Psychoanalysis scorecard

FINAL ANALYSIS

Just when you thought psychoanalysis was dead, battered by managed care, Prozac, and neuroscience, word arrives that it is very much alive. There are more patients undergoing analysis and more shrinks in training in 1998 than in 1968. Of course, psychoanalysis (PA) no longer belongs just to medicine, where the surest way to get a laugh is to say "penis envy" to a gathering of psychiatrists. Instead, social workers are buying couches, and psychoanalytic theory is positively thriving in history and literature departments. Love it or hate it, PA changed the way we think of ourselves. (If castration anxiety just doesn't do it for you anymore, remember Freud once declared cigars a substitute for masturbation.) When the American Journal of Psychiatry ceded Freud to the New York Review of Books, PA lost much of its cultural cachet. But it gained shelfspace. Recently, dozens of tomes and articles have intensified the Freud wars. Herewith, some major combattants.--The Editors

LEGEND

[*] = FREUDOMETER

FREUDOMETER PERSON EXPERTISE

[*][*][*] FREDERICK CREWS English

[*][*]

[*][*][*] ARNOLD CCOPER, M.D. psychiatry

[*][*]

[*][*][*] FRANK J. SULLOWAY research

[*][*] in neuroscience

[*][*][*] ROBERT MICHELS, M.D. psychiatry

[*][*][*] JUDITH BUTLER literature

[*][*][*] PETER GAY history;

[*] applies PA

to study of

history

[*][*][*] ERIC R. KANDEL., M.D. cognitive

neuroscience

[*][*][*] EUSABETH YOUNG humanities

[*] BRUEHL

PERSONAL

PREUDOMETER HISTORY OF NOTE

[*][*][*] Former true

[*][*] believer in PA

[*][*][*]

[*][*]

[*][*][*] Known for birth-

[*][*] order work, but

also wrote Freud:

Biologist of the

Mind.

[*][*][*] Head shrink at

Cornell Medical

College

[*][*][*]

[*][*][*] Yale professor;

[*] graduate of Western

New England Institute

for Psychoanalysis

[*][*][*] Has spent decades

studying biology

of memory in Aplysia,

a slug with big

nerves

[*][*][*] Teaches history of PA

[*] at Wesleyan; biographer

of Anna Freud; author

of Freud on Women

FREUDOMETER POINT OF VIEW

[*][*][*] PA utterly fails as a science. It doesn't begin to

[*][*] do justice to the intricacies of motivation. Freud

himself was "endlessly devious and

self-dramatizing."

[*][*][*] The era of psychoanalytic imperialism may be over,

[*][*] but neuroscience actually has a lot to learn from

PA

[*][*][*] A bad understanding of biology spawned a "bad

[*][*] psychology." The six cases Freud used to support

PA reflect not science but subjective

preconceptions.

[*][*][*] It doesn't matter whether or not Freud was right,

only that PA helps patients. It's not as effective

as drugs for depression, but it's great for

anxiety.

[*][*][*] The idea of "the story" and the idea of

"trauma"

have leaped the bounds of PA to become potent

forces in the culture at large.

[*][*][*] Considers Freud the great archeologist of the

[*] mind. Believes PA has become a victim of its own

success and of excessive expectations.

[*][*][*] All mental processes are biological, but PA

divorced psychiatry from concern with the brain as

organ of mental activity. Now it's time for

reconciliation.

[*][*][*] Freud was sexist; many ideas are simplistic; penis

[*] envy does not drive female development; but he

teaches us about oppressive patriarchal

prejudices.

FREUDOMETER IN THEIR OWN WORDS

[*][*][*] Freud reduced "everything to the sexual, the

[*][*] selfish, the infantile. His overdetermination of

psychic causality is the tool not of a scientist

but of an intellectual megalomaniac."

[*][*][*] "Neuroscientists need a model of the mind and

[*][*] psychoanalysis can provide it." "This is the

headiest time in psychoanalysis since the early

days of Freud's first discoveries."

[*][*][*] "Freud erected his psychoanalytic edifice on

[*][*] intellectual quicksand." He also taught

"his followers to replace the empirical attitude

with blind loyalty and ruthlessness toward

dissent."

[*][*][*] "The effectiveness of PA has not been fully

tested. And if it were, it would no doubt be fully

vindicated," even though "PA has become a

liability for psychiatry."

[*][*][*] "I suggest that PA, as theory or practice, might

well be rejuvenated by returning to the questions

of incest and kinship, as well as their

interrelation."

[*][*][*] Freud was the first to treat the unconscious "as

[*] a part of us that is at work all the time, which

contains material we can't stand thinking about

and then repress."

[*][*][*] "Psychoanalysts devalued experimental inquiry.

Consequently PA slid into intellectual decline

that has had a deleterious effect on

psychiatry."

[*][*][*] "The whole new feminist appropriation of Freud

Tags: american journal of psychiatry, cachet, cognitive neuroscience, cornell medical college, eric r kandel, frank j sulloway, frederick crews, freud wars, gay history, judith butler, literature departments, new york review of books, peter gay, psychoanalysis, psychoanalytic theory, robert michels, true believer, yale professor

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