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Medium 9781904658313

Five of Wands

Zalewski, Chris; Zalewski, Pat Aeon Books ePub

The Five of Wands shows the perfection that the previous card attained is now unbalanced by the central wand which has no foundation or support from either hand and, as such, brings confusion and interrupts communication between the two hands, thus actingmore as a wedge than a support. This leads to violence and strife and two impossible choices, one is damned if one does and damned if one does not. However, this force is necessary for disruption of old states which become too harmonious to grow. Therefore the fifth wand forces growth and change, a challenge is presented.

The clouds have grown larger almost taking up the complete sides of the card, implying a storm brewing. The wands form the symbol of the Laborum. This was Constantine's emblem and it was believed that it drew the protection of Christ to those who wore this symbol. It was also the emblem of the Chaldean sky god and worn for good luck and an emblem associated to Alpha et Omega and inscribed on tombs.

The alchemic emphasis of the unbalanced cross, by virtue of the fifth wand through the middle of the four, is corrosion and alludes to the first stage of putrefaction—dying. The central wand creates a passage for spirit to be drawn into matter where there is imperfection. With the power of the fifth principle, there can be violent energy, although, this energy can be turned into a powerful creative force. The Golden Tripod says:

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Medium 9781855754744

Thinking distortions in depression

Young, Courtenay Karnac Books ePub

When we are depressed, this affects our thoughts or our thinking. Our thoughts are often distorted by the depression, or rather the flavour of the thinking is distorted by the depressive feelings. Most of the time, it is the depression talking, rather than your “self”. These depressed ways of thinking have a particular style or mood. After a while it is easier to recognize the mood and be able to say, “Oh, that’s the depression talking again. That’s not me!”

These depressed thoughts are thus often distorted, and when we are under stress or depressed, these distortions can become exaggerated: they are sometimes called “stinking thinking”. This really is the depression talking. There are several categories of these types of thoughts. It is important to begin to be able to recognize them before you can begin to eliminate them. Many books and literature from cognitive–behavioural therapy (CBT) and other books on depression look at these types of thinking “errors”. See how many bullet points you can tick.

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Medium 9781855751385

3. Functions of free association

Kris, Anton O. Karnac Books ePub

Psychoanalysis does not create free association in the treatment setting. It merely provides an alteration in the conditions of ordinary association towards freedom from conscious direction. It shifts the balance of attention from outward to inward, it replaces silent soliloquy with spoken words, and it establishes a human relationship whose aims are confined to promoting the patient’s free associations in the service of a therapeutic objective.

Viewed in this way, psychoanalysis must appear an improbable venture to any but those who have experienced the powerful effects of the measures described. In this chapter I shall attempt to delineate some of the many functions of the free association method that lead to those effects.

When I speak of functions I refer to a number of overlapping formulations of free association in terms of the effects produced. From the point of view of psychoanalysis as a technique or as a therapeutic modality, these effects are purposes, under the general heading of increased freedom of association. In this sense it is the aim of free association to make conscious what is unconscious, to recall what is forgotten, to regain lost experience, to complete mourning, to elucidate inner conflict, to expand what is condensed, to put thought and feeling into words, to clarify confusion, and to reverse disorientation. Any one of these and many more may serve as the organizing principle for classifying the free associations.

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Medium 9780946439348

20. Pleasure, Object and Libido (1956)

Balint, Michael Karnac Books ePub

Some reflections on Fairbairn’s modifications of psycho-analytic theory

ONE of the cardinal changes in psycho-analytical theory that Fairbairn has put forward in recent years is that libido is not pleasure seeking: it is object seeking.2 As this thesis is likely to cause difficulties in assessing the real importance of his ideas and, moreover, as the ways through which Fairbairn arrived at this conclusion are almost identical with the ways through which a number of highly important and at the same time highly controversial analytical theorems were arrived at, a critical examination of the methodological steps is certainly justified. One may even hope—provided the criticism of the methodology used is just and correct—that some aspects of the controversy might be settled for good.

I propose to start by examining the meaning of the word ‘libido’, In order to do so, we must ask what the concept was that Freud denoted by introducing this new term in the Three Essays on the Theory of Sexuality (1905) and what has happened to this term during the fifty years of development since its introduction. Following, among others, the poet-philosopher Schiller, Freud recognised as the two great motive powers of all animal and human life ‘hunger and love’. To discuss his clinical experiences in the field of sexuality he needed a term denoting the intensity factor of all sexual strivings, and as he could not find a proper word for this in the German language he borrowed ‘libido’ from the Latin. This, then, was taken over by his English translators and has now been generally accepted, even by academic lexicographers such as the compilers of the Concise Oxford Dictionary.

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Medium 9781782202462

Chapter Six: Earth's Terror

Mulhern, Alan Karnac Books ePub

Hast thou perceived the breadth of earth?
Declare if thou dost know.
Where is the way that light doth dwell,
And how doth wisdom grow?
As for darkness, where's its home,
And when's the time for death?
Thou fear'st so much, thou can'st not know
When is thy final breath.

Adapted from Job Ch.38:
Yahweh confounds Job on his limits to the understanding of light and dark, life and death, creation and destruction.

Figure 9. Earth's terror.

Nature and Great Mother worship have, as we have just argued, a life-affirming, creative, positive quality. But there is also a darker side—that which opposes the emergence of individuality. Hence the importance of human sacrifice in these nature religions. The realm of the Great Mother demands immersion in the collective, in nature and her mysteries, in reproduction, family, and tribe. It is quite distinct from the principle of differentiation of personality and the importance of individuality that is later to develop in patriarchal religions.

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Medium 9780946439225

6 - The Conductor in Action

Foulkes, S.H. Karnac Books ePub

CHAPTER 6

The Conductor in Action

PART I

FUNCTIONS AS ADMINISTRATOR

If the conductor is the same person who has taken the preparatory steps we have described then this was of course part of his function. Under other circumstances, the preliminary steps may be the function of a different doctor, perhaps the consultant, and the conductor takes the group over himself only when it first assembles. When the introductory functions are performed by the consultant, it is desirable that the conductor has met the group together with the consultant at the introductory session.

First a few simple but important points which the conductor must observe.

1) Expecting punctuality and regularity, he must himself adhere to these principles very strictly. He should not be early either as inevitably his entrance marks the beginning of the group session. Nor should he prolong the treatment time although he need not be over-rigid in this respect. He can well give himself and the group a minute or so of flexibility at the end of the session.

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Medium 9781855758483

CHAPTER TWELVE: Valuing the splits and preventing violence

Karnac Books ePub

Valuing the splits and preventing
violence

Oliver Dale, David Reiss, and Gabriel Kirtchuk

Introduction

Managing the risk of violence, be it directed toward others or the self, is a central function of an adult psychiatric service. Vital to this process is the risk assessment, which can be a difficult and lengthy process, requiring a methodical approach and space for reflection. It can be resource intensive and needs to be pitched sensitively to the individual situation.

It is clear that only through completing an appropriate risk assessment can a fitting management plan be developed. What we would like to focus on in this chapter is how the patient’s relationship with clinicians can be used to provide important information which helps produce a more therapeutic, informed service, appropriate to the patient’s needs.

The struggle to find meaning in violence

Those who commit the most serious violent acts often demonstrate a recurring pattern of incidents; as such, it is often a truism that a very good predictor of future behaviour is past behaviour. Actuarial and structured assessments place great importance on historical data and have provided much needed objectivity in identifying risky individuals. They are, however, very poor at helping us understand incidents, and often lead to a dry and rather wooden account of events. Limited time is spent on the now “taboo” activity of making sense of, and giving meaning to, violent acts, but not only is this a vital part of risk management, but also a key therapeutic goal, central to recovery.

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Medium 9781782205579

Chapter Twelve - Identity and Separation

Izcovich, Luis Karnac Books ePub

Impasses

Now, after Ferenczi and Winnicott, we will return to Lacan in order to show how he approaches the identity of the subject from a different perspective.

With Lacan, the way the end of analysis is conceived changes, and because of this the nature of the treatment is likewise reformulated. Rather than covering the trauma at the outset, calming it and reconciling the analysand with his traumatic parent, Lacan reverses the process: the traumatic parent is innocent and the analyst comes into the traumatic parent's place. Because he does so knowingly, the analyst is not really innocent. Lacan proposes that the analyst be the traumatic parent in order to extract the subject from the dimension of jouissance correlated to traumatic infantile scenes. He differs from Freud, who proposed that a battle take place in analysis that aims, through the liquidation of the transference, to liquidate the effects of the trauma. For Lacan, the question of identity is an essential axis in approaching this question.

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Medium 9781780491134

Chapter Five - The Ill Psychotherapist: A Wounded Healer

Jonathan Burke Karnac Books ePub

Judy Parkinson

In this chapter I will consider the impact of cancer on the psychotherapist and his or her clinical practice, whether the psychotherapist is working alone or with colleagues in group, couple, or family therapy. I will draw upon my own experience and that of other psychotherapists who have written or spoken about how they were personally affected by a diagnosis of cancer. These include Helen Bender and John Woods, who related their own personal and professional dilemmas and challenges in a conversation before an audience at the London Centre for Psychotherapy (now part of a new organisation: the British Psychotherapy Foundation) in November 2011.

The experience of cancer

Cancer can leave us feeling that we have been invaded, our bodies taken over. Shock, fear, disbelief, and questions such as “Why me?” and “Why now?” are common in response to this unexpected intrusion into our lives. There may be a sense of dread about what the diagnosis means in the life of the individual and for the person's sense of “who I am”, the “me” feeling vulnerable and exposed to the unknown (Parkinson, 2003). Some people with cancer will experience a sense of shame or guilt for something felt to be their fault (Burton & Watson, 1988; Parkinson, 2003).

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Medium 9781855753679

CHAPTER THREE: Efficacy and effectiveness of the therapeutic model: results

Karnac Books ePub

“The best proof of a theory is its application”

George C. Lichtenberg, Libretto di Consolazione (1981)

Our protocols for eating disorders were applied to 196 cases from 1993 to 1997. This group included persons from all regions of Italy; its significance is therefore not limited by cultural differences related to restricted areas of origin. The sample included a wide range of social classes, from low to very high. However, most of our patients belong to the higher middle class. This may simply be due to the fact that ours is a private centre of therapy.

The first remarkable fact that emerged from an analysis of our case sample was, as expected, a marked prevalence of the disorder that we have called vomiting syndrome or vomiting. While this pathology is usually defined as bulimia nervosa in international literature, we consider the latter to be a very unsatisfactory descriptive criterion for this emergent and highly complex eating disorder. Many researchers have observed a significant evolution of eating disorders in the direction of vomiting (American Psychiatric Association (APA), 1994; Costin, 1996; Faccio, 1999; Selvini Palazzoli, Cirillo, Selvini, & Sorrentino, 1998) and a concurrent decrease in the number of pure “anorexics”, which, in our sample, represented only nine per cent of all cases. These results evidently confirm our remarks in the previous chapters on the evolution of eating disorders (Table 1, Figure 1).

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Medium 9781782201274

Chapter Six - Psychosomatic Illness in a Claustro-Agoraphobic Patient

Karnac Books ePub

Susan N. Finkelstein

“Take a man who is released and suddenly compelled to…look up toward the light; and who, moreover, in doing all this is in pain, and because he is dazzled, is unable to make out those things whose shadows he saw before. What do you suppose he'd say if someone were to tell him that before he saw silly nothings, while now, because he is somewhat nearer to what is and more turned toward beings, he sees more correctly?…Don't you suppose he'd be at a loss and believe that what was seen before is truer than what is now shown?”

(Bloom, 1991, p. 194, stanza 515d)

In one of the most powerful images of Western literature, Plato describes a group of people who have spent their lives imprisoned in a cave, chained so that they face the back wall. All they can see are shadows cast on the wall by a fire behind them. These shadows are the only reality these people know; they have come to understand them as the only reality there is. Plato then imagines what would happen if a prisoner should escape from the cave and so become witness to another reality previously unknown to, and unimagined by, him. The Parable of the Cave vividly depicts the anxiety of living with uncertainty—uncertainty about safety and danger, about knowledge and ignorance, about where we stop and the rest of the world begins.

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Medium 9781855752986

7. Chekhov: the pain of intimate relationships

Rustin, Margaret; Rustin, Michael Karnac Books ePub

Chekhov was a doctor, in what we would now call general practice,1 before he became a playwright, and he is like a good doctor, even a psychoanalyst, in his almost unvarying refusal to blame or judge his subjects.2 Instead, his interest is in understanding his characters as they are. He wishes us to recognize their suffering, to understand that its origins lie outside themselves, but also to see the cruel way in which they cannot help but pass on their mental pain to others—including, most often, those whom they most love. The characters in his great plays are linked by and trapped within these.circuits of suffering. Chekhov provides an anatomy of the different ways there are of coping or not coping with such pain, including the extremes of killing and suicide, of self-distancing by abandonment, and of narcissistic complacency—and also, at the opposite pole, in representations of a capacity for “depressive pain” suffered on behalf of loved others, of the highest order. It is the representation of such willingly shared suffering, for example at the end of Three Sisters and Uncle Vanya, that often moves their audiences to tears of sympathy.

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Medium 9781855756991

CHAPTER FOUR: Guilt in an age of psychopathy

Eigen, Michael Karnac Books ePub

Guilt: a big topic. We can take little nibbles. We can be little fish taking little nibbles. We understand that everything we G say is partial. To say one thing, we leave another out. But in addition to things we know but do not say there is more that we do not know, that we are not yet able to think, things that have not yet swum into view, that have not yet crossed the thought horizon. Thus, we speak humbly in face of the future, grateful to search for the little bit we can give. Saying this, you will understand that if I speak boldly, it is born of a pride of speech that is really a modest portion of the immensity that touches us.

We are all killers. Thus, we are all guilty. We are all guilty killers. There is no way around it. We cannot get out of it. We kill to live. We kill each other to live.

Killing is part of living. It is built into life. But, like light refracts into so many colours, aliveness is alive with many tendencies and counter-tendencies, many emotional colours. We kill, but are not just killers. We love, we are curious, we wonder, we explore, we drink life fully, we appreciate ourselves and each other, we appreciate the world. We care about life. We want to do life justice.

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Medium 9781780491578

5 - The Analyzability of Narcissistic Personality Disorders

Rothstein, Arnold Karnac Books ePub

Any inquiry into the analyzability of narcissistic personality disorders is tentative at best. All studies of analyzability demonstrate that the analyst's ability to predict the outcome of an analysis is quite imperfect. Accuracy and agreement are often easier to obtain when considering prospective analysands at the sicker and healthier extremes of the spectrum of character integration. Since the patient typically diagnosed a narcissistic personality disorder falls into the midrange of the spectrum of character integration, his analyzability is more difficult to assess. It is not unusual for an analysand diagnosed as a narcissistic personality disorder who begins an analysis with a guarded prognosis to become a subject who works well and accomplishes a great deal. In many cases a judgment of analyzability and prognosis may not be possible after an initial consultation. A six-month to two-year trial of analysis may be necessary. In that regard a consultation can be thought of as attempting to assess suitability for a trial of analysis. The induction phase is often particularly difficult with these patients. Attention to the clinical suggestions of Modell (1976), Kohut (1971), and Gedo (1975) may be helpful in this regard.

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Medium 9781855758827

CHAPTER EIGHTEEN: Ritual abuse and mind control treatment: greater than the sum of its parts

Miller, Alison Karnac Books ePub

It is my hope that you have learnt from this book that successfully treating survivors of ritual abuse and mind control is possible. I hope that, if you are not already doing it, you will take the challenge and embark on this great adventure, and that if you are, you will feel more secure in your work and be able to hone your skills. There are too few of us doing it, and fewer doing it correctly. Survivors need—deserve—to be able to find competent therapists no matter where they are located.

The following summarizes the guidelines that have been the basis of this book. Some of them might seem deceptively simple; I assure you, they are not. But they do provide a straightforward, clear template that should inform your work:

First of all, recognize that it is who you are, not what you know, that makes you effective as a therapist. It is your ability to “sit with a shattered soul.” This is true even if you are a novice at working with survivors of ritual abuse and mind control. I recently consulted to a very experienced therapist who was working with her first ritual abuse survivor. In her zeal to share with the client what she had learnt from me, she forgot to “tune in” to what the client was telling her in the next session, and there was a breach in the therapeutic relationship. She was alert to this, recognized it, and mended it, but it was a good reminder to both of us. Never forget who you are and never move away from the basic empathy, warmth, and genuineness that make a good therapist.

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