Pfäfflin 139
COMMENTARY Peter Fonagy 157
7 Drive and affect in perverse actions
Rainer Krause 161
COMMENTARY Rudi Vermote 176
8 Conclusion:
future clinical, conceptual, empirical,
and interdisciplinary research on sexuality
in psychoanalysis
Marianne Leuzinger-Bohleber 181
REFERENCES AND BIBLIOGRAPHY 193
INDEX 217
CONTROVERSIES IN PSYCHOANALYSIS SERIES
IPA Publications Committee
The present Publications Committee of the International Psycho-
analytical Association initiates, with this volume, a new series, Con-
troversies in Psychoanalysis, the objective of which is to reflect, within
the frame of our publishing policy, present debates and polemics in
the psychoanalytic field.
Theoretical and clinical progress in psychoanalysis continues to
develop new concepts and to reconsider old ones, often in contradic-
tion with each other.
By confronting and opening these debates, we might find points
of convergence but also divergences that cannot be reconciled; the
ensuing tension among these should be sustained in a pluralistic
dialogue.
This series will focus on these complex intersections through
various thematic proposals developed by authors from within differ-
ent theoretical frameworks and from diverse geographical areas, in
order to open possibilities of generating a productive debate within
the psychoanalytic world and related professional circles.
We are pleased to begin this series with the support of Cláudio
Eizirik, President of the International Psychoanalytical Association.
Special thanks are due to the editors, Peter Fonagy, Rainer Krause,
vii
v iii Controversies in Psychoanalysis Series
and Marianne Leuzinger-Bohleber, and to the contributors to this
first volume. We are also grateful to the former Publications Com-
mittee and their chair, Emma Piccioli, under whose mandate this
volume was first commissioned.
Leticia Glocer Fiorini
Chair of the Publications Committee
ACKNOWLEDGEMENTS
We would like to express our thanks and gratitude to many
colleagues who have given us support and helpful critique in writ-
ing and publishing this book: particularly to Cesare Sacerdoti and
Emma Piccioli from the former Publications Committee of the Inter-
national Psychoanalytical Association, and Klara and Eric King of
Communication Crafts. Without their professionalism, engagement,
and careful work—in spite of all the time pressure—this book would
not have been published. We also thank Marion Ebert-Saleh and
Herbert Bareuther, from the Sigmund-Freud-Institute, Frankfurt,
who carefully edited first versions of the manuscripts and organized
the bibliographies.
The contributions to this book are modified papers that were
given at the Sixth Joseph Sandler Research Conference in March
2005 at University College London, which was devoted to the 100th
anniversary of Freud’s Three Essays on the Theory of Sexuality (1905d).
The papers had been of such high quality that we decided to pub-
lish them in this book. We hope that this volume may inspire us to
estimate anew Freud’s most innovative discoveries on this topic, as
well as to develop further the insights collected in this clinically still
most relevant field, integrating results from psychoanalytic and non-
psychoanalytic studies during the last century of exciting research.
Peter Fonagy, Rainer Krause, Marianne Leuzinger-Bohleber
ix
