A plea for a measure of opacity: Psychoanalysis in an age of transparency Annual Birkbeck Counselling Association Lecture December 2018

‘Whatever can be catalogued is an occasion for despair’. Gabriel Marcel (1964 Marcel, G. (1964). Creative Fidelity, trans. R. Rosthai (p. 70). New York: Noonday Press. [Google Scholar]).

Ever since the Enlightenment, knowledge has been linked to the metaphor of light. The idea that ‘to see is to know’ so firmly grounds our current way of being in and understanding the world it is hard to imagine otherwise. But our insistence on open government, freedom of information and the public’s right to know privileges not only the visibility of information but also the visibility of the self. In this paper, I consider how we might think about and respond to the ever-increasing demand for transparency in the consulting room. I draw on the ideas of Derrida, Laplanche and Glissant to argue for what has been called ‘the right to opacity’, suggesting that psychoanalytic practitioners are particularly well placed to offer a critical perspective on today’s culture of surveillance.     

Working with Bangladeshi young women

The author describes once-weekly psychoanalytically informed work in a child mental health setting with young Bangladeshi women making the transition to adulthood. She argues that the prevalent notion of 'culture conflict' used to account for patterns of emotional disturbance and self-harm in these young women is reductionist and represents a denial of severe family dysfunction and individual psychic pain. She shows how, despite cultural differences, psychoanalytically informed thinking can provide a basis for understanding these young women's experience and facilitate their emotional growth. However, faced with complex unconscious processes, the worker has to remain alert to her countertransference in order not to be drawn into an unhelpful collusion or denial of reality. Organizational defences may also operate to protect staff and their institutions from awareness of such high levels of emotional distress, which therefore remain hidden. The author is grateful to the two young women who consented to publication in the hope that it might help others. Details have been changed to protect their anonymity.