Sinthomes, Psychosis, and the Psychoanalysis of Perverse Hatred  

If sinthomes need not be maintained as an alternative to madness for everyone, are there some people for whom this model might apply?  One area of psychoanalytic treatment at times described as addressing symptoms serving to forestall madness (psychosis) is the treatment of perversions.  By this term, so often used in a cruel and pejorative manner, I am not referring to whether or not a person’s sexuality varies from the heterosexual norm.  Instead, I refer to the way in which sexuality can take forms that are compulsive and rigidly organized to contain humiliation and hatred.  Louise Kaplan puts it this way:  

None of us is ever entirely free of the conflicts or anxieties associated with sexual intercourse. Every person who engages in sexual intercourse invents a fantasy that serves directly or indirectly to alleviate anxiety, enhance self-esteem, and heighten sexual pleasure. Activities that are commonly regarded as perverse—cunnilingus, fellatio, wearing erotic undergarments, enacting bondage scenarios, watching the sexual partner undress or masturbate—could be aspects of any run-of-the-mill sexual relationship. However, the sexual pervert behaves very differently from the countless men and women who evoke erotic fantasies, and sometimes enact them to heighten their sexual pleasure. The pervert is not making love; he is making hate. The pervert has no choice. His sexual performance is obligatory, compulsive, fixated, and rigid. [1]  

Analysts who argue for a consistent link between perversion and psychosis are a minority.  Reflecting the understanding prevailing in 1932, Edward Glover wrote:   

But we must now add that certain perversions are the negative of certain psychotic formations and certain others the negative of transitional psychoses.  Indeed, following Ferenczi and considering the mixed clinical pictures of psychosis, perversion and neurosis one so frequently observes, it is worth inquiring whether a perversion is not in many cases a symptomatic formation in obverse or the sequela or antecedent of a symptom as the case may be—a prophylactic or a curative device? [2] [emphasis added] 

To the extent that it is necessary, the “prophylactic” quality of the perversion lies in the way that it forestalls the powerful disorganization associated with psychosis.  How do we understand this?  In her report of a brief analysis of a young man Chasseguet-Smirgel describes him as carrying out a “destruction of reality,” suffused with the hatred Kaplan underlines:  

At the beginning of his analysis (it was his second attempt) he dreamed about the favorite subject of his erotic fantasies, i.e., capital punishment.  A young girl, dressed in white, was to be guillotined at dawn.  At the beginning, the dreamer did not know very clearly what was afoot.  There were preparations, whisperings; it was still dark.  Everything took place very slowly, and his excitement reached its peak when he understood what was going to take place.  Guards seized the girl; her head was cut off by the executioner in a great flood of blood, and this was accompanied by a strange murmuring.  I could perceive through the detailed account of this dream that it was in fact a primal scene:  whisperings, mysterious preparations, strange murmurs, the spectacular nature of the execution, everything combined to make the victim and the executioner the representatives of the parents during coitus….  

The hypothesis of a hatred of mother concealed behind adoration was not to be rejected, but did not explain the particular way in which it manifested itself.  Then the patient revealed that his father was an ear, nose, and throat surgeon, and told of operations on the throats of patients and on the analysand himself:  removal of tonsils, lancing of abscesses.  It became clear that it was easier for the little boy to imagine that his father was cutting his mother's throat during sexual intercourse than to accept the idea that he penetrated her with his penis.  Besides, he himself had played at being a doctor with a little neighbor girl.  On returning home, he had found a baby brother.  It may be said that playing doctor is a variation of playing Mommy and Daddy.  It is easy indeed for a little boy to play that game, but it cannot be said that it is easy for a little boy to cut his mother's throat.  This is the prerogative of the executioner, recruited for his strength and his vigor… 

Another dream occurred which clarified the problem.  The patient was on a train.  It passed the station of a town where, in reality, an execution had taken place which had been of passionate interest to the patient.  In the dream the patient knew he was the inventor of a process for making chocolate truffles.  This process would bring him a fortune; it utilized a small metallic circle that narrowed to allow molding of the chocolate.  He feared his precious and marvelous secret would be stolen.  In other words, the manufacture of chocolate truffles, in which it is easy to recognize the action of the anal sphincter, became mixed up with the hangman's axe or the guillotine which severs the head from the trunk.  The guillotine scene, identified with the primal scene, is simply a transposition of the dividing of feces by the anal sphincter.  The father thus does not do anything to the mother that the little boy of the anal phase cannot do… 

My account of this case ends here.  Soon after, the patient told me, with embarrassment, that as a student he had taken care of an old gentleman, in return for which he received a small sum of money.  Twice a day he was required to give him medicine in the form of drops.  He found the old man and the work particularly boring.  One day "by error," he measured out a very strong dose of the medicine, and the old man died.  The patient said he was very happy to have been able to tell me this.  I was dumbfounded and said nothing.  The patient never returned. 

If perversion consists of the eradication of the adult paternal world, assassination of the father (or his substitute) is fortunately not always enacted in the external world.  On the contrary, it is most likely a failure of perversion, a gradual slipping into a borderline organization or psychosis, which transforms sadism into pure violence with, in addition, loss of the ability to symbolize. Of course this does not mean that perverse acts are not frequently directed at the mother (or her substitute).  Once the anal-sadistic dimension is established it becomes a matter of brandishing a whip rather than of genital penetration, or inflicting pain, that is, of using a fecal penis which sullies and poisons rather than of giving pleasure with a penis which satisfies, nourishes, and repairs; of ruining, humiliating, and castrating rather than of engendering a baby who will grow and develop.  At the same time, sexuality becomes a tool of vengeance. [3] [author’s emphasis] 

In Chasseguet-Smirgel’s report, the potential for psychosis stems from a destruction of reality carried out through:

·         the little boy’s substitution of his own anal (chocolate truffle) sexuality for the procreative sexuality of the parents,

·         the denial of the existence of siblings that are both evidence of parental intercourse and competitors for his mother’s attention,

·         efforts to cover up and manage the narcissistic rage that threaten both the analysand’s objects and his necessary relationships to them.  

I stress here that psychosis does not loom simply because the analysand drifts into an “alternative reality” that hides his parents’ relationship, their genitals, or his siblings produced by his parents.  These alterations of reality awareness are inextricably linked with the way he handles emotions that are connected to those relationships.  Central is the horrifying prospect of a loss of all relationships if he fails to control the murderous hatred that he has contained, in part, by his fascination with executions.  If the perverse organization fails, a nightmare of fantasies of  rageful attacks and counterattacks would immediately ensue.  Once this terror prevails, the analysand’s capacity for symbolic representation would be contaminated with a potential for violence that leaves the analysand crippled in the ability to use symbols. [4] In other words, the violent hatreds that the perverse organization held in check become so salient that they pervade his thinking and psychosis represents the only way of quelling them. 

Joyce McDougall offers a more detailed report of her work with a less severely disturbed analysand for whom analysis was both possible and helpful; her evocative presentation makes extensive quotation worthwhile.  From the outset, she underlines the effort of  “Professor K”  to maintain a “playful” indifference to his life: [5]  

"LIFE!  It's a game and I know all the rules.  Whether I win or lose, I don't give a damn.  Let's say I find life amusing."  Listening to this patient I was struck by his dry, serious tone of voice, his stiff carriage, and the expression on his face, tight with anxiety, and showing no trace of the amusement that life supposedly brought him.  Why such a denial of life's importance, and indeed of his own?  There was something distinctly defiant about his statements but to whom were they directed, and why?  Looking back on this first meeting with Professor K., I can now answer that question in part.  His idea that life was a game which he knew how to play, even if he did not get much out of it, was a desperate attempt to give some meaning to his life.  We were to discover subsequently that he felt it had none, that the necessary sign posts were missing, and that he often wished he could put an end to his miserable game.  But there was no way out of his compulsive existence.  In a sense he was saying I have to live my life as though it were a futile game otherwise I shall not be allowed to go on living.

Towards the end of this first interview he replied,

You ask what would happen if I should take myself seriously.  Let's suppose I really finished this book I've pretended to work on for years—well, I feel I would be taking a senseless risk.  It sounds crazy, but if the book were a success that would be the end of everything.

We were to discover that this modus vivendi touched every aspect of his life—his friendships, his work, his beliefs, his sexuality.  He did nothing "really, " and was ironic about those who did, including analysts.  The illusion that nothing he did was serious or quite real allowed him in fact to begin his analysis.  In his first session, after a few desultory remarks upon the oddness of the situation, he stopped abruptly:

I say, am I playing it well, this psychoanalytical game?

Behind the playful camouflage K. was able to reveal glimpses of another reality.

My life is a continual degradation.  My intellectual work suffers.  Everything I do is accomplished under pressure at the last possible minute.  In front of my public I have the constant impression that I'm cheating, fooling them.  … I live in dread of being unmasked one day and condemned forever.  By the way, perhaps I should tell you about some of my little sexual obsessions—that is, if it interests you.

In the sessions that followed, this theme was employed like a tantalizing game as K. let fall here and there a veiled hint relating to his sex life, stopping from time to time to ask if I had "understood."  His sexual practice, in fact, consisted in beating his girlfriend on the buttocks with a whip, in a highly detailed and ritualistic scene.

There you are.  Now I've shown you my sexual degradation, something which is beyond my own understanding.  Oh but don't imagine that I want to do away with it.  These are my favorite games.

Instead of being one who must steal to have and thus doesn’t have, K psychologically engineers his triumphs so that they disintegrate into a depressive feeling that he was only playing, or fooling the Other.  Initially, the symptoms that were most distressing for K were related to work, where professional successes repeatedly disintegrated:  

Yet in attempting to render intelligible his anxiety regarding his work problems he succeeded in revealing that they too were closely connected with his sexual inhibitions.  Talking of his difficulty in taking his work seriously he used imagery evocative of disquieting sexual fantasies:

I seem incapable of penetrating, of really getting inside my work.  It's as though I dare not go right to the end.  I never reach the bottom.  Even to get started I have to plunge in with my eyes closed.  Nevertheless I get there somehow or other, at least with the bare essentials, but it's a terrible strain.  I have a stack of little tricks to help me.  First of all I put myself into a position where I can't back out.  I have to go through with it then, because that's what's expected.  … It's the fact that others are always watching which obliges me to produce.  In front of a public I always perform well!

K.'s "stack of little tricks" for overcoming his work inhibitions found their counterpart in the whips and ritual clothing of  his theatrical fetishist scenes, but "the others who were always watching" were less easy to identify.  These anonymous others were often referred to as though they were a single individual.  "I constantly have my eye on the Other, " K. would say.  This "Other" became an ever-present and important personage in K.'s analytic discourse.  Thanks to his watchful presence K.'s painfully accomplished professional tasks became brilliant "performances" which brought him some renown and a feeling of having triumphed over terrible odds.  But his triumphs were also accompanied by the nagging feeling of having fooled "the Other."  Although he described his public success as "an orgastic moment, " the more so since he took nothing seriously as "well-intentioned folk" did, his tenuous feeling of superiority invariably gave way to depression and the feeling that nothing he did was quite real… 

But what was his secret?  My patient was far from being able to pin it down except to say that he played "the game" and was fully aware of what he was doing.  He did not fool himself like "the others."  Nevertheless it was never clear what the game in question really was.  Claparède's definition of play as "a free pursuit of fictitious goals" would have met K.'s approval and indeed seemed to characterize his philosophy of life.  He was constrained to present all his life goals as fictitious and it seemed doubtful that he could ever permit himself to act as though they were real.  His playing-at-living carried an element of conjurer's magic which implied the someone who was always watching.  This "someone, " in contradistinction to himself, had to believe, had to be fooled, as the child is fooled by the adult.  In this fashion K. projected upon others his own confusion with the result that he, the "adult" played while "the others, " mystified and serious, watched him.

As the analysis proceeds, the diffuse and confused experiences – reality-as-game, having to fool the watching Others, the depressive tilt into meaninglessness and suicidal thinking – begin to come together in his relationship with McDougall:  

The anonymous onlooker rapidly worked his way into the transference situation and became installed there as a powerful source of resistance.

You, you watch me all the time, and seated where I can't see you.  Who are you anyway?  Who am I really talking to?  … If this goes on I shall be obliged to take you seriously.  The idea horrifies me.  … I hope you understand, I no longer find this very amusing!

I said, "What will happen if your psychoanalysis no longer amuses you, is no longer a game?"

Words like abyss, chasm, and void come to my mind.  I no longer see anything.  I'm frightened.

K., who never admitted to anxiety or fright, caught himself up quickly and added, "But don't worry, I can stand any amount of fear."

Could we say you turn fear itself into a game?

K. said, "Have I ever done anything else but that?  All my procrastination, my balancing tricks to put off everything to the last possible moment, till I can no longer draw back.  … I'm like a man playing with death." 

McDougall’s question allows K to sample the anxiety associated with his unconscious beliefs covered by his “playful” discounting of reality.  He encounters a Void that represents the dispersal of experience, a vacuum created by intense and sustained defensive operations warding off conscious experience of the components of severe conflict. [6]   And in this Void K feels there is death. 

What was K struggling with?  His presentation of his childhood left McDougall believing that he was the only child of a lonely mother; for two years she was unsure whether his father was dead or alive, or whether he had siblings.  When he did finally bring him up, K presented his father as marginal, overshadowed by mother’s father:

In my pastel colored trousers, long after the normal age, I was still her little Prince Charming.  We were as one against the world.

"There was no one else in this world?"  I asked.

K. said, "Well, yes, the rest; in a way we formed a couple against my father I suppose.  … She always used to tell me I was a real little man.  … She was very ambitious for me.  Her dearest desire was that I should one day resemble her own father.  He had been a writer and she held him in boundless admiration.  Tall, strong—quite the opposite of my own father.  … You say my father is totally absent whenever I talk of my childhood.  But it's true, he simply didn't count.  Sure, he was always there, but like a continual absence.  I have no clear picture of my grandfather either, except through the eyes of my mother.  There was one story about him that I loved.  She would tell it over and over for me.  One day grandfather chased her with a whip in his hand, and she fled into the toilet at the bottom of the garden.  I see myself as a little boy sitting in grandfather's garden, imagining the scene.  I used to spend hours like that.

I was to learn later that K., at the age of nine, daydreaming in his grandfather's garden had already constructed, down to the tiniest details, the erotic fantasies which, thirty years later, were still the cornerstone of his sexual edifice.

Drawing on his mother’s own fascination with the story, K eventually composed a sadomasochistic ritual with his lovers in which he takes on the role of the mother’s father.  The fantasies of K and his mother intertwine, excluding K’s father, who was away at war and who, in K’s telling at least, failed in comparison to mother’s father.  Yet the father is always in the background: 

Hidden behind his partner's complicity, contained in the varied beating fantasies, or concealed in his masturbation rituals in front of the mirror, there was always the fantasy of the unknown Other, or Others, who watched.

This spectator, whoever he is, is the culminating point of my excitement—and also of my anxiety.  I am terrified of his gaze.

In the session following this remark, K. brought one of his rare dreams.

I was in the home of my childhood, and you were with me in the bed.  You said 'Those spots on the sheets are all my fault.  Someone might see them.'  Then you added in a solemn voice 'We're anxious, both of us.'  It was exciting and terrifying at the same time, waiting for the other person to come and catch us.

In his spontaneous associations to the dream, K. said the bedroom recalled his mother's room in which, in the past, she had often shared confidences with him in respect to disputes and disagreements she had with his father.  Among the different possible interpretations of the dream it seemed to reveal an appeal to the Oedipal father, and the mother having been replaced by the analyst as the object of sexual desire.  The mother's guilt is also underlined.  The whole scene is anxiety-arousing in that the father might castrate the incestuous son, but at the same time exciting because the son has triumphed over him. 

As the analysis continues, the Void gradually becomes populated with people and emotions.  In tandem, the Big Other becomes a father representation, binding the counterbalancing fear of being discovered with the mother and a more covert appeal to the father to bring the scene to an end.  

But why to an end?  K was at first puzzled by the feelings of hatred for his mother, evident in the beating fantasy, and yet cloaked behind the notion that she really wanted to be beaten by her father. [7]  

K. slowly came to discover, as though for the first time, feelings of intense anger towards his mother.

Always talking about her wonderful father … the man I was supposed to emulate.  Actually it was she who wanted to be exactly like him.  She told me she had always wanted to be a boy.  Well I was supposed to be that boy—not for myself but for her.  My grandfather's death must have affected us both, and yet I can hardly remember anything around that period of my life.  Let's see, I know I must have been six when it happened.  I remember that when my grandfather died my little brother was just learning to walk.

After a short silence he continued,

"Really I don't understand this hatred I feel for my mother.  After all she only wanted the very best for me.  If she wanted to keep me all to herself it was only because she loved me so much.  The fact that she prevented any possibility of a real relationship between me and my father is not sufficient to explain the hatred I feel."

I repeated, "When my grandfather died my little brother was just learning to walk."

What do you mean?

"You tell me your mother adored you, and wanted you all to herself, " I said.

Sure!  And I said it isn't a good enough reason to explain all this hatred!

"Perhaps it is not the sole or even the true reason for your hatred, " I said.  "It could be that you resented your mother because she desired other people besides yourself.  When her adored father died (and he must certainly have been a rival for her love) her baby, who was just learning to walk, was already beginning to take his place.  And this little brother, how does he fit into the idea that your parents had no sexual relationship as far as you were aware?  By the way, this is the first time you ever mentioned the existence of a little brother."

"Oh, " said K. lamely, "I guess I never mentioned it.  I'm the oldest of four."

"So she was pretty unfaithful to you one way and another?"  I said.

The fatal childhood dates—six years, nine years—which marked the setting up of K.'s sexual system also marked the birth of two of the rival brothers, but by a powerful act of disavowal (for he was well aware of their existence) these cataclysmic events in the life of the little mother-fixated boy had been rendered totally meaningless and thus his illusion was protected.  The whip, fictitious phallus, grandfather's idealized penis, became the chosen object of maternal desire, the sole object able to excite his own. 

As the analysis proceeded, K came to see his sexual theater as resting on a precariously maintained illusion.  Instead of being his mother’s Little Prince, he was only a stand-in for her father, and could not prevent her from having more sons who threatened him with replacement.  The significance-draining, “it’s all a game” stance that overlay the Void of anxiety in turn covered a warded-off, depressive experience of being “just a boy” or “just another son.” The effort to maintain a magical, counter-depressive jouissance sucked the meaning out of all around  it and left K further encased in an ongoing bout with significant levels of paranoia and anxiety.  This was organized around the fantasied gaze of the Other who, as with Kris’ plagiarizer, ultimately held a fantasied and foresworn greater phallic power that K, in his reified position of the usurper Prince, could never hope to have for himself.  The ecstatic, transcendent element of jouissance that Zizek seeks to elevate appears as an ephemeral, passing instance in a run of experience that leaves the analysand troubled and cut off from his fellows, not because he is a stigmatized “pervert,” but because of the alienating conflicts that the perverse practice contains and secures from exposure, exposure either in the form of near-psychotic terror or in a form that might allow development beyond his deadlock.  

  

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[1] Louise Kaplan, Female Perversions: The Temptations of Emma Bovary,  New York: Doubleday, 1991, p. 40.

[2] Edward Glover, Glover, E. (1933).  “The Relation of Perversion-Formation to the Development of Reality-Sense.”  Int. J. Psycho-Analysis 14, p. 496.

[3] Janine Chasseguet-Smirgel, 1991, “Sadomasochism and the Perversions: Some Thoughts on the Destruction of Reality,” Journal of the American Psychoanalytic Association, 39:pps. 405-6.

[4] Both popular and clinical accounts of psychosis frequently omit reference to the role of a fear of unmanagable aggression in its onset.  Again, see Karon, Bert. (1992).  “The Fear of Understanding Schizophrenia.”  Psychoanalytic  Psychology., 09:191-211.  Portions of his article are available at this website.

[5] The following quotations are from Joyce McDougall, 1974, “The Anonymous Spectator—A Clinical Study of Sexual Perversion.” Contemp. Psychoanal., 10:289-310.

[6] Along with other analysts, Lucy Lafarge regards a feeling of emptiness as often linked to defenses against rage. Lafarge, L. (1989).  “Emptiness as Defense in Severe Regressive States.”  Journal of the American Psychoanalytic Association., 37:965-995

[7] Freud argued that beating fantasies are a common permutation of a child’s sexual wishes towards their parents.  See Freud, S. 1919  “'A Child is Being Beaten': A Contribution to the Study of the Origin of Sexual Perversions” Standard Edition XVII.  Some child analysts, while questioning how often beating fantasies are salient organizers of a child’s sexual fantasies, have concurred in seeing a connection between beating fantasies and sexuality:  “In treatment, many children played school games or hospital games, in which the therapist was asked to personify, for example, 'Miss Mary who smacks the baby', or the cruel doctors who mistreat their child patients; cowboys chasing and shooting Indians and policemen capturing robbers appeared often.  In these games, the children alternated between active and passive roles, playing both attacker and victim.  Diffuse sexual excitement and masturbation usually accompanied or followed the games.  Freud (1919), (1924) talked about the necessary factor in both beating fantasies and masochistic perversions that the victim not be really injured; children playing a game reassure themselves that 'it's only pretend'.  In this way drive gratifications are made acceptable.... In the roles assigned in the games it seemed immaterial whether the beater was male or female, because women were still regularly conceived of as phallic.  For example, one child described intercourse as 'Daddy spanks Mummy and she spanks him back'.” Novick, J. and Novick, K. K. (1972).  “Beating Fantasies in Children.”  International Journal of Psychoanalysis., 53:238.