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The Fog of Disappointment, The Cliffs of Disillusionment, The Abyss of Despair
The Fog of Disappointment, The Cliffs of Disillusionment, The Abyss of Despair
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APAXXX10.1177/0003065115618202Lucy LaFargeThe Fog of Disappointment
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DOI: 10.1177/0003065115618202
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Lucy LaFarge
story feels discontinuous with the old one. This development bears the hall-
marks of the paranoid-schizoid position, and splitting plays a key role in the
preservation of a sense of the good self and the good object. If disillusion-
ment represents an abrupt shift to the worse in one’s apprehension of the
object and one’s relation to it—with the implication that the earlier object
was an idealized one, itself the product of splitting—this catastrophic
change is potentially limited by further splitting to a single object and a
single object relationship. A disillusioned patient may come to the belief
that his initial hopeful view of the analyst was entirely wrong but may move
on (in what may be a triumph of hope over experience) to a new analysis
with another analyst. Similarly, a disillusioned analyst may reject his for-
mer view of a patient as analyzable, but splitting confines the damage to a
single patient and the analyst’s work with her.
In despair, by contrast, no hope can be found for any object; splitting
has failed to protect the sense of a good object and of a self that can,
through reparation, make the object whole and good; and there is a feel-
ing of all-encompassing bleakness. The patient can no longer imagine
getting better in any treatment, and the analyst has lost hope in her capac-
ity to help any patient.
At some moments, disappointment, disillusionment, and despair may
occur as shadings of a single experience—notes within a single chord that
may be recognized in sequence or all at once. And fluctuations between
the three states occur as part of the necessary process of working through
loss, as the need to come to terms with external and internal reality
requires us to come to terms over and over with the gap between the
objects we wish for and the objects that reside in our inner world. In the
paper in which she introduces the concept of the depressive position,
Klein (1935) poignantly describes the way some patients hold within
them an image of the good mother that is felt to be only a beautiful pic-
ture, one that wards off a view of the mother as irreparably damaged and
dreaded. For these patients, the process of working through disillusion-
ment and experiencing the splitting that underlies a seemingly realistic
view of the object world, and further seeing that this splitting wards off
melancholic despair, is particularly clear, but the need to work through
disillusionment and despair in order to attain, or re-attain, the depressive
position is a universal one.
At certain moments, and chronically for certain individuals, the three
states—disappointment, disillusionment and despair—may operate
her own goodness, and where the patient in turn senses the analyst’s felt
incapacity and further loses hope. The patient’s projection of her own
sense of hopelessness into the analyst, as well as the patient’s destructive
anger at the disappointing analyst, intensifies this cycle. In this situation,
disappointment often serves, for both analyst and patient, as a kind of
holding operation, one that protects against a regressive slide to the two
more painful and dangerous states. For this reason, the quiet, steady
shared disappointment that I have observed in analysis can thus be seen
as a kind of key signal state (Smith 2000). For the analyst, disappointment
is a dangerous idea, one that she may first project into the patient and
recognize in the patient’s experience before acknowledging it in her own.
Like any endeavor, analysis entails disappointment—the idealized
expectations of patient and analyst can never be met—and this disap-
pointment must be worked through by both. However, a state of disap-
pointment that settles in is often an indication that the analyst cannot
grapple with the patient’s disappointment because doing so will open up
the patient’s underlying disillusion and despair, and these in turn will
evoke corresponding affects in the analyst. In order to engage the patient
effectively in the analysis of the patient’s disappointment, the analyst
must first, through self-analysis, come to terms with her own disappoint-
ment, disillusionment, and despair.
C l i n i c a l V i g n e tt e
week.
First Session
Comments
Second Session
Anna began her next session by saying she had gone to her office
after our session the day before and for the first time in a long while found
herself excited about what she was writing. She was enjoying herself and
at the same time felt some other emotion—a sense of something complex
and darker. She felt alone when she was working, with a sense that she
could have only the work or closeness with me, not both. She had to leave
me to work. And all the time she was working, she felt as if she were run-
ning away from a voice telling her that she couldn’t do the work, that she
had no ability, the way she had felt yesterday.
I said that I thought those were complaints she had about me—that I
did not have the ability, or enough to give her. When she had gotten angry
at me yesterday for not giving her enough, she had been afraid that the
truth was that I did not have anything inside to give her.
Anna agreed vehemently. Her therapist at college had made her feel
alive. Although she worried that she couldn’t engage, there were some
people she could engage with and some she couldn’t. That was the prob-
lem with Al: he wasn’t one of those people who made her feel alive—
there wasn’t enough substance to him. It was painful, but she had realized
this in talking to me about him. She continued talking about Al.
I said that although she was speaking to me about Al, I thought that
she was also, or even more, speaking about me—that she felt I did not
have enough to give her—and talking about Al to me was a way of dis-
guising how much she felt I was like Al.
“Yes, that’s true,” Anna said. “I’ve felt for a long time that you are not
enough alive. There’s a kind of obtuseness, a way you don’t pick up on
things or make connections the way my earlier therapist did. I have been
feeling for a long time that you do not have the talent or the life that I need
in order to make a connection.” She spoke at length with both sadness and
anger about her disillusionment with me—her sense that this was an
important phase of her life when she needed help and that the opportunity
for change would be lost because she was working with me.
Comments
Then once again, Anna moves away from her anger at me, this time
into complaints about Al. It now becomes clearer to me that in many ways
Al is the target of Anna’s displaced criticisms toward me. The triangle
between Al, Anna, and me has in a sense been a pseudo-triangle in which
Al and I have reflected split aspects of the same object. I interpret the
displacement, and Anna is able to return to her exploration of her feared
disappointment with me.
Anna ends the session with the assertion that her view of me as empty
and useless is realistic and her disappointment with me entirely legitimate.
And Anna’s concerns are in fact resonant with the concerns I have had for
myself and my capacities following my illness. Nevertheless, I think that
both the content of my interpretations and my renewed ability to interpret
have brought both of us closer to the recognition that Anna’s disappointed
view of me as depleted is most importantly a transference—that the stronger
analytic self to which I have returned, confronting and interpreting, is not
identical to the image of the depleted analyst that had emerged between us.
Third Session
Anna’s tone had changed dramatically when she arrived at the next
session, the last I will report. Her voice was full of life and excitement.
She said she had had a strange and painful dream: A woman was telling
and showing her a true story. Anna felt overwhelmed with terror as she
waited to find out how the story would go. There were two parts to it. In
one part, a woman was in the apartment Anna had shared with her hus-
band. He had just left and the woman was looking around, feeling the
finality of the separation. Then, in the second part, the same woman was
in another apartment, one Anna had shared with her college roommate.
The woman was now completely different, not all the person she had been
in the first part; now she seemed terribly upset and disturbed. The woman
put on a black coat and went out into a dark and lonely street. Anna was
watching the woman and felt terrified of what would happen to her. She
called out the window to her, but the woman did not hear and went off
into the night.
The dream felt very real, Anna said. Very moved, she said she felt
that it was I who was telling her the story, that that had begun at last. She
had felt hope for the analysis, she said.
Continuing to associate to the dream, Anna said that both parts por-
trayed real events. The first part recalled the intense pain and loss that she
had felt at the time of the divorce. The second part drew upon a much
earlier time. The roommate had in fact been quite disturbed, even sui-
cidal; Anna had tried with only partial success to protect and help her. But
the story of the woman in the black coat, who went out into the night, was
Anna’s own: As a teenager, living on her own for the first time, Anna had
put on that coat and gone out alone into the night into a dangerous part of
the city, where she had been held up at gunpoint by a boy who had forced
her against a wall. In terror, she had thought she would be raped or even
killed, but he had taken her purse and that coat and fled. She felt shaken
even by the memory of her terror.
I said that she was telling me about this for the first time and letting
me know in an alive way some of the terrible feelings she had had.
Anna said she was afraid I couldn’t see how she felt.
I said I thought that was a way of backing off from the terrible things
she was feeling and from feeling connected with me, going back to the
disconnected way she had felt.
“We were stuck in the muck before,” Anna said, “but the muck is
safer. That is terrible anxiety I feel in the dream, waiting to hear the story.
Terrible things have happened to me, and I have let them happen. That
seeking out of danger, that self-destructiveness is the flip side of the anger
I’ve felt toward you.”
Comments
This session was different from any we had had for a long time and
reflects, I think, the lifting of the impasse that had held us immobile. It is
key both to the dream Anna reports and to her associations that the dream
establishes, or reestablishes, a frame for the analytic work, one in which
we are making and telling a story that feels true and important, in which
fears and wishes from the past can come alive and become known. We
often speak of the analytic frame in terms of the setting and the arrange-
ments for the analysis, but in a working analysis the frame is also cen-
trally a frame of listening, where the analyst can assume the role of an
early parent who listens to and imagines the patient’s evolving experi-
ence. It is only within this listening frame that the patient can safely per-
mit the unconscious dimension of experience to penetrate awareness and
become known as part of the here and now, yet at the same time as distinct
from it; here the patient can see what happens between analyst and patient
been resolved, it has become clearer that some areas of fantasy and reality
are shared between us and others are not. It seems likely that the bastion,
with its sense of oneness, has protected both of us not only against feared
object loss and failed reparation, but also against the meaning for both of
us of the aspects of our inner world and external reality that we do not
share; this will be an important theme as the analysis continues.
Conclusion
In the clinical material I have presented, I have tried to show the multiple
meanings that a prolonged, shared sense of disappointment had for me
and my patient Anna. For both of us, disappointment warded off still
more painful states of disillusionment and despair. Anna’s disappoint-
ment set off a cycle of painful affects—shifting states of disappointment,
disillusionment, and despair—that resonated between us and brought the
analytic process to an impasse. To break this cycle and help Anna under-
stand her sense of disappointment, I needed to do considerable work in
the countertransference, to recognize the underlying disillusionment and
despair that were warded off by my own sense of disappointment, and to
trace these painful feelings first to their sources in my personal uncon-
scious and then to their sources in Anna’s transference to me—in the
internal objects she projected into me. My analysis of the two sources of
my countertransference—in my personal unconscious and in the current
analytic process with Anna—allowed me to begin to distinguish between
these two currents and likewise allowed Anna to begin to explore her
painful feelings more freely and to look at their sources in her past uncon-
scious and in the analytic present. Although beyond the range of the mate-
rial reported here, this exploration ultimately led to Anna’s reconstruction
of a specific early memory, of a time when her mother’s acute illness and
hospitalization had triggered her angry withdrawal, the analog of my own
illness during an earlier period of the analysis.
Analytic impasse may be seen as a situation where for both patient
and analyst the two currents of past unconscious and contemporary expe-
rience have for a prolonged period become blurred and are felt to be the
same, and the psychic space between them, which is necessary for ana-
lytic work, has collapsed. In my clinical material, I have shown the way
Anna’s projection of a depleted, damaged maternal object resonated with
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