Response to ‘Containment lost’ by Andrew Briggs

This is a response to Andrew Briggs’ paper presented to the ACP Conference in June 2017. Briggs’ paper, sobering, pessimistic and challenging, looks at the emotional pressures on child psychotherapists in Child and Adolescent Mental Health Services (CAMHS) as a result of the imposition of the internal market in the NHS. He posits that this has caused the loss of organisational containment, not just for child psychotherapists, but for all those clinicians who work in CAMHS. Briggs writes that this loss of containment is evident in clinicians’ experience of meaninglessness in their work and that this meaninglessness may lead to the despair of the death instinct. For Briggs, this goes along with the loss of professional identity as a once favoured discipline. He compares this fall from grace to Satan’s as described in Milton’s Paradise Lost. If, as he suggests, there has been a strong sense of being the favoured discipline, then maybe a dependence had grown in the profession whereby this loss now feels like a terrible abandonment. The author of this response sees hope amidst the despondency being forced upon workers in the NHS and makes the case for us to engage and resist in a number of practical ways.     

Being white,being Jungian: implications of Jung’s encounter with the ‘non-European’ other1

This personal account charts the changing relationship to a Jungian identity arising from the interrelated processes of understanding the roots of the colonial and racial ideologies that underpin Jung’s thinking, and a developing awareness of what it means to be a white person in a system of racism that maintains white supremacy. This is illustrated with reference to the image of a black man appearing in the dream of the white author and with use of post-Jungian thinking to critique the notion of an objective, non-racial psyche.     

‘Her Majesty the Baby’: narcissistic states in babies and young children

This article considers narcissistic states in babies and young children with some reference to the myth of Narcissus in Ovid’s Metamorphosis. The object-seeking character of babies from the beginning of life is elaborated in connection with selected research from mother–baby interaction. This forms the backdrop to a discussion of withdrawal into illusions of self-sufficiency and denial of dependence in adverse circumstances. Two clinical cases are discussed in some depth. One boy whose superiority, self-reliance and pseudo maturity is prompted by anxieties around separation as he approaches starting school is considered within the parameters of ordinary transient narcissism. The lengthy psychotherapy of another child, who developed entrenched narcissistic defences as a response to traumatic, abusive and neglectful experiences in early life, and who needed considerable help, is described in greater detail. Some links are made with difficulties associated with the emergence from narcissistic functioning and encountering the pain of separation and loss.     

《易经》是否属于原始思维

有学者依据列维·布留尔的原始思维理论,认为《易经》属于原始思维。但事实上,《易经》无论从创作时代还是思维内容上都与原始思维有着本质上不同,《易经》包含着原始思维所不具备的理性思维。之所以误解《易经》为原始思维,主要是投有真正理解《易经》的“立象以尽意”的思维表达方式。《易经》以其意象表达了辩证、整体的宇宙观,并以此指导现实的人世生活,开创了中国人“推天道以明人事”的形而上学。     

Psychic phenomena and early emotional states

This paper examines the relationship between severe early trauma and the development of psychic intuition. A case presentation with extensive dream work helps to illustrate this connection by exploring the psychological meaning of one patient's acute receptivity to unconscious communications. The paper includes a historical overview of Freud's attitudes toward occultism, as distinct from later psychoanalytic views, including those of Wilfred Bion. Many of Bion's views have more in common with Jung's perspective than with Freud's, with particular reference made to spiritual and religious differences. Bion clearly states that Freud and psychoanalysts have focused on phenomena, not on noumena, which Bion considers to be the essence of the psychoanalytic point of view.     

Synchronicity and the capacity to think: a clinical exploration

Synchronicity blurs the boundaries of psyche and physis. This invisible dance of mind and matter suggested to Jung an interconnection between physical and mental events reflecting a unified 'psychophysical space-time continuum'. His idea of exteriorization put forth the notion that unconscious thoughts can manifest themselves in the external world. I have related this to Bion's theory of thinking, where thoughts, which should be a prelude to action, become actions in themselves, projections of unthought thoughts. Through detailed clinical work with dreams I will explore the effects of early trauma on the development of the capacity to think, and the way in which synchronistic events relate to projections of early traumatic experiences which have not been 'mentalized'.     

Trauma and defences: their roots in relationship. An overview

In this paper the differing psychodynamic models of defences are outlined and compared with an attachment theory perspective in which affect regulation plays a central role. Behavioural and intrapsychic distance regulation (defensive exclusion) are seen as the main strategies for affect regulation and are the manifestations of the habitual pattern of emotional regulation in the relationship between the child and the primary caregiver. A new perspective on unconscious fantasy is offered, in which fantasies are seen to be actively created as defensive narratives to protect the development of healthy narcissism and to become integrated into a person's internal working models. Archetypal defences are explored from a developmental perspective and some neurobiological issues relevant to defences are highlighted.     

Book Reviews

Abstract

This paper is an attempt to think about the competing factors which shape the nature of university education now. The funders, potential employers and students all approach die university with particular needs and ideologies, and it seems that die actual providers, the university personnel, have the task of managing the conflicts and the anxieties underlying the needs. However, they also have their needs, their beliefs about the purpose of education and their worries. Drawing broadly on psychodynamic concepts and using examples from my experience as a lecturer, counsellor and organizational consultant, I look at the effect of these tensions on the functioning of the university.