This book examines the terminology used in the analysis of sadomasochism, surveys extensively, and in detail, the theories of other psychoanalysts, and explores the relationship between sadomasochism and depression; its relationship to psychosis, borderline states, and many other conditions.

The book argues the case for the usefulness of an empirically based understanding of the internal world of juvenile sex offenders as a way of humanely relating to their difficulties. It details the extent and nature of juvenile sex offending and its impact on victims and provides an extensive psychoanalytically oriented description of this offender group. The background of these offenders is examined, focusing on their experience of abuse, especially sexual abuse. Attention is paid to the unique characteristics of these offenders, particularly their attachment difficulties. The value of attachment theory and the concepts of psychopathy and malignant narcissism are then explored as a means of viewing their internal world. This internal world is also viewed through an empirical lens, which reveals them to have impaired psychic representations of human relationship, different needs for relationship and, in the most psychopathic group, an obfuscation of that need. The implications of these findings are then considered and the application of these understandings of their internal world is then explored.

Table of Contents Acknowledgments Introduction Reflecting on a Set of Personal and Political Criteria 1 Pt. 1 Expanding the Scope of Sadomasochism Ch. 1 Exploring Sadomasochism in the American Context 15 Ch. 2 Defining a Basic Dynamic: Parodoxes[sic] at the Heart of Sadomasochism 43 Ch. 3 Combining the Insights of Existentialism and Psychoanalysis: Why Sadomasochism? 69 Pt. 2 Sadomasochism in Its Social Settings Ch. 4 Employing Chains of Command: Sadomasochism and the Workplace 93 Ch. 5 Engendering Sadomasochism: Dominance, Subordination, and the Contaminated World of Patriarchy 125 Ch. 6 Creating Enemies in Everyday Life: Following the Example of Others 155 Ch. 7 A Theoretical Finale 187 Epilogue 215 Notes 223 Index 231

Just as psychoanalytic interest in masochism dates from the earliest days of psychoanalysis, the various approaches to its understanding have reflected the developmental vicissitudes of psychoanalytic theory as it moved from its early focus on instinct to considerations of psychic structure and oedipall dynamics, object relations, separation-individuation, self-organization, and self-esteem regulation, and as it progressed into more systematic investigation of child development. Masochism: Current Psychoanalytic Perspectives offers an updated review of perspectives on masochism influence by current developments in psychoanalytic research and theory. The newer emphasis on and investigations of early preoedipal events have, as Cooper stresses in this volume, provided a significant scientific and clinical yield. The application of these newer perspectives to the issue of masochism holds considerable promise.

Just as psychoanalytic interest in masochism dates from the earliest days of psychoanalysis, the various approaches to its understanding have reflected the developmental vicissitudes of psychoanalytic theory as it moved from its early focus on instinct to considerations of psychic structure and oedipall dynamics, object relations, separation-individuation, self-organization, and self-esteem regulation, and as it progressed into more systematic investigation of child development. Masochism: Current Psychoanalytic Perspectives offers an updated review of perspectives on masochism influence by current developments in psychoanalytic research and theory. The newer emphasis on and investigations of early preoedipal events have, as Cooper stresses in this volume, provided a significant scientific and clinical yield. The application of these newer perspectives to the issue of masochism holds considerable promise.

In this major contribution to contemporary psychoanalysis, Stanley Coen illuminates a heretofore undescribed character structure especially resistant to analytic process. Pathologically dependent patients, for Coen, are identified not by surface character traits, but by their response to the intrapsychic demands of analysis. Such patients remain in treatment, sometimes contentedly, sometimes amid rebukes and complaints, but they do not profit from it. Their inability to use insight, especially in the transference, is matched by a proclivity for sadomasochistic enmeshment. In analysis, this tendency translates into a continuing dependent attachment to the analyst. In exploring the genetic roots of pathological dependency, Coen ranges beyond extant trauma theories in describing a pattern of parent-child interaction in which repetitive behavioral enactments substitute for the acceptance and resolution of conflicts, both intrapsychic and interpersonal. In analysis, pathologically dependent patients use the analyst as they have come to use significant others throughout their lives: as part of a defensive structure characterized by repetitive enactments and a refusal to face what is wrong with them. This "misuse of others" is infused with destructiveness, hostility, and rage, and the analyst necessarily becomes the object of these powerful emotions. With such patients, then, the road to therapeutic progress invariably passes through the analysis of mutual transferential and countertransferential hate, the patient's tempting invitations to collusion and avoidance notwithstanding.

From long before the Trojan War to the ethnic cleansings of our own century, people have often used their potential to treat other human beings as things. It is this treatment of another person as a thing rather than as a human being that the eminent psychoanalyst, Dr. Sheldon Bach, sees as a perversion of object relationships and that forms the background of this powerful book. Perversion is a lack of capacity for whole object love, and while this includes the sexual perversions it also includes certain character perversions, character disorders and psychotic conditions. Dr. Bach's clinical work has led him to conclude that sexual perversions are generally inconsistent with whole object love. Therapeutic experience suggests that the pathways to object love may be strewn with outgrown and discarded sexual perversions. But whether a sexual perversion per se exists or not, the issue of how it happens that one person can degrade another to the status of a thing is an issue of importance not only for the psychoanalysis of character but for our larger understanding of human nature as well. Perversions are attempts to simplistically resolve or defend against some of the central paradoxes of human existence. How is it possible for us to be born of someone's flesh yet be separate from them, or to live in one's own experience yet observe oneself from the outside? How are we able to deal with feelings of being both male and female, child and adult, or to negotiate between the worlds of internal and external stimulation? People with perversions have special difficulty in dealing with the ambiguity of human relationships. They have not developed the transitional psychic space that would allow them to contain paradox, making it difficult for them to recognize the reality and legitimacy of multiple points of view. Thus they tend to think in either/or dichotomies, to search for dominant/submissive relationships and to perceive the world from idiosyncratically subjective or coldly objective perspectives. In this