OSCAR NOMINATIONS for BEST PICTURE: Argo

Argo received seven Oscar nominations. In addition to Best pic, for which it won the Golden Globe, is Best editing,  and Best supporting actor in Alan Arkin as film producer Lester Siegel.  [Ben Affleck won the Golden Globe for Best Director, not nominated for an Oscar, and stars in the film as Antonio Mendez, CIA extractor]. Lincoln was nominated for twelve, Life of Pi, eleven.  A big fan of Anne Hathaway, but not musicals, I did not see Les Mis, and, living in the hinterlands, I did not yet get the opportunity to see Amour, but this year Argo is my favorite nominated movie among many really good films.. Like Zero Dark Thirty and Lincoln it depicts a story based on actual events (so the ending, as it was in Titanic, is known) but due to exquisite editing (William Goldenberg deserves the Oscar) and playing a bit fast and loose with some facts (exciting screenplay by Chris Terrio), Argo is surprisingly suspenseful ( much more, to me, than Zero Dark Thirty), unexpectedly humorous (thanks to Arkin and John Goodman as make-up artist John Chambers) and more engrossing than the other two, true stories.

The daring plot to rescue six Americans who escaped the overtaking of the US Embassy in Iran on November 4, 1979, where 52 hostages were held for 444 days until their release was successfully negotiated by Jimmy Carter without loss of life, is thrilling, and unbelievable. Only in Hollywood could such a plot to pretend to make a movie (Argo) succeed in extracting from a hostile land six Americans hiding out in the Canadian ambassador’s residence. Except it did. The “Canadian caper” remained classified for 18 years. These six foreign service workers  were skeptical about Mendez’s escape plan, till one recognizes that Mendez has put his own life on the line as well.

Argo has everything we could desire in entertainment: suspense, valor, triumph, humor, and, if we forget the USA’s involvement in the coup d’etat that usurped authority from the Parliamentarily elected Iranian Prime Minister and gave it to the Shah for its own gain, we are proud to be Americans on the day Cora and Mark Lijek, Kathy and Joe Stafford, Lee Schatz, and Robert Anders made it home.

I found this film moving, but I was most moved by the final scene in which Mendez, one of the true heroes of this true story -- who is separated from his wife at the time of the Canadian caper-- reads a goodnight story to his son in bed, and the camera alights on the shelf where sits the story board Mendez kept for his son from the script Argo which would never be made. The story board of the fake film depicts the hero, in a space age hover craft escaping across the desert with a small boy beneath his arm.

OSCAR NOMINATIONS for BEST PICTURE: Beasts of the Southern Wild

Directed by Benh Zeitlin, Beasts of the Southern Wild won the Camera d'Or at the 2012 Cannes Film Festival, and the Grand Jury Prize at the 2012 Sundance Film Festival, among other awards. It is a remarkable culture captured by a young filmmaker on a remarkable budget.This sometimes grainy, sometimes sepia tinged film about the people who live in the area of the Mississippi delta called “the Bathtub” is difficult to watch, but I could not look away. To see five year old Hushpuppy (Quvenzhane Wallis, youngest ever nominated for Best Actress) be so neglected is heart breaking. We see crumbling glaciers as Miss Bathsheba teaches about the melting ice caps, much as we see Hushpuppy’s world crumbling. The glaciers unleash imaginary, giant boars called Aurochs into Hushpuppy’s world, and she stands them down. This, I suppose, is to indicate to the audience that she can triumph over the real life adversities that face her: the abandonment by her mother at a much younger age, the illness (cirrhosis?) that is ravaging her father Wink (Dwight Henry), and the ongoing neglect and intermittent continued abandonment that her father inadvertently repeats. That she survives the hunger and filth of her makeshift home, much less survives Hurricane Katrina, is unimaginable to this middle class, white woman who put baby proof hinges on all the kitchen and bathroom cabinets.

No matter how inadequate the caregiver, a child attaches to the one on whom it is dependent for survival. If a caregiver is reliably responsive with care and comfort, the child feels a safe haven from which to explore the world, and can turn back to that caregiver when hurt, frightened, or lonesome. When a child turns to a caregiver who is rejecting or dismissive, the child learns to avoid turning to the caregiver, and instead, learns to soothe itself by focusing on some more reliable thing, such as Hushpuppy found in the red sports jersey her biological mother purportedly wore.

Hushpuppy may have been able to befriend the Aurochs, but I imagine that the demons inside herself, not the least of which might be a belief that she drove away her mother and that she killed her father, will be much harder to face. Children like Hushpuppy need not only food and shelter and safety from the storm that rages outside, but require also sufficiently skilled mental health services if they are to stand down the wild beasts within.  

OSCAR NOMINATIONS for BEST PICTURE: Zero Dark Thirty

Zero Dark Thirty is a necessary film, and a rare one because it portrays a female protagonist that is not in a romcom. Like Lincoln and Argo, it is based on a true story, and while keeping to real events and to firsthand accounts of the May 1-2 raid [zero dark thirty is military speak for half past midnight] and killing of bin Laden, there has been some controversy—as if Zero Dark Thirty were supposed to be a documentary, or as if it glorifies torture -- about director Kathryn Bigelow’s choice to open the film with scenes of “enhanced interrogation.”  While no torture by the CIA yielded info about bin Laden’s whereabouts, director Kathryn Bigelow thought it important to include it as part of the fabric of the ‘war on terror,’ a war which included torture by both the CIA and the military, the latter which may have yielded  info from detainees in Guantanamo.  As if we needed reminding why the U.S.A. so relentlessly pursued bin Laden, scenes are preceded by a dark screen where we hear the voices of phone calls from the World Trade Center and hijacked planes of 9/11.

Much like Lincoln, Zero Dark Thirty is a long and plodding, explicative film for which the outcome is already known. One might have to enjoy history to love either film. Unlike Argo, which rearranged facts to be more cinemagraphically appealing, there were few moments of tension or suspense for me in Zero Dark Thirty. [Even in Django Unchained, foretold of the legend of Broomhilda rescued by Siegfried, the tension is not ‘Will she be rescued?’ but rather by how much injury and to whom.]  I love film, yet find that sometimes a picture is not worth a thousand words. Never was this more true for me then after reading in the New Yorker (August 8, 2011, Getting Bin Laden by Nicholas Schmidle, Reporter at Large) the account of the raid on bin Laden’s Abbottabad compound. There Schmidle apprises us of the rush to the third floor of the compound in which the first SEAL to arrive on the third floor, seeing two women shielding bin Laden, throws his own body over these two wives-- lest they are wired with bombs-- so as to minimize the potential damage, protecting the SEALS coming behind him. I found this account in the New Yorker very moving. But Zero Dark Thirty is not a film about the raid, its climax, nor about the Seals who kill him once found. Instead, it is about one CIA agent’s (Jessica Chastain’s Maya) dogged mission to find bin Laden.

I applaud Bigelow-- one of the rarely acclaimed female, great filmmakers, and a great filmmaker of any gender—who paired up again with writer Mark Boal (also together on The Hurt Locker, Best pic, Best director, 2010).  Unlike the Hurt Locker, this film builds little character. [We get to see James Gandolfini (the Sopranos) cast as Leon Panetta, then CIA Director.] I also am proud of the CIA agent, a heretofore unsung hero, who used intelligence and determination to have her theory triumph in a man’s world.  Perhaps this dedication to single mindedness leaves no room for expansive character portrayal. Perhaps Zero Dark Thirty had to tediously plod along as it did so that the audience might get a taste for how  the seemingly interminable decade long hunt, the grueling beurocratic slog, might have sometimes felt to the team of CIA agents dedicated to this task. We don’t get discouraged; but they could not have been certain of the outcome.

Almost ten years and billions of dollars later, Maya leaves Pakistan, alone, on a cargo plane, mission accomplished, and is asked “Where do you want to go [from here]?”  Are her tears of exhaustion, loss, or relief?

OSCAR NOMINATIONS for BEST PICTURE: Life of Pi

Life of Pi, based on the same-titled 2001 novel (Booker Prize for Fiction in 2002) by Yann Martel, screenplay by David Magee (nominated for best adapted screenplay) is a lush and fanciful tale of a spiritual journal of survival. It is nominated for eleven academy awards, including Best Picture and Best Director (Ang Lee, Broke Back Mountain). Piscine Molitor Patel “Pi” (Suraj Sharma) is a young man whose fight to survive after having lost everything, including his parents and brother, is a kind of love story about the love of life, his own life, as exemplified in Richard Parker, the tiger with whom he is stranded on a life boat in the middle of the ocean.  

Pi’s family departs its homeland of India --accompanied by their formerly owned zoo’s animals—on a ship bound for North America where they will sell the beasts and start a new life.  When their ship goes down in a storm, only a few make it to the life boat. In addition to Pi and the Bengal tiger Richard Parker, there are the mama orangutan, a broken legged zebra, and a ravenous hyena. Each perishes until only Pi and Richard Parker remain. The hyena eats the zebra and orangutan; the tiger eats the hyena. To avoid becoming its next meal, Pi must catch enough fish and fresh water for the both of them. As the two move toward a mutual understanding, Pi, all the while evading the jaws of the tiger, discovers that caring for Richard Parker becomes Pi’s reason to live, just as Martel says the writing of this novel became the direction and purpose for his life.

Perhaps in some other year I would have voted it the best film of the year, but not this year with so many excellent films. Still certainly I found Life of Pi the most beautiful, and think that cinematographer Claudio Miranda deserves the Oscar. Any adjective of praise (magical, beautiful, miraculous, gorgeous) all apply here. Ocean becomes sky, sky, ocean, both firmament for glowing stars and phosphorous, fish and clouds, as the universe is gloriously united as one whole, a whole which includes Pi, and which he treats with reverence.  

To dedicate one’s life to some purpose, or to belong to some greater whole than oneself, confers meaning to life where all, for each of us, is eventually lost. Disappointment, tragedy, death come to us all. In the interim, we strive for connection and meaning making, sometimes rewriting the facts to make bearable the tale. It turns out that Pi’s story may have been reworked, that the hyena is the ship’s cruel and culturally insensitive cook, who kills the zebra sailor and the orangutan, Pi’s mother, and eats them both and uses them for bait. That leaves Pi as the tiger, looking to find reason to save himself amidst his enormous survival guilt.  

OSCAR NOMINATIONS for BEST PICTURE: Django Unchained

Django Unchained is a fun movie Quentin Tarantino style,-- that is, with excessive blood and violence—treating irreverently, as he did in Inglorious Basterds, a serious subject, this time, slavery. I haven’t seen this much blood, comedic, since Kill Bill anime scenes.  Only Tarantino can make me smile at his copious use of it.  On NPR’s Fresh Air, Tarantino tells Terry Gross that there are two kinds of violence in Django Unchained: “There's the brutal reality that slaves lived under for ... 245 years, and then there's the violence of Django's retribution. And that's movie violence, and that's fun…” The villains are so heinous that their exsanguination is almost sanguine. [Still, I saw, in horror, a ten year old in the theatre with his parents; Also I can see why its release was delayed after the Sandy Hook Elementary School massacre in Newton, CT.]

Christoph Waltz (Inglorious Basterds, and Saturday Night Live, Feb 16th), nominated for Best Supporting Actor for his portrayal of the German bounty hunter Dr. King Shultz, has impeccable timing and delivery, surprising us again and again. But the greatest cognitive dissonance for me was seeing the distinguished, inimitable Samuel L. Jackson playing at an Uncle Tom. It is such an unexpected casting as to be laugh out loud funny. The love dance of words and expression between him and Leonardo di Caprio in their first scene together is exaltingly funny. Were it not for Schultz’s exquisitely timed and gentlemanly offered cheekish lines, it would be Jackson who steals the show. Just as in Silver Lining Playbook, humor here is fueled by disbelief about what the characters do next. Tarantino directs the exaggerated facial expressions as if a silent film (as in the disbelief on black and white faces alike to see a free black man in the pre-Civil War south enjoying the privileges of a white man).

I found Django Unchained one of the funniest of the Tarantino films, a spaghetti western, a bloody Blazing Saddles, with the sweetness of Silverado, dealing humorously, much like Silver Lining Playbook, with a very unfunny subject.  America’s history of slavery is almost absent from the psychoanalytic literature, despite its vast lexicon of trauma and trauma’s intergenerational transmission. Tarantino brings slavery dead center to the discourse. His trade mark, over the top bloody exhibition of human suffering raises to the level of absurdity, allowing the unspoken, much like Bion’s alpha functioning does, to enter the conversation.

Benjamin writes of the difficulty in maintaining the tension necessary to see the other as a subject like ourselves (subject-subject interaction) and the inevitability of continually falling to a subject-object relating. Racism obliterates the subjectivity of the Other and, in so doing, diminishes the self as well. Slavery’s absence from the psychoanalytic dialogue, as if hidden from awareness, creates a void in meaning and intimates our own sense of shame.  Tarantino unabashedly brings slavery center stage and nudges me out of my comfort zone, holding my hand as I laugh irreverently, and for this I applaud him.

OSCAR NOMINATIONS for BEST PICTURE: Silver Lining Playbook

Called a dramedy, or a quirky romcom,  Silver Lining Playbook  (nominated for Best Picture; Best Director (David O. Russell, The Fighter); Best Actor (Bradley Cooper, The Hangover); Best Actress (Jennifer Lawrence, The Hunger Games); Best Supporting Actor (Robert De Niro); Best Supporting Actress (Jacki Weaver, Animal Kingdom) is based on a book of the same name by Matthew Quick, and it is very, very funny-- in a hmmm, more than ha ha, kind of way. Still, I laughed out loud, not the least when Patrizio Solitano, Jr’s (Bradley Cooper) psychiatrist Dr. Patel (Anupam Kher) tells him he needs “a strategy,” as if that, in and of itself, would help this man’s terribly chaotic life. (As a psychiatrist and psychoanalyst I have a bias for exploratory therapy and for relationship. Sure, discipline and will are components of success, but so is good enough parenting.) Pat needed not only advice and medication, but psychotherapy. (My psychiatrist- psychoanalyst friend with whom I saw the film also roared here with laughter. We both know that patients who seek mental  health treatment for advice don’t need advice as much as they need to figure out why they can’t take the advice they have already been given.)

But Dr. Patel’s advice turns out to be the heart of Silver Lining Playbook, the playbook (in sports’ circles) being the strategy.  Who’da thunk the strategy would be preparing for a dance competition and falling in love. What I like about this film is that the strategy, to survive this crazy curve ball life throws us, is that it takes a village, a team, family and friends, pulling for you, rooting for you, and strategizing, then, implementing with you, a plan. 

I was especially taken with Jacki Weaver’s performance as Dolores Solitano, the perpetually worried-looking mother. Perhaps having a son who has bipolar disorder who was recently hospitalized for a violent loss of temper would make any mother walk on eggshells (as would the unpredictable violence of any loved one).  I wondered to myself if Dolores herself had not always been anxious, from childhood unpredictability of her own, and how this anxiety might be communicated, day in and day out, to her sons from their infancy via affect mirroring (where infants, in imitating the facial expressions of their mothers, signal their brains to feel what the facial musculature indicates) or via a disorganized attachment of her own.  Small children, too, need a strategy for coping with stress, and in the absence of a strategy -- because the parent as a safe haven is also the stressor, children do not know whether to approach for comfort or flee/freeze in alarm—a child becomes disorganized and disoriented, including moments of dissociation from the double bind. (Cooper, for example, in his confusion, pursues the very wife who betrayed him.)

There are many theories about the etiology of bipolar disorder, including the genetic. But should we muse psychoanalytic, I think Pat, perhaps having learned sadness and anxiousness from his mother’s style, coped with these unpleasant affects by their very opposite, manic grandiosity. (In my experience, bipolar adults have usually been the designated ‘savior’ of their distressed family, with grand expectations thrust upon their shoulders.This was not the case in the Solitano family, where the older brother was preferred, by the father, to be the achiever.) Bipolar Disorder or not, I wonder if Pat did not suffer with affective dysregulation. No matter.  His taking his medications relieved his parents’ anxieties about him. Some in the mental health profession have accused Silver Lining Playbook of spouting love, in lieu of medications, as treatment of mental illness. Bipolar disorder definitely requires medication, but affect dysregulation (sometimes treated with meds until self regulation, through long term intensive psychotherapy dealing with attachment, relationship and improving a sense of self, is achieved) may find sufficiently reliable, accepting, soothing, and negotiated love lends itself to self regulation (I recall Tender Mercies). Besides, people, even with, maybe especially with, psychiatric illness do better with love.

Cooper is redeemed not only by chance, I mean dance, but by the love and support of family and friends. As ill-conceived as the help of his parents may be, their love and concern, dawning much like it does on the adult emerging fresh from adolescence, eventually shines through. Jacki Weaver is brilliant as the worried mother who indefatigably walks on eggshells trying not to set her son off into a manic episode. Jennifer Lawrence is as talented here as everywhere I’ve seen her, meeting, out of a desire for connectedness, Cooper’s craziness where she finds it. In this regard, she may have been the better therapist.   

Like Django Unchained, Silver Lining Playbook, riffing on an unfunny subject (here, mental illness),  is a black comedy of sorts, and most of the humor is fueled by disbelief about what the characters do next.

Aron's Third and developing mentalization

The Gergely and Watson (1-17-13 post) paper on affect-mirroring leading to infant brain development, as well as a sense of self and intersubjectivity and mentalization, brought to mind Lew Aron’s paper  (2006) Analytic Impasse and the Third: Clinical implications of intersubjectivity theory. Int. J. Psycho-Anal., 87:349-368,  in which Aron demonstrates that three people are not necessary to create a triangle, that is, triangulation can take place within a dyad. He expands the idea of a child’s use, even before the oedipal period, of a third vertex of a triangle when a caregiver, capable of self reflection, advances intersubjectivity. It is the dialogue within her that creates the third vertex.  Utilizing Benjamin’s ideas of the third-in-the-one and the one-in-the-third, Aron elaborates how the third can be used for differentiation as well as for connectedness, respectively.  When mirroring their infants’ affect, mothers never match perfectly, and thereby signal to the infant that her mirroring is “her version of his response.”  The infant utilizes this signal which helps both to differentiate her from him, and also to anchor his own sense of self/self state.

Likewise, the therapist can, being of two minds, by her disclosure of her dilemma (e.g. the wish to rescue and the wish not to impinge or infantilize), open a transitional, triangular space in which patient and therapist might collaborate. Aron finds this particularly useful when an impasse has arisen. The analyst grapples with a dilemma in a way that opens up a third, transitional space where increased negotiation can occur. [One can imagine a myriad of vertices of ever enlarging geometric shapes.] The therapist finds ways to facilitate thirdness,  “a process of identification of the patient’s position without losing her own perspective…”  The possibility of collaboration, as well as the disclosure of the workings of the analyst’s mind, facilitate mentalization in a patient.  Aron notes that others, too, see the third as “an emergent property of dyadic interaction” as well as “a dyadic achievement that creates the psychic space necessary for reflexive awareness and mentalization (Gerson, 2004)…” Keeping two ideas in mind create a third point of view. Even interpretation, then, becomes a mutual endeavor.

Affect Mirroring Builds Baby's Brain

At TBIPS, we are blessed with a community of clinicians whose families are ever growing. Yesterday, one of our candidate’s first born (left) turned one year old. Additionally, one of our instructors, Ray Roitman, pictured  with his new grandson (below), recently became a grandfather.

Also yesterday, the second year class, in its Developmental Issues: Narcissism and Development of Shame Throughout the Life Cycle course, discussed a paper that I thought fortuitously coincident with our expanding village: Gergely and Watson’s (1996) The Social biofeedback theory of parental affect-mirroring: the development of self-awareness and self-control in infancy. IJPsa., 77:1181-1212.

In it, Gergely and Watson speak to the developing brain-mind of the infant, including sense of self and intersubjectivity aided by mentalizing, and to the caregiver’s role in facilitating this development. When an infant, for example, imitates facial expression and/or the tone and prosody of the caregiver’s voice, the parts of the infant’s brain commensurate with the affect associated with this facial musculature and voice are stimulated. The caregiver’s affect then, signaled by face and voice, stimulate the infant’s commensurate feeling. The caregiver’s brain is building the networks of the baby’s brain! Perceptions (sound, sight, proprioception, etc) build representations in the brain; behavior is mapped as representations in the brain.

This imitation by the infant becomes the first building blocks of sense of self, as well as of empathy and mentalization (knowing the contents of one’s mind and of another’s). When the caregiver feels happiness/joy/pleasure upon holding in her/his arms a responsive infant, the happiness of the caretaker is evident in facial expression and voice. The imitation of these by the infant stimulates a similar area for registering emotion in the infant’s brain.  The infant, too, feels this happiness/joy, such that the infant and caregiver are now on the same wave link, a meeting of minds, sharing a like experience where each ‘knows’ what the other feels.  This procedurally stimulated joy lays the ground work for, first, the felt worthwhile self and, later, the symbolized thoughts such as ‘I am worthwhile and loveable.’  Repeated experience encodes the brain to ‘know’ self and self with others. Likewise, the caregiver’s disdain, contempt, anxiety, and depression can be transmitted intergenerationally.

Matching and mirroring from the caregiver of the infant’s emotional state is always imperfect, ideally introducing an otherness sufficiently familiar for the infant to feel understood and of like minds, but sufficiently different to allow the inchoate thirdness of intersubjectivity as well as to, when necessary, function to soothe, contain, mitigate and modify the infant’s disorganizing emotional states so that regulation occurs. (The experience of regulation first supplied by the caregiver eventually is encoded sufficiently in the brain to provide for self regulation.) Meanwhile, mutual regulation is taking place when infant and caregiver respond rhythmically riffing off each others’ emotional states. The pleasure in this toddler’s face and the hope of this grandfather is constitutive of the experience of mutual regulation.

Book Review: Emotional Orphans by Cate Shepherd

The holidays always mean for me a few extra moments to read for pleasure. One book which I considered a treat is Cate Shepherd’s Emotional Orphans, Healing Our ThrowAway Children. Though Emotional Orphans reads like fiction—it is a fictionalized account of Shepherd’s journey as a contemporary psychoanalytic therapist, and of the stories of treatment with some of her most courageous, loveable, sometimes infuriating, adolescent patients-- its truth is evident to therapists who dedicate themselves to their patients. The reader will come to admire and even love, as Shepherd did, these obstreperous adolescents. Like a beloved character in a novel or television series, I missed at each chapter’s end the kids she describes. I would even wait a day in order to savor what I had just read before beginning the next chapter, believing each time that the one I had just finished was my favorite.

Just as her child patients are fictionalized, so are her mentors, some of whom are given to speak the words found in the writings of Winnicott, Bacal, Beebee, Bowlby, Bromberg, Kohut, Shane, Lachmann, Bion, Brandchaft, Ogden,  Shengold, Solorow, Teicholtz and others. Everywhere are allusions to her breadth of her and her reading, without Shepherd ever devolving into jargon or an academic treatise.  Pearls of contemporary psychoanalysis abound, tucked in between compelling accounts of children struggling to be seen.  [She quotes Winnicott: “It is a joy to be hidden, a disaster to not be found.”(p.59)] Shepherd so seamlessly describes complex ideas that young psychotherapists will not have to struggle to grasp them.  In describing her patients:

Reverie              

Mario saw his true reflection in the eyes of people who cared about him (p.69)

Pathological accommodation

It’s a crazy-making role-reversal in which a child is used to serve the needs of the parent while sacrificing her own developmental needs. (p.72)

I was caught in the same dilemma as Angel, compromising my own truth to maintain necessary ties (p.177)

Attachment  

If they can attach to you, they can make use of you (p. 115)

Everything you’ve invested in these kids is theirs to keep (p.71)

Therapists are not interchangeable for the same reasons that mothers are not. (p.205)

 As a young child, Jesse never had a chance to form the kind of secure attachment that fosters the development of empathy and self-regulation. As a result, she could not regulate her emotions, and she felt little empathy for her caregivers. (p.22)

Dissociation (p.38):

“…because no one validates his experience.”  “…Dissociation shields him from unbearable pain, but it is also a way he accommodates to an environment in which there is no space for his pain to exist.” (p.176)

And when adolescents push our buttons, perhaps the hardest to hold onto:

Patients act aggressive because they feel vulnerable. (p99)

…outrageous behaviors as messages to be decoded rather than crimes to be punished. (p147)

As long as there is aggression, there is hope (p.81)

Pearls even in Sanford Shapiro’s Foreword:  “a teenager’s anger comes from an instinct of self-protection”

Trauma and dissociation:

Kids could survive horrible injuries, losses, and despair if they didn’t feel alone. (p.132)

needed outrageous behavior to preserve his soul. His father was a soul killer. (p.79) [Shengold; Miller]

“He experienced a disruption in his connection with you,” …”This left him feeling isolated and dysregulated.” …”The vandalism was a part of his attempt to right himself..” (p.170) …vandalism as organizing activity (p.175) The vandalism is not the symptom. The dissociation is the symptom. (p.176)

Note the unobtrusive symmetry of the two paragraphs [the therapist’s need for validation, the child’s need for validation. Lovely.]:

 When I saw similar pain in Jesse, I felt validated. If Jesse’s suffering was real, mine could also be real. If her circumstances could elicit empathy, maybe mine could too. ... (p.31) [Intersubjectivity (seeing the subjectivity of the analyst)]

Parents who scapegoat their children can induce a special kind of desperation. While other children find comfort and support, the scapegoated child is deprived of a clear mirror for her emotional experience. The absence of validation can produce more trauma than the injury itself.

On procedural learning:

Children learn what they live (p.113)

Self-disclosure:

I was honest with Angel. I answered his questions when I could, and guarded my privacy when I needed to. (p.182)

       

Procedural Learning

…when he pushed against my boundaries and watched me enforce them, he learned to construct boundaries of his own (p.182)         

Winnicott’s survival

… a therapist who does not abandon or retaliate, but remains available and responsive in all circumstances… (p187)

Our indestructibility is their only security. (p.39)

The importance of keeping out of the way of the patient’s agenda of healing; [though no mention of negotiating competing agendas]

…try to stay out of the way, and find out how he needs to use you (p.168)

Some I just plain liked:

Staying calm is half the battle. The other half is staying connected. (p.220)

Or a saying on needlepoint:

We are not here to see through one another, but to see one another through. (p.121)

While many of the similes did not excite me or were too well worn, the two times she described kids’  like “popcorn” made me smile with its familiarity. Sometimes her angry at the absurdity of agency workings sounded understandably embittered and Shepherd is honest about the stress and time-limited ability to withstand agency work. She advocates for the therapist’s own therapy, as well as avocations [hers in this tale is martial arts] that provide “a strong counterbalance to the stress of our work.” (p. 78). Emotional Orphans is a very readable and moving account of relationship with patients, and I recommend whole heartedly.

Spring 2013 Courses Offered at TBIPS

REGISTRATION FORM TBIPS COURSES

Spring Semester 2013                                      (Second and Fourth Year Courses)

TBIPS Second Year Courses        Spring Semester 2013 begins January 30, 2012

Relational Concepts and Implications for Treatment Part II

This course will explore the relational co-creation of the treatment situation, reviewing influences on relational ideas and technique from Object Relations, Interpersonal, Relational Intersubjectivity, Inter- subjectivity systems theory, and Self Psychology. We will discuss: mutuality, intersubjectivity, dissociation, disclosure, and other topics from a contemporary point of view as well as look at clinician contribution to the therapeutic matrix. (16 weeks) Meets Weds 330-445pm (Jan 30; Feb 6, 13, 20, 27; Mar 6, 13, 20, 27; Apr 3, 10, 17, 24; May 1, 8, 15, 2013)

Clinical Case Conference

This course is designed to support the clinician’s work and offers opportunity to integrate clinical material with psychoanalytic concepts, including ethics, and ways to deepen the psychoanalytic process, with a focus on the therapist’s self reflection, the clinical relationship, and ways to facilitate what is mutative for the patient. Attendees are encouraged to present case material. (16weeks) Meets Weds 500-615pm (Jan 30; Feb 6, 13, 20, 27; Mar 6, 13, 20, 27; Apr 3, 10, 17, 24; May 1, 8, 15, 2013)

Developmental Issues in the Analytic Setting:  Attachment

This course will examine the ways in which development informs our clinical work with adult patients. Life events and developmental transformations throughout the lifespan will be explored in terms of their relevance for adult treatment, with an emphasis on attachment styles’ effects on the clinical situation. (16 weeks) Meets Weds 630pm-745 (Jan 30; Feb 6, 13, 20, 27; Mar 6, 13, 20, 27; Apr 3, 10, 17, 24; May 1, 8, 15, 2013)

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TBIPS Registration Form  Second Year Courses                      Registration deadline Jan 12, 2013

Name______________________________________    

Discipline _____________________    Degree_____  State ____ License # _________

Address_____________________________________________

City__________________________________________ State____   Zip___

Phone____________________________        E-Mail_____________________________

Request Long Distance Learning (check one, if applicable):  ___phone     or     ___Skype 

                                                  Spring Semester 2013   Second Year Courses

___  Relational Concepts and Implications for Treatment Part 2  where is traum

        Meets 16 Wednesdays 330-445pm

         (Jan 26; Feb 2, 9, 16, 23; Mar 2, 9, 16, 23, 30; Apr 6, 20, 27, May 4, 11, 18, 2011)

         Fee: $250 for a single course; $200 if enrolled in full semester of 3 or more courses.

         Venue: 13919 Carrollwood Village Run, Tampa, FL 33618, Classroom A

        Registration deadline Jan 12, 2013

___ Clinical Case Conference

         500-615pm (Jan 30; Feb 6, 13, 20, 27; Mar 6, 13, 20, 27; Apr 3, 10, 17, 24; May 1, 8, 15, 2013)

         Fee: $250 for a single course; $200 if enrolled in full semester of 3 or more courses.

         Registration deadline Jan 12, 2013

         Venue: 13919 Carrollwood Village Run, Tampa, FL 33618, Classroom A

___   Developmental Issues in the Analytic Setting

          630-745pm (Jan 30; Feb 6, 13, 20, 27; Mar 6, 13, 20, 27; Apr 3, 10, 17, 24; May 1, 8, 15, 2013)

          Fee: $250 for a single course; $200 if enrolled in full semester of 3 or more courses.

          Registration deadline Jan 12, 2013

          Venue: 13919 Carrollwood Village Run, Tampa, FL 33618, Classroom A

  _____ Number courses taking Spring Semester 2013 x $250 (x $200 if 3 or more)

 $_____ Total amount Enclosed

Please Make Check Payable to: TBIPS, Inc.  Please mail completed registration forms and check to:

TBIPS, Inc.

13919 Carrollwood Village Run

Tampa, FL 33618

Refund Policy: 85% refunds available for cancellations received at least seven days prior to start of course.

TBIPS Fourth Year Courses                                    Spring Semester 2013 

Psychosoma II  

This course will continue to explore the interconnectedness between mind-body expression of psychological life from a contemporary perspective. Reading body communications as salient material for analysis and negotiating ways to bring these communications into the relational and narrative realm will be discussed. (16 weeks) Meets Weds 200-315pm (Jan 30; Feb 6, 13, 20, 27; Mar 6, 13, 20, 27; Apr 3, 10, 17, 24; May 1, 8, 15, 2013)

Clinical Case Conference

This course is designed to support the clinician’s work and offers opportunity to integrate clinical material with psychoanalytic concepts, including ethics, and ways to deepen the psychoanalytic process, with a focus on the therapist’s self reflection, the clinical relationship, and ways to facilitate what is mutative for the patient. Attendees are encouraged to present case material. (16weeks) Meets Weds 330-445pm (Jan 30; Feb 6, 13, 20, 27; Mar 6, 13, 20, 27; Apr 3, 10, 17, 24; May 1, 8, 15, 2013)

Electives:

Participants design their own 4-8 week syllabus to explore any topic of their choosing and, along with picking the readings, will teach this topic to peers.  Topics in the past have included Lacanian thought; neurobiology; the feminist voice; child’s play; and others. (16 weeks) Meets Weds 500pm-615pm (Jan 30; Feb 6, 13, 20, 27; Mar 6, 13, 20, 27; Apr 3, 10, 17, 24; May 1, 8, 15, 2013)

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TBIPS Registration Form  Fourth Year Courses  Registration deadline Jan 12, 2013

Name______________________________________    

Discipline _____________________    Degree_____  State ____ License # _________

Address_____________________________________________

City__________________________________________ State____   Zip___

Phone____________________________        E-Mail_____________________________

Request Long Distance Learning (check one, if applicable):  ___phone     or     ___Skype 

                                                  Spring Semester 2013   Fourth Year Courses

___  Psychosoma II  

         200-315pm (Jan 26; Feb 2, 9, 16, 23; Mar 2, 9, 16, 23, 30; Apr 6, 20, 27, May 4, 11, 18, 2011)

         Fee: $250 for a single course; $200 if enrolled in full semester of 3 or more courses.

         Venue: 13919 Carrollwood Village Run, Tampa, FL 33618, Classroom B

        Registration deadline Jan 12, 2013

___ Clinical Case Conference

         330-445pm (Jan 30; Feb 6, 13, 20, 27; Mar 6, 13, 20, 27; Apr 3, 10, 17, 24; May 1, 8, 15, 2013)

         Fee: $250 for a single course; $200 if enrolled in full semester of 3 or more courses.

         Registration deadline Jan 12, 2013

         Venue: 13919 Carrollwood Village Run, Tampa, FL 33618, Classroom B

___   Electives:

          630-745pm (Jan 30; Feb 6, 13, 20, 27; Mar 6, 13, 20, 27; Apr 3, 10, 17, 24; May 1, 8, 15, 2013)

          Fee: $250 for a single course; $200 if enrolled in full semester of 3 or more courses.

          Registration deadline Jan 12, 2013

          Venue: 13919 Carrollwood Village Run, Tampa, FL 33618, Classroom B

  _____ Number courses taking Spring Semester 2013 x $250 (x $200 if 3 or more)

 $_____ Total amount Enclosed

Please Make Check Payable to: TBIPS, Inc.  Please mail completed registration forms and check to:

TBIPS, Inc.

13919 Carrollwood Village Run

Tampa, FL 33618

Refund Policy: 85% refunds available for cancellations received at least seven days prior to start of course.