"The Holding Environment" And The Therapeutic Action Of Psychoanalysis

Some of the recent most challenging contributions to our knowledge of female sexuality were provided by direct observations as early as during the second year of life concerning genital self-stimulation and masturbation in girls. Other investigators have advanced the proposition that girls are capable of vaginal masturbation and possibly of experiencing vaginal sensation and stimulation very early in life. Our own clinical study on sleep orgasm, based mainly on data obtained from the analysis of one woman, leads to formulating the hypothesis that in some instances the nursing situation may provide sensations in the genitals (vagina), not only for the mother, but also for the baby. We assume that such sensations in the genitals of the infant female are not the result of mechanical stimulation of the genital organs--as described during the second year and later--but are the result of a "resonance" phenomenon whereby the infant's genitals, including the vagina, are stimulated from within. The observations of orgasm made by others and by the author should be considered the first tentative steps toward an understanding of the complex nature of female orgasm. Eventually, further studies might lead to distinguishing more clearly a sexual orgasm in a narrower sense from a sucking orgasm, from an anger orgasm, and from a stress orgasm--i.e. an unspecific genital discharge. Sleep orgasm can represent gratification of unacceptable disguised sexual wishes and can therefore occur after intercourse and orgasm experienced when awake. The study of sleep orgasm might be of value in relation to the general problems of female orgasm. I would like to close with a reminder that some of the formulations presented in this paper are quite obviously largely speculative.

[1]  J. Strachey The nature of the therapeutic action of psychoanalysis. , 1969, The International journal of psycho-analysis.

[2]  H. Rosenfeld A critical appreciation of James Strachey's paper on the nature of the therapeutic action of psychoanalysis. , 1972, The International journal of psycho-analysis.

[3]  M. Khan,et al.  THE CONCEPT OF CUMULATIVE TRAUMA. , 1963, The Psychoanalytic study of the child.

[4]  J. Sandler The background of safety. , 1960, The International journal of psycho-analysis.

[5]  A. Modell The Ego and the Id: fifty years later. , 1975, The International journal of psycho-analysis.

[6]  R. R. Greenson,et al.  The non-transference relationship in the psychoanalytic situation. , 1969, The International journal of psycho-analysis.

[7]  D. Winnicott The maturational processes and the facilitating environment , 1965 .

[8]  H. Blum On The conception and Development of the Transference Neurosis , 1971, Journal of the American Psychoanalytic Association.

[9]  H. W. Loewald On the therapeutic action of psycho-analysis. , 1960, The International journal of psycho-analysis.

[10]  H. Guntrip,et al.  Schizoid phenomena, object-relations, and the self , 1968 .

[11]  D. Winnicott Playing and Reality , 1971 .

[12]  A. Goldberg,et al.  Models of the Mind , 1973 .

[13]  A. Modell Object love and reality , 1968 .

[14]  E. Zetzel The capacity for emotional growth , 1970 .

[15]  M. Balint The Basic Fault , 1968 .

[16]  M. Riemer The Psychoanalytic Situation , 1963 .

[17]  H. Kohut,et al.  The analysis of the self , 1971 .

[18]  A. Freud,et al.  War and children , 1973 .

[19]  O. Kernberg Further contributions to the treatment of narcissistic personalities. , 1974, The International journal of psycho-analysis.

[20]  V. Volkan Transitional Fantasiesin the Analysis of a Narcissistic Personality , 1973, Journal of the American Psychoanalytic Association.

[21]  M. Gitelson Psychoanalysis: Science and Profession , 1973 .

[22]  Mohammed Masud Raza Khan The privacy of the self , 1974 .

[23]  Greenson Rr Transference: Freud or Klein. , 1974 .