psychoanalysis (redirected from psychoanalyzed)

psychoanalysis, name given by Sigmund Freud to a system of interpretation and therapeutic treatment of psychological disorders. Psychoanalysis began after Freud studied (1885–86) with the French neurologist J. M. Charcot in Paris and became convinced that hysteria was caused not by organic symptoms in the nervous system but by emotional disturbance. Later, in collaboration with Viennese physician Josef Breuer, Freud wrote two papers on hysteria (1893, 1895) that were the precursors of his vast body of psychoanalytic theory. Freud used his psychoanalytic method primarily to treat clients suffering from a variety of mild mental disorders classified until recently as neuroses (see neurosis). Freud was joined by an increasing number of students and physicians, among whom were C. G. Jung and Alfred Adler. Both made significant contributions, but by 1913 ceased to be identified with the main body of psychoanalysts because of theoretical disagreements with Freud's strong emphasis on sexual motivation. Other analysts, including Melanie Klein and Jacques Lacan, also have contributed greatly to the field. Psychoanalysis and its theoretical underpinnings have had an enormous influence on modern psychology and psychiatry and in fields as diverse as literary theory, anthropology, and film criticism.

Psychoanalytic Therapy and Theory

The basic postulate of psychoanalysis, the concept of a dynamic unconscious mind, grew out of Freud's observation that the physical symptoms of hysterical patients tended to disappear after apparently forgotten material was made conscious (see hysteria). He saw the unconscious as an area of great psychic activity, which influenced personality and behavior but operated with material not subject to recall through normal mental processes. Freud postulated that there were a number of defense mechanisms—including repression, reaction-formation, regression, displacement, and rationalization—that protect the conscious mind from those aspects of reality it may find difficult to accept. The major defense mechanism is repression, which induced a "forgetfulness" for harsh realities. Observing the relationship between psychoneurosis and repressed memories, Freud made conscious recognition of these forgotten experiences the foundation of psychoanalytic therapy. Hypnosis was the earliest method used to probe the unconscious, but due to its limited effectiveness, it was soon discarded in favor of free association (see also hypnotism). Dreams, which Freud interpreted as symbolic wish fulfillments, were considered a primary key to the unconscious, and their analysis was an important part of Freudian therapy.

To clarify the operation of the human psyche, Freud and his followers introduced a vast body of psychoanalytic theory. In considering the human personality as a whole, Freud divided it into three functional parts: id, ego, and superego. He saw the id as the deepest level of the unconscious, dominated by the pleasure principle, with its object the immediate gratification of instinctual drives. The superego, originating in the child through an identification with parents, and in response to social pressures, functions as an internal censor to repress the urges of the id. The ego, on the other hand, is seen as a part of the id modified by contact with the external world. It is a mental agent mediating among three contending forces: the outside demands of social pressure or reality, libidinal demands for immediate satisfaction arising from the id, and the moral demands of the superego. Although considered only partly conscious, the ego constitutes the major part of what is commonly referred to as consciousness. Freud asserted that conflicts between these often-opposing components of the human mind are crucial factors in the development of neurosis.

Psychoanalysis focused on early childhood, postulating that many of the conflicts which arise in the human mind develop in the first years of a person's life. Freud demonstrated this in his theory of psychosexuality, in which the libido (sexual energy) of the infant progressively seeks outlet through different body zones (oral, anal, phallic, and genital) during the first five to six years of life.

Criticisms of and Changes in Freudian Psychoanalysis

Orthodox Freudian psychoanalysis was challenged in the 1920s by Otto Rank, Sandor Ferenczi, and Wilhelm Reich; later, in the 1930s, by Karen Horney, Erich Fromm, and Harry Stack Sullivan. These critics of Freud stressed the interpersonal aspect of the analyst-patient relationship (transference), and placed more emphasis on the processes of the ego. Despite a number of detractors and a lack of controlled research, Freudian psychoanalysis remained the most widely used method of psychotherapy until at least the 1950s.

Today, Freud's method is only one among many types of psychotherapy used in psychiatry. Many objections have been leveled against traditional psychoanalysis, both for its methodological rigidity and for its lack of theoretical rigor. A number of modern psychologists have pointed out that traditional psychoanalysis relies too much on ambiguities for its data, such as dreams and free associations. Without empirical evidence, Freudian theories often seem weak, and ultimately fail to initiate standards for treatment.

Critics have also pointed out that Freud's theoretical models arise from a homogeneous sample group—almost exclusively upper-class Austrian women living in the sexually repressed society of the late 19th cent. Such a sample, many psychologists contend, made Freud's focus on sex as a determinant of personality too emphatic. Other problems with traditional psychoanalysis are related to Freud's method of analysis. For Freudian analysis to reach its intended conclusions, the psychoanalyst required frequent sessions with a client over a period of years: today, the prohibitive costs of such methods compels most to seek other forms of psychiatric care.

Traditional psychoanalysis involved a distancing between therapist and client—the two did not even face each other during the sessions. In recent years, many clients have preferred a more interactive experience with the therapist. The subject matter of Freudian analysis has also fallen into disuse, even among those who still practice psychoanalysis: early childhood receives much less emphasis, and there is generally more focus on problems the client is currently experiencing.

Bibliography

See the works of Freud; A. Bernstein and G. Warner, An Introduction to Contemporary Psychoanalysis (1981); J. Reppen, ed., Beyond Freud (1984); C. G. Jung, The Collected Works, Vol. 4: Freud and Psychoanalysis (tr. 1985); S. Marcus, Freud and the Culture of Psychoanalysis (1984, repr. 1987); O. A. Olsen and S. Koppe, The Psychoanalysis of Freud (1988); C. Badcock, Essential Freud (1988); E. Kurzweil, The Freudian Establishments (1989).

---

psychoanalysis

Method of treating mental disorders that emphasizes the probing of unconscious mental processes. It is based on the psychoanalytic theory devised by Sigmund Freud in Vienna in the late 19th and early 20th century. It calls for patients to engage in free association of ideas, speaking to therapists about anything that comes to mind. Dreams and slips of the tongue are examined as a key to the workings of the unconscious mind, and the “work” of therapy is to uncover the tensions existing between the instinctual drive of the id, the perceptions and actions of the ego, and the censorship imposed by the morality of the superego. Careful attention is paid to early childhood experiences (especially those with a sexual dimension), the memory of which may have been repressed because of guilt or trauma; recalling and analyzing these experiences is thought to help free patients from the anxiety and neuroses caused by repression as well as from more serious illnesses known as psychoses (see neurosis, psychosis). Some of Freud's early associates, notably Carl Gustav Jung and Alfred Adler, rejected his theories on many points and devised alternative methods of analysis. Other important figures in psychoanalysis, including Erik Erikson, Karen Horney, and Erich Fromm, accepted the basic Freudian framework but contributed their own additions or modifications.

---

psychoanalysis

a method of studying the mind and treating mental and emotional disorders based on revealing and investigating the role of the unconscious mind
http://aapsa.org/
www.freudfile.org/psychoanalysis

---

Psychoanalysis

Psychoanalysis may be defined as (1) a psychological theory; (2) a form of psychotherapy, especially for the treatment of neurotic and character or personality disorders; and (3) a method for investigating psychological phenomena. Psychoanalysis was created and developed by Sigmund Freud, who presented his method, clinical observations, and theory in Interpretation of Dreams and other major works, including The Psychopathology of Everyday Life and Three Essays on the Theory of Sexuality, as well as in many of his case studies.

Psychoanalytic theory

Generally, psychoanalysis is concerned with the causal role of wishes and beliefs in human life. More specifically, it attempts to explain mental or behavioral phenomena that do not appear to make sense as the effects of unconscious wishes and beliefs. Such phenomena include dreams, disturbances in functioning such as slips of the tongue or pen and transient forgetting, and neurotic symptoms. Typically, unconscious wishes and beliefs are constituents of conflicts.

The term unconscious in psychoanalysis does not mean simply that mental contents are out of awareness. Its psychodynamic meaning is that the person does not want to be aware of these contents, and takes active steps to avoid being aware of them. A fundamental hypothesis of psychoanalysis is that because a mental entity is dynamically unconscious it has the causal power to produce the phenomena that are of interest to psychoanalysis.

At first, the dynamic unconscious was thought to consist of traumatic memories. Later, it was believed to consist of impulses or wishes—especially sexual (and aggressive) impulses or wishes. Psychoanalysis now emphasizes that the dynamic unconscious consists of fantasies, which have a history reaching back to childhood. These fantasies are internal scenarios in which sexual (and aggressive) wishes are imagined as fulfilled.

Psychoanalysis is distinct in attributing causal powers to unconscious sexual wishes. Such attribution depends on extending the meaning of sexual to encompass the quest for sensual pleasure in childhood (so-called infantile sexuality) and choices of objects and aims. One theme that is thought to have particular importance is the Oedipus complex, in which the child rivals one parent in seeking sensual gratifications of various kinds from the other parent.

When an unconscious fantasy is activated, it manifests itself in conscious mental states or in actions—importantly, in emotions; in interpretations of the significance of events or states of affairs; in attributions of motives to others; and in daydreams, dreams, and neurotic symptoms.

Unconscious fantasies, as distinct from both conscious reality-oriented imagining and conscious day-dreaming, are constructed when imagination functions under very special conditions.

This emphasis on fantasy underscores the fact that psychoanalysis gives priority to the relation between wishes (including wishes a person knows could not conceivably be gratified in reality) and imagination (functioning under very special conditions).

Psychotherapy

Free association is the method of psychoanalysis. Patients are encouraged not to talk about some particular problem or aspect of their lives but rather to suspend any conscious purposive organization of what they say, speaking freely. Both psychoanalyst and patient follow the patient's productions: conscious purposes are replaced by unconscious purposes, which, under these conditions, can determine the direction of the patient's mental processes with less interference.

Interventions are predominantly interpretative; psychoanalysts do not seek primarily to tell their patients what to do, to educate them about the world, to influence their values, or to reassure them in one way or another that everything is or will be all right. Psychoanalysts look for patterns in what each patient says and for signs of feelings of which the patient is more or less unaware. They then engage their patients (who are increasingly aware of these patterns and able to experience and articulate these feelings) in an inquiry about the reasons for them or motives behind them. The focus is on what the patients do not know—and do not want to know—about themselves and their inner life, including strategies for avoiding such knowledge and the consequences of these strategies.

The goal of psychoanalytic psychotherapy is to extend the realm of what patients permit themselves to experience. It tries to mitigate the misery that patients with a neurotic, character, or personality disorder inflict on themselves.

The case-study method is characteristic of psychoanalytic research. The arguments that can be used in case studies are analogy (the use of familiar or homely models in which postulated causes and mechanisms can be shown to exist); consilience (the convergence of inferences from different kinds of information on a common cause); and abduction (inference to the best explanation). See Psychotherapy