SOCIAL PSYCHOLOGICAL THEORY
Karen Horney (Theory of Neurosis)
* Background
* Comparison of her theory to Sigmund Freud
* Basic Anxiety
* Neurotic Needs
* The three solutions
* Alienation
Harry Stack Sullivan (Interpersonal Psychoanalytic Theory)
* Background
* Dynamism
* Dynamism of the Self-System
* Personification
* Cognitive Processes
* Tension and its Types
* Energy Transformation
* Stages of Development
* Determiners of Development
* Research on Schizophrenia
SOCIAL PSYCHOLOGICAL THEORY
Karen Horney (Theory of Neurosis)
* Background
* Comparison of her theory to Sigmund Freud
* Basic Anxiety
* Neurotic Needs
* The three solutions
* Alienation
Harry Stack Sullivan (Interpersonal Psychoanalytic Theory)
* Background
* Dynamism
* Dynamism of the Self-System
* Personification
* Cognitive Processes
* Tension and its Types
* Energy Transformation
* Stages of Development
* Determiners of Development
* Research on Schizophrenia
Presentation on Child and Adult Attachment Theory. Also includes result of a small survey done with my friends. Part of the 'Personality and Development' course at IIT Delhi
Presentation on Child and Adult Attachment Theory. Also includes result of a small survey done with my friends. Part of the 'Personality and Development' course at IIT Delhi
Rescue Fantasies in ChildTherapy CountertransferenceTran.docxheunice
Rescue Fantasies in Child
Therapy: Countertransference/
Transference Enactments
Kerry L. Malawista, Ph.D.
ABSTRACT: When the focus of the child treatment is on the therapist
being a ‘‘good’’ object, this can accentuate a possible countertransference dif-
ficulty of the therapist becoming the protector of the child from the ‘‘bad’’
object. This countertransference can often resonate with rescue fantasies in
the child. This paper will explore the topic of rescue fantasies in child treat-
ment, while addressing the issue of coinciding fantasies existing uncon-
sciously in both the therapist and child, leading to their enactment. A case
of a nine-year old boy is presented which demonstrates how interpretation
and resolution of rescue fantasies can lead to a deepening of the treatment.
KEY WORDS: Rescue Fantasies; Countertransference; Enactments.
Introduction
Transference and its ubiquitous counterpart, therapist countertrans-
ference, are historical cornerstones of psychoanalytic treatment with
adults. In contrast, the early days of child psychoanalysis, beginning
in the 1930’s, focused less on transference and countertransference,
but instead emphasized the ‘‘real relationship’’ between patient and
therapist (Freud, 1936). Due to the immaturity of the child, transfer-
ence was considered secondary to the ‘‘real’’ positive alliance with
the ‘‘good object’’ of the therapist. By de-emphasizing transference, it
Kerry L. Malawista is a Training and Supervising Analyst, The New York Freudian
Society and Teaching Faculty, George Washington University, D.C. for psy. D. Pro-
gram.
Address for correspondence to Kerry L. Malawista, 9421 Thrush Lane Potomac, MD
20814; e-mail: [email protected]
The author would like to thank Dr. Peter Malawista and Dr. Aimee Nover for their
input and editing of this manuscript.
Child and Adolescent Social Work Journal, Vol. 21, No. 4, August 2004 (� 2004)
373 � 2004 Human Sciences Press, Inc.
is inevitable cohort, therapist countertransference, also remained
relatively unexplored; both in the literature and in the consulting
room.
This early view of child therapy and analysis was based on the
understanding that the process of identification with important peo-
ple is much greater in children than adults; and that since the child
was living in the present with the significant objects of the past,
therapeutic exploration could confine itself to the ‘‘real and current’’
objects, the child’s parents. The therapist could then serve as a
‘‘new, and real, and good object’’ for the child. Yet alongside the ‘‘real
object of the present’’ is the inevitable transference representation of
the therapist, distorted by the child’s past and current needs and
conflicts. When the focus of the child treatment is based on the ther-
apist as the ‘‘real and good’’ object, and parents as ‘‘real and bad’’
objects, a possible (if not probable) therapist/patient countertransfer-
ence/transference configuration can manifest as correspondi.
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These clinical notes explain the role played by conflicts as a causative factor in the psychoneuroses and war neuroses in Freudian psychoanalysis.
The Freudian theory of conflict, I argue, is useful not only to clinicians, but also to central bankers who are trying to formulate a theory of stability and stabilization.
What psychoanalysis makes available for these central bankers is a formal theory of the subject that incorporates the structure and function of the unconscious.
It also explains the macro-economy of the symptom given that clinicians have a lot of exposure to neurotic forms of instability.
The main wager in these clinical notes is that it will make possible a theoretical discussion between psychoanalysts and financial analysts in order to develop a comprehensive theory of stability.
Shiva Kumar Srinivasan has a PhD in English Literature and Psychoanalysis from the University of Wales at Cardiff.
These clinical notes describe the differences between the 'desire of the subject' and the 'desire of the symbolic Other' in Lacanian psychoanalysis by inverting the conventional subject-object distinction within a theory of the subject.
The theoretical goal here is to identify the forms of libidinal excess that are generated in the act of speech in analysis; and then relate this excess to a theory of stability.
Such an exercise should be of interest to central bankers like Mark Carney of the Bank of England who must not only work out a theory of stability; but must also ponder on the ontological differences between stability at the levels of the individual, the institution, and the macro-economy as a whole.
These ontological differences matter, I argue, lest central bankers forget the importance of the 'fallacy of composition' in economic theory. This fallacy cautions us to avoid the conflation of micro-economic phenomena with macro-economic aggregates while doing economic theory.
These notes also draw a compelling analogy between the forms of libidinal regulation that characterizes clinical interventions in Lacanian psychoanalysis with the role played by counter-cyclical policies in monetary theory and practice in the attempt to regulate interest rates by central bankers.
The burden of the argument here is to show that while the stabilization of systemically important stakeholders in necessary, it is not sufficient. What is required are regulatory mechanisms that will serve a protective function (even if stakeholders act out their conflicts in the symbolic) like circuit breakers that regulate trading in stock exchanges.
These notes conclude by describing psychic mechanisms like 'alienation, separation, and traversing the phantasy' that constitute not only the Lacanian theory of the subject, but also the clinical trajectory that represents the end of analysis.
These notes should be useful not only to clinicians but also to those interested in formulating a theory of stability that is informed by the ideological concerns and clinical themes of Lacanian psychoanalysis.
Needless to say, these notes on the need for a psychoanalytic approach to stability are dedicated - for what they are worth - to Gov. Mark Carney of the Bank of England.
Shiva Kumar Srinivasan has a Ph.D. in English Literature and Psychoanalysis from the University of Wales at Cardiff.
These clinical notes summarize the main points raised by the Lacanian analyst Robert Samuels on the question of analytic technique.
These clinical notes should make it possible for both beginners and clinicians to relate Freudian concepts with Lacanian terms like the real, the imaginary, and the symbolic more effectively.
Shiva Kumar Srinivasan has a Ph.D. in English Literature and Psychoanalysis from the University of Wales at Cardiff.
This review sets out the importance of a special issue of Umbr(a) #1, 1998, on 'Identity and Identification' from the Center for Psychoanalysis and Culture at SUNY, Buffalo for students of law, management, and business.
It explains how a Lacanian theory of the subject can make it possible to manage in a 'psychoanalytically informed manner' by making a case for incorporating the insights of Lacanian psychoanalysis in the mainstream professions.
Shiva Kumar Srinivasan has a Ph.D. in English Literature and Psychoanalysis from the University of Wales at Cardiff.
This review essay on Sigmund Freud's 'Group Psychology and the Analysis of the Ego' describes how an understanding of psychoanalysis can further the reader's ability to situate and intervene in the context of group dynamics.
It lists the differences between individual and group psychology before describing the dangers of crowds and the contagion effect before setting out the structure and forms of identification between members in groups.
The main argument in the essay is that groups should guard against regression to more primitive forms of organizational life that Freud characterized as crowds and herds that are subject to the contagion effect.
In instances of such regression, groups will be able to repair themselves more effectively if they are psychoanalytically informed.
That is why this review essay on Freudian psychoanalysis is aimed at not only analysts but to an audience of bankers, economists, and social scientists.
Shiva Kumar Srinivasan has a Ph.D. in English Literature and Psychoanalysis from the University of Wales at Cardiff (1996).
This book review explores the relationship between psychoanalysis and history.
It makes a case for why historians should be interested in psychoanalysis; and explains why the quest for freedom as an existential or historical state is mediated by negation in the Freudian theory of subjectivity.
This review should be of interest to historians, psychoanalysts, and students of the human sciences.
Shiva Kumar Srinivasan has a Ph.D. in English Literature and Psychoanalysis from the University of Wales at Cardiff.
This book review describes the theoretical challenges involved in incorporating the Lacanian model of the subject within mainstream American ego psychology (given the huge amount of philosophical knowledge that Lacan assumes in his readers).
It will be of use to clinicians, literary critics, and philosophers who want to engage with Lacanian theory and practice.
This paper analyzes what Sigmund Freud was trying to do both as an an analyst and as a writer in his autobiography of 1925. It describes Freud's compositional ratio, fantasies in writing about psychoanalysis, early life, the Freudian clinic, the Freudian subject, and concludes that reading Freud is still the best way to learn psychoanalysis.
Shiva Kumar Srinivasan has a Ph.D. in literature and psychoanalysis from the University of Wales at Cardiff, UK (1996).
Shiva Kumar Srinivasan has a Ph.D. in English Literature and Psychoanalysis from the University of Wales, Cardiff (1996).
His thesis was titled 'Oedipus Redux: D.H. Lawrence in the Freudian Field.'
These clinical notes should be of use to both theorists and practitioners of psychoanalysis in the tradition of Sigmund Freud and Jacques Lacan.
Shiva Kumar Srinivasan has a Ph.D. from the University of Wales at Cardiff in English Literature and Lacanian Psychoanalysis (1996). His Ph.D. thesis was titled ‘Oedipus Redux: D. H. Lawrence in the Freudian Field.’
This series of 'clinical study notes' summarize the main points raised in important psychoanalytic texts.
They should be of use to students, theorists, and lay practitioners of psychoanalysis who are preparing to read or re-read the psychoanalytic literature associated mainly (though not only) with the theories of Sigmund Freud and Jacques Lacan.
These clinical notes describe the main points raised by Jacques-Alain Miller of the University of Paris VIII in the first Paris/Chicago psychoanalytic workshop on the analytic cure on July 25, 1986.
Miller starts by addressing common misconceptions about Lacanian theory and practice before explaining the structure, the techniques, and the forms of interpretation that constitute the analytic clinic.
Miller concludes by explaining why the definition of the analytic cure is not reducible to the biological model of adaptation or the invocation of borderline categories. The most important challenge of psychoanalysis will always be to explain hysteria.
Shiva Kumar Srinivasan has a Ph.D. from the University of Wales at Cardiff in English Literature and Lacanian Psychoanalysis (1996). His Ph.D. thesis was titled ‘Oedipus Redux: D. H. Lawrence in the Freudian Field.’ These clinical study notes summarize the main points raised in important psychoanalytic texts. They should be of use to students, theorists, and lay practitioners of psychoanalysis who are preparing to read or re-read the psychoanalytic literature associated mainly (though not only) with the theories of Sigmund Freud and Jacques Lacan.
These clinical notes summarize the main arguments in Jacques-Alain Miller's Paris-New York Workshop of 1988 titled 'A and a in Clinical Structures.'
Shiva Kumar Srinivasan has a Ph.D. from the University of Wales at Cardiff in English Literature and Lacanian Psychoanalysis (1996). His Ph.D. thesis was titled ‘Oedipus Redux: D. H. Lawrence in the Freudian Field.’ These clinical study notes summarize the main points raised in important psychoanalytic texts. They should be of use to students, theorists, and lay practitioners of psychoanalysis who are preparing to read or re-read the psychoanalytic literature associated mainly (though not only) with the theories of Sigmund Freud and Jacques Lacan.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
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Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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1. 1
CLINICAL NOTES SERIES (September 2016)
DONALD WINNICOTT ON PLAYING
Donald W. Winnicott (1971). ‘Playing: A Theoretical Statement,’ Playing and Reality
(London: Routledge Classics, 2005), pp. 51-70.
INTRODUCTION
Donald W. Winnicott was a paediatrician by training before he became a
psychoanalyst. Like most analysts who specialized in the analysis of children, he
knew the importance of playing in not only the everyday lives of children, but as a
tool of interpretation in the analytic clinic. So it is not difficult to appreciate the fact
that he identified the ability to play as an important criterion of mental health in
both children and adults. Winnicott however accorded much more importance to the
act of playing in children since there was no other way of accessing their
unconscious. The importance of play and playing was probably the only area in
which there was consensus amongst the analysts of different schools who took on
the onerous responsibility of developing the theory and practice of the analysis of
children at the British Society for Psychoanalysis in London during the war years. A
good point of entry into these theories would be to delineate what exactly they
meant by the terms ‘play’ and ‘playing.’ Since a comparative analysis of play in the
theories of Anna Freud, Melanie Klein, and Donald Winnicott would be beyond the
scope of these clinical notes, I focus here mainly on Winnicott’s theoretical statement
on playing and leave the rest for another occasion. These notes should give both
theorists and clinical practitioners a feel for what Winnicott’s notion of play is and
why it is an important indicator of mental health or the lack thereof in young
children. For Winnicott, when a child is able to resume the habit of playing – which
might have been interrupted by distressing or traumatic circumstances – the analysis
will make rapid progress or even attain some measure of closure. These notes
summarize the main points raised by Winnicott in his theoretical statement on
2. 2
playing, though this is not the only paper that Winnicott wrote on this theme.
Subsequent chapters of the book from which I excerpt this statement go deeper into
his theory of play albeit in the context of the true self and creativity. It is important to
remember that Winnicott’s preoccupation with transitional objects and transitional
phenomena will not be readily comprehensible if we do not learn to appreciate the
theory of play that serves as its theoretical background. That is because children
mainly use toys to play and use them as transitional objects. It is however important
to remember that it is not the toy or the teddy that really matters. What really
matters is the use of the object rather than the object chosen per se. How exactly a child
goes about using a transitional object is an indication of the level of creativity with
which he is able to master the periodic absence of his mother. It would not be a
stretch to say that it was actually Sigmund Freud who discovered the transitional
object when he saw his grandson playing the ‘fort-da’ game with a spool of thread
that he would throw away and then pick up repeatedly. Freud like Winnicott must
have realized that what mattered was not the spool, but that it symbolized the
opposition between the presence of the mother and the absence of the mother. What
Winnicott does then is to think through the implications of such moments in the
Freudian text albeit in the context of an empirical rather than a textual or dialectical
approach to psychoanalysis.
PLAY AND PLAYING
What does Winnicott mean then by play and playing? How do these notions affect
the space of the clinic? Winnicott points out at the very beginning of his paper that
the space of psychotherapy includes that of the patient and the analyst. The
communication between the analyst and the patient is compared to ‘two people
playing together.’ The therapeutic imperative then, for Winnicott, is to make it
possible for the patient to play if he is being held back by inhibitions. In other words,
if the patient is able to play at the outset; then, it becomes a tool of interpretation. If
the patient is not able to play at the beginning of the treatment; then, getting him to
play becomes the aim of the therapy. Winnicott begins by citing the pre-existing
literature which recognizes an analogy between concentration in adults and the
feeling of absorption in play in young children. Winnicott however differentiates
between the terms ‘play’ and ‘playing’ in both the analysis of children and adults.
So, for instance, in the analysis of adults, the act of free-association can take on a
playful aspect; this could relate to the actual words used; inflections in speech; and
in the deployment of humour. Winnicott’s description of playing is related to his
theory of transitional objects and transitional phenomena. His fond hope is that the
analytic community will not only be able to make a connection between these
theories, but accord the same importance to his account of ‘playing’ as they
previously did to his work ‘on transitional objects and transitional phenomena.’
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Winnicott then goes on to describe the modalities of playing in terms of space and
time. The space of play for him is neither inside nor outside in the conventional
sense of the term. What Winnicott has in mind is a space in between the baby and the
mother. This is the space that will re-emerge in between the patient and the analyst in
the clinic in the context of mutual playing.
PLAYING AS A CULTURAL UNIVERSAL
Winnicott pitches strongly for his theory of the transitional object and the process of
playing as cultural universals because they represent how the baby relates to his
mother. Whether a baby will grow up to be healthy will depend on how successful
he is in the attempt to relate to his mother at this phase of development. Winnicott
illustrates the phenomena that he has in mind with the help of case vignettes. So, for
instance, in the case of a two and a half year old boy named Edmund the specific
difficulty is that he will play only with his mother and not accept any substitutes
including his grandmother. This specificity in object choice later becomes a character
trait. It began as difficulties in weaning since he refused to be fed by a bottle.
Winnicott worked out Edmund’s patterns of attachment and detachment to his
mother by observing how exactly he would play with the toys in the clinic in the
presence of his mother. In the case of five year girl named Diana, the teddies in the
clinic gave Winnicott an opportunity to observe how she worked-through her
mother’s pregnancy and prepared to look after her younger brother. In both these
instances what is involved, argues Winnicott, are not the child’s instincts, but the
opportunity to relate meaningfully to the presence of the mother. What is at stake in
the child’s development is not only the ability to handle the transitional object, but
also the capacity to be alone (albeit in the presence of the mother).
SURPRISED BY PLAYING
For Winnicott, playing is both a ‘creative experience’ and ‘a basic form of living.’
Playing is however a ‘precarious’ construct that is neither fully subjective nor open
to an objective description by the analyst. Another important implication of play
therapy is that it is not dependent on ‘clever interpretations’ on the part of the
analyst. The efficacy of play therapy depends on whether or not the patient is able to
‘surprise himself’ in the act of playing. While these points are made specifically in
the context of the analysis of children they have important implications for a theory
of analysis as well. This is because Winnicott is committed to the proposition that a
clinical interpretation can avoid the dangers of ‘compliance, indoctrination, and
resistance’ only if it is within ‘the ripeness of material’ produced in the clinic. The
importance of this clinical insight cannot be over-emphasized since it summarizes in
a single sentence why many analyses cannot be completed or why they invariably
fail. The analytic interpretation will be therapeutic only at the point at which the child
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has developed the capacity to play. Furthermore, in addition to a sense of mutuality
between the analyst and the patient there must be spontaneity in the act of playing. In
the absence of these pre-conditions, the analyst will not be able to intervene in a
child’s unconscious. This is Winnicott’s version of the Freudian distinction between
‘what the patient knows’ and ‘what the analyst knows.’ It is the point at which the
patient is ‘surprised’ by what he (unconsciously) knows without (consciously)
knowing that he knew it, that he is deemed to be cured.
CONCLUSION
To conclude, Winnicott’s theory of playing begins with the child’s ‘preoccupation’
which is comparable to ‘concentration’ in adults. The term preoccupation is also
used in Winnicott’s theory in the context of the ‘primary maternal preoccupation’
which is the state of mind in which an expecting mother prepares to give birth. The
locus of play is neither inside nor outside. It is a shared space in between mother and
child.
Transitional objects in the external world are used to work-through the child’s inner
states; they are therefore imbued with the sense of dreams. The trajectory of
development comprises ‘transitional phenomena, playing, shared playing,’ and then
on to ‘cultural experiences.’ This trajectory depends on whether there is adequate
trust between the mother and the child. The child’s ability to play depends on the
state of his body and on whether he can handle the bodily excitement that accrues
from play. If there is an increase in excitement, the child will not be able to play. In
addition to excitement, there is the possibility of the child experiencing anxiety
during play. Success in playing therefore depends on developing the ability to
contain experiences that are the main sources of bodily excitement and anxiety. There is
necessarily something ‘precarious’ in play since it combines the subjective
experience of play with the objective reality of playing. Likewise, Winnicott’s clinical
work is characterised by the relationship between a theory of playing and the play of
theory in the analysis of children.
SHIVA KUMAR SRINIVASAN