When Power Corrupts

Rod Blagojevich gets 14 years in federal prison.

Secrets of Psychotherapy: What's Love Got to Do With It? Part Two

How the "love cure" can help heal your "love wound"


Part One of this posting focused on the problem of love from the patient's side, and its central relevance to his or her symptoms and complaints. In Part Two, we take a look at how the healing power of love can facilitate the patient's treatment.

Psychoanalysis, the prototypical form of psychotherapy pioneered and developed by Sigmund Freud and his protégé, C.G. Jung, has been called both the "talking cure" and, curiously, the "love cure." The love cure. In fact, Freud himself once said, in a letter to Jung, that "psychoanalysis is in essence a cure through love." What did he mean by this strange statement? Let's consider how and why love, even today, plays such an essential part not only in psychoanalysis or depth psychology per se, but in any successful psychotherapy.

Last month at the Venice Film Festival, a controversial new movie directed by David Cronenberg called A Dangerous Method debuted to mostly positive but tepid reviews. The film, which I have not yet seen but definitely intend to, will be released here in the U.S. in November. A Dangerous Method is based on a book by John Kerr (and, later, a play) about Freud, Jung and a beautiful, brilliant and deeply disturbed female patient of Jung's, Sabina Spielrein. It is set in the formative early days of psychoanalysis, shortly following Freud's revolutionary publication of The Interpretation of Dreams in 1900. Spielrein (played by Keira Knightley) was referred for treatment to the Burgholzli, a Swiss psychiatric hospital in which Jung (played by Michael Fassbender) was completing his medical residency in psychiatry under the supervision of Eugen Bleuler, who coined the term "schizophrenia." Jung, not yet thirty and at that time a devout Freudian disciple from afar, decided to employ the master's psychoanalytic methods in his efforts to treat his very first patient, the terribly troubled, traumatized, probably functionally or borderline psychotic eighteen-year-old Ms. Spielrein. At some point during the course of therapy, they apparently became lovers. This sordid affair continued for several years, and caused a multitude of problems for the married Jung, as well as for Spielrein later on. And, once exposed, it precipitated the beginning of the end of Jung's close collaboration and friendship with the already famous Freud (played by Viggo Mortensen). But, despite all this, the fact is that Spielrein rather miraculously recovered from her severely debilitating mental illness, going on to become a physician and distinguished psychoanalyst herself. This was long before the advent of specific psychiatric medications routinely utilized today. So, clearly, Jung, despite his serious transgression, had done something right.

As I mentioned, this took place during the early days of psychoanalysis, in which Jung became Freud's closest colleague and co-worker in its development and dissemination. Indeed, the senior Freud for some time considered C.G. Jung his "heir apparent" to psychoanalysis once he himself was gone. Though both Freud and Jung were traditionally trained as physicians, psychiatry, like psychotherapy, was really still in its infancy. While, as medical doctors, they both recognized and had sworn to uphold the Hippocratic ethic of maintaining professional boundaries with patients, the concepts of what Freud famously came to call "transference" and "counter-transference," while taken for granted today, were still poorly grasped, and there had been limited opportunity for psychoanalysts to gain practical clinical experience contending with these powerful phenomena. So psychotherapy was, in this sense, still highly experimental. Freud had witnessed more than a decade before he gave birth to psychoanalysis, in the work of fellow physician Josef Breuer (see the case of Anna O.), how a female patient's erotic love (transference) for the physician could develop and wreak havoc with the medical treatment and doctor. This case marked, for Freud, the germination of what he eventually came to call "psychoanalysis."

The potentiality of love erotically entering into psychotherapy (or other professional relationships) is a constant peril. Such feelings are natural enough when two people meet regularly, discuss the most intimate matters, and when one regularly receives support, encouragement, empathy, respect, understanding and acceptance from the other. Since we all instinctively and sometimes neurotically need and seek love (see Part One), psychotherapists are susceptible to becoming the object of a patient's passionate admiration or ardor, and, in some cases, succumb to this tempting siren call, typically with catastrophic consequences for both parties. This is evidently what happened to the then young, susceptible and inexperienced Dr. Jung. And it would not be the last of Jung's extramarital affairs with one of his patients: Some years later, following his bitter falling out with Freud and excommunication from the psychoanalytic circle, he turned for support during his horrific mid-life crisis to Antonia "Toni" Wolff, whom he had previously been treating for depression. Wolff, who, like Spielrein, also later became an analyst, was, by Jung's own admission, his "other wife," with whom he maintained an open relationship for decades until her death. She helped Jung through his darkest period, during which he temporarily descended into psychosis, providing the additional love and understanding he evidently desperately needed after he had effectively helped her by providing his during Wolff's analysis. (See my prior posts on Jung and Jung's Red Book.) It should be noted that Jung's own highly conflicted childhood relationship with his mentally ill mother had been the source of great confusion, pain, distrust, feelings of abandonment, loss and anger, and can be seen, at least partly, as the cause of his compelling counter-transference reactions to these female patients. So Jung, who had never himself been in analysis, because of his own unconscious and unresolved "love wound," tended, in some early cases, to take the "love cure" quite literally. And he, unfortunately, was not the only analyst guilty of such unprofessional behavior.



When Power Corrupts