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Leaving, longing, and loving: a developmental perspective of migration.

Migration has a profound impact on a person's life. The author attempts to establish that dealing with the loss of country resembles the developmental task in late adolescence of mourning the childhood parents and may, in fact, serve as a parallel process. Mourning as a result of loss of country is examined; this is followed by a look at the threat to identity posed by the migration process. The point is made that a country is an object, a nonhuman object, with which one develops a relationship. Attention is paid to nostalgia, in which the ideational content tends to be nonhuman rather than human. Similarities of a parent and a country are pointed out, as well as similarities between parent loss and loss of country. Finally, the parallel between mourning the childhood parents and mourning following loss of country is highlighted in a case vignette.

Adolescent↗

Grief work versus continuing bonds: a call for paradigm integration or replacement?

In this paper we compare grief work and continuing bond models of grief to determine if one explains the data better than the other. Sixty individuals in active grief completed a questionnaire in which they were asked to rate their grief status, perceived similarity to the deceased along 7 dimensions, and closeness of relationship to the deceased. A matched control group was also asked to rate the closeness of relationship and perceived similarity to a living person of the same relationship as the deceased to the griever. In line with grief work, we found that perceived similarity was directly related to severity of grief and that perceived closeness of relationship declined over time. In support of continuing bonds, however, perceived similarity did not decline over time, nor was overall perception of similarity among grievers different from their matched controls.

Adult↗

The so-called boring patient.

This paper explores the affect of boredom with specific reference to its arousal in psychotherapists within psychotherapeutic sessions. Using Fenichel's classical psychoanalytic formulation regarding ego-defensive operations as a starting point, it explores the contribution of the more recently understood concept of narcissism, in particular the fluctuating states of narcissistic satiety and depletion within the therapist and their impact on countertransference.

Adult↗

Cognitive and affective features in childhood psychosis.

This paper has explored the relationship between affect and cognition in normal, borderline, and psychotic child cases. In contrast to the normal child, an orderly unfolding of cognitive structures appears to be absent, or present only in part for the more severely disturbed child population. The aberrant delays presented by these children reveal a structure of cognition in which heterogeneous levels of thought coexist without reorganization into any known structure of totality. We hypothesize that an interactive relationship exists between these cognitive deficits, and the children's failure to achieve an integrated and differentiated self. We further speculate as a point of dysjunction the failure to coordinate the secondary schemata. This cognitive integration is coincident with the affective shift from passive to active, and a significant moment in the child's emerging individuation. In this latter process, active imitations of the mother play an extremely important role. As the beginning coordination of states and their transformations seemingly do not occur, active limitations do not function in usually expected ways, nor do they prepare the way for the later transition to partial identifications. It is these later internalizations which enable the child to sustain both more separate functioning and a sense of his own identity. The psychotic child appears to be enmeshed at the level of whole, merging identifications; that is, imitation of the other persists, and with it the fantasy of either being the other or not being.

Affect↗

Toward a definition of 'childhood mourning'.

Though a young child cannot mourn like an adult, optimal responses may be distinguished from pathological ones and used to define "childhood mourning." Aspects of mourning such as identification and decathexis must be related to the child's developmental level. Creative use of an "imaginary parent" may help master a parent loss.

Attitude to Death↗