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7/25/2019 1 Psychoanalysis and Cognitive Neuropsychology: Theoretical and Methodological Affinities
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7/25/2019 1 Psychoanalysis and Cognitive Neuropsychology: Theoretical and Methodological Affinities
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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.
7/25/2019 1 Psychoanalysis and Cognitive Neuropsychology: Theoretical and Methodological Affinities
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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
7/25/2019 1 Psychoanalysis and Cognitive Neuropsychology: Theoretical and Methodological Affinities
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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,
7/25/2019 1 Psychoanalysis and Cognitive Neuropsychology: Theoretical and Methodological Affinities
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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.
7/25/2019 1 Psychoanalysis and Cognitive Neuropsychology: Theoretical and Methodological Affinities
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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