Repetition and Trauma: Toward A Teleonomic Theory of Psychoanalysis PDF
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Repetition and Trauma Toward a Teleonomic Theory of Psychoanalysis Copyrighted Material Copyrighted Material Repetition and Trauma Toward a Teleonomic Theory of Psychoanalysis by Max M. Stern edited by Liselotte Bendix Stem with an introduction by Fred M. Levin (cid:10) THE ANALYTIC PRESS 1988 Hillsdale, NJ Hove and London Copyrighted Material Copyright ©1988 by The Analytic Press All rights reserved. No part of this book may be reproduced in any form, by photostat,m icroform,r etrieval system,o r any other means without prior written permission of the publisher. The Analytic Press Distributed solely by Lawrence Erlbaum Associates,I nc.,P ublishers 365 Broadway Hillsdale,N ew Jersey 07642 Set in Palacio type by by Und Graphics,W oodcliff Lake, NJ Printed in the United States of America by Braun-Brumfield,I nc.,A nn Arbor,M I Ubrary of Congress Cataloging-in-Publication Data Stern,M. Repetition and trauma. Includes bibliographies and indexes. 1. Psychic trauma. 2. Nighmares. 3. Dreams. 4. Developmental psychobiology. 5. Freud,S igmund,1 856-1939. I. Stern, Uselotte Ben dix. II. Title. [DNLM: 1. Human Development. 2. Psychoanalytic Theory. 3. Stress,P sychologi cal.WM 460 S8392r] BF175.5.P75S74 1988 150.19'5 88-10395 ISBN 0.88163-073-X 1 2 3 4 5 6 7 8 9 10 Copyrighted Material Table of Contents Acknowledgments vn Editor's Preface ix Author's Preface xi Bibliography of Max M. Stern, M.D. xiii Introduction by Fred Levin, M.D. 1 Chapter 1. Pavor Nocturnus 39 2. Regression Explanations 69 3. Trauma and the Repetition Compulsion 93 4. Reparative Mastery 115 5. The Teleonomic Principle 137 References 149 Author Index 155 Subject Index 159 Copyrighted Material Copyrighted Material Acknowledgments I wish to express my gratitude to the following persons who aided me in the revision of the last draft of Dr. Stern's manuscript. Foremost, my thanks go to Mr. Nick Cariello, who restructured a sprawling work and laid out Dr. Stern's ideas with sensitive understanding; to Dr. Paul Stepansky, of The Analytic Press, whose constructive, critical comments after first reading the 1982 version enabled me to recognize the revisions that were needed. I also want to express my gratitude to the institutions and the librarians and staff of the institutions who extended their services to me so that I could complete the necessary bibliographic research: the librarians and staff of the New York Psychoanalytic Institute and Society; the late Phyllis Rubinton, formerly Librarian of the A. A. Brill Library of the New York Psychoanalytic Institute, who also permitted me to use the facilities of the Oskar vii Copyrighted Material viii Acknowledgments Diethelm Library of the Payne Whitney Psychiatric Clinic after she became head librarian there; her successor at the Brill Library, Ms. Ellen Gilbert. My special thanks to Ms. Jeanette Taylor, Assistant Librarian of the Brill Library, who not only met my bibliographic needs and obtained numerous interlibrary loans, but also lent a sympathetic ear to my many doubts in completing the project and also gave me moral support and encouragement; my thanks to my friends and colleagues in the biomedical libraries, who graciously al lowed me to use their facilities when my search led me beyond the psychoanalytic literature. Thanks also to Mr. Gilbert J. Clausman, the former Librarian of New York University Medical Center, and Ms. Eleanor E. Pasmick, Associate Librarian, who kindly permitted me to read in the library and trusted me enough to let me roam the stacks freely; Mr. Eric Meyerhoff, formerly Director of the Samuel J. Wood Library at Cornell University Medical College, and his staff; Ms. Mary Mylenki, formerly Librarian at the Oskar Diethelm Library, Payne Whitney Psychiatric Clinic, and currently Associate Director of the Greater Northeast Re gional Medical Library Center of the National Library of Medicine; Ms. Lee Mackler, Director of the Emil A. Gutheil Library at the Post Graduate Center for Mental Health. My thanks go also to my family and friends, who have been so patient and understanding in tolerating my preoccupation with completing this project. Most of all, my gratitude goes to my husband, the late Max M. Stern, who daily shared the thoughts expressed in this book with me and let me partic ipate in his work, which so greatly expanded my horizons and allowed me the satisfaction of becoming a part of his life's work. Copyrighted Material Editor's Preface S hortly before his death in july 1982, Max M. Stern completed the last draft of a manuscript that represented his effort of some 25 years to investigate clinically and reformu late theoretically the correlation between biological and psy chological processes in human behavior. In 18 previously published papers, he had argued that modern biological principles required just such a reformulation of classical psychoanalytic theory-not only the so-called metapsy chology but the clinical theory-in terms of which psycho analytic therapy was conducted. "Analysts," he wrote, "can no longer shy away from the task of reformulation and continue to cling to admittedly wrong postulates on the ground that 'psychoanalytic clinicians would find it very difficult to do without [them]' (Valenstein, 1968, p. 614)." At the same time, he recognized that Repetition and Trauma ix Copyrighted Material
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