Stagegarner2268

Shame is a hidden emotion. The organs of shame are the eyes; when we feel ashamed, we want to hide, not be seen. In the film Shame, the director Steve McQueen lingers on and explores the dynamics of shame hidden behind sex addiction. I argue that shame is the underlying cause of the sex addiction here, while there is also a vicious cycle, as addiction invariably turns into a new source of shame. selleck compound The focus on the phenomenology of shame, in the here and now of the film, reveals two siblings struggling with threats of vulnerability, neediness, helplessness, and unlovability. One sibling presents a meticulously neat appearance, and his mask-like face functions as an invulnerable armor against shame, while the other sibling has no armor against her neediness and helplessness. We witness the vicissitudes of their shame and are left wondering whether their encounter, which ends in a suicide attempt and in the unravelling of defensive enactments, leads to a possibility of transformation and internal change. The director ends the film abruptly and inconclusively, sending us back into it to review and search nachträglich for clues to the outcome.Transsexuality or transgender has become an increasingly visible and widespread phenomenon in recent years. From a psychoanalytic perspective, it has so far not been possible to understand the lack of identification with one's own anatomical body. The author distinguishes between the formation of an early body ego as a result of primary identification and that of a sexual ego as part of secondary identifications. Identical and trans-identical orientation could arise against the background of how, when gender difference is discovered, the primary identification is processed, 'translated', in an 'après-coup' movement.I investigate the possibility that in order to reach truly disturbed parts of the patient's mind, the analyst also may need to mobilise similar areas in his own psyche. I examine the part musicality might contribute to this well-known idea, that is, I consider what is set off in the analyst's mind by the changing qualities of the actual music of the analytic couple's voices, and also by the musical events that occur in response in the analyst's mind. The term perversion is particularly used to explore the perverse qualities of the musical countertransference. I propose that these primal musical processes are ubiquitous, taking place at a fundamental psychic level before images or words are formed. I re-examine Isaacs' (1948) theory that the images of unconscious phantasy are the most archaic expression of the drives, and suggest that the music of unconscious phantasy may assert its prior claim in this regard, the infant's ability to form images deriving from this prior musical capacity. I propose that the words - a much later development - that are then uttered by the analytic couple can be thought of as the text in which the mind attempts to describe what is already occurring musically at the level of the drives and unconscious phantasy. I suggest that many operas offer a paradigm of this process, and offer a helpful way for analysts to think about verbal communication, both interpersonal and intrapsychic.The "in-fans", who cannot speak, needs a narrator, especially a psychoanalyst in the transference in order to be able to hear again the "silent" language that is expressed in the time of the "Jetztzeit". Through a reflection on Freud's work on aphasias and his exchange of letters with Fliess, it is possible to identify important previews which constitute a sort of pre-semiotics, as well as a theory on memory. In addition, history, sociology, semiotics and the neurosciences are all necessary interlocutors for developing the issue of The Infantile in psychoanalysis.The persistence of the infantile is nowhere more apparent than in the termination process. This dread of termination may interfere with both the patient's capacity to terminate and the analyst's capacity to let patients go. Certain patients have an intense wish to maintain a permanent connection with the analyst. Analysing that wish does not necessarily change the patient's conviction that they are not ready to fully terminate. The love experienced in the transference may be the best love relationship that the patient has ever had. The intensity and pervasiveness of the infantile in our work may best be glimpsed by studying the defences against the infantile. Ultimately, we must respect the patient's limits in some cases, rather than pick them apart and cajole the patient into another view that we prefer. Freud was perhaps uncharacteristically candid in saying that he questioned whether a true transformation was achieved at the time of termination.This paper addresses three dimensions that contribute to the constructions of the infantile, as they inform different psychoanalytic perspectives the infantile body; the infantile mind; and the infantile psyche. Brief reviews of our current knowledge of the infant's physical state and earliest mention, derived from observational and experimental methodologies are presented; raising the question whether psychoanalysts should incorporate such knowledge or rely solely on clinical data. Further, the sources in Freudian texts that legitimate reconstructions of the infantile psyche are examined, while also noting theorists who have chosen alternate approaches. The paper concludes with the assertion that the dimensions which are determined as most germane to a psychoanalyst's construction of the infantile will depend ultimately upon their usefulness in establishing intersubjectivity with patients in clinical practice.Research has found that training health care professionals can enhance the access of the culturally diverse community to appropriate mental health services. Yet, little research has been conducted that explicitly focuses on improving nursing knowledge, skills, attitudes, and behaviours that can enhance the access of the Culturally and Linguistically Diverse (CALD) community. This scoping review aims to locate, summarise, and recap what is known in the academic literature about educational interventions and programs to improve mental health nurses' cultural competence. Examining how educational interventions and programs can improve mental health nurses' knowledge, skills, attitudes, and behaviours to facilitate Culturally and Linguistically Diverse (CALD) community access to mental health services can also identify gaps in knowledge to report future research areas. Fifteen studies included in the review reported a positive effect of cultural competence interventions; however, it was difficult to establish a single effective intervention method due to the significant heterogenicity in cultural competence intervention strategies.