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Here we shall be asking ourselves whether some of the hypotheses that I advanced previously (Solms, this issue) are confirmed or disconfirmed by the clinical evidence that is available to us. We will consider this question in relation to the medial frontal region. For this purpose Karen Kaplan-Solms has prepared detailed session material on four cases with medial frontal lesions. In the presentation that follows we will look at one of these patients starting with the first few sessions of the psychoanalytic investigation.
Most of Karen's patients were investigated in the context of an inpatient neurological rehabilitation program, and she could only see them for as long as they remained in the hospital. In most cases, as with Mrs. F whose case is presented here, this amounted to only a few months.
In my introduction to this case material, I will run through some of the basic elements of the theory that I have advanced previously, with specific reference to the depth psychological organization of the frontal lobes. This brief summary will enable readers to keep in mind the hypotheses that we are evaluating, as the clinical material is studied. Needless to say, by reframing the complex subject matter that I dealt with in my eight lectures in the form of four hypotheses, I will necessarily be oversimplifying the situation somewhat (see Solms [1994] for more detailed theoretical considerations).