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The Repair of a Frame Gone Awry with Alan Karbelnig, PhD (Pasadena, California)

Psychoanalysis On and Off the Couch

Release Date: 01/28/2024

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Psychoanalysis On and Off the Couch

“The theme that I found with IPSO [International Psychoanalytical Studies Organization] was that there was a common theme [in psychoanalytic training].  There was an initial phase full of terror and excitement, and then a middle phase of maybe some lethargy or apathy or disillusionment. In that middle phase, many candidates found IPSO, or IPSO found them, where they found refuge. They found solace. They found community, not just at their local institutes, but at this kind of world market. Many of the candidates talk about what a timely and wonderful experience it was to be seen, to be...

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Psychoanalysis On and Off the Couch

“When we reconstruct [in a patient] a possible lacking object or role or function, we  see that if the analyst himself has been able and the patient allowing him to be able to enter to a deep level the objective reality of the internal world of the patient, it can happen that some new function or position can be achieved. This is something that could be rare but it happens. This is one more reason for not blaming the length of some analytic treatments, because time is needed  for entering that internal deep area where the analytic relation can create something new. Transformation...

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Psychoanalysis On and Off the Couch

“The original papers that were written about the analyst’s unconscious being attuned to the patient's unconscious  by Hyman and Racker, in both cases they talk about this phenomenon. But both of them utter a caution, which is that one always has to take into account one's own ‘mishegas’.  Essentially, what they're saying is, the unconscious is pretty individualistic and we have our own things, and we have to consider that possibly it's our own difficulties, our own unconscious, that is playing a bigger role in our countertransference reaction to the patient's unconscious.”...

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Psychoanalysis On and Off the Couch

“The idea of analytic neutrality, which was more or less a cliche truth when I was training back in the 1980s, is clearly getting at something very important, which is that we mustn't try to pre-conceive where the patient's development is going to take him or her. But that doesn't mean that the development is not in a direction. Aristotle famously said that the human being is a ‘zoon politikon’, a creature who belongs in a somewhat structured society. Healthy development is in that sort of direction as we become more integrated, as our ‘ghosts become more like ancestors’, to use that...

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Psychoanalysis On and Off the Couch

“There are very specific fears that people have that are specifically related to their own childhood, and I'd like to give an example. A mom with twins had a kidnapping fear. She was afraid every time she saw a car drive by her house that her twins would be kidnapped. Now this mother was herself adopted when she was a newborn, but her adoption did not become final until she was one year old. Her twins were approaching one year. I was struck by the anniversary of her fear of kidnapping, and when I asked her who she thought was driving the car that drove by her house, she blurted out, 'my...

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Psychoanalysis On and Off the Couch

“The amount of guilt and the sense of alienation that people feel when they fall in love with someone who is ‘outside’, and the struggle that they have to undergo to explain that choice which they fully don't understand themselves, is a very deep conflict that my work tries to capture. The title of my book is ‘Intimacy in Alienation’, and alienation is something that is really very pregnant in the identities of these individuals who feel like aliens to their own community because their community cannot imagine why are they seeing the other as something positive but not as how the...

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Psychoanalysis On and Off the Couch

“I belong to the race that in the Middle Ages was blamed for all the plagues and such experiences have a sobering effect, and they do not arouse the tendency to believe in illusions. Much of my life has been devoted to trying to shed illusions. But if there is an illusion worth believing in, at least partially, this is the illusion: that we learn how to divert the impulse of destruction from our own kind, how to stop hating each other because of trivial differences, and stop killing each other for profits. That we stop taking advantage of the achievements of progress to control the forces of...

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Psychoanalysis On and Off the Couch

“I've had the experience of having some wonderful supervisees, many of whom have done quite fine work and where it has not been an issue of any kind of great concerns. And allowing the candidate to see what's written and also discussing it with them, obviously makes it quite easy for them to get both positive input, but also at times, input that will help them evolve and deepen their work even more.”  Episode Description: We begin by exploring the critical role of case writing in psychoanalytic training, discussing Stephen’s concept of "a fourth pillar of analytic training." Stephen...

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Psychoanalysis On and Off the Couch

“I feel so strongly about this [collective commemorative ritual]. I think that early psychoanalytic writing overemphasized the value of separation-individuation and pathologized the opposite. It's been through personal experience that I have come to see that in a different way with regard to Jewish commemorative ritual which takes place a couple of times a year. But also some experiences that I have had outside the realm of religion. The one that pops to mind was what President Biden did about a year after the first onslaught of the Covid epidemic. He had candles put all around the...

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Psychoanalysis On and Off the Couch

"What Freud may have missed here is that the investment in the lost object is a much more reconstructive and integrative process. It’s one where we remember all the stories that we have heard from the lost object - the repetitive stories about the childhood of the person or how they met significant others and all these stories are within us and revived, and we have questions. We think: ‘Too bad I never asked about this or that’ and in activating these memories we also experience joy and we have a slow process of integration which is not necessarily about loss but about how continuous...

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"As I elaborate in the book, there was no physical contact or romantic engagement. The reason why I chose the ‘lover’ as the [psychoanalytic] analogy is, in the real world outside of psychoanalytic practice, where else do you have an interpersonal encounter that is so intensely engaging, attentive, respectful, and caring? That would be in the first six weeks or six months of a romantic relationship. If we eliminate the romantic/sexual part and just stay with ‘wow, this other party is paying such attention to me’ -  reminds me of Lacan's idea that what we really seek in the other is their desire for us, which by the way, I don't completely agree with because I think it goes both ways - I would say that that is the analogy from the world of lovers that I would map onto psychoanalytic work at least on the part of the psychoanalyst - he or she ideally pays that kind of intense attention, care, respect and attunement, that you would find between lovers.”

 

Episode Description: We begin with discussing the various ways that we can shape our psychoanalytic frame to enable a deepening of the clinical encounter. This is in contrast to frames that have gone awry. In his book Lover - Exorcist - Critic Alan describes a composite patient where he became over-involved to the detriment of the work that was eventually repaired. We reference a problematic frame in his earlier training analysis that perhaps set the stage for this difficulty. He shares with us his concept that "by enlightening subjectivity, by raising consciousness, depth psychotherapy liberates." We discuss in some detail the forces in him, his patient, and their relationship that led him to greater enactments than were useful. He shares with us the challenges he faced in remedying his emotional imbalance with her and the intense rage it awakened in her, deriving from various periods in her life. We both emphasized the vital role of the consultant at such times. We close with Alan describing his co-founding and leadership in the Rose City Center - a low fee clinic providing dynamic psychotherapy to individuals who would never otherwise see the inside of an analyst's office.

 

Our Guest: Alan Michael Karbelnig, PhD is a psychoanalyst, writer, teacher, and forensic psychologist and practices in Pasadena, California. He is a supervising and training psychoanalyst at the New Center for Psychoanalysis in Los Angeles. He lectures nationally and internationally, including in China, India, Thailand, and Israel. He writes a weekly Substack newsletter titled Journeys to the Unconscious Mind. Alan has published 20 scholarly articles and five book chapters in addition to his book Lover, Exorcist, and Critic. He considers his 2004 founding of Rose City Center—a nonprofit clinic providing psychoanalytic psychotherapy for economically disadvantaged persons throughout California—his proudest professional accomplishment. 

 

Recommended Readings:

 

Bellow, H. (1962). Herzog. New York: Viking.

 

Bromberg, P. (1996). The multiplicity of self and the psychoanalytic relationship. Standing in the spaces: Essays on clinical process, trauma & dissociation. London: The Analytic Press.

 

Greenberg, J. and Mitchell, S. (1983) Object relations in psychoanalytic theory. Harvard University Press. Cambridge, MA.

 

Karbelnig, A. M. (2022). Chasing Infinity: Why clinical psychoanalysis’ future lies in pluralism. International Journal of Psychoanalysis, 103(1):5-25.

 

McEwan, I. (2019). Machines Like Me. New York: Anchor.

 

Strenger, C. (1989). The classic and romantic visions in psychoanalysis. International Journal of Psychoanalysis. 70:593-610