Ana?s Nin and the developmental use of the creative process.

Ana?s Nin had the capacity to work through the wound of self-injury through the combination of poetic and analytic exploration demonstrated in her writing. She recreated her father, and confronted the fallacies of her idealization, as well as the suppressed anger that kept her enslaved in wishes for his mirroring admiration. There was no escape from injury for Nin. After the father's departure, she scrutinized herself for flaws, trying to discover a reason for her father's betrayal. Yet, the humiliation was modified by some knowledge of the narcissistic bind that she was in, and by some evidence that her father was unworthy of the kind of worship that she clung to from childhood. Nin transcends retaliation. Her fictional abandonment of her father does not come from vindictiveness. Rather, it comes through growing insight into herself and into her own needs. There is a letting-go of past fantasies of idealization, and a mourning process that is based on both awareness and acceptance of the disappointments in these idealized fantasies. Separation and loss stem from surrendering the fusion with the idealized object and its counterpart grandiose self, a grandiose self seen here as a false self that exists through resonating with image projections and their reflections.     

Coming Out in Voices

This paper articulates the personal experiences of a woman with a physical disability who enters therapy to explore issues involving lesbian identity, health and illness, disability oppression and pride, and relationships. Written in the first person, the article uses anecdotes, poetry, and journal entries to chart the author's process of self-discovery. As a woman, a lesbian, and a person with a disability, the author frequently finds herself at odds with the culture around her. This creates conflicts between the author's real self, and the self she must present to others. She discusses how she had learned to "silence the voices" which were not useful in challenging the stereotypes, making others comfortable, or communicating with assistants. The author describes how therapy offered her the opportunity to unlearn the silence, value all of her voices, listen to herself, resolve her internal dilemmas, and develop a deeper sense of self.     

A second Leonardo da Vinci?

We describe a young woman who suddenly began mirror writing with her right hand and has not reverted to normal writing for more than 6 years, although she writes normally with her left hand. She is ambidextrous, although she had previously used only her right hand for writing and drawing. Since it is much easier for her to use right-handed mirror writing, she uses her left hand only for writing meant to be read by others and her right hand for all other writing. Her hobbies are sculpture and painting, and her chief complaint is migraine accompanied by sensory and perceptive disturbances.     

AQUINAS'S ARGUMENT AGAINST SELF-HATRED

Aquinas's argument against the possibility of genuine self‐hatred runs counter to modern intuitions about self‐hatred as an explanatorily central notion in psychology, and as an effect of alienation. Aquinas's argument does not deny that persons experience hatred for themselves. It can be read either as the claim that the self‐hater mistakes what she feels toward herself as hatred, or that, though she hates what she believes is her “self,” she actually hates only traits of herself. I argue that the argument fails on both readings. The first reading entails that all passions are really self‐love, and so is incompatible with Aquinas's own “cognitivist” view of what it is that distinguishes specific passions in experience. The second reading entails that persons have no phenomenal access to “self,” rendering self‐reference—how it is that the self can be an intentional object of conscious mental states—a mystery. Augustine's claim, which Aquinas accepts on authority, that all sin originates in inordinate self‐love seems to entail the impossibility of genuine self‐hatred because both thinkers fail to distinguish between two distinct forms of self‐love: amor concupiscentiae and amor benevolentiae.     

A body with chronic fatigue syndrome as a battleground for the fight to separate from the mother

I describe the therapy of a 20-year-old woman who believed that her difficulties in concentrating and remembering were caused by her 'ME' (Myalgic encephalomyelitis, Chronic fatigue syndrome, or CFS). She had been fathered by a man who never left his own wife. Work with her dreams revealed a within-body drama in which she was locked in an unspeakable fight to the death with her mother. Her symptoms improved after parallels between a dream and an accident showed her own self-destructive hand in her story. Another dream, reflecting her first 'incestuous' affair, showed her search for her original father-self as someone separate from mother, and a later affair provided a between-body drama, helping her to own the arrogant and abject traits she had before seen only as her mother's. I show how we worked in the area of Winnicott's first 'primitive agony' as experienced by a somatizing patient, stuck in a too-close destructive relationship with her mother-body. I discuss how analytical work can be done with the primitive affects and conflicts against which the ME symptoms may be defending.     

Gray Matters: A Deployed Physician’s Perspective on Combat Medicine in Iraq

A female physician who was serving as a first-year medicine resident in Manhattan in September 2001 writes this paper. It details her experience of signing up for military service as a result of the September 11th attack on the United States. She lays out the surroundings, atmosphere, and reactions of those around her during the attack and details her own personal motivations for joining the military, her need to take control and help those in need heal while also trying to heal herself. Grateful, yet haunted by her experience, she provides an intimate glimpse into her time serving as a combat physician at a trauma hospital in Balad, Iraq during the 2007 military surge. A trained geriatrician and palliative care physician she recounts the stories of several patients that have forever shaped her life and explores the contradictions and ethical challenges she faced while caring for them ultimately struggling with the uncertainty of whether what she was truly doing was good for those she served or herself.     

Renewal of object relations through dream-work

In this paper I describe my work with a suicidal patient. The patient was a woman who failed to realize her creative potential in a much wished for and unattainable profession of teacher and transferred all her energy and desire for leadership into her family life. The slogan of her life was the pathetic phrase: 'Everything or nothing!' Her views on life differed from those of her husband who, at the age of 48, started a love affair with a 25-year-old woman. In relation to this, the patient became depressed and attempted suicide twice (by poisoning) in two years. From the Toxicology Department she was referred to the Psychiatric Department where she was treated as an out-patient.     

Allergic to People: Building Bridges in a Ripped Psychic-Soma

An exploration of the use mind/body metaphors in a woman whose physical, environmental and psychoneurotic trauma culminated in an irreversible colostomy. She lived in a world of concrete symbols, her primary process damaged such that she could not create generative symbols to process her trauma. She regressed to a state of infantile megalomania, recoiling from the external reality of subjective others. Her introjective disorder mirrored her digestive disorder as she could absorb neither good objects nor good nutrients. The analytic situation has been an auxiliary fecal container and we work to bridge her mind body split with mind/body metaphors. As she reclaims lost development mastery, she displays a symbolized sphincter. As her capacity to form symbols grows, she rages and mourns for the loss of her fantasized ideal parents and her ideal body.     

A Living Life, A Living Death: Bessie Head��s Writing as a Survival Strategy

This paper explores Bessie Head's writing as a survival strategy through which she transformed her lived experience into imaginative literature, giving meaning and purpose to a life under permanent threat from the dominant group first in South Africa and later in Botswana. This threat included the destructive effect of the many fixed labels imposed upon her including: a 'Coloured' woman, the daughter of a woman designated mad, an exile, a psychotic, a tragic black woman, and a Third World woman writer. Her endeavours to avoid and defeat such limited, static definitions produced work characterised by contradiction and paradox, through which she asserted her right to survive and determined, like Makhaya in When Rain Clouds Gather, to establish 'a living life' in place of the 'living death that a man could be born into' (Head 1989, 136). Through a combination of Head's personal letters and papers and her published work, it can be seen how her particular preoccupations and experiences including her life in exile, her beliefs about her origins, her relationship to her absent mother, her distress, her madness and her need for love and for work were transformed into writing which expresses not only the destructive circumstances of her life but also its life-affirming aspects. Her writing was also a means by which she could create identities to express the dangers she encountered from the all-pervasive power structures which influenced her life and her sense of self, as well as ways to transcend them, enabling her to say in the last years of her life 'I am no failure' (20.2.1986 KMM BHP).     

Change,Vulnerability, Fear,and Taking Risks–An Interview with Virginia Satir

SUMMARY

The author addresses the mythic characters of Ulysses and Penelope as archetypes for herself. She reviews divergent attitudes, beliefs and aspirations of her life by detailing an internal conflict between her identification with Ulysses1 adventuresomeness and her reluctant realization that Penelope can also represent her, however much she rejected her for seeming dull and repetitve

In this process the author notes how she constricted her own creativity when she took on uncritically the patriarchal beliefs about the roles of wives and mothers. Nevertheless she wonders whether present-day women's liberation from archaic notions about women inadvertently sacrifices the optimal development of children because of the rigid demands of the work-place.

Finally she experiences the symbolic reunion of Penelope's and Ulysses' different images within herself, and considers how what each represents can have renewed meaning for her as she moves towards the end of her life.     

Frieda fromm-reichmann,loneliness and deafness

Abstract

This paper explores the rôle that Fromm-Reichmann's parents' adult-onset severe familial deafness may have played in the development of Fromm-Reichmann's career choice and of her charismatic style. She, too, became deaf. Her final paper, “Loneliness” is perhaps her most emotionally evocative work. Perhaps her own increasingly severe experience of loneliness motivated her writing on this theme. Just as she expected self-honesty from her Chestnut Lodge colleagues, this paper demonstrates that she held herself to this same standard. The author urges the deaf community to seek out the newly deaf and to encourage their learning to sign, thus ameliorating the newly deaf individual's loneliness.     

Dreaming of spiders: Abuse,economics, and theological insecurity in pastoral counseling

... This hope in no hope is clearly demonstrated in the following dream of a young adult woman who had been severely hurt emotionally in her relationships in her family of origin and again in her failing marriage. In this dream, which was presented in a group and dealt with mainly by my co-therapist, the woman placed herself in a glass room like a shower, with the handle to the room's only door on the outside. There was a crack in the glass of one of the room's corners, and through this crack came some spiders. She was lying on the floor and the spiders began to crawl over her. Though she screamed for help, no one would come to open the door. As one approach (among many) to the interpretation of this dream my colleague utilized the manipulation of the dream symbols to ask her to imagine that the spiders had changed into kittens. She resisted this suggestion intensely, saying that she could not allow such an imaginary change. Besides, the spiders weren't too bad to endure, for if she changed the spiders into kittens and the kittens turned out to be evil, then she would be at her rope's end. She preferred to live with her perspective that the world is hostile rather than risk the possibility of another hope being shattered. (Jordan, 1986, pp. 98–99)     

Margaret Miles and the Platonist’s Daughter

Margaret Miles’ academic memoir Augustine and the Fundamentalist’s Daughter uses Augustine as both a guide and an interlocutor as she recounts her own odyssey of the soul. Miles, using a similar framework to that in the Confessions, makes a public account of her own private reflections on herself, her academic life, and her journey in faith. Taking up the implicit invitation to self-reflection and dialogue that this book provides, this review attempts to bring out key philosophical issues inherent in the book, including Miles’ views on education, love, the body, and God’s grace.     

Who,What, When,Where, How,and Mostly Why?

SUMMARY

The death of a client by suicide was very emotionally destabilizing to this therapist. She worked hard to distance herself personally from the pain at first and at the same time she found herself overfocused on the “psychological autopsy.” She had difficulty accepting new clients and wanted to withdraw from a meaningful appointment to a state advisory committee. Only when she was able to identify with the client's pain and realize how that pain touched her own history of loss was she able to grieve productively. She realized that gender was relevant in her identification with the victim and in sorting out each of their histories of loss.     

By name or by deed? Identifying the source of the feminist stigma

Prejudice and discrimination against feminists were explored across two contexts, a workplace and a social setting. We examined university students' reactions to a woman who called herself a feminist, behaved like a feminist by challenging sexism, did both, or did neither. In Study 1, participants (N = 177) evaluated a job candidate less favorably when she called herself a feminist after controlling for perceived assertiveness and participants' feminist self‐identification. However, our results showed no evidence of hiring discrimination. In Study 2, participants (N = 184) evaluated a peer less favorably and were less willing to befriend and date her when she called herself a feminist, controlling for perceived assertiveness. Participants were also less willing to befriend her when she behaved like a feminist. The contextual nature of the feminist stigma and the influence of perceived assertiveness are discussed.     

Working with chronic and relentless self‐hatred,self‐harm,and existential shame: a clinical study and reflections (Paper 2 of 2)

This second of two papers focuses on the shame which emerged in the first 14 years of analysis of a woman who was bulimic, self‐harmed, and repeatedly described herself as ‘feeling like a piece of shit’. To explore this intense and pervasive shame I draw on Jung's and Laplanche's emphasis on experiences of unresolvable, non‐pathological ‘foreignness’ or ‘otherness’ at the heart of the psyche. Images, metaphors, elements of clinical experience, and working hypotheses from a number of analytic traditions are used to flesh out this exploration. These include Kilborne's use of Pirandello's image of shame as like a ‘hole in the paper sky’ which, I suggest, points to a crack in subjectivity, and reveals our belief in the efficacy of the self to be illusory. Hultberg's observations on shame as having an existential mode (function) are also explored, as is the nature of analytic truth. Using these ideas I describe my patient's process of finding some small but freeing space in relation to her shame and self‐hatred. Through enduring and learning from her shame in analysis she realized that it was part of a desperate unconscious attempt to draw close to her troubled father and so to ‘love him better’.     

Married Women's Name Styles and Interest in Continuing Education

This study uncovers a relationship between the way a married woman chooses to style her name and the extent to which she expresses interest in continuing education. The woman who chooses an independent name style is more likely to express interest in further training. She may differ in self-image from the woman who identifies herself by a dependent name style. Counselors who seek to help women through mid-career transitions may come to see name style as an important indicator of women's attitudes and one which may, in turn, affect others' attitudes toward them.     

The pearl of great price

“The Pearl of Great Price” is a short story that explores the ways faith can go wrong. The central character, Janet, a single mom in a dead end job, is drawn into a multi-level marketing scheme, Benevite, by an unscrupulous salesman. She is encouraged to believe in herself and her dream and to give everything she has to it. She is fed the standard clichés to the effect that you can achieve whatever you want if you try hard enough. In the end her faith in her dream leads to the loss of her relationship with her child and other losses. Her pursuit exhibits many of the standard features of faith, belief, desire, resilience, tenacity, passion, and yet she does not save herself. The story is not meant as an indictment of faith in general, but as an acknowledgement of the fact that faith can be a vice and an exploration of when this might be so.     

Mentally ill or mentally handicapped? A longitudinal study of severe learning disorder

SUMMARY

In the course of some eighteen months of psychoanalytic psychotherapy, a young woman of twenty-seven once deemed braindamaged at the age of seven years, has shown herself capable of sustaining once weekly psychotherapy. Against all expectations she has taken responsibility for her own attendance, travelling by public transport alone to her sessions. She has also taken initiatives in relation to finding work for herself.

Psychotherapy has disclosed a significant component of autism in the personality which is resorted to regularly and which seems to drag the patient into a passive acceptance of half-life which she tries not to mind. In the course of her sessions the patient has come to take more notice of her predicament and to mind more about the dissatisfactions which she experiences.

The case presented here is considered to have the characteristics of a particular group of adolescents. These are often described as “just slow” and are brought for psychiatric or psychological attention by desperate parents urgently concerned about the working future of their children.

These are individuals of whom the original definition of mental handicap contained in the Mental Health Act 1913 “a state of arrested or incomplete development of mind” would seem to offer as honest, appropriate and meaningful an assessment as the formal I.Q. score introduced in 1959. Unlike the latter, it is an assessment based on a concept of mental development. Assessment by I.Q. score has led to emphasis on training to compensate for the supposed loss of functioning and also to notions like “training for development” and “education from birth”.

In the case described here it was the abandonment of training aims and approaches which produced a dramatic improvement in the well-being of the patient and her family. Treatment is now fostering the potential in this woman to bring her own mind into action and to support in her, her own wish for personal development.     

Female ego ideal conflicts in adulthood

A woman's early development, including the unique mother-daughter bonding, the development of her body image, her castration and annihilation fears, and the interaction with her father, causes specific conflicts when she comes to make choices about motherhood and career. She struggles with disrupting and changing the early mother-daughter bond, with her belief that she should be able to accomplish what she expects of herself without help, with her priorities of relatedness to others as she deals with a larger number of people. She struggles with assertion and anger in her self-interest and with ego ideal expectations that demand she have infinite patience and caring for others.