In the past two decades, many anthropologists have been drawn to "interpre tive" perspectives which hold that the study of human culture would profit by using approaches developed in the humanities, rather than using approaches used in the natural sciences. The author discusses the source of the appeal of such perspectives but argues that interpretive approaches to social science tend to be fundamentally flawed, even by common everyday epistemological standards.

This article focuses on the dialectic of metapsychology and hermeneutics in psychoanalysis. By combining the causal language of the former with the intentional terminology of the latter, Freud's discourse continuously transgresses narrowly conceived boundaries of scientific disciplines and places its stakes both in the humanities and the natural sciences. The argument is made that attempts to reduce psychoanalytic theory to either causal explanation or interpretation of meaning, turn it into a closed thought-system and rob it of its vitality. Moreover, it (...) is argued that although Freud understood himself to be a scientist, by eschewing the dichotomous reductionism characteristic for both his orthodox followers and critics who try to turn psychoanalysis into either a natural-science-like discipline or a hermeneutics, Freud demonstrated that his self-understanding was far more sophisticated than either of these two groups admit to. This argument is supported by a detailed discussion of Freud's epistemological premises, his conception of science and reality, and, especially, the place which Freud allocated to metapsychology in his interdisciplinary science. It is claimed that metapsychology served Freud as a double-edged sword, both enabling creative and metaphorical thought about the mind's hidden reality, and revealing the necessary incompleteness of hermeneutics. The article concludes with the claim that psychoanalysis needs metapsychology in order to pursue this dual task. (shrink)

Recent discussions of practice in this Journal have appealed to what they describe as the classical concept of practice. In this paper, it is argued that if there is a single classical concept of practice, it has not been described with sufficient clarity for it to be of use in illuminating or correcting anything, even our ‘radically ambiguous’ common-sense understanding of educational practice; and that there are writers today whose understanding of practical wisdom is far superior to that of the (...) modern philosophers whose treatment of the topic has been relied upon. (shrink)

In his The Foundations of Psychoanalysis (1984) Grunbaum compliments Freud on the development of the Tally Argument as an answer to a number of serious methodological criticisms, "The epistemological considerations that prompted Freud to enunciate (this argument) make him a sophisticated methodologist" (p. 128). In contrast to this position I argue that the Tally Argument and the considerations for it are hardly sophisticated: They would equally well go to demonstrate the methodological sophistication of modern-day evangelists. Furthermore, I argue that the (...) Tally Argument does not play the crucial role that Grunbaum assigns to it. It is one of many arguments Freud used to counter criticism, but not one to which Freud gave pride of place. (shrink)

This target article focuses on dynamics that arise in three typical ethically complex cases in which psychiatric consultations are requested by physicians: a dying patient refuses life-prolonging treatment, an uncooperative patient demands to be allowed to go outside and smoke, and an angry patient demands to be admitted to the hospital. The discussion canvasses what is at stake morally and clinically in each of these cases and explores clinician–patient interactions, dynamics in relationships between consulting physicians and consultant psychiatrists, patient transference, (...) and physician countertransference. The article defines legalism and countertransference and argues that an ethically and clinically important consequence of these phenomena for patients is distortion of clinicians' perceptions of patients' decisions and vulnerabilities. The discussion also describes how legalism and countertransference adversely affect how clinicians treat their psychiatrist colleagues. Finally, the article suggests how the effects of legalism and countertransference can be mitigated. (shrink)

In my 1984 book on The Foundations of Psychoanalysis, I addressed two main questions: Are the analyst’s observations in the clinical setting reliable as ‘data,’ and if so, can they actually support the major hypotheses of the theory of repression or psychic conflict, which is the cornerstone of the psychoanalytic edifice, as we know? In the book, I argued for giving a negative answer to both of these questions. Clearly, if the evidence from the couch is unreliable from the outset, (...) then this defect alone suffices to jeopardize the very foundations of the clinical theory. But, as I strongly emphasized, even if clinical data were not contaminated by the analyst’s influence, the inability of the psychoanalytic method of clinical investigation by free association to warrant the required sort of causal inferences leaves the major pillars of the theory of psychic conflict ill-supported. Thus, I see a two-fold threat to the psychoanalytic case-study method as a means of scientific inquiry.It is an immediate corollary of my challenge that it applies not only to Freud’s own original hypotheses, but also to any and all post-Freudian versions of psychoanalysis that rely on his clinical methods of validating causal inferences, though the specific content of their theories of psychic conflict is different. After all, the alteration in the content of the hypotheses hardly makes their validation more secure. Therefore, as Morris Eagle documented in a recent publication, those analysts who have objected to my critique as anachronistic have simply not come to grips with it. For example, such inadequate engagement is present, in my view, in the recent Freud Anniversary Lecture ‘Psychoanalysis as a Science: A Response to the New Challenges,’ given by Robert Wallerstein, the current president of the International Psychoanalytical Association. As he tells us, ‘The Freud Anniversary Lecture was intended primarily as a response to Grünbaum.’ Yet he does not come to grips at all with the gravamen of my challenge: Even if clinical data could be taken at face value as being uncontaminated epistemically, the inability of the psychoanalytic method of clinical investigation by free association to warrant causal inferences leaves the major pillars of the clinical theory of repression ill-supported. (shrink)

Is it ever permissible to publish a patient’s confidences without permission? I investigate this question for the field of psychoanalysis. Whereas most medical fields adopted a 1995 recommendation for consent requirements, psychoanalysis continues to defend the traditional practice of nonconsensual publication. Both the hermeneutic and the scientific branches of the field justify the practice, arguing that it provides data needed to help future patients, and both branches advance generalizations and causal claims. However the hermeneutic branch embraces methods tending to undermine (...) the reliability of such claims, while the scientific branch aims to improve the field’s empirical base – in their words, to advance psychoanalysis as a science. The scientific branch therefore has the stronger claim to the traditional practice, and it their claim that I consider. An immediate concern arises. We seem unable to answer the applied ethical question without first determining which ethical theory is correct; for defenders of the practice appeal variously to therapeutic privilege, principlism, and utilitarianism, while opponents wage autonomy-based arguments. The concern turns out to be unfounded, however, because all of these ethical approaches fail to justify the traditional practice. The more promising defenses fail partly because even the scientific branch of the field lacks empirically sound methods for establishing its causal claims and generalizations, often appealing to authority instead. I conclude that it is currently unethical for analysts to continue publishing their patients’ confidences without permission, and I suggest that the field help future patients by attending to its methodological problems. (shrink)

Chomsky behauptet, daß das Bewußtsein die Struktur eines grammatischen Übersetzungsapparates hat, Freud dagegen betrachtet es als einen unbewußten Geisteszustand. Es wird gezeigt, wie sich diese Theorien innerhalb einer Metaphysik des Bewußtseins vereinbaren lassen, die nur bewußte Geisteszustände als grundlegend, Sinneswahrnehmungen, Bilder, Emotionen und dergleichen als sekundär, und veranlagungsbedingte Geisteszustände als tertiär bezeichnet. Hervorzuheben wäre, daß grammatische Übersetzungsapparate und unbewußte Geisteszustände, wie alle menschlichen Veranlagungen, als Eigenheiten des Körpers, welcher gewissen Gesetzen und Prinzipien unterliegt, zu analysieren sind.