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Free Associations| Home | Contents | Rationale | CYCLING TO SEPARATION: PERVERSION OF POTENTIAL SPACE Free men with dead or distant mothers walked the pavement. 1. The initial idea for this paper was to enquire into the primacy of the idea of separation and to ascertain whether my work with a difficult patient, Charles, over a number of years was moving towards that end. The process would be presented under the metaphor of cycling. There were two reasons for this conceit. The word has relevance, pre-eminently in view of the cyclical nature of the engagement: the grinding incidence of recidivism. What lurked behind this vicious circle consistently eluded me. What was the pay-off? Was it terror that was being systematically allayed? That system and its drivers, towards and away from, had to be laid bare, at least in my mind, before any real progress could be registered. The other allusion is to the bicycle that appears incidentally in references to childhood and later, the machine which, by being purchased and ridden, represents an act of self-assertion that supposedly escapes his commitment to abnegation. The notion of separation is linked to the notion of vitality and implies a working through of the Oedipus complex, in the way, for example, that Donald Meltzer puts it: ‘This can only be accomplished by the reparative capacity of the internal parents and their creative coitus’ (Meltzer, 1979, p. 105) .
In developing this theme, I have come to see the relevance of Winnicott’s thinking about transitional phenomena. Not only do I imagine Charles bereft in this regard, there is a real case for claiming an active and perverse use of the articles of transition, hence the sub-title of this paper. a) Historical and prognostic Charles is a high-earning business executive in his late 30s, of sturdy build reminiscent of a rugby forward. He has strong hirsute arms which he waves in the air while lying on the couch in unmistakable gestures of display. He cycles to see me. He removes his cycle shoes in the consulting room before lying down. The accoutrements of the ride are laid out on the floor. When he forgets his lock he asks can he bring his bicycle into the hall. He maintains balance and rarely misses a session. Initially I saw him once a week and we sat opposite one another. Then for two years he has come twice weekly and lies down. Recently he has changed his work situation, landing a post in a more prestigious company where subject to appraisals he stands a chance of promotion to the board, a possibility about which he expresses great ambivalence. Constraints of the new job have made it necessary for him to reduce therapy to once a week. I am unclear whether this has made a difference to the process as in latter days I have been more aware of a sporadic emergence of an idiomatic Charles, sporadic being the operative word.. The annunciation of the bicycle is a more incidental, perhaps ideographic, element and has come to stand in my mind as a vehicle for a good object. It is, however, in doubt whether the recurrent image was initially an indication that a beneficent cycle had been set up, such is the patient’s perverse devotion to his an-hedonic mode. It might, on the other hand, be a sign of his continued abrogation of dependence. It has, in the course of a long treatment, become necessary to question seriously the optimism imported into a notion such as ‘separation’ and thus to examine what may be predicated by that term. And, as already hinted in the preceding paragraph, I want, at this point, to introduce the notion of perversion as relevant in this case and to link the idea with masochism and the theme of vengeance. Charles is homosexual. He ‘came out’ in his late teens. His practice is to cruise for accomplices. The sex act is then between complete strangers, where, as far as I can glean, he penetrates the other anally. A problematic shame, and perhaps my reticence about enquiring further, prevents his talking much about this beyond his saying that he plays the ‘active part’. There is never any account of conversation between the consenting couple. It would appear that anonymity is de rigeur. This sense of his living in an innominate world was one of my early impressions; no one was named and he spoke of himself in the third person as ‘one’. The matter of C’s homosexuality has not been carefully analysed to date in the course of this therapy, now in its seventh year. At a point well into the therapy, and, after a long sustained passage where we seemed stuck in a rotten mire of despondency and swingeing negativity, when he began to emerge, look around and take an interest, he declared he felt there was ‘definitely something there… Perhaps I will find I am not actually gay’ [footnote 1]. This was an ambivalent moment for as well as an evident relief there was Charles’ rejoinder to his own speculation: ‘Oh,’ he said. ‘That’s rather worrying.’ My position is, at least as far as this paper goes, to regard his sexual orientation as secondary to what Meltzer may have meant by a ‘sexual state of mind’ and to see the detail of his sexual practice rather as part and parcel of his character structure, thus leaving aside the question as to whether homosexuality is a perversion and environmentally determined, or to take it as biologically given. I uphold what Meltzer writes in regard to this focus: ‘… the transference situation draws to it the associations related almost exclusively to the infantile and perverse aspects of sexual behaviour and phantasy currently contaminating the patient’s sexual life’ (Meltzer, 1979, p. 83).
2. It will be necessary, then, to mention the circumstance that first alerted me to Charles’ perverse character structure. This was an incident he related that seemed to me more significant than the realisation of his homosexuality. It was the obverse of realisation, but rather the defining ritual of his perversity. I shall speak of that moment later. a) Separation These two issues – separation and perversion – I propose to look at both in the light of Kleinian thinking, in particular, the unresolved Oedipus complex, and with reference to the maturational theories of Donald Winnicott. The consideration of the nature of this patient’s depersonalised sexual practice opens on to the transference analysis of his character structure in line with parental phantasies, which I have come to regard as a perversion of transitional space; in addition to a plausible failure on the part of the parental couple to observe, let alone afford, such a facility, the real focus is on the patient’s own perverse use of a transitional space. Winnicott laid out what he meant by such a space in ‘Transitional Objects and Transitional Phenomena’ in Playing and Reality (1971).
Two passing reference to Joyce McDougall are in place here and take forward my thinking about my patient with reference to the perversion of transitional space, and specifically in the light of his systematic failure to hold on to or use interpretations which nevertheless he gives the impression of having grasped. She explains the concept of alexithymia (elaborated by Nemiah and Sifneos, 1970, 1973) which ‘…concerns the specific inability of a person to name his emotional states or to recognize the existence of his affectivity… Although it is evident that a gap in symbolisation would give rise, in situations of psychic conflict, to a weakened capacity for reflecting about oneself and to one’s relation to the world and others, the reasons for such a psychic “lack” raise questions that lead, from a psychoanalytic standpoint, to a consideration of the vicissitudes of psychic representation and the transformation to which affective experience is subjected when split off from any mental representation’ [her italics] (McDougall, 1990, p. 437). The phenomenon here is ‘flattened affect’ related also to ‘operational thinking’. ‘Operational thinking refers to a pragmatic way of thinking about people and events, and implies a form of object relationship with impoverished libidinal cathexis and a lack of emotional response to crucial moments of traumatic losses in the lives of the people concerned’ (p. 434). Charles has persistently been unable to know if what he senses his minute by minute state of mind to be is a feeling or not. ‘Feelings, feelings…’ he will mutter, ‘where are they?’ The link with the metabolising function of the mirror role of mother is clear, so that where there was potential space, now, a hiatus. Staying with Winnicott, we find his assertion that ‘separation’, and by this he means manageable separation following the establishment in the infant of confidence, ‘is avoided by the filling in of the potential space with creative playing, with the use of symbols, and with all that eventually adds up to a cultural life’ (Winnicott, 1971, p. 109). That Charles’ ability to play has been severely hampered will become clear when I come to talk about his hatred of surprises. To link my hypothesis about my patient’s perverse structure with the category I derive from Winnicott and with the Oedipal categories, I note McDougall’s remarks as follows: ‘The child destined to find a devious path around the Oedipal interdictions is often in search of a solution to the sexual and narcissistic problems of the parents… In this respect we might say that the creation of a sexual perversion is a triumph over the sexual impulses... Perversions demonstrate that the creator is using sexual capacity to deal with deeper narcissistic dangers’ (McDougall 1990, p. 178f). In a session, in the second year of the therapy, I noted that, as he spoke, I had the sense of a non-habitable space where he is exposed and, as it were, not surrounded by what I imagined as a gelatinous medium. No negotiation can take place, I thought; he is either controlled or insisting, harsh or resentful and sullen, assertion leads to a frozen guiltiness, where his attempts are abandoned, often in mid sentence. It is a space, which it seems impossible to enter. It has been collapsed so that there is no space between stimulus and reaction. I want to link these thoughts now with Birksted-Breen’s observation of a ‘third position that makes for a three-dimensional world that allows for a perspective on oneself and one’s actions’ (Birksted-Breen, 1996, p. 655). Britton speaks of a successful outcome of the Oedipus complex when ‘a third position then comes into existence… a capacity for seeing ourselves in interaction with others and for entertaining another point of view whilst retaining our own, for reflecting on ourselves whilst being ourselves’ (Britton, 1989, p. 87). Birksted-Breen notes her patient’s more ‘healthy mental functioning… that, being able to dream, in itself, can signal a greater capacity to take a step back and observe herself from a third position after a period in which she has been entrenched in a paranoid relationship with me’ (ibid.). Thomas Ogden speaks of an ‘analytical third’. In his paper, he distinguishes this concept from Winnicott’s transitional space. I, however, see the distinction merely in terms of context. To convey a sense of this third space Ogden quotes lines by the poet A.R.Ammons (1986) as follows: ‘not so much looking for the shape/ As being available/ To any shape that may be/ Summoning itself/ Through me/ From the self not mine but ours’ (Ogden 1999, p. 61). In sessions around this time I was aware of my patient’s trickery. He would arrive, sunk, flat, miserable and practically wordless. This I felt to be his abrogation and the strong expectation was that I should be the active one. When I did make an interpretation about what might be going on in the session, he would always readily agree. Yet the complaint continued. I seemed to be seeing an entrenched resentment that any cooperation would mean giving up his grievance, which was turned against himself in such wringing phrases as ‘I am no good and never will be, Everything I do turns out a mess, Anything I try to do becomes undone’, (doing psychotherapy with me, for example). His inability to use interpretations may have indicated that there was no presence of mind, no centre, confirmed by his use of the word ‘vacuum’, nothing upon which meaning could be sustained and built. The creation of meaning was under severe attack; meaning did not lack value for Charles. It was attacked out of envy just because it was appreciated, and out of his perverse commitment to an impoverished ego continually projected into me, there to stay as a double-edged sword. Thus the metabolising of these unconscious manoeuvres was through envy repudiated. Yet something else was going on. This was for him a kind of triumph for he would leap up at the end of a session, his voice altered, and smile in a way that made me feel fooled. Dissimulation seemed to afford him satisfaction. I detected a secret existence symbolised by the spectre of his uncle, incarcerated in an institution, truly abandoned, neither visited nor mention of him in the family permitted. Charles’ aspiration to visit his uncle has never been acted upon, his potential moves between are secret and locked away, held in reserve until their symbolism of his incarcerated spontaneity can be painfully realised. There is no space for them, rather a lack of conjunction between inside and outside. Or it may be that not to act is itself an active perversion of that space and differentiation lost. Indistinguishable from there being no reception (for him by another) there is no receiving of what may be offered. Surprises deeply offend Charles. No creative gesture exists except as a trick, nor is it recognized as requiring space, where a slight shock may be processed, as when a child reaches for the security blanket and the eyes go dreamy and the glance turns inward. Without this the infant is paralysed, throws himself to the floor, unable to find a meaning and ‘coming round’ achieves a semblance of space called ‘on our best behaviour’ behind which the grudge lurks. Charles claims never to have entered creatively into the ‘petty pace’ {Macbeth 5.5.19) of his profession life, which he engages in on sufferance. His enterprises ‘with this regard their currents turn awry and lose the name of action’ (Hamlet 3.1.86). The way forward from there is the backwaters of perversion: ‘bound in shallows and in miseries’ (Julius Caesar 4.3.221). The following paragraph seems to me to justify the faith in the possibility of change in such arid territory as that in which this patient resides. ‘When dependence on the reparative capacity of the internal objects is prevented by Oedipal jealousy and/or destructive envy… only an object in external reality, which bears the transference of the mother’s breast at infantile levels, can accomplish this task. This may be undertaken innumerable times without being acknowledged, if the infantile dependence is blocked by the denigrating activity of envy or the obstinacy born of the intolerance to separation’ (ibid). Here, and in lovelier language, does Winnicott’s imaginary dialogue belong: ‘A new feature thus arrives in the theory of object-relating. The subject says to the object: “I destroyed you”, and the object is there to receive the communication. From now on the subject says: “Hullo, object!” “I destroyed you.” “I love you.” “While I am loving you I am all the time destroying you in (unconscious) fantasy.” Here fantasy begins’ (Winnicott, 1971, p. 90). In both these ways, in the differing language of these two men, we are faced with the patient’s failure to make use of an object. In his chapter ‘The Use of an Object and Relating through Identifications’, Winnicott summarises as follows: ‘The object is always being destroyed. This destruction becomes the unconscious backcloth for love of a real object; that is, an object outside the area of the subject’s omnipotent control’ (p. 94). But here, proleptically, the other does not yet properly exist. The transitional space is collapsed. There is no universe where reality is brokered by illusion, or where arousal and quietude are attended in the forging of a meaning of self and others and where appetite becomes a lust for life. Not only collapsed, the space is perverted, twisted and turned into its opposite, somewhere where nothing should happen (see Erewhon by Samuel Butler). The opening lines of chapter 19, ‘The World of the Unborn’ run as follows:
b) The presumption of perversion I move now to the second point I raised above, namely the patient’s perverse character structure. If Glasser (1986) is correct, and identification in the sense of incorporation or possession of the good is impossible in the case of perversion, then there is a crucial difference with normal maturational processes in which the object of emulation becomes part of the emerging ego by a process of identification. By contrast, what presides in the perverse reality internally is envy and hatred. In terms of that which one does not oneself possess, the state of envy can be properly seen as the obverse of emulation. But if I understand Klein correctly, envy enters as an inevitable consequence of the relinquishing of omnipotence. This is mollified by the possibility of accepting a relationship with the good outside of oneself and this becomes the root of emulation. Otherwise my potential capacity to accept my relatedness to the good is projected on to the external. The painful sense of the comparison kindles my malevolent wishes. The capacity for the benign is hard won and is related by Racker to libido, ‘… before envying somebody, we have placed in him a greater or lesser part of the libido, for what we envy is always something we appreciate. And this placing of the libido within the object, is what in certain circumstances impoverishes the ego and lays it open to greater influence from Thanatos’ (Racker, 1968, p. 86). Interestingly enough, this would seem to argue for an early visiting of the depressive position or, as in Winnicott’s image of destruction transformed, where the absence of perceived retaliation is decisive, the birth of a capacity for concern. ‘Clinically however we meet with a false reparation which is not specifically related to the patient’s own guilt… This false reparation appears through the patient’s identification with the mother and the dominating factor is not the patient’s own guilt but the mother’s organized defence against depression and unconscious guilt’ (Winnicott, 1948, p. 91). This can be understood as a loyalty to the mother’s mood as will be seen to be the case with Charles. As opposed to ‘the use of an object’ this entails a loss of aggression and love. The aggression is reconstituted as sado-masochism, the love in perverted sexual rapport. I understand this act as that of saving mother from her failure, which implies a sense of self as ‘too much for her’. Thus he does the business, maintains himself for her, takes on her misery and is miserable in her stead. It will become plain when I present the history that this is the case with Charles. Such a child has on his hands, according to Winnicott ‘a task which can never be accomplished… they do no more than succeed in creating an atmosphere in which they can start on their own lives… (p. 92). These observations go some way to shedding light on the recidivism of the case. ‘It can be readily understood that this situation can be exploited by the individual as a flight from that acceptance of personal responsibility which is an essential part of individual development’ (ibid.). Khan uses this notion for the starting point for his argument for perversion as self-adoration. What is of relevance to prognostic thinking in the case of perversion is the pessimism in Meltzer’s statement: ‘The difficulty resides in the degradation of the emotionality from love to sensuality. While the initial dismantling may have been undertaken out of concern for the safety of the object and with an eye to its future reconstitution, once it has been reduced to a unisensual assortment, the sum-of-its-parts no longer equals the whole in value’ (Meltzer, 1973, p.109). And here he is in accord with Glasser in asserting that ‘this dismantling… seems to preclude introjection and allows only for apprehension of an immediate sensual event’ (ibid.). That Freud uses the word ‘amalgamations’ in drawing his conclusions about the aberrations indicates that Meltzer’s unisensual object is a return to earlier imagos, in the case of the fetish to what Ogden terms the ‘autistic phase’, which in retrogressive terms is short of the instinctual. Freud writes, ‘The clinical observation of these abnormalities will have drawn our attention to amalgamations which have been lost to view in the uniform behaviour of normal people’ (Freud, 1905, p. 76). And in his footnote he says, ‘perversions are a residue of developments towards the Oedipus complex’ (ibid), ‘thus, as McDougall indicates, circumventing the painful Oedipal necessity (vide supra). ‘Perversions demonstrate that their creator is using sexual capacity to deal with deeper narcissistic dangers’ (McDougall, 1990, p. 179ff). This concept of the creation of the object of perversion, a fortiori the fetish, as a dismantling, and reassembly into an amalgamation of unisensual elements, can and must be extended to cover the inherent dynamism vis á vis any ongoing drive to maturity. This, I take it, Winnicott meant in his mischievous phrase, ‘health by hook or by crook’. As an ongoing dismantling of that process the perverse drive is akin to the thinking about ‘pathological organisations’ where a ‘delusional world appears to be dominated by an omnipotent or omniscient extremely ruthless part of the self, which creates the notion that within the delusional object there is complete painlessness but also the freedom to indulge in sadistic activity’ (Rosenfeld, 1971, p. 175). The internal situation is commonly presented by the patient as one where a healthy, sane part of the self is in the grip of a Mafia-like organisation, which he is powerless to resist (Steiner 1993, p. 103f.). ‘Pathological organisations stultify the personality, prevent contact with reality and ensure that growth and development are interfered with’ (p. 5). Donald Kalsched says a similar thing in archetypal language. He uses the word daimon (from the Greek: to divide) as an inner figure, angel and demon, ‘who protects or persecutes its vulnerable partner, sometimes keeping it imprisoned within’ (Kalsched, 1996, p. 3). ‘The daemon appears to personify the psyche’s dissociative defenses in those cases where early trauma has made psychic integration impossible’ [his italics] (p. 11). The perversion, whether viewed from the viewpoint of the usage of an object or as aim, operates to disallow the reformation of relational objects. It assures they will not proceed beyond the point of danger. Thus what is experienced as promising must not be permitted to become actuality. Kalsched cites patients who, after an initial period of growth in analysis, stagnate and seem to get stuck in repetition compulsion. The dread of the original terror being reconstituted seems to be the driver here. The intervention of the perverse urge is a sign of its triumph in that it arises out of the blue, inscrutably, to cut off the pathway to that terror, i.e. a recapitulation of the catastrophe. According to David Morgan (speaking at the conference Understanding Perversion, ‘States of mind are states of real terror or ‘nameless dread’ (Bion). Any intercourse has to obviate a sickening terror. The perverse individual goes as far as altering reality and leaving the first reality to others. Charles’ presenting problem was the murderous, relatively unprovoked anger, which seemed to have no understandable cause. His innocent recidivism can be seen as a pre-emptive strike on the growth of relationship, which is sensed as the arena of trauma. The terror may be that of a ‘destructive narcissism’, the implacable blame directed at the parents, and the forms of his projection of the presentiment of the act of psychic murder. This is in no way to rule out the role of collusion. Collusive positions have constantly to be reckoned with and disentangled in my work with this patient. Steiner remarks on how Betty Joseph (1975) ‘shows the subtle nature of the acting out in the transference, and emphasises the pressure on the analyst to collude and allow himself to be manipulated into taking a role where he acts out a part of the patient’s self rather than analyses it’ (Steiner, 1993, p. 104). The plausible passivity of this patient and the apathy he evinces casts doubt on the liveliness of my interpretations. It is the act of robbery laid on an abstract panel. The aptness of the term ‘perversion’ as a confuting of the natural order can be appreciated in terms of appetite. Perversion is the use of the sexual appetite in the service of its opposite, the refusal of nourishment by installing instead a circular system of self-nourishment, the uroborus (symbol of cyclicality). The disavowal in perversion for McDougall is a ‘destruction of sexual truth’, which therefore brings it close to psychotic foreclosure on knowledge and the means of knowledge. Crucial here, however, is the role of the substitute ‘knowledge’ which, in fetishism, takes the form of a magically invested object or activity, and as a result avoids the delusion through which the psychotic builds ever more complex structures to support the denied knowledge’ (McDougall, 1972, p. 382), perversion as divination where the ‘mysteries’ are without love (see 1 Corinthians 13:2).
c) Oedipal preamble What Charles sporadically afforded, after several years in therapy, and grounded in the familiar patois of the sessions, were modest glimpses of empathy, a compassion for a time-and-hide-bound parental tale. Modest, and thus given scant attention, since for some time I was drawn into alignment with my patient’s contemptuous and despairing references to his parents with whom he was content to let blame reside. I mention the despair advisedly as not only his, but mine, in that I was unable then to hold the erotic connection with love that the hate maintains. So the erotic bond between analyst and analysand, ‘initially of pathological transferential and counter-transferential love and hate’ (David Mann, 2002, p. 13) is subverted by collusion with respect to one or other of the poles. What prevented my questioning this complicity more thoroughly was the success of my patient’s projective identification into an unanalysed part of my psyche, which appeared to thrive on the gaining of an accomplice. Thus any authentic vocation on the part of my patient to be free was nipped in the bud. The recognition of this transaction made it crucial to seek to understand the nature of my patient’s Oedipal triumph, in terms of complicity, as well as the muted terror that stalked behind the arras of the consulting room, which led to his effective circumvention of the complex. Thus the prerequisite of separation with its eternal sadness was avoided, along with the sheltering parental coalition to attend the child’s gradual launching forth into authentic, ‘ordinary misery’. We seem together to have lost sight of the parental inheritance: ‘He hath left you all his walks,/ His private arbours, and new-planted orchards,/ On this side Tiber; he hath left them you,/ And to your heirs for ever; common pleasures,/ To walk abroad, and recreate yourselves’ (Julius Caesar 3.2.252). Charles came into therapy in April 1999, aged 31, complaining of his toxicity, a grudging resentment he felt which baffled him and which erupted without any apparent justification and systematically put paid to his relationships, with him sweeping off without a backward glance, ‘I will just not put up with that’. He grew up in a provincial town in Tasmania, the eldest of three. There are two sisters, close to him in age, both married and living far from the land of their birth. His father was a successful engineer with his own business, and private plane. His parents married as teenagers after he was conceived, and this he sees as a contributory reason for their not wanting him, or at the very least being unable to cope with the social embarrassment of the pregnancy. His father is portrayed as a bully with low tolerance for his son’s need to explore his own reality, certainly never able to stomach a son with effeminate interests. As the boy Charles loathed the muscular sports his father espoused, preferring thespian pursuits. If on a Saturday he would not play football or join the beach guards he was consigned to the kitchen to help his mother. One of the only truly meaningful things was his connection with amateur theatre. His mother tried to foster this side of her son’s interest at the risk of falling foul of the father, and this led to what he described to me as the worst moment of his life and which I mentioned above as the moment of his dedication to misunderstanding. His experience as lighting engineer for the theatre group is an enduring symbol of ‘a small candle burning in a darkened space where I can be entirely myself, unseen by anyone else’. This image of a dark room not only stands for the hidden and stifled life but functions as a potential space. In an early session, he told me how he had gone to a West End theatre, sat in the dark and wept throughout the performance. He wept for his lost self. After qualifying from business school, he broke away to come to the UK. He lives with Daniel, his partner of several years with whom he has a stormy relationship. Charles did not mention his mother for quite some time into the therapy and not until I brought the lacuna to his attention. Hers is a more complex picture. She is downtrodden, joyless, and tricky. Charles can never have anything to do with his mother without ending up feeling that he has been drawn in and tricked. He abhors seeing the way his mother will inveigle his sisters’ children upstairs to bed by pretending there is a surprise awaiting them when there is nothing. This is likely to be a screen memory of the deep distrust derived from a severe preoedipal disappointment. For the treachery he attributes to his mother seems to stem from her perceived sell-out to the faulty parental relationship that her child had taken in as allowing of his pre-eminence over the intrusive father. 3. In Betty Joseph’s paper ‘Addiction to Near-Death’, I found a mirror to a characteristic of Charles’ mode of address. She calls it chuntering and cites by way of definition: ‘mutter, murmur, grumble, find fault, complain’. My patient, when he emerges from his silent struggle ‘to find something to say,’ to give an account of some misery to back up his initial announcement that ‘things have not been exactly good’, speaks in a practically inaudible voice, talking fast and in a summary fashion that consists of truncating his sentences as if to say, ‘etc., etc.’. The sentences concertina and practically gainsay the content. This is confirmed in such phrases as ‘it doesn’t matter’ or ‘I don’t know why I bother.’ To me, straining to listen, it feels, not that he does not want me to hear, but rather wants me to collude in the irrelevance of his misery, while feeling the hopelessness of it. We are in this morass together. Betty Joseph goes on as follows to give an example of chuntering in her work with A whom she characterises as a near-death addict: ‘He would talk about how he could not go on like this with her, [his girlfriend K] while she was going around with another man; how he would have to give up the whole relationship; he could not go on like this, and so on’ (Joseph, 1982, p. 316). Here there is an uncanny similarity to how Charles talks askance, almost inaudibly and at any moment about to run out of impetus about the recurrent stand-offs with Daniel, as if to say ‘enough is enough’. His repeated phrase is, ‘I’m sick and tired’, which carries a frisson of the killjoy mother whom he seems to simulate in defence of having been tricked by her out of his Oedipal triumph. Joseph perceives her patient in his chuntering, not to be thinking about the situation as much as that he is caught up in a cruel dialogue with K, a ‘provocative sado-masochistic fantasy’. This, she reflects, is ‘the complete antithesis of thought’ (ibid.). By grasping this covert functioning and the ‘excited sexual pleasure’ the patient derived from it, she was, she claimed, thus able to bring it into the analysis where it would otherwise subtly circumvent the process, drawing the analyst into one side or other of the sado-masochistic strategy. She points to ‘the sense of let-down coming from the relinquishing of the exciting pain of this internal dialogue’ (p. 317). And indeed, Charles’ anecdotal mode is rather like a rehearsal, a tirade rendered in a lower register. In a session just before the Christmas break last year, I used the word gruelling in my note. It was a session characterised by Charles’ dictum: ‘There is nothing to say’. The suffering self is held prisoner and the waste of life is the compounding of the perverse deception, the enactment of which is the communication, so hard to hear. His perverse protection is not to be surrendered. The session left me, however, with no idea of what the pay-off was except for the clue of my sense of helplessness in which I might be thought to be pleading with him to help me, only to be spurned. Where should my focus lie: pay-off or communication? Charles missed the first session after the break and, in the following session, he returned to the postponed theme of ‘levelling’ with his parents. He said this was for his own sake if no one else’s. He had not been in touch with them over Christmas and was pleased with himself about this. I had in my mind as a desire the notion contained in the quotation from Meltzer above, namely the atonement, which may be brought about ‘by the reparative capacity of the internal parents and their creative coitus’. My state of mind I distinguish from a desideratum, or ‘Bion’s “seventh servant”, which, according to him, is attainable only by the disciplined abandonment of memory, desire, understanding, sense impressions – and perhaps we could also add the abandonment of ego itself, in the eastern sense’ Grotstein 1997, p. 76). So what was this ‘levelling’? It was hard not to notice that what was being proposed, and thoroughly rehearsed, was an utter trouncing of the hated parental fusion in which he would leave the field triumphant in the knowledge that ‘there was nothing left to say’. The reparative urge was left to me to hold, but had I any illusions, these were destined to be disappointed. His perversity, and not the analysis, would have the last word. The hatred he nurses and the deception that affords him such perverse pleasure are indeed strong. His declaration of his truth is fused with his abortive aspiration to walk away from it all for good. It is an intractable situation. It perseveres despite his perception that his freedom started when he took the step to come to the UK. In this session, Charles began to offer a chink by chuntering about yet another weekend long disaffection with Daniel. He rounds off his account, delivered in the muttered truncated sentences by reflecting sardonically what a pastiche of a relationship it is in which ‘we can’t say anything to each other’. In this I detected his rueful sense that he experienced himself as being unable to be heard. And I saw his long-standing attempt to be able to turn contempt (and longing) into indifference, thus voiding the situation of meaningful exchange (a mirror image of the lack of a maternal metabolising presence). He de-peoples his relationships as he has himself been depersonalised. He would say to his parents over the phone line, ‘I don’t remember if I got your email or not,’ when in fact it had been something of a bombshell. He sets the other at nought, but not only that, he is thus unable to distinguish his difference. Thus his pseudo-reparative move contains little of depressive anxiety, but is an unconscious infantile plea to them that they might still distinguish him. It is this fusion that refuses separation. By his own admission, and this is his phrase in the second year of his therapy, referring to his father’s solicitous email: ‘It is too little too late’. What I felt was ‘the poignancy of his deprivation’ (Bion, 1969, p. 97). It did not escape my notice that he had practically used the same words of our session, and that I was being invited to submit to the humiliation of our collusion. But I pricked up my ears when he recounted that, in reply to his accusations that Daniel always took everything away from him, Daniel had said, ‘Oh nonsense, you just enjoy being miserable’. Joseph remarks on this ‘watchful masochistic part’ (Joseph, 1982, p. 317) of the ‘apparently’ hurting patient, seeking to trick the analyst into harsh, repetitive or punitive reaction. Charles has several times inadvertently offered a metaphor for such behaviour. He likens his impulse to tantalising a cat until it turns on him, crouching and hissing. That is the aim. In the fantasy it is a stick he uses to goad the creature. The ruse is in the passivity whereby agency is, by way of a perverse dedication, triumphantly abrogated. To give it up he would be robbed, a concept my patient plays with in such a way as to reflect the primal nature of the perversion of his transitional space. He will not be robbed of his dark and secret, self-destructive revenge. The point is made with great clarity by Joseph: ‘These self-destructive patients appear very often to be passive in their lives… and a very important step is taken when they can see how active they are, by projective identification, for example, through the kind of provocation that I am describing in their thinking and fantasy’ (ibid.). Here is a clue, then, to Charles’ recalcitrance. I am aware of Anthony Ryle’s critique (1993) of Joseph’s paper. Ryle writes from the position of Cognitive Analytic Therapy and infers that the length of the analytical process, which Joseph commends, amounts to considerable misuse of resources. In comparison CAT cuts to the chase by employing ‘role procedures’ to set up conscious goals as a basis of collaboration between parties. He claims her account to be theory driven and is suspicious of her superlatives regarding the notion that ‘intense sexual satisfaction’ is a component of what she sees as the covert sado-masochism of her patient, even casting some doubt on the appropriateness of the term ‘near-death’. What, he claims this amounts to, is an unexamined collusion whereby her repeated interpretation of her patient’s unconscious destructiveness obviates the patient’s active relationship to his deprivation or mobilisation of his capacities. In reading Joseph’s piece I detected a sense of something programmatic and perhaps a lack of reserve about her formulation. However, she does, as the quotation above indicates, not only turn her attention in the piece to the endemic passivity of her patient, but to the purpose of her interpretation in putting him in touch with his initiative to obliterate his longing for dependence. I agree with Ann Scott’s point in response to Ryle’s article (op. cit.), where she casts doubt on the solidity of rapidly achieved change, and makes the point that, since at the heart of the case there is refusal, a conscious agreement is beside the point. Indeed this could be seen as suggestive, inducing a false obedience, which would be counter-productive to agency? Then the choice is either to turn such an aspirant away or to become caught up in the counter-transference for however long it takes for passive aggression to become the basis of a conscious choice to take responsibility to live. It does, however, surprise me, and rather dismays me, when, looking back at some of the notes I made, how very little has changed. I discover that observations I considered fresh in session 340 had been made five years ago in session 92. But I hold that this may be inevitable, a coefficient of my ‘equipment of psychoanalytical experience’ (Bion, 1959, p. 88) and, what puts this further in perspective is the degree to which the imagination is at work, though held in reserve, and how the trust is built up in the alliance, by survival of the deadliness, thus signalling the journey is worthwhile. It is this harping on that is itself the analysand, in the moves from the legend to the present interaction.
Solitude, my mother, tell me my life again.
a) Being conceived of Transitional phenomena belong to the realm of illusion. I give value to the word reverie in seeking to evaluate the way I aim to work, a word used in this context by Ogden, and by Bollas (and in the maternal context, by Bion). A session just before the summer break in 2004 (189) demonstrates my attempt to work ‘without memory and desire’. It also encapsulates Charles’ use of projective identification. I am, in this excerpt, the one who interferes (interprets) and throws the bits of him that I have taken apart into the bin (turn my back on him). Charles (after the usual striving silence): I don’t want to tell you any of the things I am thinking about – my mortgage, the job where I am not given enough to do and it is going nowhere, moving house, I’m sorry, I don’t want to be here tonight. Me: (thinking how these thoughts are reserved and not what I expect him to talk about, but how the struggle bars him from his quietude with his thoughts: Do things have to be ready before they can be spoken? Charles: Yes, but they are only things I have done wrong, failed in, nothing else. I was pleased with the document today but when I showed it to my colleague he wanted to find fault with it. Typical of him; it is like that all the time. Me: Your sense of reality is changed. You were not able to stay with your confidence about the document you prepared. As if your colleague has the right to make it so you have no leg to stand on. Charles: Precisely – that is typical of me. Even though I know what he is up to, I see myself as rubbish. It is what I feel.
I took my work with Charles to a supervision group some years ago. The only comment the supervisor made was the laconic observation: ‘Well, we’ll see who is going to die first’. At the time, I felt undermined by this comment. I felt shamed and did not remain lively. It seems to me now that it may have been a parallel process by which I was recapitulating my patient’s deadliness – to ‘grow up and live dying’ as Waddell and Williams (1991) put it – without having identified his buried aspirations to inhabit himself. At the time, I was not enlightened by the supervisor’s enigmatic intervention, and for a while afterwards the attrition continued. I am reminded of Winnicott’s statement to the effect that what matters is to be there, to stay awake, to stay alive – in the face of a commitment to ‘near death’. For someone who has not been conceived of through the metabolising process of a ‘good enough’ mothering, for whom the ‘transitional space’ has not been available, then to return there must constitute a devastating apprehension of who knows what demons, or dread, and as Meltzer sees it, a persecutory terror to be fought against by whatever capitulation may be at a person’s disposal. b) Surprise Winnicott’s concept of transitional space is the area of playfulness. Whereas sadness is stored up, laughter is new and a responses to surprise. This was notably lacking in Charles. Charles hated surprises. To pick up on this twisting of spontaneity driven by the bullying father and modelled by the joyless mother, I will include here an account Charles gave of a particularly miserable weekend which I will not forget in a hurry and which vividly demonstrates the bitter envy which lies at the core of this family’s dynamic. Daniel had prepared to surprise Charles for his birthday by taking him to Rome for a long weekend. On being presented with this he blew up and made a great fuss. He conveyed the scene to me vividly. Daniel knew ‘full well’ how he hated surprises. This was not the chuntering, which did away with verbal copulae, his tetchy impatience and inertia around communication; this was a more spirited delivery: ‘I told you how I hate surprises and you’ve just gone ahead and done it. You just pay no attention to what I say. You just take everything away from me. You make it your own. I’m sick and tired of it. We may as well finish this right now. It’s just not working,’ etc. (How much unfelt sorrowing is present in this tirade, which usually ends up by ‘finishing’ – with me!). ‘What does it matter? I don’t even know why I bother to tell you!’ He did, however, go to Rome, ‘though not happy one little bit’, and sulked all through the weekend. There was a hint of surprise in his tone when he said, that he had ruined his birthday. I have thought long and hard about this hatred of surprises, his loyalty to the spoiling of the mother, the transparent attempt on the part of the ‘guilty party’ to gloss over his grievances, the threat to his perverse dedication. The mother is constellated in that whenever he has had some good news to tell her she has effectively poured cold water on it. Her trick is to elicit information such as where he is going on holiday and then complain that she can’t do anything like that, ‘stuck here with your father’. His hurt and disappointment is invoked and a powerful switch away from his own direct pleasure engaged. He cannot walk away from it. Instead, he walks out, but on himself. The father is invoked in that to be surprised by something that might approximate to an intuitive sense of his wish would be as if the father was slipping out of the responsibility for the toll of his past coercions, while he is confronted with his own perverse agency. Surprise is integral to the exploratory instinct. To be surprised is the essence of maturation, surprised by non-retaliation, or more generally, where the attending other is not available, discovery, in the sense of proto-thoughts or primitive emotions, cannot acquire meaning and return to the unconscious, as inadmissible. In place is the false behavioural mode (placatory or perverse) learned from the mother who turns away in fear and envious resentment from the flowering she herself missed out on as a child, tied to the flattened imago of her own Oedipal triumph. The detail of the latter is to some extent surmise. Her mother was replaced by her father’s ‘wildness’ while the daughter experienced a lack of human dimension in her prize. She envies her own child who might get away from her in the same way; she desires him for her accomplice: a miserable girl like herself. In the context of these thoughts Khan’s argument that idolisation is crucial to the aetiology of perversions seems to me to fit. Thus it is more than a matter of being mother’s accomplice; he is made in her own image. ‘The child was treated by the mother as her “thing-creation” rather than an emergent growing person in his or her own right… The child learns to tolerate this dissociation in his experience of self and gradually turns the mother into his accomplice [my italics] in maintaining this special created object… [and] internalises this idolized self that was the mother’s created thing’ (Khan, 1979, pp.12 – 13). Thus in Charles’ case he is the man-girl object of his own worship who carries within his mother’s buried femininity. Referring back to Birksted-Breen, such non-relational depersonalised survival is heavily dependent on an object choice for which the phallus stands and is inserted into the anus of the intrusive unsuspecting father. The seeming contradiction with Glasser’s statement that the pervert cannot form an identification with difference may be resolved in the sense that the twin poles of yearning for merging and horror of engulfment have been renounced in the false reparative drive. Here is the ‘destruction of sexual truth’ referred to by McDougall (1972, vide supra). Present also in his hatred of being surprised is his envy of Daniel as someone who can enjoy being surprised, and who can take pleasure in giving one. In his presentiment of his partner’s capacity for a personal relationship with him is a nameless dread. Daniel comes from a vibrant Jewish family whose style of relating is abrasive directness, ‘everyone shouting at the same time’ as Charles describes it: their disagreement, he told me, seems to be a healthy tussle which does not threaten relationships but gains recognition for the protagonists. It escalates positively. Classically, disagreement escalates negatively for Charles. That in itself is a source of envy. Daniel’s advice to him: ‘Just be yourself,’ rubs salt in the narcissistic wound. It was Daniel who courted Charles, long and hard, and underlying this fact is Charles’ resentment that he has been taken over and robbed of a say in the matter, a pretext of so many of the rows that are brought to the therapy. He has no other way of getting out of it than to let time pass and to become distracted by going out cruising. A clue to this cyclical system of recovery I will offer when looking at the clinically perverse nature of Charles’ character. A final point is the way his mother uses deception under the guise of surprise so that subsequent genuine surprise resonates the outrage. c) Agency Before moving on, I wish now to return to the notion of separation and to add another factor in its achievement, namely agency. I chose to use this word to indicate the comparatively liberating move from the resigned position of passivity to the realisation of the active part played by the individual in maintaining the pathological status quo. In bringing the secretive sado-masochistic dynamic of her patient into the work instead of being framed by it, Betty Joseph (op. cit.) attests to an important step forward in the process with a difficult patient like A. My enquiry now leads me to make a point regarding the priority in this matter. The reclaiming of agency is a step towards separation in that it creates space in which a meeting with the self releases a spirit in which reparative emotion can be felt. This dawning of forgiveness and the move towards letting go still resides on the wrong side of resentment, and these two factors seesaw around the call for justice. These two strands need to be carefully and separately followed, while the tendency to espouse one or the other on the part of the analyst is strong. At the same time separation implies an increasing capacity for the exercise both of reparative urges and of will based on the vade-mecum ‘Live and let live’. The priority, then, is to hold on to a constant flux or oscillation between reactive splitting and reparative mourning, the sense of loss and waste, which can be resolved mentally by accepting Klein’s definition of a position. What I claim is presented over a sustained period in my work with Charles is his move towards and away from depressive and paranoid schizoid anxieties respectively, and not an inveterate state of recidivism. Taking the thought further, agency in the context of this degree of abrogation is an auto da fe.
Down and down I go, Deception is a compelling factor in identifying a perverse constellation in Charles. It exists on a conscious level and also as a hidden factor in the espousal of the high ground of business management expertise. According to Estela Welldon’s diagnostic statement deception is intrinsic to perversion: ‘Deception or an imposter-like quality. This is partly responsible for a strong counter-transference response of being alert to the potential dangerous situations of being trapped in “conspiracy” or in collusion with the patient. This results in his/her need to be in complete control and his/her complete incredulity of being loved by anyone, hence the internal need to present as another person in disguise, based on very low self-esteem’ (Welldon, 1996, p. 481). Perhaps my not realising the fear Welldon points to was behind the defeat I felt at the supervisor’s remark, which seemed to register my deadness. So precisely there might lie the ‘interminable’ factor: the subtle projection of the patient’s self-deception into a gullible part of me. In the same place Welldon outlines what she calls the ‘Circular Motion of Perversion’ in which ego-syntonic states constantly switch to their opposite in a cyclic way. The ego-syntonic state is reached through bizarre arousal, triggered by mounting sexual anxiety, and peaking in the envisaged action, shame, depression and self-disgust promptly ensuing to reinstate the ego-dystonic state, driving the cycle round once again. It is not clear to me what in the context of perversion is meant by a state that is syntonic or dystonic with the ego, since I presuppose the ego to be in disarray through excessive projective identification [2] and am prone to think of the situation as dynamic rather than static. As opposed to the integrity of ego perversion projects a ‘state-of-affairs’ which can be thought of as a simulation, static in the sense of being a closed circle of dynamics and in contrast with the fluidity implied in Klein’s conception of ‘position’ in contradistinction to the static or permanent achievement. In Welldon’s schema the integrity of the ego is implied, but remains in a pending or oscillating state. Jung might place the cycle described as outside of the ego as an autonomous complex. But considering it as a product of ego, perversion is achievement or Pyrrhic victory, a system with its own internal fluidity (or static energy). This formulation once again, and with reference to my use of the metaphor of cycling, poses a question as to the feasibility of separation and the nature of separation in face of such intractable sub-systems or character structures. In addition, Welldon’s claim that sexual anxiety drives the system requires to be examined more closely. Some more comprehensive view of anxiety is called for, which is subsumed, for instance in what Meltzer calls a ‘sexual state of mind’. The solution may take a sexual form in the choice of aim and object, as well as a perverse ‘sexual state of mind’, but the anxiety itself is prior to the process of sexualisation in the formation of the constellation. Khan speaks rather of ego diffusion and here the circular nature of perversion is linked to the inconsolable situation of having turned away from the possibility of ego integration in face of an insurmountable impasse. The seductive compliance of the perverted couple, although pointed in the direction of cure, is futile, not ‘able to meet and make known the true ego-need and the latent distress of the pervert. Hence the inconsolability of the pervert, and his addiction to this charade of intimacy’ (Khan, 1979, p. 24). To amplify this contention I will briefly consider what Mervin Glasser (1986) outlined as the underlying psychodynamic structure of perversion and which he termed the core complex. Here the anxiety has two main foci: the longing to merge in intimacy, which carries the terror of being abandoned and the dread of the consequent annihilating engulfment. Aggression as a primary reaction aimed at negating threat is thus mobilised equally in opposite directions. The sexualisation is a process of trying to resolve this conflict by converting aggression into sadism, the aim of which is to keep the object alive but under the control of the pervert.
In this last session before the break, he follows up by recounting a situation at work which indicates a greater sense of the attack (generic) coming not from outside (what people will say, fear of making mistake, etc.), but from inside (a split-off attacker seen as malevolent). He further exemplifies his acting out the dynamic in his account of his visit with his partner to a famous garden and a dispute over a proposed photograph. The point of the story is his loss of momentum as he starts to get into the swing. Once again apathy ensues. This he expresses in a metaphor of balancing on a narrow ledge and freezing. This in turn gives the cue for his perverse desires. He readily agrees with my suggestion of continuing until the summer and reviewing then. A small incident occurred in a later session that indicated his assertiveness had begun to come into the sessions. The room lighting was dim in the fading daylight. He announced he should have said earlier that he found the room too dark and could we put on the lights, as he could not see me. I suggested the Venetian blind, but he moved from his chair to put on the lights. When I acknowledged this he evinced the glee of taking the initiative and of putting me in the passive position (the position of his sexual partner). I say that he is caught in the polarity of having to escape from the humiliation of passivity into the position of control, thus obviating a sense of vulnerable connection. Here perhaps, with the play of dimness and light, is a microcosm of the way perversion cuts through the fog of mutually disowned id forces whereby, according to Bion the emotions of LHK are turned into –LHK (see Sander, p.354). At the end of the summer term (the time set for our review) he asked for the invoice made up to include the one session in August, something he never does. I asked him to let me know whether he intended coming back. The cheque arrived promptly by post (again a first), but no decision. I have to continue to pay the room rent for the break. I was in two minds about this: wanting him to return as we were far from any satisfactory ending and also disinclined to go on putting in the tiring work ad infinitum. But it seemed clear he was sadistically keeping me alive in order to inflict pain. He did return. He said it had been good not to have to come and talk about things. But things were not finished. He said nothing about not letting me know. He had a lively tale of his partner’s defection (cruising) and his reactions. Daniel went out late one night and had not returned by the next day. Charles reported his ‘grief’ and a sense of ‘everything having been destroyed’. He was very tempted to ‘pack up and go home’, back to square one. He had initially lied to his friends as to what had happened, but then confessed that he had lied and even seen ‘the funny side’. Daniel came back and Charles took some time to forgive him, presumably enjoying making him squirm. In the light of what had been happening – the threat to stop, the sadistic act of keeping me hanging on, his oblique reference to grief in the interchangeable roles in the desertion scenario – I sensed this man’s extremity and his need for a perverse contrivance. Thus Anthony Storr, writing about fetishism: ‘The fetish replaces the genital difference between the sexes as a focus of interest. It is thus a triumph of displacement and a triumph of the human imagination’ (Storr, 1964, p. 55). And his remark, later in the same chapter adumbrates Welldon’s cyclic schema: ‘For the fetishist has displaced his desire from an area in which it can be fulfilled to an area in which it cannot’ (p. 57). He, however, goes astray, by attributing to perversion the status of an idea as opposed to a sensation. To argue that more fully, however, is beyond the scope of this paper. Stoller too speaks of triumph, ‘Every time the perverse act is performed… a triumph is celebrated’ (Stoller, 1975, p. 6f.), but it is clear that he is talking about intense sexual experience: ‘The perversion is the complicated path that threads its way through the dangers to triumphant sexual gratification’ (p. 117). In the perverse act the trauma is rubbed out and turned into pleasure and victory, yet the trauma is never thus finally escaped, and wreaking revenge and the prospect of orgasm assure constant repetition. Chassguet-Smirgel puts it another way, referring to ‘perverts, those beings who have the quite enviable faculty of creating an artful universe’ (Chassguet-Smirgel, 1985, p. 66). ‘The work thus created will symbolise the phallus, the gap in identity being likened to castration. Despite being unable to identify with his father, the subject will be led to create; yet, instead of begetting his work, he will fabricate it. This work does not obey the principle of filiation’ (p. 70). This is evinced in Charles’ ingrained sense that his professional life is a matter of ‘going through the motions’, an indirect reference to defecating. Chassguet-Smirgel points to dependence on another (whole) object as the source of goodness and places this in opposition to omnipotence where the demand to accommodate difference leads to violence. It is noticeable how often Charles comes to the point of expressing the worst outcome of a given situation as losing control. The significant sexual object of perversion, in Charles’ case, the anonymous anal act, is effective in obliterating the unbearable dependence, so shadowed by grievance, obstructing its emergence into consciousness as catastrophe on a faint prayer it may be metabolised. It would seem heady stuff, the pervert’s resort to being able to short-cut to the ‘ego-syntonic’ (Welldon, 1996) state, a symbol a fortiori of control that would indeed be hard to dislodge. The cyclic nature of the perverse structure as here outlined underlies the recidivism which is such a feature of this case. Birksted-Breen suggests that the serial destruction of the analytical process is akin to making a ‘bulimic mess’. ‘Material suggested a close connection between vomiting and faecal soiling, and a faecal representation of the father’s penis, and I understand the anal attacks as interfering with the introjection of a good penis’ (Birksted-Breen, 1996, p. 654). Here, the convulsive act of getting shot off is brought together with the besmearing (exultant buggering) of the father as a pastiche of containment. But another solution on the part of this patient which chimes with Glasser’s account is that his removal of himself from the scene – ‘I don’t have to put up with this’, ‘I don’t know why I bother’, ‘I’m sick and tired of the whole thing’, ‘I’ve just had it, up to here’ – is realised as a state of exile and being ‘back at square one’ – self-abandonment and worthlessness as a preferred posture to the disastrous humiliations of dependence. This, Glasser explains, is in turn sexualised into masochism: ‘the aggression directed towards the self is converted into masochism and the object is retrieved and engaged with by what we may call the “masochistic invitation”’ (Glasser, 1986, p. 10), a notion referred to above in Betty Joseph’s account. I am thinking of sexualisation here in two ways, one as a conversion of panic raised by the dread of intense pain into sexual excitement. Both stimulus and reaction share the characteristic of loss of mind. The second angle is that, by the process of sexualising, the delusional substitute, whereby loss is foreclosed upon, and prevented from registering in mind, is planted in the organism. In turn this substitution is a source of paranoia so that the scene in which the perversion is enacted has to be fled from by a metaphoric ritualistic act of ablution. Some plausibility is given hereby by Freud’s observation: ‘It has also been maintained that every pain contains in itself the possibility of a feeling of pleasure’ (Freud, 1905, p.72). According to Freud, masochism is present in all perversion. As I see it, the masochistic impulse is present in disgust smuggled into the attractiveness of the object and which drives inter-personal reactions designed to be destructive of the development of relationship. It does not follow that pleasure is present in this primary masochism. ‘Pain, which is overridden in such cases, thus falls into line with disgust and shame as a force that stands in opposition and resistance to the libido’ (ibid.). Anticipation of pain and pleasure meld in the perverse drive. Jealousy is a masochistic manoeuvre and registers a low-level panic and loss of mind, which is annexed by excitement when transferred to the alternative object of aberration, which is totally under the subject’s control. Intense panic is destructive of pleasure and has to be replaced by the alternative excitement, that is, sexualised. Out of necessity inherent in the system, entry into the imagination of more positive cycles of pleasure is precluded. What Glasser is outlining is cyclic: ‘The intense separation and abandonment anxiety and the misery of deprivation prompt longings for a complete and indissoluble union with the object and we can thus observe that this aspect of the core complex has the quality of a vicious circle” (Glasser, 1986, p.10). For all that, the process of sexualising whereby the object of desire is irrevocably switched remains a mystery. It is a term that is implicitly denied by the exponents of perversion who are likely to see themselves as the aesthetes of sensuality, as though it derived from the id. But what is involved is that the component of longing, which is the bedrock of the mother-baby territory, namely touch, and which as a given, opens seriatim all the systems including sexual arousal, as a potential difference, is referred to an object other than the primary maturational target. The same language as can be encountered in a song addressed to the one who is courted: ‘Can’t take my eyes of you’ (see Frankie Valli, 1967) becomes relevant in the context of this replacement: ‘You’d be like heaven to touch’. Sexualisation is a convulsive act of tearing away from and subverting of the rigours of the maturational process as well as preserving it in aspic. Khan suggests as much when he talks of ‘the great hazard of the analytical cure of a pervert’s self-cure’ (Khan, 1979, p. 176). The relationship between the subject and object in perversion encapsulates an inadmissible bliss. It, however, obviates the process of projective identification for the purpose of inchoate communication with a metabolising object and perhaps also embodies a severe threat to a recourse to intrusive identification and the horrors of being back inside, held in the unconscious as a journey to hell. The timidity of the fetishist, for example, of which Storr speaks – ‘the reassurance which the fetish gives, and the way in which it enables a man who is frightened of the opposite sex and uncertain of his masculine potency to overcome his fears’ (Storr, 1964, p. 54) – is not, as Storr seems to suggest, primary, but a concomitant of the infantile conjuring trick; the two come into being simultaneously. When we go on to consider Glasser’s statements regarding identification we come across the argument that simulation is primary in the perverse structure. To my mind this gives further credence to the profound intractability I experience in the work with Charles. Identification is taken here to mean not simply something empathetic, but a permanent act of ‘making an identification with’ in which the subject modifies his self-representation permanently. Where the core complex has been established in the personality, identification becomes impossible, as it would mean being locked in so that, instead of being enhancing, it would be experienced as something invasive and possessive. The alternative is simulation. In their paper Margot Waddell and Gianna Williams write about the ‘slaughter of truth’ in the course of clinical material they present of a young boy who ‘was enslaved to an anti-developmental alliance with a destructive part of the self that he idealised’ (Waddell and Williams, 1991, p. 203). Though not concerned in their paper with the causal links to the perverse states of mind, they do in passing suggest: ‘His mother’s severe puerperal depression might have contributed to his turning away from a dependent relationship and towards a very dubious source of protection’ (ibid.). In their last paragraph the authors invoke the declaration from Macbeth: ‘Fair is foul and foul is fair’ this ‘mode of inversion and distortion’ which ‘crystallizes into the hardcore perversity of the little child’s aspiration to “grow up and live dying”’ (p. 212). Glasser (1986) in attributing the aetiology of perversity to the relationship with the mother tends to follow Winnicott’s notion of impingement leading to the formation of the ‘false self’. By saying that the pervert is unable to identify in the strict sense, resorting instead to simulation, Glasser points to a failure of conception. The infant, having been conceived, has not been conceived of; though held in the womb, he is not held in mind. Chassguet-Smirgel (1984, p. 69) makes a similar point specifically in the failure of the pervert to idealise father as a basis of a healthy super-ego development, instead cathecting pre-Oedipal imagos. For Winnicott, meaning is created through the attendance of the ‘good-enough mother’ in her ‘maternal preoccupation’, the impulse broker. She attends the ebb and flow of her infant’s instinctual demands in the emotionally roused state and in the quiet states when she endures the ennui in which the child is thus able to await the dawning of desire. Where the mother uses the infant for her own narcissistic needs, an alternative structure is formed based on expectations (cf. simulation). Winnicott poses a stepped failure of maternal preoccupation as ushering in awareness and tolerance of the not-me, and the manageable collapse of omnipotence, through the transitional object. Plausible is the kinship of the transitional object to the fetish, yet not thought through (vide supra Meltzer 1973, p. 108), and Khan: ‘I began to see that one of the unmistakable features of the chosen and found sexual object was its potentiality and talent to play the part of an as-if transitional object’ Khan, 1979, p. 14). The perversion of the potential space is in the ‘as-if’. Glasser (1986) proposes this moment of unmanageable separation as the point of departure for the founding of his core complex, in Winnicott’s terms, the undermining of the capacity to be alone in the presence of the mother. The genesis of the ensuing dedication to falsity is explained by Glasser as the conflict set up by a longing for merging with mother as a way of overcoming all anxieties for good and all, and at the same time, and because the innate drive is towards separation, a terror of that merging which signals annihilation of individuality. Simulation then becomes the pseudo identification by means of which, through the exigencies of the perverse sexual act, and indeed as a means of trimming to tight spots in general, the blessed state is adopted and the merged state shuffled off before engulfment intervenes. Glasser gives examples from the testimony of transvestites whereby the subject, by dressing in particular female garments, puts on, gets inside, the mother. He merges with the mother, thus putting off the separation anxiety that makes him impotent, enabling him to achieve potency, while his erection asserts his separation as a man, and rival to the father and, in orgasm he pulls of a coup, namely that of simulated merging and difference at a single stroke, after which he divests himself of her cloying closeness and returns to being male, while maintaining his resort as he becomes increasingly aware once again of his precedent state of premature separation and incapacity to be alone in the presence of the mother. It is loss either way that has been sexualised. My experience of Charles is of someone who can put on the mantle of relationship, use the ‘technique of intimacy’ (Khan, 1979, pp. 20 –27) and simulate difference. For a significant period at the start of the therapy he did not use the first person, but spoke of himself as ‘one’ and never introduced anyone by name. His own internal reality is represented in a fantasy of the empty streets in which he wanders in search of strangers with whom to have sex. Following the Easter break in 2003 he returned from a trip home to Tasmania with a sense of disconnection at home to where, in the UK, there was nothing for him. I said that I sensed the futility of communicating in such a void. When I said this he seemed to come alive. He has no conversation with his sexual accomplices who remain almost as garments he puts on and takes off. After the act of anal sex he feels better having the illusion of having, for the time being, slain the incubus. Charles reported a dream of being in the long corridorof a particular hotel lined on both sides by identical doors. Behind each door is a man with whom he has had sex. The strategy of the transvestite may be clear, but mutatis mutandis, it would be difficult to itemise precisely the fantasy that drives Charles in his cruising. Clearly it is part of his Oedipal triumph, but to know more about this it will be necessary to look more closely into the role the mother has played in the formation of her boy’s pathology. However, the endemic anal characteristic of perversion is encapsulated in Chassguet-Smirgel’s term the ‘anal universe’: ‘to reduce the universe to faeces, or rather to annihilate the world of differences (the genital universe) and put in its place the anal universe in which all particles are equal and interchangeable’ (Chassguet-Smirgel, 1985, p. 4). ‘The abolition of differences prevents psychic suffering at all levels: feelings of inadequacy, castration, loss, absence and death’ (ibid.). Considering that an early theme in the therapy was his claim that criticism was familiar, praise unwelcome; the overriding sense of ‘being crap’ constituted for him a panicky state that drives out presence of mind, the application to Charles’ perversity seems clear. To recall Welldon’s model, the mounting ‘dystonic state’ triggers a loss of mind and a headlong rush into the bizarre magic act. A persistent image which cropped up in the few dreams he said to me he remembered was of a super-heated boiler, a great red hot object which was approaching the point of explosion and which he had to run from in terror. Fleeing he finds himself in a dead landscape. Balance this with the oft-recurring image in sessions when his uneasy silence contains the image of the empty streets. Another dream image, which chimes with his fear of flying, is the plane crash, anticipated or actual, in dream imagery where, for instance, the family survive, but there is no glad reunion; they go their separate ways with no acknowledgement of one another. The perverse acting out brings him up against the blighted internal state which necessitates his simulation, however bizarre or indistinct it remains for me, of a dismantled object (= ‘this dismantling of a common sense object into a host of unisensual ones seems to preclude introjection and allows only for apprehension of an immediate sensual event’ (Meltzer, 1973, p. 108)). The force of Charles’ recalcitrance towards treatment can be credited in this context, that is, as Meltzer concludes, ‘The difficulty resides in the degradation of the emotionality from love to sensuality’ (p. 109). His point here is germane to the rigours of the approach to the depressive position, namely that reassembly of the ‘unisensual assortment no longer equals the whole in value… These dismantled objects are “devalued” and not worth protecting from further sadistic attack by bad parts of the self’ (ibid.). What the atomising of the simulation in Charles’ case might reveal is beyond the scope of this paper and, perhaps, too, of this therapy. To my mind, it certainly bears on the problem of the genesis of Charles’ homosexuality as to whether it was an object choice in Freud’s sense of the infant’s polymorphous perversity, that is, having its origins in the id, or whether a sexual state of mind determined by the family dynamics. But I consider Meltzer makes a cogent point about intrusiveness when he writes in the context of Adult Polymorphous Sexuality, ‘The analyst need never worry about the content of information being withheld by the patient regarding his sexual behaviour, since the moment such withholding takes place the content itself is no longer to the point: the behaviour of withholding itself needs to be the focus of investigation’ (p. 83).
a) Trick or treat. I return to the incident I mentioned above when the possibility dawned on me of my patient’s perverse structure. This took place in the family home when Charles was a schoolboy. During the holidays he had been taking part in rehearsals for a local ballet company. His mother had driven him to rehearsals one weekend only to find that the theatre was dark. On their return his father berated his wife for encouraging his son in such unmanly pursuits. The boy was present at the altercation and witnessed his father physically assault his wife. This he declared to have been the worst moment of his life. He felt powerless to rescue his mother and full of hatred for his father. In addition he felt that he was the cause of the brutality. During the scene Charles and his sisters retired to another room in distress. After a bit, the father came in and assured them that nothing had happened and that they were to get their coats on as they were going to the football match. Charles hadn’t the slightest interest in football, but there and then he decided that henceforth he would do exactly as the father suggested, nursing the deadly secret that not an ounce of enjoyment or satisfaction would accrue for himself. On the question of homosexuality Berliner writes, ‘Socarides insists that the condition is entirely psychogenic, not innate’, and quotes Socarides (1968) as follows: ‘“There is no connection between sexual instinct and the choice of sexual object. Such an object choice is learned, acquired behavior; there is no inevitable genetic or hormonal inborn propensity”’ (Berliner, 1971). Socarides sees the genesis of homosexuality as occurring during the preoedipal stage of the boy's personality formation, and caused by a controlling mother who prevents her son from separating from her, and a weak or rejecting father who does not serve as a role model for his son and does not support what Socarides perceived as a son's effort to escape from the mother (see Socarides, 1988). In this case, the mother is masochistically in charge (witness the violent reaction of the father to her goading). She is the model of power in her an-hedonic mode and its tricksy pleasures. Thus a secret loyalty was formed and a potent, but profoundly perverse, Oedipal triumph was achieved, to use a phrase from Waddell and Williams, by ‘creeping in by back passages’ (Waddell and Williams, 1991, p. 211). Not only had he triumphed over his father, but also by accepting his mother’s fusion into himself while railing against her trickery, he had headed off the way to future degradation by making of it a fetish. As MacDougall writes, ‘The perverse scenario and its enactment may serve as a mask to disguise sexual truth as well as being a container for the rage, mortification, and violently destructive impulses aroused by the child’s discovery of parental “treachery”’ (MacDougall, 1990, p. 188). It may also be that the mode, not the fact, of his homosexuality, was sealed at that moment. As a result, however, the sheltering sky, the heritage of the successful navigation of the Oedipus complex was relinquished and, in these sessions, relentlessly and bitterly rued. The fact of his perceiving his parents as different from those of his two sisters may reflect this severe deficit. He consistently expresses contempt for his parents and resolves to cut himself off from them for good and all. This is the attempt to fuse the situation and make himself impenetrable. The role of anal penetration remains to be explored in the light of this. Charles characteristically gives a plausible impression of collaborating while building within me a long-suffering low-level frustration and the uneasy sense of being repetitive. This would seem to replicate the perverse relationship with his father, but with the mother also. David Taylor says of a patient of his, ‘Such work as did take place “did not mean much”. Neither did the patient mean much. From another angle, however, Mr A could be regarded as projecting most vividly the nature of his internal world… in the revival of a mother-child relationship in which powerful and effective communication cannot take place’ (Taylor, 1997, p. 71). The frequent sense I have of repeating myself is held at bay by the impression that I am fertile in my imagination so that sufficiently long cycles are set up as to obviate my recall of the last time I gave just such an interpretation. In this I see a parallel process. His ready facile agreement gives me to understand that by evoking from me an interpretation by means of protracted refusal to come out of his uneasy silent mode, functions as a plausible therapy where the actual therapeutic engagement ‘stops at the door’ (Michael Sinason, personal communication). It serves to fill gaps in a pseudo-conversation. It is a perversion of transitional space, precisely in the act of robbery he contrives. This withholding takes the form of whispered words and broken sentences and thus he keeps me hanging on. His demands are not memorable. Accounts of outbursts are a frequent part of his retrieval, by which he separates me off and keeps me good, while much of his aggression in sessions is projected into me so that I have to monitor a feeling of wanting to beat it out of him, as I strain forward to hear. He digs in his heels. Robbed of the pleasurable and the meaningful he robs me of the satisfaction, of effectiveness and the gratification of cooperation. He appears to take in, but the real pleasure is in evacuating, the perverse shitting and in catching me unawares. Here again is the enactment of his mother’s ‘trick or treat’, a form of turning the tables, a salient feature of his legend of his mother, while my counter-transference is to be set at nought, occluded by my reactive need to be even more accurate, freshly significant each time and to round off the session by ‘hitting the nail on the head’ – a dangerous occlusion and a pseudo-therapy by projective identification (see Fay Carey, 2007), a treadmill – ‘We’ll just have to see who dies first!’ The petrification of the mother is in part due to the impingement of the father, Charles’ father, and the father of the mother. The latter’s reputed philandering left Charles’ maternal grandmother to mourn in a big empty house when the daughter who was to become Charles’ mother was but thirteen. In a very recent session, in the course of our reverie on his having taken on this dedication to misery, he said, ‘I’m trying to imagine what would happen if that big old house were to be knocked down and something else built on the site.’ This paternal impingement constitutes a significant flaw in the smooth execution of the Oedipal destiny. The mother is displaced and petrified by her male imago. The father, instead of sheltering the maternally preoccupied mother, guarding the orifices, takes over. The flaw, thus, is father-represented, and the consequent delusion is the phallic break-in, sexualised in the form of anal penetration. This move gathers together perverse vengeance, placatory gestures (object choice) and identification with the gelder (present in my counter-transference as my being impotent as therapist). As Freud writes, ‘the sexual instinct goes to astonishing lengths in successfully overriding the resistances of shame, disgust, horror or pain’ (Freud, 1905, p. 74). b) Vive la difference Before returning to the theme of separation with which I set out, perhaps optimistically, I will now turn to some further thoughts on my patient’s homosexuality. An initial suggestive idea is that, if homosexuality is a denial of difference, in this case that of the sexes, its genesis, in the case of this patient, may be looked for in his simulation of the fused parental object. In Stoller’s terms, it is sexuality itself that is hijacked. Here, the apparent paradox is that this is a definition of sexualisation. I would want to use the word ‘appropriated’. The notion I have of a fused parental object implies a primitive Oedipal object absorbing any good maternal parts and impenetrable to the child. As such it obviates the fantasy of parental coitus, but is the prototype of envy and jealousy. Thereafter, the mother remains dangerously deceptive and, as such, lethal to a straight desire in her direction. Stoller’s hypothesises that a perversion is a reliving of a historical trauma ‘aimed at one’s sex or gender identity’ is interesting here. ‘Perversion arises as a way of coping with threats to one’s gender identity’ (Stoller, 1964, p. xii). [4] Charles’ homoerotic anal practice can be seen to give him access to the delusional parental coitus as a participant, pointed both ways. In considering this issue, I would refer to the work of Chassguet-Smirgel (1985) and in particular her chapter ‘A Psychoanalytic Study of “Falsehood”’. I will also consider Meltzer’s (1973) observations in the chapter ‘The Fetishistic Plaything of Sexual Perversions’. Steiner makes the following summation: ‘The misrepresentation of reality in perversion is mentioned by Gillespie (1964), but it remains for the French analysts, especially Chassguet-Smirgel (1974, 1981, 1985) and McDougall (1972), to give it a central place in the study of perversion. They discuss the pervert’s relation to reality, in particular the reality of the difference between the sexes and between the generations, and argue that a perverse reality is created in which this reality is misrepresented and distorted’ (Steiner, 1993, p. 90). A couple of definitions of ‘perverse’ from the Oxford English Dictionary cited by John Steiner (1993, p. 89): ‘obstinate and persistent in what is wrong’ and: ‘disposed to be obstinately contrary to what is true or good’. Both apply to the general tenor of Charles’ self-presentation and the source of my counter-transference of frustration. Steiner amplifies (ibid.): ‘Secondly, there is a suggestion, at least in the transitive verb “to pervert”, that someone is perverted, led astray, or corrupted by an agency working against what is true and right.’ Steiner intends this to indicate the installation of an internal organisation acting like a protection racket, bent on keeping the good objects enslaved and making escape impossible. I am reminded of Charles’ persistent image of pushing to open a blocked door while something malevolent is pushing to get out. Meltzer rather turns this priority around attributing the setting up of such an internal Mafia as a means of allaying a primitive terrorising identification. In his chapter ‘Terror, Persecution and Dread’, he writes: ‘An illusion of safety is promulgated by the omniscience of the destructive part and perpetuated by the sense of omnipotence generated by the perversion… the essential hold over the submissive part of the self is by way of the dread of loss of protection against the terror’ (Meltzer, 1973, p. 105). But the tyrannical addictive part is also a two-edged sword and is also dreaded: ‘Where a dread of loss of an addictive relation to a tyrant is found in psychic structure, the problem of terror will be found at its core, as the force behind the dread and the submission’ (p. 106). If, as he concludes (p. 149), the buried guilt of having murdered is what terrorises and thus generates the perversion with its addictive activity, it is the dead who won’t lie down that haunt. He goes further to see these ‘dead objects’ as ‘the internal mother’s inside babies’ (ibid.). The picture built up by Charles of a sensitive and highly intelligent boy enduring the pressures of the flattened masculinity of a brutalised father and the tricky narcissistic and seductive misery of the mother incline me to |