Akhtar prelims CORREX 7/16/09 5:30 PM Page i 1 2 3 4 5 6 7 8 COMPREHENSIVE DICTIONARY 9 10 OF PSYCHOANALYSIS 1 2 3 4 5 6 7 8 9 20 1 2 3 4 5 6 7 8 9 30 1 2 3 4 5 6 7 8 9 40 1 2 3 4 5 6 7 8 9 50 1 2 3 4 5 6 7 Akhtar prelims CORREX 7/16/09 5:30 PM Page ii 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 201 1 2 3 4 5 6 7 8 9 30 1 2 3 4 5 6 7 8 9 40 1 2 3 4 5 6 7 8 9 50 1 2 3 4 5 6 71 Akhtar prelims CORREX 7/16/09 5:30 PM Page iii 1 2 3 4 5 6 7 8 9 10 COMPREHENSIVE DICTIONARY 1 2 3 OF PSYCHOANALYSIS 4 5 6 7 8 9 Salman Akhtar M.D. 20 1 2 3 4 5 6 7 8 9 30 1 2 3 4 5 6 7 8 9 40 1 2 3 4 5 6 7 8 9 50 1 2 3 4 5 6 7 Akhtar prelims CORREX 7/16/09 5:30 PM Page iv 1 2 3 4 5 6 7 8 First published in 2009 by 9 Karnac Books Ltd 10 118 Finchley Road, London NW3 5HT 1 2 3 4 5 Copyright © 2009 Salman Akhtar 6 7 8 9 The right of Salman Akhtar to be identified as the author of this work has been asserted in accordance with §§ 77 201 and 78 of the Copyright Design and Patents Act 1988. 1 2 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in 3 any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior writ- 4 ten permission of the publisher. 5 6 British Library Cataloguing in Publication Data 7 8 A C.I.P. for this book is available from the British Library 9 30 1 ISBN-13: 978 1 85575 860 5 2 3 4 Edited, designed and produced by The Studio Publishing Services Ltd, 5 www.publishingservicesuk.co.uk 6 e-mail: [email protected] 7 8 9 Printed in Great Britain 40 1 2 3 4 5 6 7 www.karnacbooks.com 8 9 50 1 2 3 4 5 6 71 Akhtar prelims CORREX 7/16/09 5:30 PM Page v 1 CONTENTS 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 20 ABOUT THE AUTHOR vii 1 2 ACKNOWLEDGEMENTS ix 3 4 INTRODUCTION xi 5 6 7 DEFINITIONS OF PSYCHOANALYTIC TERMS AND CONCEPTS 1 8 9 30 AN ANNOTATED LIST OF PSYCHOANALYTIC GLOSSARIES 312 1 2 REFERENCES 319 3 4 5 6 7 8 9 40 1 2 3 4 5 6 7 8 9 50 1 2 3 4 5 6 7 v Akhtar prelims CORREX 7/16/09 5:30 PM Page vi 1 2 3 4 5 6 7 8 9 10 To 1 2 3 4 5 All the individuals whose work is cited in this book, for they are the ones who have collec- 6 tively constructed the vocabulary of psychoanalysis, with celebratory gratitude. 7 8 9 201 1 All those contributors to analytic literature whose work I have inadvertently omitted or 2 inoptimally represented, with sincere apologies. 3 4 5 6 7 All those colleagues who would resist the temptation to point out my errors and omissions, 8 with brotherly humour. 9 30 1 2 3 My wife, friend, and fellow psychoanalyst, Monisha Nayar, with profound love. 4 5 6 7 8 9 40 1 2 3 4 5 6 7 8 9 50 1 2 3 4 5 6 71 Akhtar prelims CORREX 7/16/09 5:30 PM Page vii 1 ABOUT THE AUTHOR 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 20 Salman Akhtar, MD, was born in India and completed his medical and psychiatric education 1 there. Upon arriving in the United States in 1973, he repeated his psychiatric training at the 2 University of Virginia School of Medicine, and then obtained psychoanalytic training from the 3 4 Philadelphia Psychoanalytic Institute. Currently, he is Professor of Psychiatry at Jefferson 5 Medical College and a Training and Supervising Analyst at the Psychoanalytic Center of 6 Philadelphia. He has served on the editorial boards of the International Journal of Psychoanalysis 7 and the Journal of the American Psychoanalytic Association. His more than 300 publications 8 include nine books: Broken Structures; Quest for Answers; Inner Torment; Immigration and Identity; 9 New Clinical Realms; Objects of Our Desire; Regarding Others; Turning Points in Dynamic 30 1 Psychotherapy; and The Damaged Core, as well as twenty-seven edited or co-edited volumes in 2 psychiatry and psychoanalysis, and six collections of poetry. Dr Akhtar has delivered many 3 prestigious addresses and lectures, including a Plenary Address at the Second International 4 Congress of the International Society for the Study of Personality Disorders in Oslo, Norway 5 (1991), an Invited Plenary Paper at the Second International Margaret S. Mahler Symposium 6 7 in Cologne, Germany (1993), an Invited Plenary Paper at the Rencontre Franco-Americaine de 8 Psychanalyse meeting in Paris, France (1994), an Invited Keynote Address at the Annual 9 Meetings of Division 39 of the American Psychological Association (1994), the Plenary 40 Address at the Annual Meetings of the Canadian Psychoanalytic Association (2002), and a 1 Keynote Address at the IPA Congress in Rio de Janiero, Brazil (2005). Dr Akhtar is the recipi- 2 ent of the Journal of the American Psychoanalytic Association's Best Paper of the Year Award 3 4 (1995), the Margaret Mahler Literature Prize (1996), the ASPP's Sigmund Freud Award (2000), 5 the American Psychoanalytic Association's Edith Sabshin Award (2000), Columbia 6 University's Robert Liebert Award for Distinguished Contributions to Applied Psychoanalysis 7 (2004), the APA's Kun Po Soo Award (2004), and the APA's Irma Bland Award for being the 8 Outstanding Teacher of Psychiatric Residents in the country (2005). An internationally-sought 9 50 speaker and teacher, Dr Akhtar is also a Scholar-in-Residence at the Inter-Act Theatre 1 Company in Philadelphia. 2 3 4 5 6 7 vii Akhtar prelims CORREX 7/16/09 5:30 PM Page viii 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 201 1 2 3 4 5 6 7 8 9 30 1 2 3 4 5 6 7 8 9 40 1 2 3 4 5 6 7 8 9 50 1 2 3 4 5 6 71 Akhtar prelims CORREX 7/16/09 5:30 PM Page ix 1 ACKNOWLEDGEMENTS 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 20 Dr Michael Vergare, Chairman of the Department of Psychiatry at Jefferson Medical College, 1 helped sustain the academic environment where I could conduct my work in a meaningful 2 fashion. The department’s two Vice-Chairs, Drs Mitchell Cohen and Elisabeth Kunkel, as well 3 as its Director of Residency Training, Dr Kenneth Certa, gave me ample opportunities and 4 freedom to continue my scholarship. Dr Robert McFadden and Ms Pamela Kasinetz, my asso- 5 ciates in running the department’s outpatient clinic, and Dr Jacob Widroff, the clinic’s Chief 6 7 Resident, protected me from administrative chores on numerous occasions. Drs Rajnish Mago, 8 and Stephen Schwartz, fellow faculty members in the department, also helped in subtle and 9 indirect ways. To all these individuals, my sincere thanks indeed. 30 As can be imagined, work of this magnitude can hardly be done alone. I have been fortunate 1 that, whenever I needed help, I was able to find it. Regardless of whether it involved finding a 2 particular reference, locating an old or out of print book, translating a foreign language phrase 3 4 or passage, checking the origin of an obscure term, or selecting terms pertaining to specialized 5 areas of applied psychoanalysis, there was someone to whom I could turn for help, someone 6 who was glad to help; none of my frantic phone calls or e-mails remained unanswered. The list 7 of those who helped me and to whom I am utterly grateful is long and includes fellow psycho- 8 analysts from my depth-psychological alma mater, the Psychoanalytic Center of Philadelphia, 9 analytic colleagues from all over this country and abroad, psychiatrists, friends and acquain- 40 1 tances, family members, students, supervisees, and still others who defy categorization. An 2 alphabetical list of those from the mental health field alone includes Drs Jennifer Bonovitz, Ira 3 Brenner, Daniel Freeman, Peter Hoffer, Abigail Kay, Susan Levine Mark Moore, Henri Parens, 4 Andrew Smolar, and David Steinman (all from Philadelphia) as well as Rosemary Balsam 5 (New Haven, CT), Melvin Bornstein (Birmingham, Michigan), Fred Busch (Boston), Diana 6 Constance (Bloomfield Hills, Michigan), Henk-Jan Dalewijk (Amsterdam), James Fosshage 7 8 (Boston), Axel Hoffer (Boston), Theodore Jacobs (New York), Angelica Kloos (Washington, 9 DC), Eddy de Klerk (Amstelveen, Holland), Saida Koita (Miami), Laurie Kramer (Great Neck, 50 NY), Manasi Kumar (London), Sergio Lewkowicz (Porto Allegre, Brazil), Bert van Luyn 1 (Amsterdam), Paul Mosher (Albany, NY), Edward Nersessian (New York), Monroe Pray 2 (Baltimore), Dwarkanath Rao (Ann Arbor, Michigan) , Joseph Reppen (New York), Irvin Rosen 3 (Topeka, KS), Julian Stern (London), Pratyusha Tummala-Narra (Novi, Michigan), 4 5 Madhusudana Rao Vallabhneni (Toronto), and Vamik Volkan (Charlottesville, VA).