) has proposed that primary process functioning is typical for acute psychosis. A non-verbal method, the "Geocat" (Brakel, Kleinsorge, Snodgrass and Shevrin, 2000), measures primary processes operationalised as attributional categorisation, which considers exemplars as similar if particular features match, even if these components are arranged in a quite different configuration. With the use of GeoCat we explored primary process mentation in 127 psychiatric patients. Results show that (1) there are substantially higher levels of attributional choices in our sample of psychiatric patients, independently of diagnosis, than in a non-patient population; (2) psychotic patients tend to have more attributional choices than non-psychotic patient; patients with acute psychotic symptoms show more attributional responses than patients without acute psychotic symptoms; (3) this increase of attributional choices with the psychotic condition is independent of self-rated anxiety or medication intake. We propose that, instead, this increase of attributional levels in the acutely psychotic patients reflects a predominance of primary processing which is specifically tied to the acutely psychotic condition, as proposed by Freud.
Transference in perversion is characterized by specific problems such as a defiant and polemic attitude, erotic transference, projections, and aggression. Such transference poses particular problems in the treatment of perversion and might render analytical work with these patients impossible. The authors propose that Lacan's L-schema can contribute to separating productive from counterproductive aspects of transference as it distinguishes between an Imaginary and a Symbolic dimension in transference. In this meta-synthesis of 11 published case studies on sexual perversion, patterns of transference are analysed. On the Imaginary dimension, the authors found that patients with perversion tend to (un)consciously engage the analyst in a relationship characterized by identification, fusion and rivalry. On the Symbolic dimension, they found that perverse patients are able to question their motives, lapses, symptoms, and subjective identity. The thematic analysis revealed the importance of the position of the analyst in this work, which is described within the L-schema as being the representative of the otherness in the Other. Implications for clinical practice and recommendations for further research are outlined.
Needless to say that this is a voluminous book. As a matter of fact, it contains seven books, covering six different topics and a 53-page general introduction. Each section of the book is headed by an introductory chapter written by Alain Gibeault and followed by a selection of originally French papers translated into English. On the other hand, the book is not voluminous enough because the largest part of what is announced by the title (Reading French Psychoanalysis) is lacking, that is, Lacanian psychoanalysis. In the General
The GEOCAT is a short nonverbal test for measuring two types of cognition that tally with Freud's distinction between primary and secondary unconscious processes: attributional and relational similarity judgment. Attributional similarity judgment is a mode of cognitive categorization in which stimuli are classified based on perceptual resemblances between attributes and features, just like in primary processing. Relational similarity judgment is a mode of cognitive categorization that builds on higher order relationships between stimuli, just like in secondary processing. The GEOCAT can be used in diverse research contexts, and test administration takes 2 minutes. The present study investigates the construct validity and internal consistency of this instrument in a sample of Belgian university students. A confirmatory factor analysis for binary items indicates that a dimension reflecting relational or attributional categorization processes lies behind the GEOCAT items, that this model has a good fit to the
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