The Relevance of the Dread of Being Aborted to Models of Therapy and Models of the Mind, Part II: Mentation and Communication in the Unborn
Publication Date:May 1995
This paper explores the question of mentation and communication in the unborn using data from neurology, pediatrics, obstetrics, biochemistry, embryology, animal research, ultrasound studies, infant development, studies of autism, linguistics, kinesics, patient reports, family system theory, and studies of primitive mental states. It also includes a discussion on the pertinence of polysema and semiosis, non-verbal knowing, time sense, and the ambient prenatal psychological family to an understanding of prenatal experience. Countertransference resistances to studying mentation and communication in the unborn are examined, particularly relative to the issue of considering a psychological component in prenatal trauma. A review of these many areas of study provides documentation of the fact that there is more mentation and communication in the unborn than is generally believed to be the case. This lends credence to the idea that the dread of being aborted has its genesis in an intrauterine trauma involving the threat of being aborted, which is registered, remembered, and transferentially acted out symbolically in post natal life until analysis connects the presenting symptomatology to the underlying dread of being aborted, as has been demonstrated in the two cases presented in part I of this paper. A hypothesis is advanced whereby a threat of being aborted could be communicated to and registered in the unborn. The combined data from both part I and part II suggest that new models of therapy and of the mind are needed that include a consideration of prenatal mentation and communication.
Abelin, E. L. (1971), The role of the father in the separation-individuation process. In: Separation-individuation: Essays in Honor of Margaret Mahler, eds. J. Mcdevitt and C. Settledge. New York: International Universities Press.
Abelin, E. L. (1978), The role of the father in core gender identity and psychosexual differentiation. In: The Role of the Father in the Preoedipal Years, Reporter C. R. Prall. Journal of the American Psychoanalytic Association, 26: 143-161.
Abelin, E. L. (1980), Triangulation, the role of the father and the origins of core gender identity during the rapprochement subphase. In: Rapprochement, eds. R. R. Lax et al. New York: Jason Aronson, pp. 151-169.
Anders, T. F., and Zeanah, C. H. (1984), Early infant development from a biological point of view. In: Frontiers of Infant Psychiatry, Volume II, eds. J. D. Call, E. Galenson, and R. L. Tyson. New York: Basic Books, Inc.
Barrett, B. B. (1990), Reawakening the revolution of psychoanalytic method: Notes on the human subject, semiosis and desire. Psychoanalysis and Contemporary Thought, 13: 139-163.
Beauchamps, G. K. (1992), Personal communication.
de Bianchedi, E. T., et al. (1984), Beyond Freudian metapsychology. International Journal of Psycho-Analysis, 65: 389-397.
Biklen, D. (1990), Communication unbound: Autism and praxis. Harvard Educational Review, 60 (3): 291-314.
Bion, W. R. (1970), Attention and interpretation. Northvale, New Jersey: Jason Aronson.
Blos, P. (1967), The second individuation process of adolescence. In: The Psychoanalytic Study of the Child, 22: 162-186.
Bohm, D. (1986), Time, the implicate order and pre-space. In: Physics and the Ultimate Significance of Time, ed. D. Griffin. Albany: State University of New York Press, pp. 177-208.
Bollas, C. (1987), The Shadow of the Object: Psychoanalysis of the Unthought Known. London: Free Association Books.
Bracha, H. S., Torry, E., Bigelow, L., and Linington, B. (1991), Subtle signs of prenatal maldevelopment of the hand ectoderm in schizophrenia. A preliminary monozygotic twin study. Biological Psychiatry, 30: 719-725.
Bracha, H. S. (1991), Etiology of structural brain asymmetry in schizophrenia, an alternative hypothesis. Schizophrenia Bulletin, 17 (4): 551-553.
Brazelton, T. B., and Cramer, B. G. (1990), The Earliest Relationship. New York: Addison-Wesley Publishing Company, Inc.
Brown, R., and Kulik, J. (1977), Flashbulb Memories. Cognition 5:73-99.
Connolly, J. A., and Cullen, J. H. (1983), Maternal stress and the origins of health status. In: Frontiers of Infant Psychiatry, eds. J. C. Call, E. Galenson and R. L. Tyson. New York: Basic Books, Inc.
Crossley, R. (1980), Annie's Coming Out. New York: Penguin.
Dagg, P. K. B. (1991), The psychological sequelae of therapeutic abortion-denied and completed. American Journal of Psychiatry, 148: 578-585.
Dennett, D. C. (1991), Consciousness Explained. Boston, Toronto, London: Little, Brown and Company.
Edelman, G. M. (1989), The Remembered Present. New York: Basic Books, Inc.
Eigen, M. (1985), Towards Bion's starting point: Between catastrophe and faith. International Journal of Psycho-Analysis, 66: 321-333.
Erikson, E. (1950), Childhood and Society. New York: W. W. Norton.
Falloon, J., Eddy, J., Weiner, L., and Pizzo, P. (1989), Human immunodeficiency virus in children. Journal of Pediatrics, 114: 1-30.
Freud, S. (1895), Prospects for a scientific psychology. S.E. 1.
Freud, S. (1911), Formulations on the two principles of mental functioning. S. E. 12.
Freud, S. (1920), Beyond the pleasure principle. S. E. 18.
Freud, S. (1937), Analysis terminable and interminable. S. E. 23.
Fride, E., and Weinstock, M. (1988), Prenatal stress increases anxiety related behavior and alters cerebral lateralization of dopamine activity. Life Sciences, 42: 1059-1065.
Gottlieb, G. (1971), Ontogenesis of sensory function in birds and mammals. In: The Biopsychology of Development, eds. E. Tobach, L. R. Aronson, and E. Shaw. New York: Academic Press.
Godwin, R. W. (1990), Wilfred Bion and David Bohm: Toward a quantum metapsychology. Psychoanalysis and Contemporary Thought, 13: 625-654.
Goodwin, M. S. and Goodwin, T. C. (1966), In a dark mirror. Mental Hygiene, 53: 550-563.
Grandin, T., and Scariano, M. M. (1986), Emergence Labeled Autistic. Novato, CA: Arena Press.
Grotstein, J. S. (1978), Inner space: its dimensions and its coordinates. International Journal of Psycho-Analysis, 59: 55-61.
Grotstein, J. S. (1990), The "black hole" as the basic psychotic experience: Some newer psychoanalytic and neuroscience perspectives on psychosis. Journal of the American Academy of Psychoanalysis, 18: 29-46.
Jimenez, J. P. (1990), Some technical consequences of Matte-Blanco's theory of dreaming. International Revue of Psych-Analysis, 17: 455-469.
Jordan, J. F. (1990), Inner space and the interior of the maternal body: Unfolding in the psychoanalytical process. International Review of Psycho-Analysis, 17: 433-444.
Kandel, E. R. (1989), Genes, nerve cells, and the remembrance of things past. The Journal of Neuropsychiatry and Clinical Neurosciences, 1 (2): 103-125.
Kaufman, D. M. (1990), Clinical Neurology for Psychiatrists. New York: W. B. Saunders Company.
Keller, H. (1902), The Story of My Life. Reprint. New York; Doubleday, 1954.
Kubie, L. (1953), Some unsolved problems of the scientific career. American Scientist, 41: 596-613.
Lichtenberg, J. D. (1989), Psychoanalysis and Motivation. Hillsdale, New Jersey: The Analytic Press.
Liley, A. (1972), The foetus as a personality. Australian and New Zealand Journal of Psychiatry, 6: 99-105.
Little, M. I. (1990), Psychotic Anxieties and Containment. Northvale, New Jersey and London: Jason Aronson, Inc.
Livingston, R. B. (1967), Reinforcement. In: G. C. Quarton, T. Melnick, and F. O. Schmitt., (Eds.), The Neurosciences. New York: Rockefeller University Press, pp. 568576.
Lockwood, C. J., Radunovic, N., Alvarez, R. L., and Berkowitz (1991), b Endorphin concentration in fetal blood during the second half of pregnancy. American Journal of Obstetrics and Gynecology, 166 (No. 1, part 2): 378.
Loewald, H. W. (1951), Ego and reality. International Journal of Psycho-Analysis, 32: 10-18.
Mahler, M. S., Pine, F., and Bergman, A. (1975), The Psychological Birth of the Human Infant. New York: Basic Books, Inc.
Matte-Blanco, I. (1988), Thinking, Feeling and Being. London and New York: Routledge and the Institute of Psycho-Analysis.
de Mazia, V. (1958), Verbal communication during lectures on art appreciation at the Barnes Foundation.
McDougall, J. (1989), Theater of the Body. A Psychoanalytic Approach to Psychosomatic Illness. New York and London: W. W. Norton & Co., Inc.
Milner, M. (1952), Aspects of symbolism in comprehension of the not-self. International Journal of Psycho-Analysis, 33: 181-195.
Niederland, W. G. (1965), An analytic inquiry into the life and works of Heinrich Schliemann. In Drives, Affects, Behavior, II, New York: International Universities Press, Inc.
Nilsson, L. (1990), A Child is Born. New York: Bantam Doubleday Dell Publishing Group, Inc.
Ogden, T. (1989), The Primitive Edge of Experience. Northvale, New Jersey, Jason Aaronson Inc.
Olds, D. D. (1990), Brain-centered psychology: A semiotic approach. Psychoanalysis and Contemporary Thought, 13: 331-363.
Opatow, B. (1989), Drive theory and the metapsychology of experience. The International Journal of Psycho-Analysis, 70: 645-660.
Oppenheim, R. (1974), Effective Teaching Methods for Autistic Children. Springfield, IL: Charles C. Thomas.
Piontelli, A. (1987), Infant observation from before birth. International Journal of Psycho-Analysis, 68: 453-463.
Piontelli, A. (1988), Pre-natal life and birth as reflected in the analysis of a 2-year-old psychotic girl. International Review of Psycho-Analysis, 15:73-81.
Piontelli, A. (1989), A study on twins before and after birth. International Review of Psycho-Analysis, 16: 413-426.
Rank. O. (1929), The Trauma of Birth. New York, Harper & Row. Torch Books, 1973.
Rayner, E., and Wooster, G. (1990), Bi-logic in psychoanalysis and other disciplines, an introduction. International Review of Psycho-Analysis, 17: 425-431.
Rigatto, H. (1989), Control of breathing during sleep in the fetus and neonate. In: Principles and Practice of Sleep Medicine, eds. M. H. Kryger, T. Roth and W. C. Dement. Philadelphia: W. B. Saunders Co.
Robbins, F. P., and Sadow, L. (1974), A developmental hypothesis of reality testing. Journal of the American Psychoanalytic Association, 22: 344-363.
Scanlon J. W. (1991), Appreciating neonatal pain. Advances in Pediatrics. 38: 317-333.
Schoen, E. J., and Fischell, A. A. (1991), Pain in neonatal circumcision. Clinical Pediatrics, 30: 429-32.
Scola, D. A. (1984), The hemispheric specialization of the human brain and its application to psychoanalytic principles, Jefferson Journal of Psychiatry, 2 (1): 2-11.
Searles, H. F. (1986), My Work with Borderline Patients. Northvale, New Jersey: Jason Aronson.
Seligman, E. (1985), The half active ones. In: The Father: Contemporary Jungian Perspectives, ed. A. Samuels. London: Free Association Books, 1989, pp. 69-75.
Shallice, T. (1988), From Neuropsychology to Mental Structure. New York: Cambridge University Press.
Sharpless, E. A. (1990), The evolution of triadic object relations in the preoedipal phase: Contributions of developmental research. Psychoanalysis and Contemporary Thought, 13: 459-482.
Skolnick, N., Ackerman, S., Hofer, M., and Weiner, H. (1980), Vertical transmission of acquired ulcer susceptibility in the rat. Science, 208: 1161-1163.
Smith, C. V, Satt, B., Phelan, J. P., and Paul, R. H. (1990), Intrauterine sound levels: Intrapartum assessment with an intrauterine microphone. American Journal of Perinatology, 7: 312-315.
Smotherman, W. P., and Robinson, S. R. (1989), Behavior of the Fetus. West Caldwell, N. J.: Telford Press.
Sonne, J. G. (1964), Metaphors and relationships. Family Process, 3: 425-427.
Sonne, J. C., and Lincoln, G. (1966), The importance of a heterosexual co-therapy relationship in the construction of a family image. In: Psychiatric Research Report # 20: Family Structure, Dynamics and Therapy, ed. I. M. Cohen. Washington, D. C.: American Psychiatric Association.
Sonne, J. C. (1967), Entropy and family therapy. In: Family Therapy and Disturbed Families, eds. G. H. Zuk and I. Boszormenyi-Nagy. Palo Alto: Science and Behavior Books.
Sonne, J. C. (1969), Heaven and the passionate longing for death. Journal of Sex Research, 5: 65-67.
Sonne, J. C. (1972), Poetry, sentimentality and family living. The American Poetry Review, 1: 40.
Sonne, J. C. (1975), Pregnancy, abortion and the unconscious. Marriage and Family Newsletter, 6 (1,2,3): 1-24.
Sonne, J. C. (1976), The analysis of an unconscious wish to abort in a male. Presented to the Philadelphia Psychoanalytic Society, February 18, 1976.
Sonne, J. C. (1980), The psychological family and family image construction in unrooted children. Family Therapy, 7: 255-284.
Sonne, J. C. (1991), Triadic transferences of pathological family images. Contemporary Family Therapy, 13: 219-229.
Sonne, J. C. (1992), The relevance of the dread of being aborted to models of therapy and models of the mind. Presented to the staff of the Institute of the Pennsylvania Hospital April 14, 1992.
Sonne, J. C. (1995), The relevance of the dread of being aborted to models of therapy and models of the mind. Part I: case examples. The Journal of Pre- and Perinatal Psychology, 9(3): 195-219.
Squire, L. R. (1987), Memory and Brain. New York, Oxford: Oxford University Press.
Stern, D. N. (1985), The Interpersonal World of the Infant. New York: Basic Books, Inc.
Timiras, P. (1982), The timing of hormone signals in the orchestration of brain development. In: The Development of Attachment and Affiliative Systems, eds. R. Bmde and K. Harmon. New York: Plenum Press.
Truog, R. D., and Hickey, P. R. (1991), Should newborns receive analgesics for pain? Journal of Clinical Ethics, 2: 115-117.
Tustin, F. (1986), Autistic Barriers in Neurotic Patients. New Haven and London: Yale University Press.
Velikovsky, I. (1950), Worlds in Collision. New York: Doubleday & Co., Inc. Reprinted, New York: Dell Publishing Co., Inc., 1967.
Verny, V, and Kelly, J. (1981), The secret Life of the Unborn Child. New York: Bantam Doubleday Dell Publishing Group, Inc.
Walker, G. E. (1991), Pediatric AIDS: Toward an ecosystemic treatment model. Family Systems Medicine, 9 (3): 211-227.
Winnicott, D. W. (1949), Birth memories, birth trauma, and anxiety. In: Through Paediatrics to Psycho-Analysis, D. W. Winnicott. New York: Basic Books, Inc.
Wilson, A., and Weinstein, L. (1990), Language, thought and interiorization: A Vygotskian and psychoanalytic perspective. Contemporary Psychoanalysis, 26: 24-40.
Winson, J. (1985), Brain and Psyche. Garden City, New York: Anchor Press/Doubleday.
Wooster, G., Hutchinson, D. H., and Evans, C. (1990), Two examples of supervised weekly psychotherapy, illustrating bi-logic in relation to birth. International Review of Psycho-Analysis, 17: 445-454.
Zuckerman, B., Bauchner, H., Parker, S., and Cabrai, H. (1990), Maternal depressive symptoms during pregnancy, and newborn irritability. Journal of Developmental and Behavioral Pediatrics, 11 (4): 190-194.
John C. Sonne, M.D.
John C. Sonne, M.D., a psychoanalyst and a family therapist, has had a long standing interest in models of mentation and communication, with a particular focus on how these models operate in the family, in prenatal and neonatal stages of life, and in therapy. He is also a musician, has done isotopic tracer research on purine synthesis in biochemistry, and has a particular interest in physics. In addition to being in private practice, he is currently Clinical Professor of Psychiatry, Robert Wood Johnson School of Medicine, University of Medicine and Dentistry of New Jersey, and Senior Attending, The Institute of the Pennsylvania Hospital in Philadelphia, Pennsylvania. Address correspondence to 443 Shady Lane, Moorestown, NJ 08057.
The masculine gender is used for convenience, but with the understanding that statements apply to both genders.
A paper on one of the patients discussed here, George, titled "The Analysis of an Unconscious Wish to Abort in a Male" was presented to the Philadelphia Psychoanalytic Society February 18, 1976 (Sonne, 1976). A preliminary version of Parts I and II of this paper, titled "The Relevance of the Dread of Being Aborted to Models of Therapy and Models of the Mind" was presented to the etaff of the Institute of the Pennsylvania Hospital April 14, 1992 (Sonne, 1992).
Part I of this paper appeared in Volume 9, Number 3, Spring 1995.