Lecture 26. Self-Strangulation Versus Play скачать в хорошем качестве

Lecture 26. Self-Strangulation Versus Play

Jim Gustafson, Professor of Psychiatry at the University of Wisconsin Medical School, giving his Twenty-Sixth Lecture in a series of Thirty-Six Lectures on Maps in Psychiatry, as every Friday (but for an occasional vacation week), posted mid-afternoon on YouTube -- type in Jim Gustafson Channel -- or on his web site at http: //psychiatry.wisc.edu/gustafson. Also, the new book, from which these lectures are drawn into ten-to-fifteen minute form, is available with one click also on his web site electronically. These YouTube Lectures are for doctors and psychotherapists and patients and everyone interested in maps of the whole situation that will save us, distinguished from maps captured by only a part of the situation that can snare us. They become a new sub-specialty of psychiatry, different from the main paradigm that has become more like internal medicine, useful as that is, but more like obstetrics as a set of capacities for delivering the patients from their maps of part of a situation that ensnare them. William James called it a second birth and Michael Balint called it a new beginning. My week-long Symposium at the Door County Summer Institute will be next August 5-9, 2013 on this very subject for psychotherapists and doctors. We begin from Breuer and Freud in Studies on Hysteria in 1895 writing that the accurate diagnosis for almost all of their patients is self-strangulation -- that is, choking off one's own voice -- and demonstrating it in five cases. I in 2012 in this lecture argue that the accurate diagnosis for almost all of our patients is still self-strangulation -- and I will demonstrate it in two cases, one typical female and one typical male. Violent and shocking as this may seem, I argue this is the condition of our patients, the American people, and of us their helpers. David Malan (1979) called it helping profession syndrome. I go on to argue that we are all in it because of enormous forces on the world scale. Lèvi-Strauss called these forces the hot engine and the cold engine. We are pulled into and under the frenzy of packs that are hot or cold, as Shakespeare knew well. We are thus drawn down into a funnel that seems very difficult to get out of the farther you drop into it. It tends to be the first line of sight, because we are group animals totally aroused by signals of group frenzy. Fortunately, we are not only vulnerable to the funnels of packs. Even more ancient than our species, as in all mammals, we have the capacity for play like romping in dogs. We know instinctively how to signal play by what Bateson called context markers for playing fields. I will conclude how I elicited this capacity for a second line of sight in our two typical cases so each saw her and his way at once out of a hopeless funnel. Of course, this is only what Bateson called Learning I, of learning to solve a single situation, but it represents the possibility of a new beginning. Thanks, Jim