The Clinical Problem of Masochism The Clinical Problem of Masochism Edited by Deanna Holtzman, PhD, and Nancy Kulish, PhD JASONARONSON Lanham•Boulder•NewYork•Toronto•Plymouth,UK PublishedbyJasonAronson AwhollyownedsubsidiaryofTheRowman&LittlefieldPublishingGroup,Inc. 4501ForbesBoulevard,Suite200,Lanham,Maryland20706 www.rowman.com 10ThornburyRoad,PlymouthPL67PP,UnitedKingdom Copyright©2012byJasonAronson Allrightsreserved.Nopartofthisbookmaybereproducedinanyformorbyany electronicormechanicalmeans,includinginformationstorageandretrievalsystems, withoutwrittenpermissionfromthepublisher,exceptbyareviewerwhomayquote passagesinareview. BritishLibraryCataloguinginPublicationInformationAvailable LibraryofCongressCataloging-in-PublicationData Theclinicalproblemofmasochism/editedbyDeannaHoltzmanandNancyKulish p.cm. Includesbibliographicalreferencesandindex. ISBN978-0-7657-0860-1(hardback:alk.paper)—ISBN978-0-7657-0861-8(electronic) I.Holtzman,Deanna.II.Kulish,Nancy.[DNLM:1.Masochism—physiopathology.2.Masochism— psychology.WM610] 616.85'835—dc23 2012029911 ThepaperusedinthispublicationmeetstheminimumrequirementsofAmerican NationalStandardforInformationSciencesPermanenceofPaperforPrintedLibrary Materials,ANSI/NISOZ39.48-1992. PrintedintheUnitedStatesofAmerica ToDavidandHarold Contents Acknowledgments ix Introduction:TheSufferingofSisyphus 1 DeannaHoltzman,PhD,andNancyKulish,PhD 1 ClinicalConstellationsofMasochisticPsychopathology 15 OttoF.Kernberg,MD 2 MasochisminChildhoodandAdolescenceasaSelf- RegulatoryDisorder 29 AlanSugarman,PhD 3 SomeSuggestionsforEngagingwiththeClinicalProblem ofMasochism 51 KerryKellyNovickandJackNovick,PhD 4 ClinicalObservationsonMasochisticCharacterStructure 77 RobertAlanGlick,MD 5 SadomasochisticStuckness 89 StanleyJ.Coen,MD 6 MasochismasaMultiply-DeterminedPhenomenon 103 GlenO.Gabbard,MD 7 Self-AbuseandSuicidality:ClinicalManifestationsof ChronicNarcissisticRage 113 AnnaOrnstein,MD 8 VarietiesofMasochisticExperience:ModesofAnalytic Relating 129 HenryMarkman,MD 9 MasochismandTrauma 145 HaroldP.Blum,MD 10 FailuretoThrive:Shame,Inhibition,andMasochistic SubmissioninWomen 161 DianneElise,PhD 11 AnalystsWhoHaveSexualRelationswithTheirPatients: TheCentralRoleofMasochism 187 MarvinMargolis,MD,PhD vii viii Contents Conclusion 197 DeannaHoltzman,PhD,andNancyKulish,PhD Index 199 AbouttheContributors 207