Depression, masochism, and biology

Abstract

In examining the conditions of depression and masochism, my intention has been to expand our area of study beyond psychodynamics alone. My first aim was to present what I believe are the intimately intertwined dynamics of each condition, a metaphorical double helix of depression and masochism in a matrix of narcissism. It may make clearer how either depression or masochism may present clinically in combination, at times in tandem, or manifestly as either state alone. My second, but major, aim is ecumenical: to interweave contributions from outside psychoanalysis. The neurophysiological bases and genetic determinants for most depressions are by now well-recognized. Masochism, much like depression, with which it is closely allied, may not necessarily arise out of conflict alone. I have presented brief excerpts of material, much of it still speculative, from areas of genetics, biochemistry, and ethology, to support the concept of a biological anlage for masochism. This would help explain the enormous difficulties therapists find in the path of its successful treatment. I believe Lorenz's theories on animal "bonding" suggest precursors to our concepts of masochism. I further believe our field of study has reached the point at which these and probably additional scientific disciplines can be helpful or even necessary for the further understanding of character, and for the solution of the persistent riddle of masochism, whose full understanding has continued to elude us.