Wednesday, January 25, 2023

The Cockroach Catcher II: Attempted Living---Incestuous Failure


Daily Chapters: Incestuous Failure





             In Hong Kong, the one and only mental hospital, Castle Peak Hospital, was in the New Territories, far away from the city.  Once a week we ran an outpatient clinic in Kowloon and all the junior doctors except the two on call would be out there seeing new and follow-up patients.

            The majority of cases were schizophrenia, with the occasional manic depressives.   

            Then in my West London Psychiatric Unit...................

            This much I knew. My guru had spent a lot of time working on a psychoanalytical understanding of schizophrenics - an approach frowned upon by the mainstream psychiatrists of that era.  He got his MD from Edinburgh on a thesis about the relationship between mothers and schizophrenic sons in particular.  It was close to Margaret Mahler’s view, theorizing that unresolved infancy stages led to late adolescent breakdown.

The best assessment I could give him about his view on this was: “Interesting!”

I found many things to admire in my new found guru, but there were limits.  Schizophrenia is schizophrenia.  Psychoanalysis for schizophrenia?  I could not be convinced.  No matter, I still held him in high esteem, and we remained good friends even after I moved on to my next post at a premier psychoanalytic centre.  Perhaps it was his influence. 

Ray had just one book with him: a dog-eared copy of James Joyce’s Ulysses.

I remember once over lunch, out of the blue my guru told me about the question posed by James Joyce:  “When he and his daughter spoke the same language and said similar things, why did he become famous and yet his daughter was diagnosed schizophrenia?”


My Guru:  From quite early observations I came to detect specific patterns in given patient–nurse relationships, having those characteristics to which elsewhere we give the term 'transference'1 and which have their basis in the family life of the patient. So long as I played the traditional doctor role, I could exclude myself and be excluded from the emotional content of the patient–nurse relationship. It seemed that everything conspired to invite me into reiteration of father's role in the patient's family. This can be summed up in a rhetorical question—'does the schizophrenic have a father?Conran MB (1976) Schizophrenia as incestuous failure. Theoretical implications, derived from transference observations of the young male schizophrenic and his mother, concerning the mother-infant relationship. In: Proceedings of the Vth international symposium on the psychotherapy of schizophrenia, Oslo 1975. Universitetsforlaget, pp 203-210
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 Just published on Amazon

The Cockroach Catcher II: Attempted Living.


                   

Attempted Suicide

or

Attempted Living!




Review on Amazon:

Maureen
5.0 out of 5 stars Not the ordinary memoir

Reviewed in the United Kingdom 🇬🇧 on January 17, 2023

Verified PurchaseAm Ang Zhang has brilliantly woven together nostalgia, discoveries, astute observations and intelligent opinions. The fascinating title of the book is a deliberate understatement of his abundant life, where being a senior consultant psychiatrist is only a part of it . He is obviously a man of gifted intellect and refined tastes who, rather than hampered by material scarcity as a young child refugee, was fascinated by beauty in nature, and quickly acquired an appreciation of the finer things in life, enriched by travels and sustained by a keen engaging mind.
Reading his memoir is eye opening, and at times therapeutic. It was like meeting up with a learned old friend, as you sit with him and listen while his memories and ideas overflow. You travel with him as his stories move from continent to continent, from detailed episodes to gentle remarks, from freshly harvested catches to gourmet preparations, from ancient finds to modern scientific research ......
A most delightful read.

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