Table Of ContentANOTHER KIND OF EVIDENCE
CIPS Series on The Boundaries of Psychoanalysis
Series Editor: Meg Beaudoin, PhD, FIPA
CIPS
CONFEDERATION OF INDEPENDENT
PSYCHOANALYTIC SOCIETIES
www.cipsusa.org
The Confederation of Independent Psychoanalytic Societies (CIPS) is the
national professional association for the independent component societies
of the International Psychoanalytical Association (IPA) in the USA. CIPS
also hosts the Direct Member Society for psychoanalysts belonging to other
IPA societies. Our members represent a wide spectrum of psycho-analytic
perspectives as well as a diversity of academic backgrounds. The CIPS
Book Series, The Boundaries of Psychoanalysis, represents the intellectual
activity of our community. The volumes explore the internal and external
boundaries of psychoanalysis, examining the interrelationships between
various psychoanalytic theoretical and clinical perspectives as well as
between psychoanalysis and other disciplines.
Published and distributed by Karnac Books
When Theories Touch: A Historical and Theoretical Integration
of Psychoanalytic Thought by Steven J. Ellman
A New Freudian Synthesis: Clinical Process in the Next Generation
edited by Andrew B. Druck, Carolyn Ellman, Norbert Freedman
and Aaron Thaler
ANOTHER KIND
OF EVIDENCE
Studies on Internalization,
Annihilation Anxiety,
and Progressive Symbolization
in the Psychoanalytic Process
Norbert Freedman, Marvin Hurvich,
and Rhonda Ward
with
Jesse D. Geller and Joan Hoffenberg
First published in 2011 by
Karnac Books Ltd
118 Finchley Road
London NW3 5HT
Copyright © 2011 by editors for the edited collection, and to the individual
authors for their contributions
The rights of the 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-13: 978-1-85575-852-0
Typeset by Vikatan Publishing Solutions (P) Ltd., Chennai, India
Printed in Great Britain
www.karnacbooks.com
CONTENTS
ACKNOWLEDGEMENTS ix
SERIES EDITOR’S PREFACE xiii
ABOUT THE MAIN AUTHORS xvii
ABOUT THE CONTRIBUTING AUTHORS xix
PREAMBLE xxiii
Norbert Freedman
PART I: HOW THERAPY LIVES ON
FOREWORD
Joan Hoffenberg and Norbert Freedman 3
CHAPTER ONE
The effectiveness of psychoanalytic psychotherapy:
the role of treatment, duration, frequency of sessions,
and the therapeutic relationship 5
Norbert Freedman, Joan Hoffenberg, Neal Vorus, and Allan Frosch
v
vi CONTENTS
CHAPTER TWO
Patients’ representations of the therapeutic dialogue:
a pathway towards the evaluation of psychotherapy
process and outcome 17
Jesse D. Geller, Donna S. Bender, Norbert Freedman,
Joan Hoffenberg, Denise Kagan, Carrie Schaffer,
and Neal Vorus
CHAPTER THREE
The RTD Coding System and its clinical application:
a new approach to studying patients’ representations
of the Therapeutic Dialogue 29
Jesse D. Geller, Donna S. Bender, Norbert Freedman,
Joan Hoffenberg, Denise Kagan, Carrie Schaffer, and
Neal Vorus
CHAPTER FOUR
Representations of the therapeutic dialogue and the
post-termination phase of psychotherapy 55
Jesse D. Geller and Norbert Freedman
CHAPTER FIVE
Reminiscing and recollecting 67
Jamieson Webster and Norbert Freedman
COMMENTARY
How therapy lives on 83
Norbert Freedman and Joan Hoffenberg
PART II: THREE PATHWAYS TOWARDS
THE MODIFICATION OF ANNIHILATION
ANXIETY
FOREWORD
Marvin Hurvich and Norbert Freedman 89
CHAPTER SIX
The Propositional Method for the study
of psychoanalytic concepts 91
Marvin Hurvich and Norbert Freedman
CONTENTS vii
CHAPTER SEVEN
Meet Mohamed and the method implemented 105
Marvin Hurvich and Norbert Freedman
CHAPTER EIGHT
Annihilation Anxiety and its transformation during early
transference engagement: sessions 3 and 4 119
Norbert Freedman, Marvin Hurvich, and Alexandra Petrou
CHAPTER NINE
Termination crisis and a panic attack: sessions 41 and 42 139
Norbert Freedman, Marvin Hurvich, and Alexandra Petrou
CHAPTER TEN
Transformations in long-term psychoanalytic
psychotherapy: the case of Ms K 159
Rhonda Ward, Norbert Freedman, and Marvin Hurvich
CHAPTER ELEVEN
Severely traumatized patients’ attempts at reorganizing
their relations to others in psychotherapy: an
enunciation analysis 167
Sverre Varvin and Bent Rosenbaum
COMMENTARY
Three pathways towards the modification
of Annihilation Anxiety 183
Marvin Hurvich and Norbert Freedman
PART III: A SPECIMEN OF WORKING THROUGH
CHAPTER TWELVE
A very broad concept seen through a very narrow lens 191
Norbert Freedman and Rhonda Ward
CHAPTER THIRTEEN
Method and findings: the case of Ms Y:
the patient and her analyst within the context
of a recorded psychoanalysis 203
Norbert Freedman, Richard Lasky, and Rhonda Ward
viii CONTENTS
CHAPTER FOURTEEN
The induction of transference regression
during the symbolizing phase: sessions 232 to 243 223
Norbert Freedman and Rhonda Ward
CHAPTER FIFTEEN
The emergence of nodal moments during the desymbolizing
phase: sessions 245 to 249 245
Norbert Freedman and Rhonda Ward
CHAPTER SIXTEEN
The enactive phase: sessions 252 to 255 267
Norbert Freedman and Rhonda Ward
CHAPTER SEVENTEEN
The cycle and the spiral during the re-symbolizing phase:
the erotic transference, the extraordinary
countertransference, and the preservation
of the analytic process: session 257 283
Norbert Freedman and Rhonda Ward
CHAPTER EIGHTEEN
Nodal moments and the essence of Progressive Symbolization 297
Norbert Freedman and Rhonda Ward
POSTSCRIPT
Towards a psychoanalytic definition of symbolization
and desymbolization 309
Norbert Freedman, Rhonda Ward, and Jamieson Webster
REFERENCES 323
INDEX 341
ACKNOWLEDGEMENTS
From the beginning the Institute for Psychoanalytic Training
and Research (IPTAR) conceived of itself as a society commit-
ted to research in psychoanalysis. As a psychoanalytic society,
we are dedicated to conducting research, to the teaching of research,
and to the communication of research discoveries to the community
at large, that is, to making psychoanalytic inquiry a part of the con-
sciousness of the next generation of psychoanalysts. This volume,
and its title, Another Kind of Evidence, celebrate our history, and the
work of our members and partners in this pursuit.
* * *
For the authors of this volume I would like to acknowledge:
The founders of IPTAR, particularly Daisy Franco, who in 1960
formed the first IPTAR Research Committee, which directed its
efforts towards learning and exploring the then new discoveries
about dreaming, the separation-individuation process, and gender
identity. These achievements were recorded over the decades in
IPTAR Reports.
The 1989 IPA Rome Congress, which made IPTAR, after years
of exile, a member of the international psychoanalytic community,
ix
