Reflections on the role of the analytic setting in the light of COVID-19

There have been many reflections, both individual and collective within our Institutes, on the effects on our work with patients caused by COVID-19 and the requirement to move suddenly from the setting of our own consulting rooms to working with patients online (see also, the previous issue of this Journal). This paper focuses on what we have learned from these experiences that can add to our knowledge about the role of the setting in analytic work. Drawing on Bleger’s (1967) seminal paper highlighting the usual setting as a mute projection carrier for primitive wishes and affects, the paper explores how different patients have reacted to the loss of the analyst as the guardian of the setting and in particular as an embodied presence. Some key questions and challenges for both patients and analysts during the pandemic, when ‘the setting begins to weep’, are explored.     

The analytic setting today: using the couch or the chair?

This paper re‐visits Murray Jackson's 1961 paper in the Journal of Analytical Psychology, ‘Chair, couch and countertransference’, with the aim of exploring the role of the couch for Jungian analysts in clinical practice today. Within the Society of Analytical Psychology (SAP) and some other London‐based societies, there has been an evolution of practice from face‐to‐face sessions with the patient in the chair, as was Jung's preference, to a mode of practice where patients use the couch with the analyst sitting to the side rather than behind, as has been the tradition in psychoanalysis. Fordham was the founding member of the SAP and it was because of his liaison with psychoanalysis and psychoanalysts that this cultural shift came about. Using clinical examples, the author explores the couch/chair question in terms of her own practice and the internal setting as a structure in her mind. With reference to Bleger's (2013) paper ‘Psychoanalysis of the psychoanalytic setting’, the author discusses how the analytic setting, including use of the couch or the chair, can act as a silent container for the most primitive aspects of the patient's psyche which will only emerge in analysis when the setting changes or is breached.     

拯救肢体畸残患者的“菩萨”——秦泗河从事儿麻后遗症矫治30年的纪念

秦泗河医生30年来坚守于基层乡、区级医院,毕生心血奉献于小儿麻痹后遗症——肢体畸残矫治事业,开创了肢残矫治“前无古人,后无来者”的秦泗河畸代,值得珍惜、尊重和纪念,更是为了记住历史,给这样的事业以应有的地位和尊重。其多重意义,将为医学界带来激励和启迪。     

Longitudinal Effects of OCB on Cadre Selection and Pursuing a Career as Militia Cadre in the Swiss Armed Forces

In the present investigation longitudinal data obtained from recruits undergoing basic military training in the Swiss Armed Forces were used to examine the effects of organizational citizenship behavior (OCB) on a subsequent cadre selection and the willingness to voluntarily pursue a career as militia cadre. Results of the hierarchical logistic regression controlling for demographic variables, cadre recommendation, and allocation to the desired branch of service showed OCB predicted both the selection as cadre and the voluntariness to pursue a career as militia cadre. These effects show to what extent OCB may predict significant additional effort. Results are discussed with regard to further examination of the effects of OCB on career outcomes and selection decisions.     

A personal commentary on J.W. Perry,M.D., and introduction to ‘Reconstitutive process in the psychopathology of the Self’

John Weir Perry’s influence on the understanding of the psychotic process through his research in San Francisco between 1950 and 1981 was groundbreaking, because it both verified and expanded upon C.G. Jung’s research at the Burghölzli Hospital in Switzerland in the early 1900’s. The author explores both the brilliance of Perry’s contribution as a psychiatrist and Jungian analyst and also shows the flawed human, who, with his rare sensitivity to the psychotic process, devoted his life work to the schizophrenic population and their often ill-fated search for meaning. She tells how his creative engagement with the analytic processes of Self discovery eventually led to analytic boundary violations, which ultimately resulted in his indefinite suspension from membership in his local Jungian community. Further, this paper describes her reflections on the innovative work that influenced both the treatment of this population, as well as educating candidates in analytical training to be receptive to and cognizant of psychotic affects and imagery. The archetypal field of the psychotic process, its influence on the development of analytical psychology relative to the psychotic process, and one man’s impact on the analytic community are considered.     

The technologically-mediated self: reflections on the container and field of telecommunications

This paper contains reflections on the use of the imagination in technologically-mediated therapy and analysis. As part of the individuation process the psyche is seen as needing to adapt to new technological ways of communicating. The notion of a technologically-mediated self is posited describing a self which can only be apprehended through, and by, the use of telecommunications. This self is seen as identical to the in-person self, a subset, or superset of it. There is a revisioning of our notions of the container and the field in this work performed through technological-mediation. The need to engage the imagination in approaching this kind of work is emphasized in order to create an imaginal play-space in which the body will be deeply affected. Some thoughts on how the process of individuation might look through such analytic work is presented.     

基于虚拟情境锚定法的基层政府信任现状调查与影响因素分析

由于政府信任概念的复杂性及其评价的敏感性,传统一般化的政府信任的测量难以避免评价尺度偏差或社会期望偏差。研究对647名浙江省居民进行网络问卷调查并分析,运用虚拟情境锚定法校正偏差,从而探究民众对基层政府信任现状以及影响因素。结果表明：（1）使用“虚拟情境锚定法”后,“信任”和“完全信任”的总比例为33.54%,较校正前降低了36.01%,即验证了评价尺度偏差与社会期望偏差的存在。（2）校正后的民众基层政府信任水平下降,但整体仍处于中等水平;（3）民众的基层政府信任水平受到年龄、月收入水平、政治面貌、教育程度不同程度的影响。     

Some Questions Raised by the Practice of Online Analysis1

In this paper the author explores some of the issues raised by the practice of online analysis. In particular, he emphasizes the difference between the setting and the frame and proposes a theoretical approach of the latter as emerging within the transferential dynamic.     

The use of Skype in analysis and training: a research and literature review

Of recent years there has not only been an increasing use of Skype in analytic treatment, supervision and teaching, but also a number of writers have been endeavouring to assess its effectiveness. Whilst it is generally agreed that Skype can facilitate an analytic encounter where distance prohibits a face‐to‐face process, where continuity needs to be maintained and where analysands are in areas far from specialized centres, there is divergence in the literature as to whether analysis, as opposed to psychotherapy, can be successful using Skype. This paper reviews the literature and concludes that the essentials of a genuine analytic process are not necessarily precluded by Skype. One central reason is because there exists a cross‐modal communication channel between the human senses (underpinned by audiovisual mirror neurons) in addition to the recently discovered instinct for communication and interpersonal understanding, and these can override the need for physical proximity of the participants. The essentials of an analytic frame can thus be maintained, and the continuity that Skype enables means that containment is also facilitated and this counters the negative aspects of shuttle analysis. The critical issues for the profession then become the professional development for practitioners in the use of Skype and suggestions are listed.     

Grayson Perry and the recalibration of masculine emotional reactions to vulnerability and healing

The so-called ‘crisis in masculinity’ in the post-industrial/post-feminist world is not a new idea but in recent years it does seem to have forced its way back onto the agenda due to a lack of traditional employment, such as coal mining, thus robbing generations of men of their cultural identities. This collective ‘crisis’ has emerged through media attention on a succession of well-known men in the arts and sports worlds such as Bruce Springsteen, Stormzy, Professor Green and Rio Ferdinand, who share in common a strong sense of masculine identification. In addition, all have openly discussed the healing and relief experienced by embracing the vulnerable, emotional aspects of themselves, or what has been historically characterized as the anima archetype in Jungian psychology. This essay will recount some of their stories of struggle as they have bravely spoken up about their mental health issues, perhaps diminishing, by example, the erroneous notion of depression as a ‘woman's problem’. As noted, in recent times we have witnessed a proliferation of famous men speaking out about their emotional difficulties, often in the context of loss and depression, thus providing potential role-modelling for a more expanded view of contemporary masculinity. This paper attempts to consider the tendency amongst a particular type of modern man who is both traditionally macho and simultaneously emotionally articulate with the capacity to open up about the experiences of their inner worlds and the environmental pressures they face in a fast-paced and ever-changing world. Beginning with some brief stories about the men listed above, the primary focus will be on the work of the UK cross-dressing artist and Turner Prize winner (2003) Grayson Perry (b. 1960), by studying his unusual and highly creative clarion call to challenge modern men to recalibrate their emotional behaviour and to speak openly about loss and emotional difficulty. As readers will see, he has developed a unique method that includes filmed, televised interactional interviews with various individuals and groups and he then produces art pieces that embody what has transpired through his engagement with their suffering and real-life dilemmas. This highly creative process offers a double or even triple containment for those struggling with all-too-human pain via the holding interview with him directly; the artwork that he creates as a result; and then through the recording on film that is shared with television audiences who are deeply affected by what they witness and who perhaps find a form of healing via identification.