Caroline Garland on Grievance

Caroline Garland presented a psychoanalytic view of grievance, a hatred directed at that which came between the child and the gratifying, ideal maternal object. This obstacle may be the individual Oedipal rival or the parental couple, engaged in intercourse from which the child is excluded.  This hatred for the parental couple is then displaced onto the analytic couple because it is not the gratifying couple of fantasy based on longing to engage in the primal scene.  The hatred may be directed at the patient and the analyst in the form of a masochistic attack on the patient’s capacity to benefit from analysis and a sadistic attack on the analyst’s capacity to be effective. Revenge for Oedipal betrayal may lead to loss of hope and a suicidal act that attacks the patient’s  capacity to benefit and the analyst’s capacity to be effective, and fills the analyst with shockingly intense grief.  Annihilation of the self can be preferred over life in the name of revenge.

—Jill Savege Scharff

Aspects of Trauma

Caroline Garland speaking today at the International Psychotherapy Institute on aspects of trauma described how the traumatized person experiences the present trauma in the light of past trauma. Defenses against anxiety have broken down and led to extreme distress because the good objects have not been strong enough to protect against reality which now feels immensely unsafe. The person loses a sense of a personal future. When family love and supportive action is not enough, the traumatized person who comes to a therapist needs the containment of analytic psychotherapy — not hugs and action. We do not treat the trauma with compensation or solutions to block the pain. We offer a relationship in which we agree to listen and take in and bear the patient’s fear and pain and contain our reactions of helplessness and emotional distress. We need the support of analytic theory and discussion with our colleagues as we work to contain the trauma past and present and help the patient restore a sense of meaning and purpose in life.

—Jill Savege Scharff