The 15 Year Relay

Clinical Social Work Journal -     

Revisiting the “Myth” of Feminine Masochism

Masochism, an enigmatic concept and clinical entity, has long posed one of the most difficult therapeutic challenges. Clinical observation supports the view that both men and women can exhibit masochistic traits. However, by virtue of their gender specific developmental paths, men and women may differ in their respective masochistic manifestations. Female patients often report a tendency to inhibit aggression which can lead to its somatic expression. Women also tend to be more prone to certain types of self-defeating behaviors and affective states, such as eating disorders, depression, and victimization. Factors contributing to the development of masochism in women include the influence of pre-oedipal and oedipal relations with the parents, narcissistic needs, and the internalization of societal attitudes toward women.     

Living everyday lies: the experience of self

Lying is a ubiquitous feature of everyday social convention and also permeates the intimate bonds of romantic and family life. This article reviews the research literature on the gender-based motivations for lying and the contexts in which it occurs, along with relevant psychoanalytic perspectives, which help to explain how lying is related to one’s experience of self. Emphasis will be placed on contemporary psychoanalytic formulations, which emphasize the subjective nature of truth and the multiplicity of self-experience. A case illustration is offered to demonstrate the applicability and complementarity of various viewpoints on the topic.This article is based on a keynote address given at the New York State Society for Clinical Social Work 29th Annual Conference held in New York City. The Conference theme was entitled “Secrets and Lies: Intrapsychic and Interpersonal Dimensions.”     

Shared Trauma: When the Professional is Personal

Concepts describing secondary trauma phenomena do not adequately capture the profound impact that collective catastrophic events can have on mental health professionals living and working in traumatogenic environments. Shared trauma, by contrast, contains aspects of primary and secondary trauma, and more accurately describes the extraordinary experiences of clinicians exposed to the same community trauma as their clients. Case vignettes from clinicians in Manhattan and Sderot, Israel are provided to illustrate the transformative changes that clinicians may undergo as a result of dual exposure to trauma. Discussion involves the importance of articulating one??s own trauma narrative and attending to self-care prior to resuming clinical work, as well as opportunities for enhanced therapeutic intimacy and caution regarding boundary alterations that may result from clinician self-disclosure. Agency settings can provide the necessary education, supervision, and support to mitigate the negative effects of shared trauma.