In a chain of attention-grabbing supervisory case reports Jackson attracts on Kleinian techniques and Scandinavian medical event to teach how a psychotherapeutic technique can, via a mixture of empathy and sound concept, stabilise, include, combine and tame the unnamable terrors and compulsions of psychosis. Jackson's braveness, modesty and overall integrity shine via. Jeremy Holmes MD, collage of Exeter.
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The possible influence of parents with obsessional tendencies on the early developmental processes must not be forgotten (Ramzy, 1966). Ada's intense pathogenic conflicts can be considered to be rooted in the early relation with her mother. Their intensity implies that she had originally succeeded i n forming a strong but insecure attachment to her mother, and that the birth of her brother aroused powerful feelings of rejection and of murderous jealousy. These unconscious and conflict-laden aggressive feelings were responsible for her attacks of anxiety at that time.
If she angrily discarded the gifts as representing her bad mother, she would at the same time lose her good mother (as in the case of Ada's recipes, Chapter 1). To preserve her good feelings about her mother, she had to decon­ taminate her "dirty" mind, symbolically represented by the "con­ taminated" clothing. She could not accept her mother's gifts, because this would involve recognizing her good mother and at once destroy­ ing her. This unconscious dilemma implies a failure to differentiate "good" from "bad", and thus love from hate, sufficiently to recognize and tolerate the fact that these "part" mothers are the same person.
Some may be an inherent part of the (oedipal) developmental process, of being forced to share her with father and siblings; others, the consequence of actual traumatic ADOLESCENT PSYCHOSIS: "BRENDA" 37 experience and relative emotional deprivation in an overcrowded and dysfunctional family. A t the time of the last discussion of her case, it w a s clear that m u c h remained to be learned about the details and significance of the prob­ able early sexual trauma and of the separation process. The positive transference w a s strong, but it remained to be seen whether it w o u l d prove possible, or necessary, to reach and work through the negative feelings towards the "bad" mother i n the therapeutic transference to a sufficient extent to allow a successful termination of the therapy and the likelihood of her maintaining her very considerable improvement.