Shirah Vollmer MD

The Musings of Dr. Vollmer

Archive for the ‘Fairbairn’ Category

Am I Bad And/Or Did I Have Bad Parents?

Posted by Dr. Vollmer on May 16, 2013


“Outer security is thus purchased at the price of inner security,” so says Ronald Fairbairn about a child who protects his parents, defends them, at the expense of his self-esteem and intuition. In other words, when one senses that one’s parents are malicious, then one can protect them, and discard one’s sense of right and wrong, outer security, and thereby dismissing one’s internal sense of ethics, inner security. “It is better to be a sinner in a world ruled by G-d, than to live in a world ruled by the Devil,” Fairbairn continues. To be in a world ruled by the devil, “he can have no sense of security and no hope of redemption,” he elaborates. Fairbairn is famous for his example of the boy faced with poisonous chocolate pudding, as a symbol of difficult parents. He can either eat the poison and die, or starve and die. Inevitably, the boy will eat the poison, as this wins over starvation. This example is meant to illustrate how paranoid thinking can come into existence, if one grows up needing to trust people, who ultimately betray them. In essence, unwinding  from bad parenting is a long journey of self-reflection, requiring a separation from parental figures which is both agonizing and destabilizing.





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Posted in Fairbairn, Psychoanalysis, Psychotherapy | 11 Comments »

Relationships Heal: Fairbairn Comes Alive

Posted by Dr. Vollmer on August 6, 2012

“My dependence on my mother is so great, and she is so privileged in my eyes that it makes my rage more acute and more forbidden. Mommy is someone I cannot attack….My position with her is so precarious that I don’t risk upsetting the balance.” Karl, the name given to W. Ronald Fairbairn’s patient that he writes about in 1958 in his article entitled ‘Nature and Aims of Treatment’.  Karl continues with a dream. As Fairbairn describes the dream, “he was starving in the dream and there was no food available apart from the pudding. He knew, therefore, that if he did not partake of the pudding, he would die of starvation; but he also knew that the pudding was poisoned and that, if he ate it, he would likewise die. It goes without saying, of course, that the poisoned pudding symbolized his relationship with his mother.” Fairbairn used Karl as an example that not only does he need to understand his sense of deprivation from his mother, but he also needs to develop a therapeutic relationship with his therapist so that he can see that not all deep relationships consist of poisoned pudding. This notion was then re-branded by Kohut as Self-Psychology, where the theory purports the same therapeutic action.

W. Ronald Fairbairn (1889-1964) studied divinity and then served in the British Army in Palestine before returning to his native Scotland and becoming a physician. He spent most of his professional career in Edinburgh, which was quite peripheral culturally and politically to London, with the result that much of his work was not appreciated by the larger psychiatric and psychoanalytic community until late in his career.

Re-reading Fairbairn for my upcoming Journal Club with the Psychiatric Residents, I am once again struck by how his ideas, although poorly written, were not brought to the light of day until, thanks to Kohut, we could now begin to tolerate the notion that relationships are therapeutic, even without the attainment of insight. Sure, my issue with Kohut is that he writes as though Fairbairn did not state this years before, but at the same time, I credit Kohut for having the charisma to take these ideas to a broader audience. In essence, the packaging is almost as important as the product. Kohut was a better salesman. Fairbairn’s ideas kick started our movement towards understanding the importance of the two people in the consultation room: their relationship matters.

Posted in Fairbairn, Kohut, Personality, Psychoanalysis, Psychotherapy, Self-Psychology, Teaching Psychoanalysis, Winnicott | 2 Comments »

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