PsychiatricTimes Members: Login | Register

|     

PsychiatricTimes SearchMedica Medline Drugs

Powered by SearchMedica

 
Risk Assessment
News
Current Issues
Blogs
Special Reports
CME
Conferences
Resources
Careers
Multimedia
About Us
 

Home »

Psychiatric Times. Vol. 13 No. 12
Pages: 1  2  
Previous
 

Psychoanalytic Method and the Mischief of Freud-Bashers

By Zvi Lothane, M.D.
| December 1, 1996
Dr. Lothane is clinical associate professor of psychiatry at Mount Sinai School of Medicine, CUNY.

The Theories

The method of psychoanalysis is most often confused with the various theories or doctrines or schools of psychoanalysis, a confusion that began with Freud himself. One of the reasons for the confusion is a tendency to overgeneralize empirical data of observation, converting them into universal theories of causation. The two best-known examples of such zealous generalizing as to cause of disorder were (1) Freud's theory of the sexual etiology of the neuroses and (2) his so-called seduction theory. Regarding the first, both adult and infantile sexuality are ubiquitous phenomena, and can act as a potential cause of mental disorder; but to qualify as an actual-both sufficient and efficient-cause, it has to be clinically demonstrated in a given case. The same goes for aggression or any other dynamic motivational factor. Viruses are everywhere, but they do not cause a manifest viral illness by their mere presence in us, and when they do, it must be clinically proven, other cofactors considered. Therefore, sexuality does play a decisive role in many cases, but not uniformly in all cases. Regarding seduction theory, in 1896 Freud discussed seduction and sexual trauma, i.e., the traumatic arousal of infantile sexuality by abusive manipulations, or seductions, of parents and others, as a ubiquitous cause of neurosis. In 1897 Freud realized, to his own dismay, he had overstated the causal role of childhood seduction as an actual remembered experience, since patients confessed to having fabricated such stories. In 1905 Freud still held infantile sexual trauma as fact, but added other factors to the equation of childhood sexual experiences: spontaneous sexual activity, e.g., masturbation and the associated guilt and shame, thus the compensatory fantasies of being seduced.

Freud never claimed that seduction does not exist. He entitled a chapter in Wolf Man (1918) "The seduction and its immediate consequences." Elsewhere (in a 1924 footnote to the 1896 paper and in his papers on female sexuality of 1931), Freud reaffirmed the reality of seduction. This sketchy account shows that Freud's error was to posit childhood seduction, i.e., childhood sexual trauma, as a universal cause of disorder, and he duly corrected this impression. It is thus amazing that analysts still maintain, erroneously, that the seduction theory is dead, that Freud's bad theory was replaced by a better theory, i.e., the sexual drive theory and the oedipus complex.

Freud never gave up the seduction theory (Lothane 1987), for there is no causal contradiction but a requisite complementarity between spontaneous childhood sexuality and the premature sexual arousal of children when used as incestuous sexual objects. It was never an either/or proposition between a memory of an actual event or a fabrication of one, but the subtle interplay of perception and fantasy, impression and impulse, fantasy and memory, which happens to us all and in all ages. This is what Freud-bashers fail to understand.

Freud -Bashing

Freud critic J.M. Masson (1976) stated that Freud never abrogated the seduction theory. However, in 1981, The New York Times reported that Masson accused Freud of cowardliness and dishonesty for abandoning the seduction theory! Clearly, it was not Freud but Masson who changed his mind, and without offering a clear explanation. What got analysts even more incensed was a comment in Masson's "revelations": He accused psychoanalysis of being sterile, and that hurt. Understandably, analysts retaliated, and the resulting furor became grist for fascinating copy by Janet Malcolm in The New Yorker, creating a media circus.

Masson's accusations of Freud climaxed in his 1984 strident best-seller, The Assault on Truth. But it was Freud who was assaulted and truth lost out. Masson may have actually believed he was trying to heal psychoanalysis; what he succeeded in doing was to usher in an era of Freud-bashing. In an antipsychiatry book of 1988 Masson went so far as to issue a "battle cry" for the abolition of psychotherapy. He might as well have promoted the abolition of parenthood.

None of Freud's numerous theories were found thornier than his sexual theory of neurosis and sexuality and his prescription for sexual happiness in society, expounded in 1905 and 1908, respectively. They provoked bashing, defined as hurling hard verbal abuse at a person or group with a view to discredit and destroy, by prominent colleagues such as Aschaffenburg, Hoche and Krafft-Ebing. Ad hominem attacks on Freud, as well, ensued. In a 1992 book, E. Fuller Torrey, M.D., claimed that Freud's sexual theories had the malignant effect of destroying American sexual morality. Nevertheless, he also found some good things to say.

The strategy of the current crop of Freud-bashers is to assault as evil both Freud and his psychoanalytic method, relentlessly and implacably. The front-runner in this crusade is literature professor Frederick Crews, formerly a pro-Freudian, thus a variation on the theme of "the God that failed." Crews' Freud-bashing rhetoric, filled with emotionality, seizes upon Freud's occasional cognitive or ethical lapses, or mistakes in interpreting cases. Under the cover of Esterson's thin revisionist thesis that the seduction theory, as "the myth of the birth of psychoanalysis," became the "founding of psychoanalysis per se," Crews argues that both the "feminists and the defenders of children [who hold]...that those stories [of sexual abuse] were true have been drastically misled." Is Crews denying the reality of child abuse, which Freud clearly stated in his 1896 paper? The culprit is Freud himself, alleges Crews, "[who] laid down the outlines of the seduction plots, which he then fleshed out from the 'clues' supplied by his bewildered and frightened patients, whose signs of distress he took to be proof that his constructions were correct." Although "it may seem wonderful," mocks Crews, "that [Freud] was able to let go of his seduction theory at all," in truth Freud was so beset with a "severe problem with reality testing, dishonesty and cowardice" that, in desperation, he replaced the phony seduction theory with another phony theory, to wit: "in their fantasy life, [patients] and every other child who ever breathed had been the would-be seducers of their opposite-sex parents."

What is the moral of this story? Psychotherapy and psychoanalysis are here to stay. Moreover, the current either/or between biological and psychodynamic psychiatry, between dialogue and drugs, is another pseudoissue: there is a need for both, there will always be a dynamic psychiatry.

Pages: 1  2  
Previous
 

Join the Conversation

Want to join the conversation? If you're a healthcare professional, we'd like to hear your comments. Just sign in or register today to become part of our growing, online community.

  • Oldest First
  • Newest First

by Barbara Wilson | October 19, 2011 6:17 PM EDT

I found JM Masson's work the most curative thing after having been subjected to what I was informed was a successful analysis. What a pity he upset analysts.





References
1. Breuer J, Freud S. Studies on hysteria. Standard Edition, 2;1895d.
2. Crews F, et al. The Memory Wars/Freud's Legacy in Dispute. A New York Review book; 1995.
3. Freud S. Further remarks on the neuro-psychoses of defense. SE, 3;1896b.
4. Freud S. Three essays on the theory of sexuality. SE, 7; 1905d.
5. Freud S. 'Civilized' sexual morality and modern nervous illness. SE, 9;1908d.
6. Freud S. From the history of an infantile neurosis. SE, 17;1918b.
7. Lothane Z. Listening with the third ear as an instrument in psychoanalysis. Psychoanal Rev. 1981;68(4):487-503.
8. Lothane Z. Reality, dream, and trauma. Contemp Psychoanal. 1983;19:423-443.
9. Lothane Z. Teaching the psychoanalytic method: procedure and process. In: Caligor L, Bromberg PM, Meltzer JD, eds. Clinical Perspectives on the Supervision of Psychoanalysis and Psychotherapy. New York: Plenum, 1984.
10. Lothane Z. Love, seduction and trauma. Psychoanal Rev. 1987;74(1):83-105.
11. Lothane Z. In Defense of Schreber: Soul Murder and Psychiatry. Hillsdale, N.J.: The Analytic Press; 1992.
12. Lothane Z. The analyzing instrument and reciprocal free association. J Clin Psychoanal. 1994a;3:61-82.
13. Lothane Z. Review of M. Macmillan's Freud evaluated/ the completed arc. J Amer Acad Psychoanal. 1994b;22:560-562.
14. Lothane Z. Freud and the interpersonal. Internat Forum Psychoanal. In press.
15. Luborsky L, Diguer L, et al. The efficacy of dynamic psychotherapies. Is it true that everyone has won so all shall have prizes? In: Miller N, et al. Handbook of Dynamic Psychotherapy Research and Practice. New York: Basic Books; 1993.
16. Masson JM. Perversions: some observations. Israel Annals Psych Rel Disc. 1976;14:354-361.
17. Masson JM. The Assault on Truth: Freud's Suppression of the Seduction Theory. New York: Farrar Straus and Giroux; 1984
18. Masson JM. Against Therapy: Emotional Tyranny and the Myth of Psychological Healing. New York: Atheneum; 1988.
19. Torrey EF. Freudian Fraud: The Malignant Effect of Freud's Theory on American Thought and Culture. New York: Harper Collins; 1992.


 
TOPIC INDEX

Addiction Medicine
Alzheimer Disease
Anxiety Disorders
ADHD
Bipolar Disorder
Child & Adolescent Psychiatry
Dementia
Depression
DSM-5
Geriatric Psychiatry

 

Health Care Reform
Major Depressive
Disorder
OCD
Personality Disorders
Schizoaffective Disorder
Schizophrenia
Sleep Disorders
Somatoform Disorders
All Topics

 


 
FROM PHYSICIANS PRACTICE
Primary Care Can't Thrive Without Nurse Practitioners
Courtney H. Lyder, ND,  May 17, 2013
With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.
VWhat Physicians Can Learn from the Allscripts EHR Lawsuit
Marisa Torrieri,  May 16, 2013
Lawsuit prompts question: What should physicians do to ensure they end up with a great EHR instead of buyer’s remorse?
Eight Ways ICD-9 Will Still Matter to Medical Practices
Brenda Edwards, CPC,  May 15, 2013
What should your medical practice do with your ICD-9-CM book after October 1, 2014? Keep it.
Seven Ways Technology Can Speed Up Patient Collections
Cheyenne Brinson,  May 15, 2013
Failing to adopt widely available billing and collections technology can cost medical practices big. Here's how to do it right.
Four Reasons Private Medical Practice is Becoming Extinct
Carol Stryker,  May 15, 2013
It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.
 

 

 
MOST POPULAR
  • Most Popular
  • Most Emailed
  • Most Recent
  • Developmental Psychopathology Comes of Age
  • Grief and Depression: The Sages Knew the Difference
  • The Moral Struggles of Practicing Psychiatrists
  • Update on Mental Health Benefits and Substance Use Disorder Services Under the Affordable Care Act
  • Psychiatry and the Myth of “Medicalization”
  • Grief and Depression: The Sages Knew the Difference
  • Developmental Psychopathology Comes of Age
  • Psychiatry and the Myth of “Medicalization”
  • Synthetic Cathinones: Signs, Symptoms, and Treatment
  • Journey of the Traumatized Hero: Kerouac’s On the Road and Gandhi’s Railroad Ride
  • Eco-Psychiatry: Why We Need to Keep the Environment in Mind
  • DSM-5: Where Do We Go From Here?
  • Suicidal Behavior: A Separate Diagnosis
  • New Insight Into the Neurobiology of Depression
  • Cultural Psychiatry and the 'No-Chicken' Doctor
Click here to subscribe to our newsletter
 
COMMENTS
  • Most Commented
  • Most Recent
  • Psychiatry and the Myth of “Medicalization”
  • Grief and Depression: The Sages Knew the Difference
  • Is it Time for a Treatment Manual to Complement DSM-5?
  • Diagnosis and its Discontents: The DSM Debate Continues
  • Lamotrigine for Major Depressive Disorder Is Inappropriate
  • Psychiatry and the Myth of “Medicalization”
  • Parity Laws: Powerful Weapon—or Pipe Dream?
  • The Moral Struggles of Practicing Psychiatrists
  • DSM-5 Won’t Solve the Overdiagnosis Problem—But Clinicians Can
  • NIMH vs DSM 5: No One Wins, Patients Lose
Click here to subscribe to our newsletter
 
CAREER CENTER

  •   Featured Jobs  
  •    Resources   
  • Psychiatry and Nurse Practitioner Opportunities
  • Associate Medical Director - Psychiatrist Delray Beach, Florida
  • Retiring Child Psychiatrist Seeks Replacement August 2010 or Before
  • Chairperson, Dept of Psychiatry Needed
  • FT Staff Psychiatrist - Excellent Benefits
  • BC Adult and Child Psychiatrits - PT and FT Positions Available
  • Managing Risks When Practicing in Three-Party Care Settings
  • 12 Tips for Making Your Practice Greener
  • Keys to Avoiding Malpractice: Standard of Care in Psychiatric Practice
  • Take This Job and Shove It
  • Merging Administrative and Academic Careers in Psychiatry
 
SearchMedica SEARCH RESULT

Find peer-reviewed literature and websites for practicing medical professionals

CME on Display
Evidence on Display
Guidelines on Display
Patient Education on Display
Clinical Trials on Display
Practical Articles on Display
Research and Reviews on Display
All "Display" results

CancerNetwork | ConsultantLive | Diagnostic Imaging | Musculoskeletal Network | OBGYN.net | PediatricsConsultantLive |
Physicians Practice | Psychiatric Times | SearchMedica | Medical Resources

© 1996 - 2013 UBM Medica LLC, a UBM company
Privacy Statement - Terms of Service - Advertising Information - Editorial Policy Statement - UBM Medica Network Privacy Policy