I used to think I had a pretty good grasp of what it means to be or call oneself Jungian. I was drawn to analytical psychology because the notion that symptoms and behavior are meaningful made sense to me and seemed to me a more optimistic view of what it is to be human. Rather than focusing on pathology or seeing symptoms as being all about pathology, as I saw it analytical psychology looked for meaning and for the freedom that can accompany working to understand and take in the meaning of symptoms and behavior. Further the notion that in analysis, the analyst is in the soup along with the analysand and both are changed in the process of the analysis, for the analyst is indeed a wounded healer.
Recently I was asked to be part of a group of feminist Jungians in an online seminar on feminism in the Jungian world. The seminar itself ended several sees ago but the discussion goes on. But it goes on in a way that I cannot really relate to with debates about the nature of humanism and other philosophical issues that seem far removed from the world of bodies and dream and fears and wounds that are after all the stuff of what we see and hear and deal with in the consulting room.
As Ragen Chastain noted yesterday, "The American Heart Association, the American College of Cardiology, and the Obesity Society released new guidelines urging doctors to be “more aggressive” in urging fat patients to lose weight."
Here are the guidelines(from Ragen's blog post linked above):
At least once year, calculate patients’ BMI, measure their waists and tell them if they are overweight or obese.
Develop a weight-loss plan that includes exercise and moderate calorie-cutting.
Consider recommending weight-loss surgery for patients with a BMI of 40 or for those with a BMI of 35 who also have two other risk factors for heart disease such as diabetes or high blood pressure.
Refer overweight and obese patients who are headed for heart problems to weight-loss programs. Specifically, discuss enrolling them in at least 14 face-to-face counseling sessions over six months with a registered dietitian, psychologist or other professional with training in weight management.
For all the reasons Ragen cites, these guidelines are boggling, but as a therapist, I zero in particularly on the "14 face-to-face counseling sessions over six months". Such precision -- 14 sessions in 6 months -- how was that magic number arrived at? And since when has therapy or as they call it, counseling, been shown to be effective in producing or maintaining weight loss? All kinds of counselors and therapists that I know or have read about believe that therapy should lead to weight loss, but I am unaware of any approach that produces long term maintenance of the weight loss. in my personal life, though I have worked diligently in analysis, the insight gained and work on complexes has certainly made my life better but there has not been the slightest difference in my weight.
If like me you are interested in writing from a depth psychological perspective, do I have a program for you!
A couple of years ago I read something that referred to a writing program for therapists and others interested in writing informed by depth psychology. Then this spring I looked for it and found it and applied to New Directions: Writing With a Psychoanalytic Edge. I had some trepidation because it is psychoanalytic and when I asked, I discovered I would be the first and so far only Jungian. But really, where else would I find a program like this on writing?
I have written since I was a kid. I have kept a journal for 40 years. I wrote a decent masters thesis and doctoral dissertation. I write this blog. I have had a couple of articles published. But thinking of myself as a writer is new for me and I had taken only one writing workshop before and no classes or courses in writing. I tried creating a writing group for myself a couple of years ago but the people who came write fiction and really don't read much non-fiction. I wanted a writing group of my peers, people who are curious about the kinds of things that attract me, people invested in their inner lives. New Directions looked like it might fill the bill.
My daughter found this on Facebook --
This cat should be mine!
"Psychoanalysis cannot be considered a method of education if by education we mean the topiary art of clipping a tree into a beautiful artificial shape. But those who have a higher conception of education will prize most the method of cultivating a tree so that it fulfils to perfection its own natural conditions of growth."Jung CW, vol. 4, para. 442
People come to therapy expecting cure or healing from their problems. I don't think of therapy as healing in the usual sense. To heal means to make whole or healthy, to recover or restore and comes from the root kailo meaning whole or uninjured. In order to think of what I do as healing, I would need to see the people I work with, and indeed myself, as broken, ill and I don't, not in the sense of illness. Barbara Stevens Sullivan has a wonderful way of putting this:
"In some sense, a person is her wounds. A sapling, planted beside a supportive stake that the gardener neglects to remove, will grow around the stake. The stake's presence will injure the growing tree; the tree will adapt by distorting its "natural" shape to accommodate the stake. But the mature tree will be the shape it has taken; it cannot be "cured" of the injury, the injury is an intrinsic aspect of its nature." (The Mystery of Analytical Work, p. 175)
I have been sitting with the following image from Dr. Sharma's Obesity Notes for a coupe of weeks now. The image is an illustration of a procedure known as sleeve gastrectomy, defined in Wikipedia as "a surgical weight-loss procedure in which the stomach is reduced to about 25% of its original size, by surgical removal of a large portion of the stomach along the greater curvature."
This is not a procedure done on a diseased organ but on a healthy functioning one. When an adult chooses this procedure in order to lose weight, I understand that, though I have grave reservations about such procedures, they are adults and capable of giving informed consent. But then I read the following, reported widely in the same week that Dr Sharma wrote about the procedure:
A toddler in Saudi Arabia has become the youngest patient to undergo a bariatric weight loss surgery procedure.
Doctors determined the 2-year-old, weighing 73 pounds, required surgery after observing related sleep apnea and bowing of the child's legs. According to a case report published in the International Journal of Surgery earlier this month, the extreme procedure was taken only after other weight-loss methods failed.
Keep in mind this is a 2 1/2 yr old child. This procedure is not approved in this country for use in children. There is no long term data on the effects because it has been available for only 5 years. Think of it, this little boy will never have a normal stomach. No one has any idea what this will do to his future growth and development.
Every once in a while, I find myself pulling away from writing here and this past few weeks has been one of those times. I have been a panelist on an IAJS (International Association of Jungian Studies) seminar in which six women have explored the relationship of feminism with Jungian thought. The topic intrigues me and certainly intersects my interest in fat and body stigma. When the seminar is over and I have had time to digest the discussions, I will have more to say about this topic.
I am also teaching another Senior College course on In Treatment -- this time using the patient Laura from season 1 to explore the issues of attraction, transference and countertransference in therapy. It sometimes feels to me that a person could practically build a career using this series to talk about and teach about therapy! Members of the class want me to consider using the relationship between the therapist, Paul, and Gina, his therapist/mentor/supervisor. So it is possible i will teach yet again using the show.
Here we have the Silent Woman, 2013
You have seen her many times, as she is one of the stock "headless fatty" images used on television and in print for stories about the evils of obesity. In such stories fat people are almost without exception shown without heads -- because the images are used without permission of the person photographed? because anyone who looks like this would/should be ashamed to have her face show? because it allows the viewer to see her as an object and not a person?
Watch for her and others like her. I hope you will be like me and complain. And read Charlotte Cooper's essay on the phenomenon.
I am deep into work on a writing project. So for today, a repost about memory.
I first saw Magritte’s “La Memoir” or “Mnemosyne” on a book jacket 20 or so years ago. As is often the case with Magritte, there are a number of versions of La Memoire. She is an arresting image, Memory with a wound to her head. Is it memory bleeding out? Will memory be lost if the wound is not bandaged and the blood flow stopped? Or does she show the wound to the head that any of us has from one or another childhood insult or injury? Does the effort to re-member heal the wound and thus stanch the bleeding? Save the memory? And what about the bell and the leaf -- are they bits of memory? Has she forgotten? Did she ever know? Are we all surrounded by artifacts of memory that if we can only see them will allow memory to heal?
The words "memoir" and "memory" come to us from the middle English/Anglo-French word memorie, and from the Latin memoria, derived from memor, which means "mindful." Russell Lockhart in Words As Eggs: Psyche in Language and Clinic traces it also to an Indo-European root smer- -- which in one form refers to grease and fat. How is memory connected to ‘fat’? Think about how difficult it is to get rid of fat. It sticks. It adheres. It won't leave. It leaves traces. A memory is what sticks, what adheres in the mind. Memory is the fat of the mind. Related words that share the history of memoir include remember, commemorate, memorable, memento, and memorandum. The word mourn also shares its derivations. The same root that gave rise to memory gives rise to mourn. When someone has passed away or slipped away, we mourn that memory. When we are in mourning, we are deeply engaged with the memory of that person. Our mind is full of memories. We can only mourn through memory and with memory. We mourn for what we had and can now have only in memory.
Today I am reposting something that originally appeared here a couple of years ago as I muse about a recent abrupt ending.
Every therapy comes to an end eventually. Under ideal conditions, therapist and patient arrive together at the decision to end and they take the time necessary to fully and respectfully end the relationship. It s a ritual of goodbyes -- taking the time to look back at what has happened, what has changed. It's time to look at what has been accomplished and what has not. It is an exit interview and a farewell all in one and ideally takes up a number of sessions. When this happens there are good feelings all the way around, along side the inevitable sadness at saying goodbye.
I get upset when it is suggested, as it not uncommonly is, that therapists encourage people to stay in therapy because they want the money. I am certain there are some therapists like that. Like there are lawyers or accountants or plumbers or mechanics who place income above ethics. I have been in therapy with a number of therapists myself and I have never encountered this as an issue with any them. And I know that I and the people I have supervised have dealt with anxiety about money in supervision a lot in order to keep that anxiety as much out of the work as possible.