Freud- Classical Psychoanalysis Freud the man, the times The Unconscious Psychic determinism refers to lawful cause and effect which includes psychological factors as potential causes. Having studied as a neurologist, he was stymied by neurological symptoms that appeared to have no physical cause. Freud had studied with Charcot in Paris, seeing him induce psychiatric symptoms with hypnosis. He also saw Breuer using hypnosis to get a patient to reveal earlier memories, only to be relieved of symptoms after coming out of the trance. The case study of “Anna O.” indicated catharsis could be important in therapy. Freud recognized that unconscious forces affect conscious behavior. He was the first to suggest that early trauma (Sexual trauma, particularly) could produce a change in the brain connections, resulting in anxiety in later life. We actually have confirmed this postulate with modern scans that reveal brain tissue changes in response to abuse. Freud started a new science of human behavior, less dependent on neurological causes of behavior, more focused on psychological causes underlying irrational behavior. Levels of Consciousness- this iceberg model of consciousness showed how much of who we are is hidden from us within the unconscious, to drive behavior unknowingly. o Conscious level is all the things of which we are aware at this moment in time. We identify with these things. o Preconscious level is material that can be brought into consciousness at will- memories, information. o Unconscious level is filled with information not readily accessible. It is all the mental processes hidden from the self, because it material would cause anxiety. It is actively repressed at some point & resists becoming conscious. Effects of Unconscious motivation o Physical symptoms were the basis for Freud’s first exploration of the unconscious. They still represent manifestations of unconscious material. Conversion hysteria was the term used to describe physical/neurological symptoms of paralysis, mutism, deafness, blindness, tics, numbness that occur in people with no history of trauma, illness, fever, etc. Glove anesthesia is one form of conversion disorder- where physical sensation is lost simply in the hand, not the lower arm, even though there is no physical condition of damage that could numb only that part of the hand/arm. But people think of the hand as a unit, and the arm as a separate unit. They unconsciously fear what their hand could do, so they dismantle it. o Hypnosis requires putting the subject into a suggestible state (trance) and the therapist makes suggestions which influence conscious behavior or recall. Post hypnotic suggestion can be used to help patient stop smoking, manage anxiety, asthma, skin diseases (warts), nausea, eating disorders, even reducing need for pain meds after surgery or during dental work. Hypnosis does seem to harness the power of the unconscious for therapeutic purposes. Hypnosis is understood to be a division of consciousness, so that one part acts out a suggestion, but the other part will not recall the suggestion (Hilgard’s neodissociation theory) Other theorists believe that hypnosis is a function of expectations and patients’ desires to please and cooperate with the therapist. So patients, and even people with multiple personality disorder, are really playing a role based on what they believe another conscious state includes. Subjects often recall what they think they are supposed to have done or thought, and these recalls aren’t very accurate. o Psychosis is an extreme mental disorder, wherein patients lose contact with reality, experience hallucinations, and delusions. Freud saw this as the underlying irrationality of the unconscious revealed. o Dreams were called the “royal road to the unconscious.” He believed that during waking hours our consciousness restrains the unconscious. But during sleep the unconscious breaks through in the form of dreams. Because this material is threatening and risks waking us, it comes in a disguised form, using symbols to represent issues & internal conflicts. Freud said this represents fulfillments of repressed wishes. Manifest content is the actual dream content, the narrative events & people seen. Latent content is the dream symbols. Dream interpretation is the process of inferring unconscious wishes disguised by the symbols. To get to the emotional meaning of a dream the therapist must follow dreamer’s associations and patterns. Dream work is the coding process that produces the dream. Dreams represent much emotional material, expressing what is repressed in waking life. o Psychopathology of everyday life Freudian slips (parapraxes) are seen in misstatements, slips of tongue, particularly as the unconscious tells the truth which the conscious, polite person would not reveal. They are also seen in forgetting important dates, mishearing of other people, losing objects, errors of action. (Stieglitz writing letters to both his wife, Georgia O’Keefe, and mistress, and putting the wrong letter in the wrong envelope.) Freud would say these are not random events, but motivated by unconscious desires. o Humor is useful in expressing unconscious conflicts, but offering pleasure through released tension. We particularly like jokes that express what we believe but repress- bigotry, issues with women/men. Condensation is the way dreams or jokes merge images. Chaplin said humor combines the rational with the irrational, the important with the unimportant, and the absurd with the serious. o Projective tests are methods that allow the unconscious to slip into conscious expression, where it can be analyzed. Origin and Nature of the Unconscious o Repression of conflicting, disturbing material creates the unconscious. Freud’s hedonic hypothesis suggests that we seek pleasure and avoid pain, so we repress hedonic impulses for pleasure when they would cause us to violate moral restrictions, causing us pain or rejection. Structures of the Personality Id is the primitive source of biological drives, mostly unconscious. Motivational. Motor of the car. o Pleasure principle drives the id, desiring instant gratification. o Psychic energy- libido is the source of psychic energy, which was originally instinct. All our culture has derived from this sexual energy being transformed into higher callings. Repression ties up this energy, making it unavailable for achievements. Psychic energy comes in 2 forms: life (eros) and death (thanatos.) o Eros (The life instinct) motivates life-sustaining behaviors, sexual energy & love. o Thanatos (The death instinct) drives us toward death, the ultimate release from the tension of living. Motivates aggression, war, suicide. o Basic instincts drive behavior even as we are civilized. Source – all psychic energy derives from biological processes. Energy is transformed and invested in different areas of life. In infancy, this is physical in growing and developing self-control. In latency, this is cognitive. In the genital stage, this becomes sexualized or sublimated into achievement. Pressure – has to do with how much drive an instinct has. It is greater when the drive is not satisfied, less when there is an outlet. Think hunger drive. Aim – is homeostasis. We experience tension when we move away from our comfort level, our steady state. Instincts drive us to reduce tension & feel pleasure. Sublimation reduces tension through indirect expressions of libido- creativity, altruism. Object – is the thing, person that is desired in order to satisfy the instinct. (object for the infant is the breast. Object of sexual drive is a partner) Cathexis is investment of psychic energy into an object. This can be a particular type of partner, sexual fetish object. There is some plasticity in the object. o Primary process is the inflexible instinct that drives the id. It is not rational, or concerned with others’ needs, but very demanding. If it can’t get what it wants, it may hallucinate for wish fulfillment. This is not restricted to psychotics; we all daydream. Ego is the rational, coping part of the personality, the most conscious. Planning & coping functions. The steering wheel. o Reality principle is the principle that the ego operates from. It understands reality and adapts to the demands of the real world. It can delay gratification, & plan for the future. o Secondary process encompasses these abilities to plan, delay gratification, work within reality to access goals. It allows us to find enjoyment in the world without being too hampered by anxiety or rigidity. A weak ego can break down under frustration, conflict or stress. A strong ego defends against worldly demands. Superego is made up of the rules/ ideals of society that become internalized. Much is unconscious, but not all. The oughts, shoulds. The rules of the road. o Conscience is the common term for the superego- the part of personality that generates guilt when we act opposed to the rules we have internalized. It also generates an ego ideal to drive our further development. Unfortunately, it can become rigid, if it doesn’t develop as we age. It is formed at a young age, so it may generate unreasonable guilt if not adapted to adulthood. Mature ethics are generated by the ego in the context of current reality. Intrapsychic conflict occurs as the id’s drives conflict with the demands of the superego, and the ego tries to balance all this. If the ego can’t repress unconscious material, it may erupt in self-defeating or dangerous ways. Energy hypothesis has to do with how we use our limited psychic energy. Some defenses, such as repression, require psychic energy, which is then not available for creative endeavors. Anxiety comes in a variety of forms which show the ego is at risk of not balancing the demands of id & superego, or keeping unconscious material repressed. o Neurotic anxiety represents id impulses possibly breaking through into open expression. o Moral anxiety is fear of one’s superego & irrational guilt. o Reality anxiety is a response to a real threat in the world. Defense mechanisms are devices used by the ego to repress id impulses into the unconscious. Actual repression uses energy, so defense mechanisms disguise the impulse, the object, aim, or source. Total repression is not necessary, so psychic energy is freed up. Anxiety is prevented, even though the impulse may sneak by. These impulses vary in maturity. The most primitive were developed in infancy: denial and distortion of reality. These are used by psychotics. Less pathological, but still immature are projection, dissociation, acting out. More mature defenses are intellectualization, isolation, repression, reaction formation, displacement & rationalization. The most mature and adaptive are sublimation and suppression, altruism, and humor. Healthier people use more mature defenses. People in therapy will show shifts to more mature defenses as they better understand their motivations & adapt better to reality. o Denial is a refusal to recognize some difficult aspect of reality or the self. Immature defense. In adulthood it means distorting reality so much that no change is possible. o Reaction formation- unacceptable impulse is repressed and the opposite developed in exaggerated form. (Jerry Lee Lewis and cousin Jimmy Swaggart) It may contribute to homophobia. I hate sister (unconscious) -> I love sister (conscious) o Projection- unacceptable impulse is projected onto another person. Greedy people accusing others of greed. Contributes to scapegoating and prejudice. (black males in US thought to be criminals, Jews in Nazi Germany thought to be ruining country) I want to steal (unconscious) -> That person is stealing (conscious) o Displacement- distorts the object of the drive, doesn’t repress the drive itself. Dad gets mad at work, is nice to boss, but comes home and yells at mom or kids. Kids kick the dog. This is particularly suspected if the reaction is out of proportion to the offense committed by spouse or sibling. Also suspected if aggression is used in a variety of situations. Sexuality or dependency can also be displaced. I want to hurt Dad (unconscious) -> I want to hurt my brother (conscious) o Identification- borrowing/ merging one’s identity with another person. Normal in developing gender roles to identify with same sex parent to learn behaviors/ attitudes. Has been seen in victims who come to identify with persecutors: Identification with the aggressor- Patty Hearst, Stockholm Syndrome. o Isolation- thoughts related to a painful, unpleasant event are disassociated over time and no longer come to mind, along with emotions associated. No longer think about lost spouse, so no painful feelings have to be dealt with. o Rationalization- giving false, but plausible reasons for an action to disguise the real motives. Abuse disguised as discipline. “This is for your own good.” Considered a mature defense mechanism, since the act is not repressed, just the reason. Passive-aggressive behavior. o Intellectualization – excessive explanation for an impulse, sour grapes attitude. Adaptive in some ways, but distorts the grief of a loss and doesn’t allow the sufferer honest grief process. Cynicism that keeps person from making active decisions to change a problem in his/her life. Sublimation – the healthiest defense mechanism, as the unacceptable impulse is shifted to a socially acceptable object. The impulse energy is discharged, reducing tension. Sexual impulses may be sublimated into art or altruism, aggressive impulses into athletics. o Creativity is a particularly interesting sublimation, as their flights of fancy are said to be active accessing of the unconscious material. They have a mature ego, but can regress to childhood fantasy at will, without degenerating into psychosis. Psychotic people access unconscious material, but can’t easily return to ego-controlled function. Creative pursuits release the pressure of unconscious conflict safely. It is interesting that when some artists, comedians deal with their demons, their art suffers. (Tiger’s golf game suffering in response to his engagement. No more sublimated sexual impulses!) Empirical studies of defenses o Terror management theory says that people make active defensive efforts to maintain positive self-images or keep a cultural worldview in coping with anxiety about death. Such things as holding a belief that “I am a valuable participant in a meaningful universe” stave off debilitating fears about death. After 9/11 people returned to church & patriotic meetings to hold together against existential fears. Repressors who actively repress uncomfortable stimuli and emotions also have fewer childhood memories of adverse events than non-repressors. Personality development- Freud was the first to describe how childhood experiences affect adult personality. We must adapt to restrictions on our id impulses through all sorts of relationships in life, but a mature adult finds strategies to gain as much gratification as possible within social constraints. He believed different erogenous zones were central at different ages due to physical changes associated with different ages. He named the different developmental stage by that erogenous zone. The ego develops as it must find new strategies to cope with frustrations of socialization. Psychic traumas such as sexual abuse can overwhelm the ego & impair personality development. If such events repress normal impulses, they can result in fixation, which stops development of the personality. Traumatic stress can be dissociated from the rest of the personality in the form of PTSD or multiple personality disorder. Oral stage is all about feeding, sucking and is focused on the mouth. What is learned is that needs are satisfied through loved objects in the world. Mother’s presence is associated with satisfaction of hunger, then mother becomes a separate object, so differentiation of mom from self can occur. o Oral erotic phase is the first phase, where the baby passively accepts food, reality, swallowing what is good, or spitting out what is bad. o Oral sadism is the second phase, involves taking a more active role- biting. o Oral character is the personality type that occurs if there is fixation in the first stage. Traits include passivity, optimism, & dependency. (Due to reaction formation, this person could be pessimistic instead of optimistic, and depressed.) Anal stage is about bowel control and the expression of self-will so it is focused on the anus. Pleasure derives from control of bowel movements and the social demands for self-control. Fixation at this stage results in lifelong issues of control, & holding on and letting go emotionally. o Anal retentive phase occurs first when the toddler can control himself. o Anal expulsive phase occurs next as the toddler learns where and when to let go. o Anal character is expressed with 3 traits: orderliness, parsimony, & obstinacy. Fixation is often related to money as symbolic feces: hoarding it or spending it is emotionally charged. Phallic stage is about wish fulfillment with the opposite sex parent and frustration of sexual drives by masturbation. Focus is on genitals. Desire for pleasure is expressed through masturbation/ fantasy. Males and females follow diverse paths through this stage. o Oedipus conflict (male) is a representation of a boy’s desire to kill his father and become his mother’s sexual partner. Castration anxiety occurs as the boy realizes that if his father knew what he wished, he would punish him accordingly- with castration. This fear is repressed (although it may come out as unreasonable fear of disease) and the boy shifts his identification to his father. This results in healthy gender role development & conscience development. In Freud’s world morality is motivated by castration anxiety. o Electra conflict (female) happens as girls realize they must have already been castrated, they see the clitoris as inferior. Penis envy is what girls experience as they struggle with their desire for the father. The girl shifts her focus from mother to father, feeling the mother was not powerful enough to protect her from castration. Because girls will have no castration anxiety, they will never experience the strong superego males develop. (Current experimental research shows women to have greater shame & guilt, more empathy for other people’s feelings & actually score higher on ego development than men.) Three outcomes are possible: (Consider the times) Sexual inhibition/ neurosis Masculinity complex (women who strive for achievements exclusive to men) Normal femininity (passivity, masochism & childbirth) o Incest: abandonment of the Seduction hypothesis. Freud’s first theory was based on hysteric patients’ tales of seduction by significant male figures. He believed that father’s sexual behavior with his daughter was responsible for later symptoms, such as hysteria. (Something we accept today.) But Freud was rejected by the academic community when he presented that theory, so he went back to the drawing board and postulated that these were merely fantasies women expressed of their unconscious id sexual drives. Even today analysis will focus on what the abusive memory means to the patient, rather than the abuse as a fact. o Fixation at this point results in problems in superego formation, sex role identity, & sexuality: inhibitions, promiscuity, or homosexuality. (Today we believe sexual orientation has more to do with prenatal hormonal exposure.) Latency occurs during the early school years, as sexual drives go underground to promote cognitive development. Genital stage begins at puberty as the developing person learns the capability of getting sexual satisfaction with a partner. (In contrast to the phallic stage which is auto-erotic.) o Genital character is the ideal of full development. It occurs if fixations have been avoided or resolved through therapy. It is expressed through satisfying sexuality, caring about the satisfaction of the partner, non-narcissistic, and id instincts are available for successful work. Psychoanalytic treatment is designed to discover unconscious conflicts, to bring repressed drives into the open and consciously deal with them. Techniques o Free association asks the patient to say whatever comes into his/her mind, without censor. Unconscious material surfaces. o Catharsis is when buried feelings emerge from the unconscious. Deep feelings accompany recall of forgotten memories, repression is overcome, and personality freed. o Insight occurs when the client understands his/her true motives, the unconscious conflicts being repressed. Patients must “work through” unconscious conflicts over again in varying situations to develop full awareness and freedom from neurosis. o Transference occurs as the patient develops a relationship with the therapist based on unconscious projections from early years. The patient may fall in love with the therapist, or accuse the therapist of being just like the father/ mother. It allows unconscious material to come to light in the therapy office, where they can be resolved. o Countertransference is not therapeutic- as the therapist experiences strong feelings toward the client- positive or negative. This represents the therapist’s unresolved issues and interferes with therapy. Recovered Memory Controversy occurred in response to a particular therapy associated with psychoanalysis. Recovered memory therapy operated under the assumption that certain symptoms (depression, promiscuity, eating disorders) were evidence of traumatic sexual experiences in childhood. There was assumed to be repression of the memory, so therapists would try to get clients to search their memories for sexual abuse, even leading to trials of parents when there was no other evidence. These “memories: became rather bizarre: Satanic or cult ritual abuse, sacrifice of newborns, secret childbirth (even in the face of no physical evidence of childbirth.) Eventually this was exposed as faulty, unethical therapy. One of the reasons it was seen as not true memories was the quality of the memory, compared to true recovered memories unearthed without coercion. o False memory syndrome is when memories of trauma are induced by suggestion from a therapist. With true victims, memories for trauma become intrusive, rarely repressed out of all consciousness. Sexual trauma is different from other disasters, however, since the perpetrator is insisting on secrecy, even using threats to prevent revelation. But people are notoriously suggestible, particularly by an authority figure (therapist) who has built a trusting relationship. Elizabeth Loftus showed how even adults can have suggested memories instilled- the lost in the mall study. Chronic abuse and threat can impair neural connections involved in memory consolidation, however. Psychoanalysis as a scientific theory – the problem with psychoanalysis as a scientific theory is that the concepts aren’t testable. It is impossible to set up experiments to eliminate or confirm his concepts. The personality types can vary to the extremes within a stage. Projective tests have low reliability although there are some correlations within diagnoses. Silverman’s experiments relied on subliminal psychodynamic activation, which is presentation of stimuli so briefly they are not consciously identifiable. Subliminal messages could be flashed that were conflict-arousing (“I am losing Mommy”, in which case, schizophrenics showed increases in psychotic symptoms. This confirmed Freud’s belief that schizophrenics are conflicted at the oral stage about loss of mother. When “Mommy and I are one” was flashed, psychotic symptoms reduced. With women with eating disorders, arousal of abandonment conflict led to increased eating. These effects were not seen if the stimulus was presented at a conscious awareness level. Unconscious cognition – not all material in the unconscious came there by way of repression, in spite of what Freud said. We can do physical activities that are well-learned without conscious awareness. We can learn things that have been exposed to us at unconscious levels without even knowing we have learned them. Under anesthesia, patients can be influenced by auditory suggestions. One experiment showed reduction of need for pain meds following surgery, when the tapes played suggesting there would be little pain. Unconscious influences and the body – many things Freud suggested have been found to be valid today. One thing was traumatic memory loss. People exposed to combat stress show lowered activity in the hippocampus, which consolidates memory. Was it psychic protection, as Freud suggested, or simply neural overload? Stress causes increases in stress hormones, like glucocorticoid, which also interferes with neural messages in the hippocampus. The brain processes different effects of trauma. The hippocampus may not process the verbal memory, but the amygdale can process the emotions and bodily memory. So unconscious processes do influence behavior, but we are still not sure exactly how and through what channels.