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    T RGET RTI LE

    Psychoanalysis and Cognitive Neuropsychology

    Theoretical and Methodological ffinities

    Carlo Semenza (Trieste)

    Abstract:

    The position is taken in this paper that psychoanalysis

    can better profit from findings

    neuroscience and vice versa)

    through the mediation

    cognitive science. It sargued that cogni

    tive science is highly compatible with Freud s background and

    thinking. This opinion stems from a reconsideration Freud s

    neuropsychological work, with particular reference

    to

    his book

    on aphasia.

    Cognitive neuropsychology and psychoanalysis are also

    thought to share some basic theoretical tenets and methods; r

    example, the assumption

    transparency and the emphasis on

    single case studies.

    Some basic concepts developed within cognitive neuro)psy

    chology may indeed be painlessly incorporated into psychoana

    lytic theory. A mon g these, the concepts

    modularity and

    informational encapsulation as well as the distinction among dif-

    ferent types

    memory appear to have a particular importance.

    Psychoanalysis and neuropsychology, both focused on

    establishing a theory of the mind, departed from each

    other a century ago, an event that marked the birth of

    the former discipline. This happened because Sigmund

    Freud, then a well-known neurologist and neuropsy

    chologist, could not see how neurological notions

    could effectively shape his new creature and the fasci

    nating domains it promised to uncover,

    s

    he had

    Acknowledgments:

    This paper is based on an invited talk given at the

    Neuro-Psychoanalysis Center

    of

    the New York Psychoanalytic Institute,

    May 6, 2000, and a less formal seminar held in Boston on June 13,2000.

    I am grateful to Arnold Pfeffer,Mark Solms, and Toni Greatrex for their

    kind invitations, and to all members

    of

    the audiences for their inspiring

    comments. Antonio Alberto Semi, Alessandra Ceola, and Konstantinos

    Arvanitakis had the patience to discuss the framework of the talk with

    me, providing both useful comments and caring encouragement. Giorgio

    Sacerdoti did the same. Sadly, he passed away in the summer

    of

    2000.

    This work is dedicated to his memory.

    Carlo Semenza, M.D.,

    is

    Professor

    of

    Neuropsychology at th Univer

    sity of Trieste, Italy.

    hoped. In his letter of the September 22, 1898, to Wil

    helm Fliess, Freud stated that he believed in an organic

    foundation for behavior: Since, however, he had, apart

    from his own conviction, no useful theoretical or prac

    tical foothold, he concluded that he had to behave as

    only psychological facts were available and his writ

    ings remained consistent with this statement.

    Sigmund Freud s unwilling choice, however, may

    not be necessary anymore. Contemporary science pro

    vides us with theoretical and methodological tools, un

    available a century ago, that, while bridging the gap

    between psychoanalysis and neuropsychology, may

    also help the one discipline take advantage of the

    other, in view of their undoubtedly common aim. This

    paper will argue that the new, useful notions are not

    so much those brought about by hard neuroscience,

    of

    which, despite undeniable successes, we are still

    very much in need, but rather those inherent in cogni

    tive theory. Once properly understood and used, these

    notions will also reveal themselves to be surprisingly

    consistent with Freud s thought, style, and cultural

    background. In this respect one may even be tempted

    to speculate that the founder

    of

    psychoanalysis came

    close to discovering by himself most

    of

    the modern

    tenets

    of

    cognitive neuroscience. On a more cautious

    note, however, we may be satisfied with the fact that

    most

    of

    the new neuropsychological theoretical and

    methodological apparatus

    of

    cognitive neuroscience

    can be easily and profitably incorporated into theoreti

    cal psychoanalysis without any cost. Contrary to

    widely expressed concerns, the richness

    of

    psycho

    analysis has nothing at all to lose, and arguably much

    to gain, from such an exchange.

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    Freud s

    Problem with Neurology

    A first consideration must precede any other in this

    paper: Are we now in a better position vis-a-vis

    Freud s problem with neurology? Despite a century of

    progress and despite the somehow artificial enthusi

    asm raised by new technologies, we are not much

    closer, in my opinion, than Freud was to a useful,

    advanced neurophysiology. To be fully honest we do

    not even know the register on which to match psychol

    ogy and neurology.

    e

    still do not know enough about

    the organization

    of

    the functioning of the nervous sys

    tem. This may sound pessimistic, but it in no way

    implies that we are stuck in an impasse. On the con

    trary, we can legitimately claim to be in the main

    stream of science.

    In order to describe the present state

    of

    affairs in

    cognitive neuropsychology

    s

    well s in psychoana

    lytic theory, it may be useful to draw an analogy with

    what happened in genetics. This science may indeed

    claim to have reached, to a certain extent, a satisfac

    tory level

    of

    reductionism, where molecular and func

    tional notions are thought to be effectively integrated.

    We have known for half a century that the molecular

    structure of DNA mediates genetic transmission, ac

    cording to rules whose essence we are now able to

    grasp. However, the discovery of DNA and of its beau

    tiful double helix structure would not have been fully

    appreciated if we had not first identified it s the struc

    ture, within the chromosomes, directly involved with

    genetic information. Even before the discovery

    of

    the

    chromosomes, we knew the precise laws

    of

    genetics,

    and these are valid to this day. This was due to the

    efforts of a monk, Gregor Mendel, who around 1865,

    entirely unaware of DNA and chromosomes, was able

    to workout the laws of genetics, just by observing

    the growth of peas in his garden. Gregor Mende l s

    endeavor held by no means less spectacular results

    than Crick and Watson s experiments in the following

    century. There is no shame, therefore, in being in Men

    del s position, which is the one that both the cognitive

    neuropsychologist and the psychoanalyst can comfort

    ably occupy today-deriving laws of behavior from ob

    servation. Without these laws it will be impossible to

    understand the underlying neural structures. On the

    other hand, mere localization

    of

    function, at present,

    has not progressed since Fr eud s time; and it is not

    progressing in a significant way, at least for the pur

    poses we here have in mind.

    lOne s ingle useful finding, however, m ay s ooner or later com e from

    m odern ins trum ents : the ability to dis tinguish activation

    of

    a structure

    from its active inhibition. T he fact that nowadays this dis tinction is not

    distinguishable says a lot about the value of modern localization findings.

    Carlo Semenza

    Dealing with a Traditional Criticism

    One criticism that has been made

    of

    cognitive neuro

    psychology-and

    one that may be directed to psycho

    analysis s well-is the argument that there is nothing

    to

    learn about mental functions from the observation

    of mental pathology. Pathological findings are inter

    esting only

    s

    clinical phenomena but have nothing to

    say about the normal mind; only laboratory experi

    ments and observations of normal behavior would illu

    minate this.

    However,

    s psychoanalysis could have taught

    neuropsychology long ago, who is in a position to

    decide whether the observations made in laboratory

    experiments, designed according to the experimenter s

    prejudices, have a greater epistemological value than

    the observations made

    of

    patients whose brains have

    been damaged by accidents of nature, entirely blind

    to

    the investigator s expectations as with patients on

    the couch)? In all cases the ultimate filter is the observ

    er s theory, which may be more or less correct.

    In pathological cases there is indeed a further

    advantage: Phenomena happen independently of the

    observer s expectations; counterintuitive findings may

    prompt adjustment or total changes to theory.

    What Freud Missed

    Freud could have and indeed might have realized what

    I have j us t noted, perhaps in exactly the same way.

    However, he did not have at his disposal the sort

    of

    psychology that may ultimately mediate between psy

    choanalysis and neuroscience i.e., cognitive psychol

    ogy). Since we have this instrument, we may now be

    more optimistic than Freud. We cannot but admire,

    however, how close he came to a proper cognitive

    science. Cognitive neuropsychogists cannot but be in

    awe of the many methodological and theoretical affin

    ities displayed by psychoanalysis and cognitive neuro

    psychology. Before discussing some of these affinities,

    the term cognitivism must be defined via a discussion

    of cognitive neuropsychology and its origins and

    Freud s own scientific background.

    Basic Notions about Cognitivism

    The philosophical foundations

    of

    cognitivism s we

    use the term here, are quickly defined by the features

    Howard Gardner 1985, pp. 6-7 listed in The Mind s

    New Science:

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    Psychoanalysis nd Cognitive Neuropsychology

    The usefulness

    of

    the concept

    of

    representation.

    2

    The computer metaphor.

    3

    The (momentary) deemphasis

    of

    affect, context,

    culture, and history.

    4. Its foundation in the Western philosophical-scien

    tific tradition.

    5

    A belief in the importance of an interdisciplinary

    focus.

    How do these theoretical points reconcile with

    Freud s position? The main and most original point

    of

    cognitivism is the belief that it

    is

    useful and legitimate

    to posit a separate level

    of

    analysis called the level

    of

    ment l represent tion that is, the level where the sta

    tus

    of

    represented information at a given point

    of

    pro

    cessing is specified. Working at this level, a scientist

    deals with entities such as symbols, rules, images, and

    codes that constitute the content and format

    of

    the

    represented information. In addition, a cognitive sci

    entist explores the ways in which these representa

    tional entities are joined, transformed, and confronted

    with one another. Reasoning at this level is useful and

    does not conflict a t all with an analysis

    of

    behavior

    at the neurological level. Indeed, it may drive such

    analyses. Surely, psychoanalysis lays claim to the

    same objectives.

    The computer metaphor was of course beyond

    Freud s grasp. We shall see, however, that some

    of

    the ways in which mental computations are assumed

    to be carried out were already known and were not at

    all unfamiliar to Freud.

    Gardner s third point may also be seen

    as

    incom

    patible with psychoanalysis. One must, however, keep

    in mind that deemphasis

    of

    affect, and so on, is seen

    only

    as

    a temporary necessity. In order to keep the

    field of investigation clear we have to assume that

    noise/friction does not exist. Nothing, however, pre

    vents us, in principle, from aiming directly for a theory

    of

    affect; for example, Western science, from Galileo

    on, maintains only that it is easier to start from a sim

    plified situation. Freud was too deeply educated within

    Western scientific and philosophical traditions to ig

    nore or disapprove

    of

    such strategies. The fact that he

    also respected Eastern wisdom (e.g., the Cabala) can

    not undermine this point. Finally,

    so

    far

    as

    interdisci

    plinary issues are concerned, a quick look at what

    Freud (1919) considered and listed

    as

    the ideal content

    of

    an analyst s curriculum provides a satisfactory

    answer.

    5

    The Rise of Cognitive Neuropsychology in

    Modern Times nd Its Origin in the 19th

    Century

    Cognitive neuropsychology developed in parallel with

    cognitive psychology and other branches

    of

    cognitive

    science, and it quickly became a respected partner. Its

    main aim, like that

    of

    cognitive psychology, is to pro

    vide a description

    of

    the format and content

    of

    mental

    representations,

    of

    the processes connecting and acti

    vating such representations, and in particular

    of

    the

    functional architecture (i.e., the relation between

    representations and processes). It pursues this aim by

    studying the functional consequences

    of

    brain lesions.

    Neuropsychology and cognitivism met naturally,

    and the reciprocal exchange has been immensely fruit

    ful. The reason is simple: Information processing

    models like those

    of

    cognitivists can be lesioned.

    A theoretical model can thus be interrupted at its joints

    (between one representation and another) or directly,

    at one or more

    of

    the representational levels. Predic

    tions can be made about how the functional system

    would behave in the presence

    of

    such lesions. These

    may then be tested directly in cases with concrete le

    sions in the brain.

    f

    the model is correct, the behavior

    of

    the brain-injured patient should reflect its predic

    tions; otherwise the model should be revised.

    When cognitive neuropsychology developed

    around 1980, an identifiable group

    of

    old masters, in

    deed the founders

    of

    neuropsychology, had just been

    rediscovered in the preceding 20 years (mainly by

    Norman Geschwind, a neurologist at Harvard). The

    contributions

    of

    this group, which included Broca,

    Wernicke, Lichtheim, Liepmann, Lissauer Dejerine,

    Bastian, and Charcot (i.e., the creme

    of

    the neurolo

    gists

    of

    their time), had been all but forgotten. What

    distinguished their way

    of

    reasoning was their use

    of

    theoretical models and diagrams which,

    on

    close in

    spection, are not at all unlike those used by modern

    cognitive psychologists. They seemed to describe

    computational processes: They may, thus, be consid

    ered protocognitivists. It is interesting to consider why

    they fell into such a long period

    of

    oblivion. Leaving

    aside many other factors, like war, the decline

    of

    Ger

    man culture, and academic rivalries, an important ele

    ment was that they had been the target

    of

    ferocious

    criticism by the generation

    of

    neurologists that imme

    diately followed them. The reasons for this criticism

    were often well grounded, but,

    on

    the whole, it was

    also ungenerous vis-a-vis their vast achievements. The

    group was accused

    of

    weak psychological theories,

    inaccurate anatomy, naive understanding

    of

    the effects

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    of lesions (von Monakow was then developing the

    concept of diaschisis), and little grasp

    of

    statistics.

    Henry Head, the British neurologist, called them, con

    temptuously,

    the

    'diagram makers

    -indeed

    the very

    reason why we now prize them.

    Freud s Position

    in

    Neuropsychology

    Freud himself was an important critic of the diagram

    makers. It can never be stressed enough what a good

    neuropsychologist he was. He deserves to be remem

    bered with the fathers of

    neuropsychology, not just for

    introducing a term like

    agnosia

    but for entering into

    the diagram makers' way of reasoning and then co

    gently criticizing their models. Indeed, he worked en

    tirely within their logic, with the full intellectual

    equipment that he later used for his own creature, psy

    choanalysis. His book On phasia (Freud, 1891) was

    the best work on the subject of his time. It does not

    really matter that he was ultimately wrong on several

    specific issues. What matters more is that he came into

    the enterprise of studying language with the theoretical

    skills of a linguist, inspired by the (then nascent) Ger

    man neogrammarian movement. Freud may thus be

    considered the first neurolinguist. He realized that the

    form of representation of language in the brain must

    be such that local lesions can disturb the functioning

    of

    a linguistically well-defined subset

    of

    structures. In

    his own words, the reaction of the speech centers to

    damage suggests a certain concept regarding their

    organisation. This is cognitive neuropsychology as

    we know it today. This was the same man who later

    invented psychoanalysis, using an analogous way of

    reasoning.

    Adding highly defendable linguistic constructs to

    information processing diagrams has, indeed, been

    one

    of

    the techniques that made cognitive neuropsy

    chology so very successful. One basic concept that

    influences cognitive neuropsychology, the concept of

    modularity, as traditionally conceived, has been seen

    as anathema to Freud. The reason for this is easily

    discerned, but it reveals that Freud was not an adver

    sary of the concept, but instead someone who could

    have used the concept with profit.

    The reason why Freud has been seen

    as

    an adver

    sary of modularity is that he criticized the theory of

    discrete anatomical centers for mental functions; for

    example, Broca's or Wernicke's areas. He favored,

    instead, the idea

    of

    a continuous processing space, sit

    uated (in the case of language) in the perisylvian re

    gions

    of

    the left hemisphere. In this space, the most

    Carlo

    Semenza

    anterior portions would be more devoted to language

    production than to comprehension, while the contrary

    would apply to the more posterior parts. This, how

    ever, does not necessarily imply that Freud's approach

    is

    incompatible with modularity. On the contrary, his

    insistence on the necessity of giving separate consider

    ation to each aspect of language may show that what

    he

    had in mind, in waiting for better neuroanatomy,

    was a functionally modular system. Later develop

    ments in psychoanalysis seem to support this view.

    Some Early Efforts Toward

    an

    Integration

    of

    Psychoanalysis and Cognitive Science

    The claim that psychoanalysis is a cognitive science

    has already beendiscussed by others to a degree. Erdel

    yi (1985) explained in some depth why psychoanalysis

    is

    indeed Freud's cognitive psychology. Erdelyi

    was

    impressed by the fact that computational methods

    generated a series of concepts and theoretical con

    structs that seem to find a match in Freudian metapsy

    chology. For each of a number of psychoanalytic

    concepts he lists parallel concepts in cognitive theory;

    for example, he mentions' 'censorship (buffer, selec

    tivity),

    ego

    (control processes, central executive),

    conflict (decisional node), mental economy (ca

    pacity), and consciousness (working memory). Er

    delyi's work, however, ends there: He does not

    consider the extent to which these matches are really

    close ones (some are clearly not). He was mainly in

    volved in the (creditable) task of

    trying to experimen

    tally demonstrate psychoanalytic concepts. The reason

    why these experimental efforts are not particularly

    pursued at the present time is beyond the aims of the

    present paper.

    What does not seem to emerge clearly enough in

    Erdelyi's book,

    is

    the inadequacy with which cognitive

    scientists have faced psychoanalytic theory. A pivotal

    example

    am glad that Andre Green [1997] has

    picked it out

    as

    well)

    is

    the attempt to experimentally

    demonstrate repression (cf. Baddeley, 1976) on the

    pathetic assumption that it should be easier to remem

    ber positive than negative events (lack of evidence for

    this makes it difficult for some cognitive psychologists

    to

    accept the whole idea

    of

    repression)

    On the other hand, psychoanalysts have so far

    done very little for cognitive science. Cognitive psy

    chology notwithstanding, psychoanalytic theory,

    which more than anything else may be viewed as a

    theory

    of

    memory, has provided by far the best avail

    able theory of forgetting processes, and could provide

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    Psychoanalysis

    and

    Cognitive Neuropsychology

    more. There are, moreover, some modern notions

    about the structure

    of

    memory that could readily bene

    it psychoanalysis, and some of these will be men

    tioned later in this paper.

    Modularity in Neuropsychology, and Perhaps

    in Psychoanalysis

    The modularity theory is based on the idea that the

    mind is organized, at certain levels at least, in func

    tionally independent compartments. The most detailed

    version

    of

    this theory was developed by Jerry Fodor,

    in his popular

    Modularity

    Mind 1983 .

    Neuropsychologists have utilized, explicitly or

    (more often) implicitly, several views about modular

    ity, which then determined the way they worked. A

    complete description of the modularity theory and its

    impact on neuropsychology

    is

    beyond the aims

    of

    this

    paper. There are, however, two basic concepts linked

    with modularity that may assume analogous roles in

    psychoanalysis: dissociability of

    functions and

    informational encapsulation.

    Modular organization leads to dissociability of

    functions. The distribution between hemispheres of

    mental functions provides the most trivial and uninter

    esting example. Any handbook of neuropsychology

    contains much more interesting instances. Mental fac

    ulties and processes may thus work independently

    of

    each other without one process knowing about the

    other. Both neuropsychology and psychoanalysis un

    cover dissociations, and through observing them build

    their models.

    2

    Informational encapsulation

    is

    one of the proper

    ties

    of

    Fodor's modules, possibly the most important

    one. This term refers to the fact that information

    flowing within the module is impervious to extrinsic

    information. This description is all too familiar to the

    psychoanalyst who knows how encapsulated some as

    pects of the patient's personality may be: Each patient,

    s

    a consequence

    of

    the psychoanalytic treatment, is

    made aware of remote memories and deep conflicts,

    but the patient may nonetheless persist in disadvanta

    geous behavior vis-a-vis reality. Dramatic improve

    ments are relatively rare. Only when the whole

    memory system is retranscribed (we will discuss re

    transcription or

    nachtraglichkeit-Iater

    ,

    through

    painful and expensive work with the analyst

    n ~

    Associations

    of

    symptoms are also important observations. They

    may be misleading but, s in the case of dissociations, their value ulti

    mately depends on the strength of the theory they inspire.

    transference, the patient acquires more degrees

    of

    freedom and behavior may change. For some patients,

    unfortunately, accessing encapsulated parts remains

    an impossible enterprise and the therapeutic process

    may fail.

    The Assumption

    of

    Transparency.

    Methodological Affinities between Cognitive

    Neuropsychology

    and

    Psychoanalysis

    An important concept in cognitive neuropsychology

    is the principle

    of

    transparency. Pathology may

    highlight processes that go unobserved in fluent nor

    mal functioning. This concept seems, prior to cogni

    tive neuropsychology, to have been entirely

    idiosyncratic to psychoanalysis. Indeed, mentioning

    the issue of transparency naturally leads to the next

    methodological issue, which

    is

    valid for both cognitive

    neuropsychology and psychoanalysis: the supremacy

    of single case observations over group studies, and the

    reduced importance of classic syndromes.

    Single case observations have constituted the ba

    sis

    of

    psychoanalysis from the very beginning and fa

    mous cases are the real stars

    of

    its history. Modern

    cognitive neuropsychology has renewed the interest in

    single cases that the diagram makers (later criticized

    for this, but not by Freud) had brought to an art. What,

    indeed, justifies this faith in single case observation?

    Psychoanalysis has provided an answer, more or less

    implicitly, for a century. Interesting cases are those

    where one feature

    of

    normal behavior stands out more

    clearly for observation and study. The underlying as

    sumption

    is

    that pathology does not create new struc

    tures or processes; rather, it reveals an imbalance

    between existing ones. Thus normal defense mecha

    nisms are highlighted in the context of neuroses, just

    as, with brain damage, the workings of cognitive func

    tions no

    longer obscured by the harmonious work

    ings of

    others emerge

    A consequence of this line of reasoning is found,

    in a parallel fashion for psychoanalysis and neuropsy

    chology, in the clinical field. The taxonomy of neuro

    ses (no two psychiatry textbooks provide the same

    one ) is much less interesting for the psychoanalyst

    than the detailed profile of each individual patient's

    personality structure. In the same way, for instance,

    old aphasic syndromes like Broca's and Wernicke's

    aphasias, still described in textbooks (there being no

    full agreement among major research groups) are more

    or less ignored by cognitive neuropsychologists who

    want to distinguish the effects of damage to single,

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    8

    theoretically defendable components

    of

    language pro

    cessing, such as, for instance, phonological representa

    tions.

    More on Modularity, Interactivity,

    and

    the

    Psychoanalyst s Concern

    In 1983, the year Fodor s book was published, Se

    menza, Bisiacchi, and Rosenthal, at the first European

    Workshop on Cognitive Neuropsychology, argued

    that modularity might be considered an epistemologi

    cal choice, rather than be taken literally s reflecting

    the state of the brain and its cognitive systems (Se

    menza, Bisiacchi, and Rosenthal, 1988). The assump

    tion of modularity, they stated, may be meant to reflect

    a sort

    of

    divide et impera strategy in science, where

    truth may be better captured bit by bit, isolating prob

    lems and trying to resolve them by focusing our interest

    on the working of a few processes and representations

    at a time. This strategy is independent

    of

    the fact that

    the brain and its cognitive systems may ultimately turn

    out to be fully interactive. Even Fodor limits modular

    ity to what he calls peripheral systems, admitting

    full interactivity for central systems, which, he sug

    gests, are impossible to study. This view is not, how

    ever, justified by neuropsychological observations

    (Shallice, 1988). Neuropsychology has captured for

    the modularity view a larger brain area than Fodor had

    rather provocatively suggested. Whether reflecting a

    tangible reality or not, the modularity assumption has,

    therefore, contributed to bringing cognitive neuropsy

    chology to its present state

    of

    sophistication. This is

    not to ignore the fact that the concept of modularity,

    probably taken literally and in Fodor s narrowest

    sense, seems to disturb psychoanalysts (e.g., Green,

    1997) who are concerned about the possible loss in

    richness of Freud s theory. No problem of this kind,

    however, attaches to the concept

    of

    modularity s in

    tended here.

    Surely the theories most dangerous to psycho

    analysis are those that nowadays, quite surprisingly,

    appear to have caught the imagination of psychoana

    lysts. I am referring to connectionism, or worse, but

    even more popular, the version

    of

    connectionism dif

    fused by Gerald Edelman. While superficially re

    flecting the desired degree

    of

    richness, wild

    connectionism is far too unconstrained to be useful. I

    am not saying that Edelman s connectionism ( neural

    Darwinism ) is wild; but I object to the way it

    is

    being

    used, through unprincipled and shallow analogies.

    Nevertheless, Edelman s theory finds little sympathy

    Carlo

    Semenza

    with cognitive psychologists, not even among those

    who are favorably disposed to connectionism. This

    attitude seems reciprocal: In Edelman s work, indeed,

    cognitive psychology is either neglected or grossly

    misrepresented.

    Some Useful Concepts about Memory

    What I think psychoanalysts are looking for, and be

    lieve they have found in Edelman s work (cf. Modell,

    1990; Green, 1997, 1999), is a model of memory that

    allows constant retranscription. Indeed, the Freudian

    concept of n htr gli hkeit is crucial to psychoanaly

    sis. Recollection

    is

    not registered only once: Retran

    scription

    is

    thus not isomorphic with experience.

    During psychoanalysis, moreover, memory is retran

    scribed again, in the interaction with the analyst. It

    is perhaps this very process, more than others, that

    furnishes the desirable therapeutic effects. It is there

    fore important to point out that no cognitive model

    of

    long-term memory is incompatible with these views.

    n

    particular, none

    of

    the current views claims that

    recollection (excluding immediate recall)

    is

    isomor

    phic with experience. There is therefore no reason for

    psychoanalysts to shun cognitive models of memory.

    A positive reason for psychoanalysts to seriously con

    sider the models of long-term memory developed in

    cognitive psychology lies in the distinctions they have

    been able to discern and locate in different points of

    the brain. Indeed, the most convincing evidence for

    the distinctions comes from lesion studies.

    One

    of

    these distinctions, that between declara

    tive or explicit memory and procedural or implicit

    memory (for the sake

    of

    simplicity the question

    whether declarative entirely overlaps with ex-

    plicit and procedural overlaps with implicit

    may be ignored), has indeed been recently recognized

    s

    useful for psychoanalysis (e.g., Fonagy, 1999). De

    clarative memory, in current descriptions, deals with

    conscious material, is under conscious control, and

    involves the use

    of

    language. Procedural memory

    works automatically, without intentional or conscious

    recollection,

    is

    concerned with the acquisition and en

    acting of skills, but may also concern conditioning

    habits, biases, and features intrinsic to character.

    Fonagy (1999) proposes that some networks

    of

    unconscious expectation or mental models

    of

    self-other relationship may be encoded in procedural

    memory. These models may be, and surely are, defen

    sively distorted by wishes and fantasies. In no sense

    do

    they bear safe testament to the historical truth and

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    Psychoanalysis

    and

    Cognitive Neuropsychology

    they can be highly dysfunctional. Psychoanalysis may

    work by modifying these procedures more that any

    thing else (obstacles to such modification are certainly

    worthy

    of

    study).

    What is only implicit in Fonagy s theory, but co

    incides with his intuitions, is the idea that procedural

    memory has another fundamental characteristic be

    sides that

    of

    being unconscious. What cognitive psy

    chologists have long known is that material stored in

    procedural information is hard (and slow) to learn,

    hard to forget, and hard to render explicit. Indeed, it

    is not easy to learn how to ski, but once the ability is

    acquired, it

    remains-and

    can be reused the following

    season (or even after several decades) without much

    deterioration in the basic skill. However,

    as

    those like

    me, who learned the Austrian style in the sixties, know

    all too well, once a skiing style is acquired, it becomes

    very difficult (and expensive) to modify it

    to

    a more

    efficient one (to say nothing of correcting defects). As

    with psychoanalytic endeavors (and other things in

    life) the likelihood

    of

    success depends also on age and

    devoted sources. And it may (why not?) depend also

    on

    the relationship with

    one s

    own

    instructor-whose

    words (often spoken with a heavy Austrian accent)

    have only partial access to the pupil s stored proce

    dural knowledge.

    The problem

    of

    dynamic forces preventing modi

    fication remains, though there are some indications as

    to how it may be overcome. Indeed, Fonagy (1999)

    has worked out some of the implications of using the

    declarative-procedural distinction in psychoanalysis.

    When this enterprise is carried further, psychoanalysts

    will have contributed a considerable degree of knowl

    edge to cognitive science. I suggest that benefit could

    come through psychoanalytic explorations

    of

    other

    distinctions too, such as that between episodic (autobi

    ographic) and semantic memory (the two components

    of declarative memory whose borders are not that

    clear-cut) and that between autobiographic and proce

    dural memory. (Most childhood experience of psycho

    analytic interest may well pertain,

    as

    Fonagy suggests,

    to the latter rather than the former.)

    Conclusion

    Psychoanalysis does not need unconstrained theoriz

    ing. Indeed most of its tenets can be baldly defended

    against criticism

    of

    Popper s kind by appealing to

    methodological assumptions

    of

    the type I have de

    scribed for cognitive neuropsychology. I think that

    similar assumptions may easily be adopted by psycho-

    9

    analysis. Indeed they were not completely absent from

    the mind

    of

    its founder, who, with his stark decision

    to leave neurology aside, may have unwittingly set the

    scene for a kind

    of

    perversion. Too often psychoana

    lytic writings seem to miss the main object

    of

    psycho

    analysis, namely, a theory

    of

    the human mind. Too

    many wild speculations (and far less rigor than desir

    able) often distinguish psychoanalytic publications.

    To be sure, psychoanalysts have traditionally

    tended to accept the deep truths revealed to them in

    the analytic setting, without worrying too much about

    methodological questions. One cannot but hope that

    this source of knowledge will remain the main one in

    psychoanalysis, letting nothing disturb the flow of free

    associations. One cannot but be in favor

    of

    psychoana

    lysts engaging in poetry. However, when addressing a

    theory

    of

    mental functioning, a dialogue with other

    branches

    of

    science becomes desirable. I hope every

    psychoanalyst engaged in the enterprise will remain

    close to the lucidity

    of

    thought and sheer readability

    of

    Sigmund Freud.

    If

    they are unable to maintain such

    standards in scientific work, and also unable to express

    the same in poetry, let me suggest a course

    of

    action

    for their work, which Freud himself took with the most

    obscure

    of

    his own endeavors, with what we (not he )

    called

    A

    Project for a Scientific Psycholo

    gy -throw

    it away.

    References

    Baddeley, A. D. (1976), The Psychology Memory. New

    York: Basic Books.

    Erdelyi, M. (1985), Freud s Cognitive Psychology. New

    York: W. H. Freeman.

    Fodor,

    (1983), Modularity Mind. Cambridge, MA:

    MIT Press.

    Fonagy, P. (1999), Memory and therapeutic action. In

    ternat.

    Psycho-Anal. 80:215-223.

    Freud, S (1891), On Aphasia. New York: International

    Universities Press, 1953.

    (1919), On the teaching of psycho-analysis in uni

    versities. Standard Edition 17:169-173. London: Ho

    garth Press, 1955.

    Gardner, H. (1985), The Mind s New Science. New York:

    Basic Books.

    Green, A. (1997), Cognitivismo, neuroscienze, psicanalisi:

    Un dialogo difficile. Psiche 5(2):65-67.

    (1999), Consilience and rigour. This Journal

    1(1):40-44.

    Masson, M., Ed. (1985), The Complete Letters Sigmund

    Freud to Wilhelm Fliess 1887-1904. Cambridge, MA:

    Belknap/Harvard University Press.

    Modell, A. H. (1990), Other Times Other Realities. Toward

    a Theory Psychoanalytic Treatment. Cambridge, MA:

    Harvard University Press.

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    1

    Semenza, C., Bisiacchi,

    P

    S.,

    Rosenthal, V (1988), A

    function for cognitive neuropsychology. In:

    Perspectives

    on Cognitive Neuropsychology

    ed.

    G

    Denes,

    C

    Se

    menza, P S Bisiacchi. Hove, U.K.: Lawrence Erl

    baum.

    Shallice,

    T

    (1988),

    From Neuropsychology to Mental Struc-

    ture.

    Cambridge, MA: Cambridge University Press.

    Divide

    and

    Conquer

    or

    Murder to Dissect ?:

    Commentary by Jason Brown (New York)

    My commentary on Semenza's paper labors under the

    burden

    of

    having to refute almost every line

    of

    its

    content. I only hesitate because prior critiques have

    passed unnoticed (Schweiger and Brown, 1989).

    Surely, the diagram school that Semenza so admires

    survives in cognitive neuropsychology not by virtue

    of the emptiness of past criticism but because an alter

    native agenda was not promoted with sufficient vigor,

    clarity, or popular appeal. The old models were based

    on the telegraph (Eggert, 1977), the new ones on cir

    cuit boards, and both have nothing to

    do

    with brains.

    Indeed, it is a striking conceit that a separate level of

    analysis

    of

    mental representation, consisting

    of

    little

    more than a compilation

    of

    local, often inconsistent,

    models that uncouple brain and cognition, can drive

    research at the neurological level.

    Semenza assumes one can momentarily clean

    the field of investigation and ignore the 'noise/fric

    tion of affect, context, culture, and history, returning

    to these topics once the results

    of

    a scientific study are

    clear. The problem is that after the mental components

    have been identified, the noise that was ignored at

    the start cannot then be reinserted in the object, where

    it belongs, but is attached artificially by way of exter

    nal relations. An example

    is

    the ad hoc postulation

    of

    a binding mechanism to unify a multiplicity

    of

    neurocognitive modules that should never have been

    isolated in the first place. Another example concerns

    the relegation of affect to a furnace in the base

    ment, extrinsic to mental content. This is one area

    of

    overlap with psychoanalytic concepts. In the meta

    psychology, Freud attempted to reconcile a static con

    nectionism with the flux

    of

    process in the idea that

    Jason Brown, M.D., is Clinical Professor

    of

    Neurology at New York

    University Medical Center, and Director

    of

    the Institute for Research in

    Behavioral Neuroscience.

    Jason Brown

    Carlo Semenza

    Department Psychology

    University Trieste

    i S Anastasio 12

    34100 Trieste Italy

    e mail: [email protected]

    the substantive or self-identical traces inherited from

    association psychology were modulated by libidinal

    drive energy (cathexis) which, on the model

    of

    the

    synapse, was conceived as an extrinsic factor.

    I have

    no

    idea whether Semenza understands the

    implications of this theory of mind, but I would like

    to

    remind the reader what

    is

    at stake in this discussion.

    I believe that a coherent psychology must provide an

    account not only

    of

    the major domains

    of

    cognition,

    language, memory, action, and perception, but of au

    thenticity, individuality, feeling, and character as well.

    And this requires a psychology founded on precisely

    those precepts that are the objects

    of

    cognitivist deri

    sion, namely, a theory

    of

    change, process, and tempo

    rality, and their relevance to the nature

    of

    subjectivity,

    value, and moral responsibility.

    Identity

    and

    Authenticity

    Cognitivism is but one example of a mode

    of

    thought

    that over the latter half of this past century has had a

    profound impact on contemporary life. The assump

    tion of timeless, repeatable, or self-identical

    objects-

    exemplified by the concept

    of

    representations-has

    had a powerful influence on the way we think about

    the import of intrinsic relationality and the subjectivity

    of mental states. What

    is

    the nature of a thing that

    makes it what it is, or what

    is

    the quality of difference

    that

    is

    decisive for the individuation of things that

    are ostensibly identical? We see this influence in the

    tension in this culture between a relative homogeneity

    of thought and a striking diversity

    of

    lifestyle, as if

    tattoos and nose rings could authenticate an individu

    ality that has been threatened with absorption and loss.

    We

    see it in the triumph of immediate pleasure over

    sustained engagement, or in a cult of celebrity against