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Sexualities Sexualities: Contemporary Psychoanalytic Perspectives presents a broad selection of contemporary psychoanalytic thinking on sexuality from a wide range of psychoanalytic traditions. Sexuality remains at the heart of much psychoanalytic theory and practice but it is a complex and controversial subject. Edited by Alessandra Lemma and Paul E. Lynch, this volume includes a range of international contributions that examine contemporary issues and trace common themes needed to understand any sexuality, including the basics of sexuality and the myriad ways in which sexuality is lived. The clinical examples provided here demonstrate contemporary psychoanalytic techniques to uncover meanings that are both fresh and enlightening, and address heterosexuality, homosexuality, gender and perversion from a psychoanalytic perspective. Divided into four parts, the book includes the following: • Historical context • Foundational concepts: Contemporary elaborations • Homosexuality • Perversion revisited Throughout Sexualities: Contemporary Psychoanalytic Perspectives the reader will find psychoanalytic wisdom that is transferrable to work with patients of all sexualities, and will see that the essentials of sexuality may be more similar than they are different for homo- and heterosexuality. Psychoanalysts and psychoanalytic psychotherapists, as well as academics interested in the subjects of psychoanalysis, gender, sexuality or homosexuality, will find this book an invaluable resource. Alessandra Lemma, PhD is Director of the Psychological Therapies Development Unit at the Tavistock and Portman NHS Foundation Trust. She is a Fellow of the British Psychoanalytic Society and Visiting Professor in the Psychoanalysis Unit, University College London. She is a Consultant Adult Psychotherapist at the Portman Clinic where she specializes in working with transsexuals. She has published extensively on psychoanalysis, the body and trauma. Paul E. Lynch, MD is on the faculty of the Boston Psychoanalytic Society and Institute, the Massachusetts Institute for Psychoanalysis, and the China American Psychoanalytic Alliance. He teaches about psychoanalysis, gender and sexuality, and has been a popular speaker on issues of homosexuality and psychoanalysis. He is also a Clinical Instructor of Psychiatry at the Tufts University School of Medicine. Sexualities Contemporary psychoanalytic perspectives First published 2015 by Routledge 27 Church Road, Hove, East Sussex, BN3 2FA and by Routledge 711 Third Avenue, New York, NY 10017 Routledge is an imprint of the Taylor & Francis Group, an informa business © 2015 Alessandra Lemma and Paul E. Lynch The right of the editors to be identified as the authors of the editorial material, and of the authors for their individual chapters, has been asserted in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging in Publication Data Sexualities : contemporary psychoanalytic perspectives / edited by Alessandra Lemma and Paul E. Lynch. pages cm 1. Sex (psychology) 2. psychoanalysis. I. Lemma, Alessandra. II. Lynch, Paul E., 1959- BF175.5.S48S487 2015 155.3–dc23 2014048378 ISBN: 978-0-415-71865-3 (hbk) ISBN: 978-0-415-71866-0 (pbk) ISBN: 978-1-315-71460-8 (ebk) Typeset in Times New Roman by Swales & Willis Ltd, Exeter, Devon, UK For Andy and John Contents List of contributors ix Acknowledgements xiii Introduction: let’s talk about sex or . . . maybe not . . . 1 ALESSANDRA LEMMA AND PAUL E. LYNCH PART I Historical context 17 1 What happened to psychoanalysis in the wake of the sexual revolution? A story about the durability of homophobia and the dream of love, 1950s–2010s 19 DAGMAR HERZOG PART II Foundational concepts: contemporary elaborations 41 2 A developmental model of sexual excitement, desire and alienation 43 MARY TARGET 3 Desire and its discontents 63 MARILIA AISENSTEIN AND DONALD MOSS 4 Disrupting Oedipus: the legacy of the Sphinx 81 NICOLA BARDEN viii Contents 5 No maps for uncharted lands: what does gender expression have to do with sexual orientation? 101 VITTORIO LINGIARDI PART III Homosexuality 123 6 A scientific theory of homosexuality for psychoanalysis 125 PETER FONAGY AND ELIZABETH ALLISON 7 Intimacy, desire and shame in gay male sexuality 138 PAUL E. LYNCH 8 Objecting to the object: encountering the internal parental couple relationship for lesbian and gay couples 156 LEEZAH HERTZMANN PART IV Perversion revisited 175 9 Sexual aberrations: do we still need the concept? If so, when and why? If not, why not? 177 DONALD MOSS 10 The prostitute as mirror: distinguishing perverse and non-perverse use of prostitutes 189 ALESSANDRA LEMMA 11 On sexual perversions’ capacity to act as portal to psychic states that have evaded representation 205 AVGI SAKETOPOULOU 12 Working with problems of perversion 219 HEATHER WOOD Index 235 Contributors Marilia Aisenstein is a Training Analyst of the Hellenic Psychoanalytical Society and the Paris Psychoanalytical Society. She has been president of the Paris Society and of the Paris Psychosomatic Institute, member of the editorial board of the Revue Française de Psychanalyse, co-founder and editor of the Revue Française de Psychosomatique. She presently works in private practice and gives seminars in both the Hellenic and the Paris Societies and is the Chair of the Executive committee of the Paris Society’s Psychoanalytical Clinic. She has written three books on psychosomatics and hypochondria and numerous papers in French and international journals. Elizabeth Allison PhD is a psychoanalyst and Deputy Director of the Psychoanalysis Unit at University College London. She received her doctorate from Oxford University and her current research interests include the applica- tion of psychoanalytic ideas to the study of literature. Nicola Barden is the Director of Student Services at the University of Winchester. She has counselled students in higher education for over twenty years, which has brought with it plenty of scope for thinking about the formation of gendered and sexual identities. She is registered with the United Kingdom Council for Psychotherapy and the British Association for Counselling and Psychotherapy, and was Chair of the BACP from 2005 to 2008. Peter Fonagy PhD, FMedSci, FBA, OBE is Freud Memorial Professor of Psychoanalysis and Head of the Research Department of Clinical, Educational and Health Psychology at University College London; Chief Executive of the Anna Freud Centre, London; and Consultant to the Child and Family Programme at the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine. He is a Senior Investigator for the National Institute of Health Research and holds professorships at both Harvard and Yale. He is a clinical psychologist and a training and supervising analyst in the British Psychoanalytical Society in child and adult analysis. He is also National Clinical Lead of the NHS Children and Young People’s Improving Access to Psychological Therapies and Director of the UCL Partners Integrated