11910 Chapters
Medium 9781855758612

Chapter Four: A rash of a different colour: somatopsychic eruptions from the other side

Karnac Books ePub

Lila J. Kalinich

“Nature teaches me by these sensations of pain, hunger, thirst and so on that I am not only lodged in my body as a pilot in his ship, but that I am closely united to it, and so to speak so intermingled with it that I seem to compose with it one whole”

(Descartes, Sixth Meditation, 1641)

The late Herbert Weiner, for decades one of the foremost American theorists of psychosomatic medicine, begins a recently written chapter on that subject with the preceding epigraph. In that chapter, he wonders why medical practitioners have not yet found a way out of Cartesianism in order to develop a comprehensive approach that treats sick persons rather than specific diseases. For Descartes, the “thinking I” only “seems” at one with the sensible soma; a gap remains between the two. The legacy of this gap, for medicine, Weiner writes, has been two approaches to the patient where there should have been one. We are left with one medicine for mindless bodies and another for disembodied minds (Weiner, 2008, p. 485).

See All Chapters
Medium 9781855751019

6. Projective Identification and the Subjugating Third

Ogden, Thomas Karnac Books ePub

We are still in the process of discovering what projective identification “means,” not that Mrs. Klein meant all that in 1946, consciously or otherwise.

Donald Meltzer, 1978, p. 39

In this chapter, I shall offer some reflections on the process of projective identification as a form of intersubjective thirdness. In particular, I shall describe the interplay of mutual subjugation and mutual recognition that I view as fundamental to this psychological-interpersonal event.

In Klein’s (1946, 1955) work, projective identification was only implicitly a psychological-interpersonal concept. However, the concept as it has been developed by Bion (1952, 1962a) and H. Rosenfeld (1952, 1971, 1987), and further enriched by Grotstein (1981), Joseph (1987), Kernberg (1987), Meltzer (1966), Ogden (1979), O’Shaughnessy (1983), Segal (1981), and others, has taken on an increasingly complex set of intersubjective meanings and clinical applications. The understanding of projective identification that I shall propose is founded on a conception of psychoanalysis as a process in which a variety of forms of intersubjective “thirdness” are generated that stand in dialectical tension with the analyst and analysand as separate psychological entities. In projective identification, a distinctive form of analytic thirdness is generated in the dialectic of subjectivity and intersubjectivity that I shall refer to as “the subjugating third,” since this form of intersubjectivity has the effect of subsuming within it (to a very large degree) the individual subjectivities of the participants.

See All Chapters
Medium 9781782201502

Chapter Six: Rage as a Fact of Life (or, Who is in Charge of Time and Space?)

Shengold, Leonard Karnac Books ePub

Ye Gods! Annihilate but space and time
And make two lovers happy.

—Alexander Pope, The Art of Sinking in Poetry

Several years ago, my office partner and dear friend for fifty years, Austin Silber, suddenly became ill and had to retire. My patients, some quickly, others only after weeks of denial, noticed his absence and the disappearance of his patients from the waiting room. They were frightened. If he could suddenly disappear, so could I.

It was necessary to sell our jointly owned office suite and, after the sale, to lease my office part-time from the new owners. I also, temporarily, had to rent space in another nearby office for a while to continue to see all my patients. Although my patients were informed about what was to happen before I left for my traditional vacation in August, the changes actually took place when I returned after Labor Day. Some patients had their session at a new time and some, for a short time, even at a new place. Those who stayed in the old office found its appearance changed. The rooms were now painted a dazzling white. The furniture in my consulting room, except for my desk, couch, and chair, was new. The windows, formerly covered by closed blinds, now showed themselves sparkling clean. It was attractive, but time and place had been changed for my patients: a change suddenly thrust upon them by me, adding new trauma and threat to that of my abandoning them over August. I was making my appearance as “a king of infinite space”, as Hamlet puts it (2.2.261), able to put not only space but time “out of joint” (1.5.189).

See All Chapters
Medium 9781855755451

CHAPTER THREE: The child that is wanted: perfection and commodification

Lesnik-Oberstein, Karin Karnac Books ePub

“But what exactly is a wanted child?”

(Taylor &Taylor, 2003, p. 11)

We have seen in the previous chapters that the development and deployment of reproductive technologies are motivated by people’s postulated desire to have a child. We have considered some instances of how this desire is defined and formulated, and how the varying understandings of this desire direct and shape wider arguments about reproductive technologies. In the previous chapters, I have also started to argue that, and how, the desire for the child and the child that is desired are mutually implicated categories. I proposed that both these ideas can be examined further by not assuming that they are self-evident, autonomous entities. In this chapter, I want to consider further how the discussions around reproductive technologies produce childhood and the child. What children are produced by reproductive technologies, or what children are they supposed (in both senses of the word) to produce?

As I have remarked throughout, one of the curious issues around reproductive technologies is that its ostensibly desired product, the child, is little mentioned. In many ways, it is even less considered than the desire for the child, which is at least seen to be implicated in the choices available around reproductive technologies. The child of reproductive technologies is most of all referred to as the “hoped-for” child. In this way, the child is postulated in relation to ideas of temporality, as potentiality and futurity (see for an extensive consideration of the child as futurity, Edelman, 2004). This positions it as an anticipation, projection, or hallucination. It is there, and yet not there. It is both known and unknown. Because reproductive technologies enter into the area of a problematic production of the child, or, one might say, what is seen as a deferred production of the child, issues that arise in relation to any ideas of expectation are brought to the fore. This can also be seen in Charis Cussins Thompson, for instance, describing the embryo as “consti-tutively promissory, and its value stems from its life-creating potential” (Thompson, 2005, p. 255, original emphasis). Expectation and hope engage both the known and the unknown, or, to put it somewhat differently, ideas of the knowable and the unknowable. As French theorist Louis Althusser writes:

See All Chapters
Medium 9781855752801

4. Training systemic supervisors: multi-layered learning

Campbell, David; Mason, Barry Karnac Books ePub

Charlotte Burck & David Campbell

This chapter is about the way supervision can be conceptualized as a multi-layered system. It describes a framework for training which reflects the different levels of experience and different aspects of relationships involved in the supervisory process.

The family therapy supervision course is based in the Child and Family Department of the Tavistock Clinic, which is a large NHS clinic providing individual psychotherapy and family therapy trainings for a wide range of professional disciplines. The Tavistock established the first family therapy training in the U.K. in 1975. As the field has matured over the years, supervision has been taken more seriously as a crucial activity whose development must be given the same level of attention and conceptualization as the family therapy it is meant to foster. As long-standing trainers, we have been committed to the development of the field and therefore felt obliged and excited to develop a new level of training.

See All Chapters

See All Chapters