By Kate White (editor)
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Extra resources for Attachment & New Directions in Psychotherapy and Relational Psychoanalysis volume 4 issue 2
During this outburst he has avoided eye contact; now he looks to see the impact of all this on me. I’m rattled and I show it, I say it. ‘Here we are again and this is difficult for us both. I think you help me to understand how you felt as a small child by Putting Back the Link Between the Heart and the Head 138 ATTACHMENT giving me a similar experience. ’ Reflection on vignette Damian is six months into his therapy. Initially, he found the therapy helpful, as he clearly states. He was referred for anxiety about managing his business decisions, having presented to his general practitioner with muscle pains; these had been found to have no organic cause.
It’s too much. I can’t hold it all together. I feel so trodden on, no that’s not right, it’s my business, and how could I be trodden on? What is it then? ’ Long silence; he hates silence. ’ I reply. ’ he replies, contemptuously. I wait, smarting a bit from his slap, as it feels. He continues. I know he may respond in two ways: either he will re-engage with the anxiety he was exploring and we will think together about the material he is bringing, or he will get angrier. ‘Why do you always just state the bleeding obvious?
The session in which echolalia disappeared There was a silence. ‘Shush be quiet! Shush, be quiet! ’ she shouted to different points in the room. This was a familiar refrain and I was concerned at giving an equally familiar reply. This time I stayed silent. ‘Charlene and Scott got married,’ she suddenly called, looking up. ’ (a soap opera), I asked. ‘Yes,’ she shouted. She started banging her head. Long pause. There was a painful tension in the room. I then said, ‘Perhaps you wish you were married’, and then there was an amazing outburst and monologue that went on for most of the session.