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PSYCHOANALYSIS
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Jorge Ulnik
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KARNAC
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First published in 2007 by
Karnac Books Ltd
118 Finchley Road, London NW3 5HT
Copyright © 2008 by Jorge Ulnik
The rights of Jorge Ulnik to be identified as the author of this work
have been asserted in accordance with §§ 77 and 78 of the Copyright Design
and Patents Act 1988.
All rights reserved. No part of this publication may be reproduced, stored
in a retrieval system, or transmitted, in any form or by any means, electronic,
mechanical, photocopying, recording, or otherwise, without the prior written
permission of the publisher.
British Library Cataloguing in Publication Data
AC.I.P. for this book is available from the British Library
ISBN-13: 978-1-85575-516-1
Edited, designed, and produced by
Florence Production Ltd, Stoodleigh, Devon
www.florenceproduction.co.uk
Printed in Great Britain
www.karnacbooks.com
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7222 I dedicate this book to Ester, Alejandra and Analía, who give me
8 all the love and understanding I need to feel well.
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“When I set myself the task of bringing to light what human
beings kept hidden within them, not by the compelling power of
hypnosis, but by observing what they say and what they show, I
thought the task was a harder one than it really is. He that has
eyes to see and ears to hear may convince himself that no mortal
can keep a secret. If his lips are silent, he chatters with his finger-
tips; betrayal oozes out of him at every pore. And thus the task of
making conscious the most hidden recesses of the mind is one
which it is quite possible to accomplish.” (Freud, 1905d, pp. 77–78)
“In order to judge a man, we must know at least his secret
thoughts, his doubts, his emotions; the wish to know only the
material events of man’s life is merely chronology, the history of
fools.” (Honoré de Balzac, 1831, p. 88).
This book was translated from Spanish by Valeria Muscio and
subedited by Ben Weller.
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7222 CONTENTS
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5222 ACKNOWLEDGEMENTS ix
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ABOUT THE AUTHOR xi
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8 PREFACE xiii
9 Gerardo Gutiérrez
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1 Introduction 1
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3 1 The skin in the work of Freud 5
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2 Didier Anzieu’s Ego-skin 44
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3 Contributions by other psychoanalysts and psychiatrists
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to the subject of skin and psychoanalysis 72
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4 The skin and the levels of symbolisation: from the Ego-skin
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to the thinking-Ego 92
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2 5 “It works for me”: symbolic efficacy and the placebo effect 113
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4 6 Reflections on attachment 129
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7 The case of Mr Quirón 164
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8 Body image and the psychosomatic patterns of childhood.
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Medical publicity regarding the skin 178
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viii CONTENTS
9 Pathomimias: self-inflicted lesions on the skin 202
10 Franz Kafka’s In the Penal Colony: Superego and the skin 225
11 The relationship between what the psychoanalyst hears
and what the dermatologist sees 233
12 Psoriasis: Father, don’t you see I’m burning? (The skin
and the gaze) 256
REFERENCES 270
Index 275
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7222 ACKNOWLEDGEMENTS
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4 Iwould like to thank my Spanish friends for making it possible
5222 for me to visit their marvellous country every year: Dr Gerardo
6 Gutiérrez, Dr Eduardo Chamorro, Dr Victoria Serrano Noguera,
7 Dr Juan Rodado Martínez and Dr Lourdes Sánchez García (psycho-
8 analysts); Dr José M. López Sánchez (psychiatrist); Dr José Zurita
9 (psychotherapist); Dr Emilio Suárez Martín, Dr Enrique Herrera
20 Ceballos and Dr Carmen Brufau (dermatologists).
1 I would like to thank Dr Javier Ubogui, an exceptional derma-
2 tologist, for his generosity, his intelligent advice, and his deep
3 understanding. His help has been invaluable in every sense, but in
4 particular with Chapter 11, which he helped write and for which he
5 provided clinical material and photographs.
6 I would like to thank my parents, who set an example for me even
7 today, and who were always supportive.
8 And I would also like to thank:
9 Dr Fernando Stengel, Dr Juliana Förster Fernández and Dr Miguel
30 Fridmanis (dermatologists), because they have always trusted me;
1 the staff at Psoriahue, who share interdisciplinary work with me:
2 Dr Miriam Saposnik, Dr Maria Laura Garcia Pazos (dermatologists),
3 Dr Irene Dabbah (psychiatrist and psychoanalyst), Lic. Patricia
4 Mirochnik, Lic. Mónica Czerlowski, Lic. Eugenia Melamed (psycho-
5 analysts) and Professor Alicia Lago (eutonist);
6 my associate professors at the department of Psychosomatic
7 Diseases of the UAI who helped me write the chapter about attach-
8 ment: Lic. Alicia Monder, Lic. Mónica Czerlowski and Lic. Mónica
922 Santcovsky (psychoanalysts);
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