CHAPTERTITLE I 111 2 3 4 5 6 ANALYSIS OF THE 711 8 INCEST TRAUMA 9 10 1 2 3 4 5 6 7 8 9 211 1 2 3 4 5 6 7 8 9 30 1 2 3 4 5 6 7 8 911 111 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 711 8 9 20 1 2 3 4 511 6 7 8 9 311 1 2 3 4 5 6 7 8 911 111 2 3 4 5 6 711 ANALYSIS OF THE 8 9 INCEST TRAUMA 10 1 2 Retrieval, Recovery, 3 4 Renewal 5 6 7 8 Arnold W. Rachman 9 and 211 1 Susan A. Klett 2 3 4 5 6 7 8 9 30 1 2 3 4 5 6 7 8 911 111 2 3 First published in 2015 by 4 Karnac Books Ltd 118 Finchley Road, London NW3 5HT 5 6 7 Copyright © 2015 to Arnold W. Rachman and Susan A. Klett. 8 9 The rights of Arnold W. Rachman and Susan A. Klett to be identified as the 10 authors of this work have been asserted in accordance with §§ 77 and 78 of 1 the Copyright Design and Patents Act 1988. 2 3 All rights reserved. No part of this publication may be reproduced, stored in 4 a retrieval system, or transmitted, in any form or by any means, electronic, 5 mechanical, photocopying, recording, or otherwise, without the prior written 6 permission of the publisher. 711 8 A C.I.P. for this book is available from the British Library 9 20 ISBN 978 1 78220 221 9 1 2 3 Edited, designed and produced by The Studio Publishing Services Ltd 4 www.publishingservicesuk.co.uk 511 e-mail: [email protected] 6 7 8 Printed in Great Britain 9 311 1 2 3 www.karnacbooks.com 4 5 6 7 8 911 111 CONTENTS 2 3 4 5 6 711 8 9 10 1 2 3 4 5 6 7 8 9 211 ACKNOWLEDGMENTS vii 1 2 ABOUT THE AUTHORS ix 3 FOREWORD xi 4 5 CHAPTER ONE 6 The intellectual and emotional journey toward 1 7 understanding the incest trauma 8 9 CHAPTER TWO 30 Psychoanalysis’s neglect of the incest trauma 17 1 2 CHAPTER THREE 3 Confusion of tongues drama: the suppression 47 4 of the first theory and method for the treatment 5 of the incest trauma 6 7 CHAPTER FOUR 8 Confusion of tongues theory of childhood 65 911 sexual trauma v vi CONTENTS 111 CHAPTER FIVE 2 Apioneering analysis of the incest trauma: 109 3 Sándor Ferenczi’s analysis of Elizabeth Severn 4 CHAPTER SIX 5 Listening to the voices of the abused 125 6 7 CHAPTER SEVEN 8 Incest trauma, psychoanalysis, and the brain 137 9 10 CHAPTER EIGHT 1 Analysis of an incest trauma in a difficult case 153 2 3 CHAPTER NINE 4 Analysis of the incest trauma through the drawings 189 5 of an outsider artist 6 711 CHAPTER TEN 8 View from the couch: an analysand’s experience 231 9 of trauma 20 CHAPTER ELEVEN 1 Triumph of the human spirit: the emotional courage 253 2 of a young woman who confronted her incest trauma 3 4 CHAPTER TWELVE 511 Countertransference encounters: the analyst’s experience 271 6 of trauma analysis 7 8 CHAPTER THIRTEEN 9 Understanding an erotic transference as an enactment 291 311 of a childhood incest trauma 1 2 CHAPTER FOURTEEN 3 Education, training, and supervision for analyzing 309 4 the incest trauma 5 REFERENCES 319 6 7 INDEX 339 8 911 111 ACKNOWLEDGMENTS 2 3 4 5 6 711 8 9 10 1 2 3 4 5 6 7 8 9 211 There is no meaningful way to express our gratitude to the many 1 incest survivors with whom we have shared their life struggles. 2 Without their willingness to open their hearts and minds to us, we 3 would not have been able to write this book. These courageous and 4 thoughtful people include the individuals of the case studies of 5 “Samantha,” “W.,” “Winston,” “Laura,” and “Soma”, who willingly 6 told their stories of abuse so that both other survivors and analysts 7 could benefit from their recovery. These individuals and many others 8 have taught us to do the analysis of the incest trauma. 9 This book is the third in a planned trilogy that emerged from 30 Arnold’s research project, begun in 1976, on the life and work of 1 Sándor Ferenczi. Susan’s impressive presentation in Budapest, “The 2 many faces of trauma”, on Ferenczi’s influence on her work, led to an 3 invitation for her to join in and contribute to this significant endeavor. 4 In some ways, it is the most natural one to write because Ferenczi’s 5 ideas and clinical work began the formal study and treatment of the 6 incest trauma. Arnold Rachman considers Ferenczi his mentor, since 7 his ideas, clinical work, methods, and career continue to provide him 8 with an inexhaustible wellspring of inspiration to pursue his research 911 and writings. vii viii ACKNOWLEDGMENTS 111 There were colleagues who provided both of us with the necessary 2 affirmation to pursue Ferenczi studies and the study of incest. We are 3 grateful to Beatrice Beebe, PhD, Henry Kellerman, PhD, Robert 4 Marshall, PhD, Paul Mattick, PhD, and the late Esther Menaker, PhD. 5 We are also grateful to Lew Aron, PhD, for originally reviewing the 6 manuscript, and to Ernst Falzeder for reviewing Chapter Three, “The 7 confusion of tongues drama”. We have integrated their scholarly 8 comments into the manuscript. 9 10 1 2 3 4 5 6 711 8 9 20 1 2 3 4 511 6 7 8 9 311 1 2 3 4 5 6 7 8 911 111 ABOUT THE AUTHORS 2 3 4 5 6 711 8 9 10 1 2 3 4 5 6 7 8 9 211 Arnold W. Rachman, PhD, FAGPA, is training and supervising 1 analyst at Postgrad* The Institute of the Postgraduate Psychoanalytic 2 Society; Clinical Professor of Psychology, Derner Institute, Adelphi 3 University Postdoctoral Program in Psychoanalysis and Psycho- 4 therapy, and Associate Professor of Psychiatry, New York University 5 Medical Center; Faculty, Trauma and Disaster Studies Program in the 6 New York Postdoctoral Program in Psychoanalysis, Board of 7 Directors, The Sándor Ferenczi Center. The New School for Social 8 Research. He is an Honorary Member, Sándor Ferenczi Society, 9 Budapest, Hungary, and the author of Sándor Ferenczi: The 30 Psychotherapist of Tenderness and Passion (1997); The Psychotherapy of 1 Difficult Cases(2003); Elizabeth Severn: The Evil Genius of Psychoanalysis 2 (2016). 3 4 Susan A. Klett, LCSW-R, BCD, NCPsyA, is a faculty member of 5 Postgrad* The Institute of the Postgraduate Psychoanalytic Society, 6 where she has been a former Board Member and Past President of The 7 Postgraduate Psychoanalytic Society. She is the Director of Profes- 8 sional Development of Advanced Clinical Education (ACE), a foun- 911 dation of The New York State Society for Clinical Social Work. Ms ix