May 2016, The Winnicotts: Writing and Speaking Plainly

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Joel Kanter opens the weekend

The May 2016 New Directions weekend was entitled The Winnicotts: Writing and Speaking Plainly. Organized by Joel Kanter, the weekend involved considerations of the work of both Donald Winnicott and Clare Britton Winnicott. Kanter, a clinical social worker, is on the faculty of the Institute for Clinical Social Work in Chicago, and is the author (among other works) of Face to Face with Children: The Life and Work of Clare Winnicott. In his opening comments, Kanter described the focus of the weekend as including a reflection on the willingness of both Donald and Clare to work, learn and communicate within and also beyond the clinic and the psychoanalytic world. Their involvement in social services and interactions with the public through Donald’s BBC talks to parents, their on-going work with caregivers and their influence on public policy, instantiated what Kanter described as a commitment “to create dialogue among psychoanalysis, the helping professions and the general public.” He noted that their work was not only written but was also spoken to a variety of audiences, leading to an understanding that communicating effectively with an audience involves writing plainly, in a voice that evocatively conveys one’s thoughts.

IMG_4178The weekend featured three speakers in addition to Kanter. Lesley Caldwell is a trustee of the Winnicott Trust and the co-editor, along with Angela Joyce, of Reading Winnicott and with Helen Taylor Robinson, of the forthcoming 12-volume The Collected Works of Donald Winnicott. A training analyst for the London Child and Adolescent programs, Caldwell is also an Honorary Professor in the Psychoanalysis Unit at University College London. Anne Karpf is a columnist for the Guardian, a writer (most recently of How to Age) and a sociologist. She is Reader in Professional Writing and Cultural Inquiry at London Metropolitan University. Her research on Winnicott’s BBC radio broadcasts to parents was presented in a 2014 BBC4 program, From Donald Winnicott to the Naughty Step. Jim Anderson is Professor of Clinical Psychiatry and Behavioral Sciences at Northwestern University, a faculty member at the Chicago Institute for Psychoanalysis, and Editor of the Annual of Psychoanalysis.  In his writing, he specializes in psychological biography and has published papers on the lives of William and Henry James, Woodrow Wilson, Edith Wharton, Sigmund Freud, D. W. Winnicott, and Frank Lloyd Wright.

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Leslie Caldwell

Lesley Caldwell provided the first talk for the weekend. She began by introducing Winnicott as making a psychoanalytically informed approach available to a much wider audience.  She described one strength of his writing as its function as a kind of initial communication with himself and then as a reaching out to others. This notion of writing to learn what it is that we think provides an counterpoint to those who imagine the writer as knowing what is to be said in advance. Caldwell reviewed some of Winnicott’s core beliefs about the interrelation between caregiving and therapeutic work: that the therapeutic space is a re-presentation of holding in caretaker’s arms and is a shared space; that the continuing presence of therapist is guarantor how an ordinary location — the consulting room — becomes an affective, psychic location wherein whatever is brought finds a place; and that the therapeutic space is shaped by the psychoanalytic conventions of hospitality – consistency and continuity — and structured by the regularities time, reliability, payment and potentiality. Caldwell described Winnicott’s understanding of the creation of the professional setting of trust as expanding and exceeding definitions of interpretation and asking the question, “What is therapeutic about communication?”

IMG_4174Caldwell then moved us into a consideration of Winnicott’s communication with children in the consultations he did. She walked us through a consultation with a young boy and Winnicott’s use of the squiggle game.  (For those who would like to read accounts of Winnicott’s consultations, his Therapeutic Consultations in Child Psychiatry provides seventeen examples of his first, fruitful interviews with children.) In particular, Caldwell pointed to Winnicott’s restraint in the case example, his understanding of the limits of therapeutic zeal and his maintenance of silence as he and the boy worked out the pace of their exchange. She argued that in his work, Winnicott quotedemonstrated that the desire, form and purpose of communication changes as the status of the object changes for the patient. Acknowledging that silence can be significant communication, she pointed to Winnicott’s skill at asking what the silence may mean for each patient in each meeting, acknowledging that being known and recognized may not always be appreciated. Caldwell suggested that the same questions are significant in the decisions we make as writers.

Anne Karpf

Anne Karpf

Anne Karpf spoke with us about Winnicott’s more than 50 scripted talks and discussions on BBC from 1943 – 1962. Aimed at mothers and other child caretakers, Winnicott laid out in plain, accessible and relatable language the fundamentals of his theories – that the baby is a person from start and has to have a good enough relationship with a caregiver who can be loved, hated and depended upon. Winnicott, like many of his peers in the years during and after the war, was deeply concerned about the the origin of compliant and even fascistic states of mind (for more on this concern, see my 2010 chapter with Paula Salvio, Who let the dogs out?  Unleashing an uncanny sense of audience in the writing workshop, in Michael O’Loughlin’s, Imagining children otherwise: Theoretical and critical perspectives on childhood subjectivity). Karp stated that Winnicott’s talk reflected his concern that mothers might lose touch with their own ability to act if they are dependent upon books or experts but also shouldn’t be working blind when things go wrong. In his broadcasts, Winnicott worked to create the kind of space he hoped for in the clinic, a space of non-impingement in which the audience’s development of understanding could take place at its own pace. This was, he hoped, a space that engendered not compliance but thinking. Karpf likewise described Winnicott’s two producers, Janet Quigley and Isa Benzie, as “formative midwifes in subject matter and approach,” especially making sure Winnicott did not use specialized psychoanalytic language and did not make listeners feel inadequate or guilty (for more, see Karpf’s 2014 article, “Constructing and Addressing the ‘Ordinary Devoted Mother.’”

IMG_0138Karpf noted that while these talks formed the basis for Winnicott’s best-seller, The Child, the Family and the Outside World, as well as Talking to Parents and Winnicott on the Childfew people attend to the fact that these books started as broadcasts. Echoing Kanter’s observation about the connection between writing and speaking, Karpf stated that Winnicott regarded writing that would be broadcast to an audience then revised for formal publication as developed through single process, each part feeding and shaping the other in a way that makes Winnicott’s writing so engaging and readerly. Karpf closed by asking why psychoanalysis does not have a public voice akin to Winnicott’s today to counter the quick fix culture of contemporary psychotherapy.

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Joel Kanter

Our third talk was provided by Joel Kanter, who focused on the collaboration between Clare Britton Winnicott and Donald Winnicott. Attending especially to Clare’s efforts as a social worker with evacuated children living in group settings during World War II, Kanter explained that after the war, Clare was put in charge of child social work training at the London School of Economics, eventually being honored by the Order of the British Empire. Claire began psychoanalytic training at age fifty, had an analytic practice for the last ten years of her life, and established The Winnicott Trust following Donald’s death. Kanter played audio recordings from his interviews with Clare in which she described her moving efforts to maintain connections between some of the children and their parents.

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From: http://www.bbc.co.uk

Kanter also discussed Clare’s efforts to help her staff, who worked with the children unable to be placed in homes due to a variety of problems, to work without fear in response to the many difficult situations they faced. In addition to the numerous deprivations caused by the war, many of the children presented behavioral challenges, including running away, stealing, fighting and starting fires. Consistent with Donald’s broadcast message to parents, Clare described Donald, who consulted weekly with Clare and her staff, as helping them to trust their instincts and to survive the many crises and challenges they faced.

As Kanter notes in his book, Clare was not much inclined to gain the limelight through writing and publication. Her ideas and experiences were influential and evident in Donald’s post-war publications, in concepts such as the transitional object, which Clare called “the first treasured possession” after observing the attachment of evacuated children to stuffed animals, scraps of fabric, photos and toys and then realizing that children use objects in the world in the same way that they used their primary caregiver. Clare’s influence was also clear, Kanter told us, in an increase in confidence and a heightened personal voice that resulted from their personal and intellectual collaboration.

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Jim Anderson

Jim Anderson provided the final talk of the weekend. Anderson’s work on Winnicott began in the 1980s, when he received a fellowship from National Endowment for the Humanities that allowed him to spend 6 weeks in London interviewing everyone he could find who had known Winnicott. This research led to a 2003 article entitled “Recent Psychoanalytic Theorists and Their Relevance to Psychobiography: Winnicott, Kernberg, and Kohut.”  Anderson provided us a psychobiographical sketch of Winnicott and particularly his concept of the true and false self. Describing Winnicott’s disappointments in his own analysis, Anderson suggested that it has often been the case that when great psychoanalytic innovators didn’t get what they needed in their own analyses, they went on to create a way those needs could be provided for in analysis with their own patients.

RudnystskyIn his 1993 book on Literary Uses of Winnicott, Peter Rudnytsky writes that Winnicott and those in the Independent Object Relations School were the first to offer “a satisfactory psychoanalytic account of aesthetics” (xii). Rudnytsky states that in most previous psychoanalytic writing about art, art was viewed as derivative or regressive; these perspectives did not offer “a comprehensive metapsychology of art” (xii).  Rudnytsky goes on to say,

Uniquely among psychoanalytic approaches to art, Winnicott respects art’s integrity as an autonomous human activity, while continuing to insist on its infantile origin. He derives art from play…  Art provides a lifelong refuge to which we can turn as we negotiate our perilous oscillations between illusion and reality (p. xiii).

Anderson illustrated this aspect of Winnicott in a way that offers much for us as writers to think about. Anderson told us:

winnicottWinnicott wrote, “the artist has an ability and the courage to be in touch with primitive processes which the psycho-neurotic cannot bear to reach, and which healthy people may miss to their own impoverishment.” He was referring to people like himself. His life-long struggle to realize his true self resulted in his being in contact with his deeper impulses, conflicts, appetites, and feelings and to have a vital experience energized by the forces within him.

New Directions April 2015 Weekend: Betrayal

Elizabeth Thomas

Elizabeth Thomas

Elizabeth Thomas organized this weekend’s conference. The theme was an exploration of an experience that is both utterly familiar and deeply unsettling – that of betrayal. Thomas described the weekend by saying that betrayal is something that therapists know “all too well, because we encounter it regularly in our work and because we live it – as the one who has been betrayed, or as the betrayer – every day. Betrayal is inescapable.”

Dr. NANCY SHERMAN  gave us the opportunity to consider betrayal in the lives of American military personnel. A distinguished University Professor and Professor of Philosophy at Georgetown University, this spring she published Afterwar: Healing the Moral Wounds of our Soldiers. Her other publications include The Untold War: Inside the Hearts, Minds, and Souls of our Soldiers (2010), as well as numerous books and papers related to topics of ethics, history of moral philosophy, ancient philosophy, military ethics, moral psychology, and the emotions. Sherman is a research graduate of the Washington Psychoanalytic Institute.

Nancy Sherman

Sherman described the feeling of troops returning from the wars in Iraq and Afghanistan of being betrayed by commanders and unit members, by civilians who have “been at the mall while we were at war”, and by politicians who have failed to take responsibility for the wars. Taking issue with the diagnosis of PTSD as too narrow to address what troubles many troops, Sherman described “moral injury” as a wound that is occasioned by injustice and contempt. She noted that it gives rise to an anguish and resentment that both demands a dignified response and that binds society by holding us to moral account.

Sherman explained moral injury as being perpetrated by others against the self, by the self against others, by others toward others, and by the self toward the self. She stated that the perpetrator, the victim and the witness are all players in moral conscience. If one experiences moral injury at the hands of another, it incurs moral anger. If we take it up on behalf of another, taking the role of the witness, it gives rise to moral indignation. When it is based in self-accusation, it is guilt. Sherman described the extreme guilt felt by many soldiers who have fallen short of their ego ideals, often organized by the military code. The fact that the code itself is idealized and often impossible to meet doesn’t always register and failing at it often leads to intense shame, including suicidal shame. Sherman illustrated this in stark terms, by citing 23 – 26 veteran suicides per day.

Sherman coverDrawing from case studies with two veterans, Sherman argued that while PTSD and its treatment assumes a fear-based response that can be treated through desensitization, moral injury involves guilt and shame and requires a different kind of response. One cannot become desensitized to moral injury; rather, it has to be worked through to build self-empathy, self-trust and self–hope. That is moral healing in which the patient rebuilds a sense of his/her own moral goodness and a clearer picture of the goodness and badness of others. This latter piece requires the opportunity to develop greater clarity about the moral injuries involved, including moral morass of war, the politics of war, and the ethical dilemmas and reality of impersonal good and bad luck.

A lot of this healing, Sherman argued, takes place for veterans inside the clinic with a therapist. But it also occurs outside the clinic, insofar as the veteran is able to build trusting and supportive relationships with others including loved ones, teachers and mentors who help the veteran grow intellectually, psychologically, and morally so they may flourish. Importantly, Sherman argues that veterans also need a nation to return to that holds itself accountable, that talks about why it goes to war and whether the war and its partners are just.

Linda Hopkins with Masud Khan

Another speaker for the weekend, LINDA HOPKINS, drew on her 13-year research into the life of Masud Khan and his relationship to D.W. Winnicott to describe a betrayal within the psychoanalytic community itself. Hopkins is a clinical psychologist and psychoanalyst in Washington DC.  Her book False Self: The Life of Masud Khan won the Gradiva Award in 2007 and the Goethe Award for Psychoanalytic Scholarship in 2008.

Announcing that her talk might be upsetting to those who idealize Winnicott, she described her talk as a story of how Winnicott consciously betrayed Khan and caused him great harm. Khan was an Indian-born psychoanalyst who had a training analysis with Winnicott and went on to became Winnicott’s editor and close collaborator. In fact, several informants including Charles Rycroft claim that Khan wrote much that is credited to Winnicott and that Khan’s love of Winnicott was so great that he did not ask for credit. However, upon his death, Winnicott’s will did not name Khan as his literary executor, a role that defaulted to Claire Britton Winnicott, who disliked Khan intensely. At this point, Khan’s precipitous decline began – alcoholism, sleeping with patients, committing acts of professional suicide, and ultimately, drinking himself to death.

Hopkins’ talk brought out the complicated, intertwined and often fraught realities of that era of psychoanalysis. I have been aware of Khan for some time, having interviewed Adam Philips several years ago for a project on the relationship among Donald Winnicott, Claire Britton Winnicott, and her brother, Jimmie Britton, who is an enormously important figure in my field of English and literacy education. I was glad to see Khan getting some recognition. He is a brilliant and tragic figure and his near obscurity, especially in the U.S., may be its own form of betrayal. As Harold Bourne, writing a review of the book for The British Journal of Psychiatry, suggests, Hopkins’ biography

…should be obligatory reading for psychiatrists under 50 and psychoanalysts of any age…. This is not just the story of one man but a work of scholarship concerning the psychoanalytic community in post-1945 Britain and France, and dominating North American psychiatry until the century ended, yet now outside the experience of most psychiatrists under 50. They are not only deprived of a fascinating epoch recently in their field but more limited in vision by that than they may realise.

One fascinating and troubling omission I experienced in our discussion of Khan was what role, if any, racial, religious and colonial/post-colonial politics might have played in Khan’s reception and subsequent demise. I’m looking forward to finishing Hopkins’ book (which I started last night) to see how she deals with these complicated and painful issues.

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