Professional Documents
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The starting point for this paper is current observation of adolescents who seem
unable to break the latency structure, making it difficult for the adolescence pro-
cess to become established. These youngsters present with a specific set of charac-
teristics which the author proposes to call ‘pseudo-pseudomaturity’: they seem for
the most part well adapted, with an absence of unconscious conflicts. However,
they differ from Meltzer’s description of pseudomaturity in that the omnipotent
attitude of dependence-denying is not seen. On the contrary, they seem eager to
take the opportunity to have the infantile true self accepted and contained before
they can safely enter the process of adolescence, with all its turbulence. Some
aspects of our culture are discussed in relation to the psychic configuration
described. Using fragments from the analysis of a 19 year-old patient, the paper
looks at technical issues raised by these cases. There is an emphasis on the ana-
lyst’s own mental processes and the importance of being able to contain the emo-
tional turbulence that cannot be sensed by the patient. The author sets out the
different modalities suggested ⁄ tested ⁄ proposed in the analytic relationship in sup-
port of the transferential work. Some questions regarding how and when to make
interpretations are also discussed. In these types of cases, the psychoanalytic pro-
cess carries a two-fold responsibility – to the patient and to society as a whole, in
view of the creative potential that adolescents represent, essential for social change
and growth.
Introduction
I was approached by the mother of lvaro, a young man of 19. She said
that she was not seriously concerned about her son but she noticed that he
seemed distracted from his university studies and had changed courses sev-
eral times. This had never happened before as he had always been an exem-
plary student. He was seeing a young woman of 27 who seemed ‘‘stuck on
him’’ and she did not know whether this was appropriate. She said that,
otherwise, he was ‘‘a mature, relaxed, good-natured young man who gets on
well with everybody’’. She wanted to make it clear that she never interfered
in her son’s business and always respected his privacy and autonomy. lvaro
was the child of her first marriage; they had separated when he was 3 years
old. She had three small sons from her second marriage and lvaro got on
well with them: ‘‘He isn’t jealous and even helps out with them.’’ The
patient’s father lived abroad and was presented as someone from a relation-
ship that did not work out, who was absent from their lives.
Using fragments from lvaro’s analysis (carried out over three sessions a
week, using the couch), I will look at some issues emerging from my cur-
rent clinical work with adolescents. My starting point was the observation
that I was increasingly seeing young men and women with a condition
whose characteristics were that the adolescence process was not yet estab-
lished and the expected break from the latency structure was marked by
dissociation and obsessional mechanisms. These young people were appar-
ently asymptomatic with well-balanced personalities, in other words show-
ing similarities with Meltzer’s (1978) description of pseudomaturity, but
not showing the denial of dependence masked by an attitude of pseudo-
cooperation that is characteristic of this concept of pseudomaturity. On the
contrary, I was encountering youngsters who eagerly embraced analysis
once it proved to offer a containing space. It would perhaps be appropriate
to describe these youngsters as ‘pseudo-pseudomature’ because the usual
defensive structure is seen to break down more easily in these cases. My
intention in giving them this description is not to create a new metapsy-
chological entity, but rather to set out a basic premise upon which to look
at the way postmodern culture may influence the formation of a particular
defensive configuration.
Each area of scientific knowledge may have its own defined field of
inquiry and study methodology but in all scientific research there is a grow-
ing awareness that it is not possible to study phenomena in isolation. We
must always be careful to remember that, before we are psychoanalysts (or,
at least, our identities are inseparable from the role), we are adults forming
and formed by this world that we share with the adolescent, and are influ-
enced by it in ways that we cannot always fully appreciate. Reflecting on the
world in which we carry out our work is therefore fundamental to our
understanding. Since we are all enmeshed in our culture, this will have to be
done without the emotional distance that is usually desired. In any case, we
know that the scientific ideal of neutral observation has been laid to rest,
with our current understanding that the observer forms a part of what is
being observed.
This paper will focus on the dilemmas thrown up in the psychoanalytic
treatment of adolescents in the current context and not on the study of con-
temporary culture itself; it will attempt to set out the new challenges arising
in our work and describe the technical resources available to us. I will illus-
trate my points using fragments from lvaro’s analysis and my reflections
on the process in hindsight. Clearly, clinical material only gives us glimpses
that are partial and does not take into account other possible angles of
awareness and contexts.
My concern here is to accompany the mental work of the analyst in
attempting to understand the emotional experience during the session and
in formulating interpretations. I start from the conviction that, in analysis,
analyst and patient together make up a complex interconnecting system in
which the whole (the analytic work) is greater than the sum of its parts.
Before moving on to an account of lvaro’s analysis, I should like to
bring into the discussion some points regarding our present-day culture and
then attempt to draw out links with adolescent psychoanalytic work.
Postmodern times
Many studies have been done on the features of the postmodern period and
it would be inappropriate and distracting to go into more depth on these
here.
Postmodern culture (in common with all cultures) sustains erotic–thanatic
aspects: on the one hand, we see an increasing awareness that complete and
definitive truths do not exist, which encourages a higher regard for the new
and different; on the other, we see the defences against this percept leading
to a pursuit of the narcissistic ideal of completeness (Rocca, 2000).
What I would like to pay particular attention to for the purposes of this
article is the increase in narcissistic characteristics seen in postmodern cul-
ture. Jeammet (2009) is one of several writers who believe that, in the cur-
rent period, we have seen a shift from pathologies of conflict, which
traditionally characterize repressive societies, to pathologies of connections,
boundaries and dependence – placing the narcissistic dimension at the heart
of the picture.
I believe that the failure of the Illuminist ideals which have underpinned
the modern period – which society is still metabolizing – is a central issue.
at this point since it would impose limitations on what we can talk about
and would get in the way.
After seven months of treatment, lvaro makes a ‘casual’ remark that his
mother and stepfather are thinking about going to live in another country
but ‘‘obviously’’ he will not be going with them because he has to finish his
studies. I understand now that this plan has always been there in the back-
ground. As I realize that the plan is going to become a reality in three
months’ time I feel my anxiety level increasing, in inverse proportion to
lvaro’s, who seems quite calm. I imagine how lonely the patient will be
with no family left here. I am angry with the patient’s mother; I feel as
though she is leaving me with the responsibility for her son. They have
decided that he should live on his own before the family leaves so that he
‘‘gets used to things’’. This was the patient’s decision and not something
imposed on him and he seems to think it was the right one. The patient’s
mother is asking if she can speak to me – which he is pleased about, as he
likes us to talk to each other. I am always concerned when I speak to a
mother that I may be violating the patient’s autonomy, even more so in
these cases. Where is the line between acting as a temporary intermediary in
negotiations between the patient and his mother and adopting an intrusive
stance and infantilizing them? And there is the opposite risk, that the
dependent, infantile dimension will not be accepted.
The only way forward for me is to let him help me to get the balance
right, guided by the atmosphere that develops between us. I do not think he
wants me to function as an omnipotently projected part who will ‘change’
his mother. I am surprised by how lucidly he expresses this: ‘‘She is very
business-like, she doesn’t like people to interfere because her parents were
like that, they gave her no freedom, she treats me like she would like to be
treated.’’ I say that perhaps he would like her to treat him differently, to
show more concern and interfere more. He replies: ‘‘She could seem more
worried about leaving me here, she could even cry sometimes, it isn’t going
to do me any harm.’’ lvaro needs his mother to accept and admit that she
has such feelings before he can feel permitted to show his own. At this
moment I think I am starting to feel what is not able to be felt between
them. I suggest that he would like it if having anxious feelings and wanting
to cry could be something he might expect in these circumstances. I go on:
‘‘Perhaps you are also wondering if we are going to have space to do this
here.’’ My concern is that we are able to create a space in which his very
great dependence can be held and he can try to ascertain how far I am able
to tolerate his dependence. After this he tells me: ‘‘On Sunday my mother
was busy with the children, we couldn’t have lunch together. Do you think
it is possible that this made me feel jealous?’’ I reply: ‘‘I don’t think so, I am
sure of it!’’ My response is totally saturated, quite automatic and it startles
me at first, but then I think that I cannot hold back and leave in the air
what seems to me patently true. He finds my reply quite funny and chal-
lenges me, laughing: ‘‘How can you be so sure?’’ ‘‘Because it is not possible
not to be resentful in that situation,’’ I reply. He seems satisfied with my
reply. He is quiet and thoughtful for a while: ‘‘They have a new family, it’s
natural, the only thing we have in common is that we have the same mother
one cure – the passage of time. He stresses that it is the responsibility of the
adult to allow themself to be shaken by the aspirations of ‘‘those who are
not responsible’’. If adults become too bound up in their role and abdicate
this function, the adolescent, through a false process, becomes adult prema-
turely. Maturity is successfully achieved only through a process of growth
and is not based on an imitation of adult behaviour. Thus, the idea of
pseudo-pseudomaturity depends on a paradox: despite the greater apparent
maturity at this phase of development, the more ‘mature’ adolescent is the
one who can show themself to be immature.
In the course of the psychoanalytic process we need to respect the work of
the false self in ascertaining whether the analytic setting is secure and be
guided by the pace that it dictates (Winnicott’s ‘caring self’) as it searches
for a space in which fragilities can be acknowledged and accepted. I wit-
nessed the value of this function on a number of occasions when lvaro
asked me to hold back, and being aware of this can avoid making interpre-
tations that would only serve to underline the patient’s resistances. lvaro
presented with a desire, almost an urgent need, to be able to manifest his
true self – in its infantile and fragile form – and for it to be acknowledged.
If it was not possible for this to happen with his parents (and this is still the
case), then it has to be the analytic setting which offers a secure ‘container’
in which intense emotions can be safely expressed, and provides a possible
model that he may be able to introject over time.
For this reason, the provision of such a setting should be the first and
most urgent task of the analyst. By setting, I mean not only the formal
aspect but, most importantly, a particular mental configuration in the ana-
lyst who needs to be reflective and containing, and should try to make sense
of the patient’s emotions. In these cases, awareness of our mental move-
ments and the range of feelings we may experience during the analysis is
even more crucial than usual. It will involve ongoing work, usually unspo-
ken, to contain the emotional turbulence that cannot be sensed by the
patient. As Bion (1978) so memorably put it, being able to perceive that we
have doubts, anxieties and fears, and yet we do not avoid these feelings but
transform them into something that can be psychically useful, forms the
basis of the psychoanalytic process. But we know that this is not straightfor-
ward. As analysts we may undergo lengthy training but, in truth, this is
never complete. With these adolescents, we need to learn to inhabit adoles-
cence all over again, experiencing the process alongside them, in order to
recover the true self.
Several issues now present themselves. How do we deal with that fine line
between respecting the patients’ autonomy and neglecting their more regres-
sive needs? How do we formulate interpretations that strike a balance
between unsaturation and saturation? If we interpret only on a saturated
basis, we put limitations on the creative space available, but if we confine
ourselves to unsaturated interpretations we run the risk of leaving the ado-
lescent in a confused state. The most serious issue with these patients is this:
we need to open up the space to allow for mental disorganization and then
not be too hasty to calm down the turbulence, but without leaving them
unsupported in this world of emotions they are not equipped to understand.
Conclusion
The way in which adolescence is approached in psychoanalytic theory has
undergone countless modifications, with this developmental stage no longer
viewed as the final act in a play that began in infancy. Theoretical develop-
ments in psychoanalysis as a whole have been reflected in changes in tech-
nique that bring analyst and adolescent into closer dialogue but also create
new challenges. To the notion of psychic determinism there has been added
a perspective that aims to open up space for the chance occurrence, for the
unforeseeable and for the possibility of new organization emerging from the
mental noise produced by internal and external stimuli. Increasingly, we are
looking at phenomena in a more integrated way which cuts through the
internal ⁄ external dichotomy. It is not an easy process because we tend to
evolve systems and divisions to control our anxiety in the face of the unfa-
miliar or in confusing situations. The treatment of adolescents forces us to
see our limitations clearly and introduces ‘noise’ into our psychic system
and our familiar theories, taking us away from our comfortable equilibrium.
Obviously, this process is not unique to the treatment of adolescents but in
these cases one observes that it is a constant companion. And when it is not
seen, as in those cases I have described as ‘pseudo-pseudomature’, still
greater noise is produced inside us because we know that a fundamental ele-
ment is missing.
Why, then, is there a need for the term ‘pseudo-pseudomature’? Are we
simply creating a neologism which amounts to a different way of saying the
same thing? I choose to maintain the term in order to describe the presence
of factors that I consider important from the clinical point of view: the
absence of a dependence-denying attitude (which forms part of Meltzer’s
Translations of summary
Überlegungen zu einigen Aspekten der psychoanalytischen Praxis mit heutigen Adoleszenten:
‘‘Pseudo-Pseudoreife’’. Dieser Artikel geht von der Beobachtung von Adoleszenten aus, die heutzu-
tage unfhig zu sein scheinen, die Latenzphase aufzubrechen, wodurch die Einleitung des Prozesses der
Adoleszenz erschwert wird. Diese Jugendlichen zeigen besondere Merkmale, die die Autorin als ‘‘Pseudo-
Pseudoreife’’ zu bezeichnen vorschlgt: sie scheinen bis auf den einen oder anderen unbedeutenden Punkt
gut angepasst zu sein und Konflikte kommen nicht vor. Sie unterscheiden sich von der Beschreibung der
Pseudoreife (Meltzer) aufgrund des Fehlens einer omnipotenten Haltung mit der Leugnung von Ab-
hngigkeit. Im Gegenteil, sie scheinen eifrig nach einer Gelegenheit Ausschau zu halten, das infantile wa-
hre Selbst annehmen und einbinden zu mssen, um sich sicher zu fhlen, in den Prozess der Adoleszenz
mit all seinen Turbulenzen einzutreten. Einige Aspekte unserer Kultur werden in ihrem Zusammenhang
mit der beschriebenen psychischen Konstellation diskutiert. Anhand von Bruchstcken aus der Analyse
eines 19 Jahre alten Patienten konzentriert sich der Artikel auf die Diskussion von technischen Fragen
bei diesen Fllen, mit dem Schwergewicht auf die mentalen Prozesse des Analytikers und der Bedeutung
der Fhigkeit, die emotionalen Turbulenzen zu halten [contain], die vom Patienten nicht empfunden wer-
den kçnnen. Die Autorin versucht die Vielfalt der verschiedenen, in der analytischen Beziehung zu erwar-
tenden, beabsichtigten und erfahrenen Modalitten als Untersttzung fr die bertragungsarbeit
nachzuvollziehen. Es wird auch diskutiert, wie und wann einige dieser Aspekte gedeutet werden sollten.
Der psychoanalytische Prozess hat in diesen Fllen eine doppelte Verpflichtung – gegenber dem Patien-
ten und gegenber der Gesellschaft als Ganzes, und zwar aufgrund des schçpferischen Potentials, das He-
ranwachsende darstellen und das fr Wachstum und Vernderung unerlsslich ist.
Riflessioni su alcuni aspetti della prassi psicoanalitica con gli adolescenti di oggi: la ‘pseudo-
pseudomaturità’. Questo lavoro nasce dall’osservazione degli adolescenti odierni che sembrano avere
difficolt
a rompere con un assetto di latenza e a costruire un processo adolescenziale. Questi giovani si
presentano con caratteristiche specifiche che l’autrice ha concettualizzato con la definizione di ‘psudo-
pseudomaturit
’. Si tratta infatti di ragazzi che appaiono ben adattati, se si escludono alcuni dettagli a
prima vista di minore importanza, e che non sembrano avere conflitti. Questi giovani non corrispondono
alla definizione meltzeriana di ‘pseudo-maturit
’ in quanto non presentano il tipico atteggiamento onnip-
otente di negazione della dipendenza. Al contrario, sembrano aspettare l’opportunit
di vedere il proprio
‘s vero’ riconosciuto e accettato, per poter affrontare il turbolento processo dell’adolescenza. Questo lav-
oro si propone di trattare alcuni aspetti della nostra cultura e di metterli in relazione alla configurazione
psichica qui descritta. Partendo da frammenti dell’analisi di un (una?) giovane di diciannove anni, il lav-
oro si incentra sulla discussione di questioni tecniche relative a questi casi; mette in evidenza I processi
mentali dell’analista e l’importanza della capacit
di quest’ultimo di contenere l’inquietudine emotiva di
cui il paziente non ancora consapevole. L’autrice cerca di attenersi alla variet
delle modalit
richie-
ste ⁄ proposte ⁄ vissute nel rapporto analitico sulle quali va a poggiare il lavoro transferenziale. Vengono i-
noltre prese in esame problematiche relative alle modalit
e ai tempi dell’interpretazione. Il processo
psicoanalitico in questi casi pone di fronte a una duplice responsabilit
: quella nei confronti del paziente
e quella nei confronti della societ
nel suo insieme, dato il potenziale creativo rappresentato da questi
giovani, indispensabile per la crescita e il rinnovamento.
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