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Transactional Analysis Journal

April 2009 Abstract

Volume 39, Number 2
Coeditors: William F. Cornell and Carole Shadbolt

Theme Issue on “Sexuality”

(sold out)


Letter from the Coeditors
William F. Cornell and Carole Shadbolt
pp. 82-83

Sex Therapy Is Relational: Keep the Baby, Change the Bathwater: Dilemmas Created for Transactional Analysts by Berne's Shift Away from the Language of Unconscious Experience
Fran Parkin
pp. 84-94
Sex therapy has often been characterized as a set of specialized skills revolving around an understanding of dysfunction and specific techniques that hold the key to change. While not discounting the importance of specific knowledge and understanding, this article contends that those factors need to be integrated with new understandings of relational patterns and unconscious processes. The author highlights the usefulness of an integrative approach that employs appropriate permissions and information but posits these in a wider relational context. The predisposing factors for the development of sexual patterns are seen as both biology and constructs from our early relational needs. A relational paradigm is used to examine their maintenance within a couple or interpersonal setting as well as implications for the therapeutic relationship. These ideas are developed with several case studies.

Sex in Couples Therapy: Before and After Divorce
Moniek Thunnissen
pp. 95-102
Although a couple's sexual relationship evolves over time and is sometimes replaced by other forms of intimacy, it is not true that long-term relationships lack sex altogether. However, it may take more energy and creativity for long-time partners to stimulate themselves and each other and to keep their sexual relationship satisfactory. This article suggests that, although it seems contradictory, development of a more individual, autonomous stance in each partner often fosters the relationship, including sex. Falling in love or extramarital sex can be the catalyst that makes it clear that some fundamental elements are lacking in a long-term relationship. Sometimes couples therapy-or reconsidering the reasons to stay in a marriage in another way-helps to bring a couple together again. In other cases, this is not effective, and divorce can be a necessary next developmental step for one or both partners. For children, divorce is never easy, especially when they are adolescents and in their second separation-individuation stage of development. For adolescents, seeing one or both of their parents fall in love again and start a sexual relationship with someone new can be a confusing and upsetting experience. A case example is offered to illustrate these dynamics.

Sex Games People Play: Intimacy Blocks, Games, and Scripts
Stephen B. Karpman
pp. 103-116
This paper draws from the presentation "Sex Games People Play" before an audience of 80 at the World TA 2005 Summer Conference in Edinburgh, Scotland. Included in this paper are new, unpublished TA theories on sex and intimacy including: the Sexual Winner's and Loser's Loops, the new field of Intimacy Analysis, the Intimacy Winner's and Loser's Loops, and five new versions of the Drama Triangle at the psychological and script levels.

In Your Absence: Desire and the Impossibility of Intimacy
Paul Kellett van Leer
pp. 117-128
In this article, the author argues that an analytically useful way of viewing sexuality is as a theory of desire in which the many shapes and forms of sexuality represent an attempt to answer the enigma of desire and loss. The concept of sexuality is first grounded in Berne's remarks concerning the enjoyment of games and the impossibility of intimacy and then related to Freud's understanding of primary and secondary gains and the vicissitudes of human development and civilization. The author offers an outline of ego state development in line with this account of human development and introduces what he refers to as "the thing," purpose hunger, and the enjoyment economy. He also illustrates the potential of these concepts for analytic practice using the issues of contracting, therapeutic intervention, and the nature of analytic relating.

Siblings, Aggression, and Sexuality: Adding the Lateral
Servaas van Beekum
pp. 129-135
This article focuses on the importance of sibling relations in the development of script and in the evolution of erotic and sexual sensibilities. Freud's original view on the early development of sexuality and aggression was focused on the vertical, in particular, on the dynamics of the father-son relationship as highlighted by the Oedipus complex. It took almost a century to raise awareness about the importance of the lateral, that is, sibling dynamics. In family therapy and in psychoanalysis, this is increasingly discussed. Script theory can adapt the sibling dimension conceptually, but a change in attitude is needed to view sibling dynamics as an important force for differentiation in developing identity. This differentiation is not from parents, but from siblings, although dynamics with parents continue to play a central role.
Why Have Sex?: A Case Study in Character, Perversion, and Free Choice
William F. Cornell
pp. 136-148
This article presents a detailed case study as a way to examine the tensions between self-perceived conflicts about "perverse" and "normal" modes of sexual expression. The author describes how being aware of his own countertransference reactions to the client's struggles contributed to creating the psychological space in which the client could come to his own conclusions. The article is also a contribution to the efforts to establish sexuality as a central focus of attention to psychotherapy in general and transactional analysis in particular.
Shutting Out the Dog: The Value of Nightmares in Recovery from Sexual Abuse
Margaret M. Bowater
pp. 149-152
In working with survivors of childhood sexual abuse, the author has been struck by the power of dreams and nightmares to convey comprehensive "feeling images" of the client's experience, which can not only express without words the emotional impact of early events but also indicate steps in the process of recovery. Such dreams and nightmares seem to be examples of the "world-image" dreams that Eric Berne (1972) referred to as encapsulating the client's script in a striking scene. Some theory from trauma studies and an example from the author's practice have been selected to illustrate the value of dreams in assisting the recovery of sexual autonomy. While this article refers mainly to women survivors of sexual abuse, the same principles apply to male survivors, some of whom have also shared striking dreams of healing during their therapy.

Sexual Addiction
Brenda Schaeffer
pp. 153-162
The power of sexual love is unequaled in human experience. Sex is not addiction; addiction is not sex. But these two experiences can come together and result in sexual addiction or compulsivity. This article defines sex addiction, summarizes the history and research that supports the idea of sex addiction, identifies 20 characteristics of sex addiction, discusses patterns and treatment issues, and summarizes how transactional analysis has been used in therapy with individuals with sexual addiction. The article includes case examples to clarify how sex addiction affects individuals and their partners.

Sexuality and Shame
Carole Shadbolt
pp. 163-172
This article discusses the development of childhood and adult sexuality from a relational and cultural perspective. The roots of shame are identified and the affect of shame is described. The strong links between sexuality and shame are explored. The author suggests that sexual shame is a Type III impasse, and its resolution within the context of therapeutic relatedness is addressed. The article's central point is the unique, individual, and shifting character of each person's sexuality.
Book Reviews
pp. 174-176
Is It Love or Is It Addiction?
by Brenda Schaeffer
Reviewed by Curtis Steele

The New Black: Mourning, Melancholia and Depression
by Darian Leader

The Loss of Sadness: How Psychiatry Transformed Normal Sorrow into Depressive Disorder
by Allan V. Horwitz and Jerome C. Wakefield
A Book Review/Essay by William F. Cornell

(sold out)

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