Lost and Found Psychotherapy

Lost & Found

A Space for Psychotherapy & Being

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Psychoanalysis and Play

What is play, you might ask…I know & don’t know either. (that’s basically what you can say about anything in Psychoanalysis to sound bougie) But let’s start somewhere- so, what is play for you?(sigh! the joy of asking awkward questions to put someone on the spot… )However, isn’t that the charm of Psychoanalysis- to divulge us into gazing at the most ordinary page of our story with the most fascination? Like a child watching a leaf fall from the tree, surrendered in a moment of both wonderment and excess! Aghhh.. what would I give to be lost in that kind of private play… wouldn’t you? In case you didn’t notice, I’m pledged to understanding Psychoanalysis as a play with words- as an art of storytelling (Adam Phillips), an art of listening (Salman Akhtar), an art of interpretation (Freud). Anyhoo, the note of appreciation for Psychoanalysis’s own childlike wonderment aside (although I don’t think we’d be asking this question if it wasn’t for it…), when did you actually stop playing? #deep.#blackhole.#donotwanttogo.#activateresistance. Does someone know why we’re split when it comes to writing or thinking about our own (dis)embodied play? Why do we have to include a century-old discourse to talk about it? And is it even play if a thinker has to think it? This piece, despite my attempts at the opposite, is coming from a place of both curiosities, & deep sadness. A sadness reckoning an almost strategic, developmental loss.And then to write about curiosity & play, in a playful way, well, something’s amiss. So let me do the easier bit… let’s make do with the concept of play psychoanalytically. Yeah well, I see you know a writing on play cannot be done without Winnicott, & Freud, & Bowlby and who not, and I know you’re watching how I would (fail to) compress this life-size work on play in a paragraph… But, a girl can, & must try. It might surprise you, but in psychoanalysis, play is not seen as a leisure activity, it is not even an attribute of the child, it is not in the act of it- rather, play is a form of communication and expression that provides insights into the unconscious thoughts, feelings, and conflicts.Shocker, right? Let’s just prep our floaties as we jump into the shallow end of its Psychoanalytic iterations now. Something Old: So, to start from the beginning- let’s take a whimsical stroll into Winnicott’s microcosm, where the concept of play is never just a child’s pastime, but a working-through of the unabsorbed, overwhelming reality.Yes, literally, Winnicott believed that children play to master anxiety… (stay with this thought a second more, and you’ll agree). Now, imagine you’re the little you (disobedient, I’d prefer), brandishing your toy truck (gender neutral!). As you cater to yourself in that make-believe worlds, you’re not just passing the time—you’re crafting your reality. In Winnicott’s world, play isn’t just a distraction; it’s the theatre where the unconscious scripts unfold, where impulses are enacted, where sensual gratifications are allowed. But here’s where it gets juicy- for him, play isn’t just for kids. Winnicott saw play as the ultimate antidote to the drudgery of adulthood where inhibitions & vulnerabilities are unveiled. Something New: Now, have you heard of Jill Miller? No, I’m not just putting common syllables together, she’s a real person, in fact a student of Anna Freud.It’s interesting we’ve learnt to be versed with the old more than the new, the alive. What does that say about play?! Anyhow, now picture that tiny (still disobedient, I hope) you, are handed a blank paper & a bunch of broken crayons. That’s classic Miller- compelling a canvas to invite the exploration of thoughts and emotions through various mediums, from art and music to movement and storytelling. Why I feel she belongs in the category of the ‘new’ is her attitude of inviting the patient to cultivate a sense of wonder and curiosity about the self. She ascribes certain features of play to the work of the therapeutic alliance- the symbolism in play advent of spontaneity transference- countertransference and the therapist’s attunement, to pin a few. So somewhere between all of it, play becomes a therapeutic tool for the pre-analytic parts of the self. Something Blue: Let’s put a few men adjacent to each other on this.For Freud, play came to be pleasure seeking (a shift he made from seeing it as wish fulfilling); for Erikson (1963), play forms an ‘emotional laboratory’ in which the child learns to master his environment and come to terms with the world; for Piaget play is a movement from functional to symbolic order- that is, it carries within the capacity to symbolise objects for them to be manipulated as metaphors for the reality. And one can go in any direction from here, but what remains intact throughout is the lucid understanding of play in the psychic organisation. It is one of those rare concept explained simply & repeatedly in Psychoanalysis (pheww), and that is not to say it’s not exponentially complex, it is only to say that play holds in itself an undebatable element of narcissistic mastery over the (primal) preoccupation with the self & the object.Yeah, quite blue, right? Something Borrowed: Time we borrow play. What a strange thing to say, right? Neither can one borrow time, nor play, and yet the unconscious dares to string them together in a singular breath.I believe that’s what’s amiss.What I mean is, “I hope all my readers are going to fall under the spell of some kind of curiosity. Reading a novel without curiosity is a deadly process- we all remember it from high school” (Ian McEwan). That no matter how much this piece makes sense, logically, it can’t render itself a play-mate, when the internal deficit of curiosity is unaddressed. P.S. I love ending on random tones of feelings, and while it would be cliché to call that play now, I’d like to believe that it is… my version of play. P.P.S. What’s your version?

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The Impossible task called ‘Writing’!

Well, this month’s highlight has been ‘writing’ (what a vague way to start, right?!). Let me give a bit of context- it’s 5:03 am, I’m sitting with an espresso, my cats sleeping in their usual spots, still dark outside, and slow jazz playing in the background. I live for this moment, basically. And at this dawn of perfection- I’m deciding to write about, Writing. Well, I recently organised a writing workshop with some dear colleagues, “haiku for Psychotherapists”, & I realised that I (must) write to dialogue… Writing is how I (can) express love or feel loved, it’s my paintbrush to create the beautiful and the ugly. It’s the most private relationship I’ve had, lived and been careless with. Writing is how my grief shows up; it’s how I endorse my enactments. I’m no longer talking about academic writing, am I? (if I was talking about that anyway). I’m talking about writing not as an act, but as an emotional currency. How else does it explain both withdrawal & yearning that floats in it?From something as understated as writing a text message, to receiving as intense as a love letter; we’re caught up in the battle of seeing, & being seen. Alas, to the mind in emotional debt, anything that requires giving language to feelings feels like labour. Writing is how we connect (with the self & the other), and withdraw (from the self & the other)- lately, more the latter for me. Now, what got me back to writing? That’s a tough one… if I tell you, I’ll have to kill you! (please tell me you also make bad jokes to evade…). Perhaps, this is what I’m talking about- writing as a reverie of our intimate relationship with the self– the one that I have been estranged with since past few years.Quick context part 2- I loved writing, presenting & publishing till 2020. I loved the guise I had at University of Essex, or IIT, or where-ever words were enough.Writing was a part of the being, until one day it was hard to be. Coming to the point, … I always say that the impact of the lockdown on the collective psyche will only be known in generational hindsight, which is both true, and convenient!I’m not here to write about my (shared) shock & grief of betrayal, loneliness, loss, absurdity, helplessness (simply because that would be brave…), but I believe I’ve reckoned that it will always be a part of me, and my writing. And hence, I got back to writing (lucky you!!!!), out of recognition- that I can no more pretend it’s an external deed for me; it’s a lived panorama of my relationship with the unkept parts of me.Writing is what we do from a place of vulnerabilities, and it gets torn & illegible when those vulnerabilities are shamed & unsafe. Now I write to build a relationship with those irrevocable parts of the self, to not deprive them of the chance of recognition, to not make them central, but ordinary. I write (this piece especially) to speak to similarly withdrawn parts of your self, which might show up as flamboyance, or as absence; which might be supported by silences or the therapy hour; which might be making you who you are, or masking who you really are. I write to those tattered parts of you and invite them to form a relationship with the tattered part of me- my writing.We may not heal together, but we can be safely unhealed together. What helps me keep my head above water when it comes to Writing? Just some things I realised the hard long way (& you might want to save it!!) Write like you drink!Work of an artist, any artist, is to make the other feel less lonely. Adam Phillips has repeatedly said that “one of the main problems with his psychoanalytic colleagues is that their writing is so boring”- now as a psychoanalyst, I’m certain his concern is not with the monotony of the work, but with losing the reader interim for un-fun reasons. When in doubt, Write!Psychoanalysis is not just a ‘talking cure’, but a ‘writing cure’-and I can stretch myself to say that after reading a bunch of letters that Freud wrote to his dear best friend Fliess. One would find such ordinariness of struggle in them- the difficulty of finding patients, the longing for the companionship of a colleague, the development of an idea (that eventually became concepts of Psychoanalysis).So basically, write because you can! What kind of a person writes to restrict? Ogden says, and I passionately agree, “When analytic writing is good, it is evident that the author’s intent has not been to be ‘poetic’ (if it were, the sentences would feel embarrassingly contrived). Rather, the words and phrases have unself-conscious poise” (Ogden, 2005). Writing like Dreaming!Freud rightly figured, “Patients don’t get better by free association, they get better when they free associate”. To write like free association is a private invitation to the self. What am I trying to say? Well, if you know me by now, you know the answer is, “I don’t know”! Just that, I’m happy to be giving writing another chance, & hoping it drives home a point. Has it evolved & densified in the last few gap years; I don’t think so.But it has gotten, digestible.I no longer must regurgitate it, it’s getting flavorful, even if it’s not my known & favourite flavour. But, well, I’ll develop a taste. P.S. You don’t have to be a writer to write, you just have to not be a stranger.

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Demystifying ‘Dependency’ in Relationships

Notes using attachment theory & contemporary psychoanalysis This is a nice title, no?! Yeah, it’s not mine. This is what young Sigmund says to his aunt when he finds the dark of the night to be discomforting. Guess he knew that this dark of the night, & the dreams enclosed would lure him in! Darkness aside, (for now), this newsletter is one of those pieces that I didn’t write in one go (like a brain vomit!). I wrote a little of it every dawn, and I’m quite proud of that. Of course proud because the writing here is more dense, but also because Anar has finally learnt that I will not attend to her throwing things until 7 am, so she lets me write in peace now. Speaking of cats- the popularly detached, independent creatures… I came across the term ‘dependency paradox’ very recently (yeah I live under a rock); and since then, I haven’t been able to brush it off my mind. It’s such a clever term- enticing, evoking & giving (clearly, I’m a sucker for playful language). But more than that, this term is gripping because ‘dependency’ is not an unfamiliar nemesis to any of us- we may love it, we may hate it, but we can’t hide from it. No seriously, if you feel you’re not emotionally dependent on anyone, I’d wait for the bubble to burst. And this is not a challenge or predicament, it’s just the reality of being human. Having attachments is like one of those tests, where you click on the pictures that have street lights or the cars to prove that you’re not a robot (you know what I’m talking about, right?). To be human is to find comfort in the (real or imagined) presence of the other; and sh*tt starts falling when that presence is not guaranteed (Alexa, play abandonment trauma, insecure attachments, neglect, on repeat!). Now, if like a very special patient of mine, you’re someone sitting on the ideals of Bhagvat Gita and detachment, let me tell you something that got crystallised through the course of our work- “people who believe in the idea of detachment are fundamentally attached to the idea of being detached” (clever right?!). But that was not the only thing that got etched. Through, and with my patient’s lived theorisation of detachment, came along multiple whispers: First one is the strongest, for understandable reasons- Salman saab (Prof Salman Akhtar) suggests that patient has intuitively developed their ‘cure’- “That much psychopathology can result when the function of ‘letting go’ is ill-developed or hypertrophied” (2021). Second one is brewing as a nascent theory detachment as an addictive state trying to manage intolerably painful & confusing affect. A study by Cacioppo et al. (2009) portrays what it is like to be someone unable to rest in an un-integrated state. The study shows that people who feel no one is looking out for them, develop a crude sense of hyper-independence. In other words, developing dependence on detachment as an object that is used in place of where a connection could’ve been. And the third one that validates my meaning-making in analysis via literature- “Zindagi bhar ek lamha nhi guzra” (a moment that didn’t pass in the lifetime)- a repetition-compulsion, a frozenness that can be felt in the patient’s marriage to the idea of detachment, less as an experience, more as a response learnt very early to an impasse. So what is the Dependency Paradox? The Dependency Paradox is that the more fully we can depend on our relationships and trust them as our secure base, the more independent we are able to be (Levy, 2021). Nobody becomes secure or individuated in the absence of a relationship, but, in the presence of them. Obviously, how can one grieve or separate from something that doesn’t exist? And so, often, the work of therapy is to find the ghosts (of the past/ of the dead relationship) to claim that they exist(ed); that one is not living without them, but in spite of them. The patient doesn’t learn to be silent; they learn to be silent in the presence of the therapist. The work of therapy is, on a good day, to reintegrate into being, the disavowed, demystified dependency. To allow dependency on the self is to tolerate love and care- it’s to tolerate the self. In allowing the infant to depend on the (m)other, the mother is communicating to the infant that their needs (aka they) are valid, and tolerable. On the other end, the mis-attuned or dismissed need for dependency hardly ever leaves the relationship fractured; the impact is internalised, and the self is rendered excessive. In other words, hyper-independence is not a defence because of the marred relationship, but for the marred relationship. “I’m too much” is the learnt narrative and the desire for dependency is bartered for the promise of a relationship. Let’s swiftly also go to Winnicott- the cute old white man who developed wonderful works out of observing how a wooden spoon is negotiated between the mother & the infant! He elaborates on three phases of the developmental journey: ‘absolute dependence’, ‘relative dependence’ and ‘towards independence’ (1965), possible in the unperturbed presence of a ‘holding environment’ that concerns itself with the preoccupation with the baby- simply because the survival of the baby, psychically and literally, depends on it. And even then, drumrolls he argues, drumrolls continue that complete silencewe’re never fully independent (dayummm!!) At best, we are in a pathway towards independence, using the templates of our good-enough childhood to deal with impingements of reality. He (cited in Mitchell and Black, 1995, p125) used the phrase “environmental deficiency disease” to make the point that mental health difficulties like psychosis, depression or addiction were not vacuumed internal dispositions, but a catastrophic failure on the part of the ‘good enough environment’ woven into the psyche. Basically, we’re all suffering from relationships (That, should be in the DSM). But here’s what I figured out: The idea of ‘attachment’ is

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