Professional Documents
Culture Documents
To cite this article: Carlo Semenza (2001) Psychoanalysis and Cognitive Neuropsychology: Theoretical and Methodological
Affinities, Neuropsychoanalysis: An Interdisciplinary Journal for Psychoanalysis and the Neurosciences, 3:1, 3-10, DOI:
10.1080/15294145.2001.10773326
To link to this article: http://dx.doi.org/10.1080/15294145.2001.10773326
TARGET ARTICLE
Psychoanalysis and Cognitive Neuropsychology:
Theoretical and Methodological Affinities
hoped. In his letter of the September 22, 1898, to Wilhelm 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 practical foothold, he concluded that he had to behave as
if only psychological facts were available and his writings remained consistent with this statement.
Sigmund Freud's unwilling choice, however, may
not be necessary anymore. Contemporary science provides us with theoretical and methodological tools, unavailable 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 cognitive 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 theoretical psychoanalysis without any cost. Contrary to
widely expressed concerns, the richness of psychoanalysis has nothing at all to lose, and arguably much
to gain, from such an exchange.
Carlo Semenza
One criticism that has been made of cognitive neuropsychology-and one that may be directed to psychoanalysis as well-is the argument that there is nothing
to learn about mental functions from the observation
of mental pathology. Pathological findings are interesting only as clinical phenomena but have nothing to
say about the normal mind; only laboratory experiments and observations of normal behavior would illuminate this.
However, as 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 observer'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.
lOne single useful finding, however, may sooner or later come from
modern instruments: the ability to distinguish activation of a structure
from its active inhibition. The fact that nowadays this distinction is not
distinguishable says a lot about the value of modern localization findings.
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, however, does not necessarily imply that Freud's approach
is incompatible with modularity. On the contrary, his
insistence on the necessity of giving separate consideration to each aspect of language may show that what
he had in mind, in waiting for better neuroanatomy,
was a functionally modular system. Later developments in psychoanalysis seem to support this view.
8
theoretically defendable components of language processing, such as, for instance, phonological representations.
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.
What I think psychoanalysts are looking for, and believe 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 nachtraglichkeit is crucial to psychoanalysis. Recollection is not registered only once: Retranscription is thus not isomorphic with experience.
During psychoanalysis, moreover, memory is retranscribed again, in the interaction with the analyst. It
is perhaps this very process, more than others, that
furnishes the desirable therapeutic effects. It is therefore important to point out that no cognitive model of
long-term memory is incompatible with these views.
In particular, none of the current views claims that
recollection (excluding immediate recall) is isomorphic with experience. There is therefore no reason for
psychoanalysts to shun cognitive models of memory.
A positive reason for psychoanalysts to seriously consider 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 declarative or explicit memory and procedural or implicit
memory (for the sake of simplicity the question
whether "declarative" entirely overlaps with "explicit" and "procedural" overlaps with "implicit"
may be ignored), has indeed been recently recognized
as useful for psychoanalysis (e.g., Fonagy, 1999). Declarative 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 enacting 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, defensively distorted by wishes and fantasies. In no sense
do they bear safe testament to the historical truth and
Conclusion
Psychoanalysis does not need unconstrained theorizing. 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 described for cognitive neuropsychology. I think that
similar assumptions may easily be adopted by psycho-
References
Baddeley, A. D. (1976), The Psychology of Memory. New
York: Basic Books.
Erdelyi, M. (1985), Freud's Cognitive Psychology. New
York: W. H. Freeman.
Fodor, J. (1983), Modularity of Mind. Cambridge, MA:
MIT Press.
Fonagy, P. (1999), Memory and therapeutic action. Internat. J. Psycho-Anal., 80:215-223.
Freud, S. (1891), On Aphasia. New York: International
Universities Press, 1953.
- - - (1919), On the teaching of psycho-analysis in universities. Standard Edition, 17:169-173. London: Hogarth 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, J. M., Ed. (1985), The Complete Letters ofSigmund
Freud to Wilhelm Fliess 1887-1904. Cambridge, MA:
Belknap/Harvard University Press.
Modell, A. H. (1990), Other Times, Other Realities. Toward
a Theory of Psychoanalytic Treatment. Cambridge, MA:
Harvard University Press.
10
Semenza, C., Bisiacchi, P. S., & Rosenthal, V. (1988), A
function for cognitive neuropsychology. In: Perspectives
on Cognitive Neuropsychology, ed. G. Denes, C. Semenza, & P. S. Bisiacchi. Hove, U.K.: Lawrence Erlbaum.
Shallice, T. (1988), From Neuropsychology to Mental Structure. Cambridge, MA: Cambridge University Press.
Jason Brown
Carlo Semenza
Department of Psychology
University of Trieste
Via S. Anastasio, 12
34100, Trieste, Italy
e-mail: semenza@univ.trieste.it