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Psychotically Frightened to Death


Article # : 17957 

Section : BOOK WORLD
Issue Date : 5 / 1990  3,283 Words
Author : Ann-Louise Silver, M.D.
Ann-Louise Silver, M.D., is on the medical staff of Chestnut Lodge in Rockville, Maryland. In addition to teaching and writing about psychodynamic psychotherapy, she has edited Psychoanalysis and Psychosis (International Universities Press, 1989), illness in the Analyst (IUP, in press), and Psychoanalysis and the Severely Ill (Guilford Press, in press).

       "We shall not cease from exploration
       And the end of all our exploring
       Will be to arrive where we
       started
       And know the place for the first
       time."
       
       T.S. Eliot
       Four Quartets: "Little Gidding"
       
       "There's one good thing
       about this place, though.
       My doctor is good.
       I think I can talk to
       him easily now…"
       
       Rickie
       
        Rickie, Dr. Frederic Flach's daughter, fell ill at age fourteen: "Daddy, I'm scared because…I want to die." Over the next decade, she stayed in many hospitals undergoing various treatments. In Rickie, her psychiatrist father shares his perspective with us. He is both an insider, used to treating patients, and an outsider, watching others treat his daughter. As a therapist at a psychodynamic hospital, I wish I could examine Rickie's case more fully, for much of Rickie's drama of illness and treatment takes place behind a drawn curtain.
       
        Interspersed throughout the book are Rickie's contributions - recollections, letters, and poetry. They sparkle with intense self-scrutiny. Like Joanne ... (1994 of 19600 Characters)
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