Summary and Critique by Oddinigwe
Onyemenem
Summary
Spacal addresses the obscurity in
the meaning of the term “psychoanalysis” with regards to the original use by
Freud. Freud describes psychoanalysis as a psychological theory, an
investigative method, and a therapeutic procedure. The article points out that
creates methodological and conceptual ambiguities in this field of study. The
method of free association may be viewed as a useful criterion for
distinguishing among various clinical approaches to psychoanalysis,
particularly in its state of self-observation.
As clinical approaches to
clinical psychoanalysis change over time in the way they are practiced, the
article notes that the emphasis on existing approaches are based on addressing basic
operational concepts such as free association, interpretation, and the mental
disposition of the analyst. According to the article, Freud primarily instituted the method of free
association as an introspective modality, rather than a communicative one, or
one producing material to be interpreted. The free association methodology has
its origins from Freud’s “The Interpretation of Dreams”, which is where most of
the modifications have occurred.
The article points out the differences in the methodologies adapted
by Freud and Breuer. The methodological innovation which brought Breuer to a
much more dynamic understanding of hysterical mental processes than the
prevailing psychiatric notions allowed consisted of giving his patient the opportunity
to freely express and structuring the environment in the way he thought most conductive
to this end. He concluded that a patient suffering from hysterical symptoms can
understand the latent meanings of his or her own symptoms and behavior, if he
or she is left free to investigate his or her own inner world. On the other
hand, Freud's innovation consisted of instructing the patient to express
herself freely in a mental state not altered by traditional hypnotic
procedures. In this formulation, the emphasis is not on the presence or absence
of the hypnotic state, but rather on the element common to both cases, which
was that of organizing the therapeutic situation so that the patient could
express herself as freely as possible.
The investigative effectiveness of Freud’s methods is due to
the following characteristics:
· The mental organization of the
self-observing subject is similar to that "before falling asleep" or
to "hypnosis";
· This permits the formal regression of
thought and the appearance of "involuntary ideas";
· The subject's discourse tends to
become more expressive because of the modified "distribution of psychical
energy," and aspects to do with emotions and drives become more prominent;
· “The psychical energy thus
saved" enhances the self-observing subject's capacity for
"attentively following the involuntary thoughts"; and
· The concurrence of attentive
self-observation with the appearance of "involuntary ideas" creates a
situation in which "involuntary ideas are transformed into voluntary
ones."
Various psychoanalytical procedures have emerged over the
time as they continue to evolve. They are usually categorized into
investigative method, which involves self-observation by free association and
therapeutic method. Spacal explains that Freud’s approach of not hypnotizing
his patients, provided the patients more autonomy in expressions while
dispelling any form of coercion or acting subconsciously or unconsciously.
Critique
The article properly addresses psychoanalysis and the methods
that are used in that field of study. Spacal thoroughly examined the evolution
of psychoanalytic methods and provided a history of how psychoanalytic methods
have evolved and the variations that existed between Breuer and Freud. Freud’s
variation of the free association methodology was more natural by allowing
patients to participate in the exercise more freely and aware compared to being
hypnotized. It is an effective methodology by allowing the patient through
self-observation to reveal the root cause of any issues. The patient has the
autonomy of divulging thoughts, dreams, past events, etc. in a bid to uncover
any suppressed thoughts or feelings that may have led to neurosis.
Source:
Spacal, Savo. "Free association as a
method of self-observation in relation to other methodological principles of
psychoanalysis." Psychoanal. Q 59.3 (1990): 420-436.