"If our internal 'badness' drives us to avoid at all costs the 'perpetrator' projection in the perpetrator- victim dyad, we have only essentially worked with one small part of the patient, but secured our false 'goodness'."

Sometimes... "We change our patients by changing our countertransference to them." Gill Straker.

Sometimes when the perpetrator lives in our mind there is no room for the original inhabitant. Sometimes when the perpetrator lives in our mind we can only live externally.

Bertrand Russell wrote this over 100 years ago, in 1923. Hasn't aged a day.

Failure to convince the child he is really loved leads to regression to partial object relating and the De-emotionalisation of the Object-relationship. Fairbairn - Schizoid Factors in the Personality.

Otto Kernberg on NPD 1/3 All NPD patients have a common basic self state of emptiness and boredom, a sense of meaningless of life with a stimulus hunger to overcome this which makes them prone to developing addictions and often goes in the direction of sexual exploits as sources..

A micro interaction of the Schizoid dilemma.

Some small clues as to when a patient attends therapy with a Schizoid structure. "Opening the conversation with a quote from Freud." "I don't really know why I have come." Fairbairn having a dig at Freud and the overintellectualisers 😂🤔

Page 1 of Ronald Fairbairn's classic paper from 1940. Why we should study mental processes of a Schizoid nature.

So much the case for so many of our patients. "For the Schizoid, to feel is to connect and to connect is to be appropriated." Loray Daws.

Culture as the Bad Object (2024) link.springer.com/article/10.1...

The greatest trauma a child can experience. Ronald Fairbairn.

The constituent emotions of Masterson's abandonment depression The 6 psychiatric horsemen of the apocalypse. Depression Anger Fear Guilt Passivity/Helplessness Emptiness and void.

Margaret Mahler - The mothers creation of the child.

“The act of listening is an act of justice” - Jessica Benjamin Truly listening to another person is a political act, as it affirms their humanity and agency, especially for those whose experiences have been oppressed or disenfranchised

James Masterson realising that his interest in research methodology/day job, was actually a defence against his own intrapsychic problems 🤔

Sometimes in a single moment you lose both mothers. You lose forever the one you had. You also lose all hope for the one you always needed. Thomas Zimmerman.

Sometimes the pain of boredom holds our split off emotions.

When I was a child I learned to "self erase" - Thomas Zimmermann.

“The mark of a good marriage is when only one of you goes crazy at a time!” — Heinz Kohut

Simple but core to forensic psychiatry. "The key question to ask oneself in violence is what is being repeated through identification with the aggressor." Anna Motz.

In families that don't talk, implicit memory is primary... Janina Fisher.

The inability to form a real relationship leads to the need for ongoing part object relationships. There is no better supply of such relationships than through the therapeutic encounter.. Anonymous..

"Untreated ADD limits the access that you have to your own brain" 🤔 Daniel Amen.

Panic is sometimes an acute attack of dissociated unmentalised solitude. Gianni Francesetti et al 2020.

Psychoanalytic neutrality is for the consulting room and needs to be distinguished from allowing oneself to be neutered as a citizen. Hanna Segal.