Table Of ContentP
s
Psychodynamic Psychotherapy in South In a world struggling to face and embrace
y
Africa will touch its readers and challenge the otherness that marks our common
c
them to think and feel beneath the surface of humanity, South African experience invites us h
South African life. It is a must-read for anyone to recognize and come to grips with trauma o
concerned with individual and social change and with the universal struggle for recognition d
in the South African context. and meaning so essential to healthy living. y
n
CAROL LONG, Associate Professor & Clinical MARILYN CHARLES, Training Analyst,
a
Psychologist, University of the Witwatersrand, Michigan Psychoanalytic Council and Chicago
m
Johannesburg Centre for Psychoanalysis
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c
Psychodynamic
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This book takes the reader on a journey through the sensitive and often painful realities of
s
contemporary South African life. Offering a fresh and innovative perspective on psychodynamic
y
psychotherapy, it captures the possibilities of using psychodynamic theory in service of
c
progressive and socially relevant application. h Psychotherapy
Psychoanalysis as a long term modality is inaccessible to the average South African. In this o
book the authors describe how psychoanalytically orientated or psychodynamic psychotherapy t
can be practiced as a short-term endeavour and applied to contemporary issues facing the h
country. Psychodynamic work is currently undertaken by clinical psychologists, therapists, e
r in SOUTH AFRICA
clinicians, trainers, teachers, clinical supervisors, consultants and researchers working in university a
settings, state hospitals, community projects, private practice and research. The debates, clinical p
issues, therapeutic practice and nature of research covered in the book are widely representative y
of the work being done in the country.
i
The need for shorter term therapy models and evidence-based interventions is as acute in n
global practice as it is locally. The lessons learned in South Africa have broader implications for S contexts, theories and applications
international practitioners, and the authors stress the potential inherent in psychoanalytic theory O
and technique to tackle the complex problems faced in all places and settings characterised by U
increasing globalisation and dislocation. T
Psychodynamic Psychotherapy in South Africa is aimed at local and international practitioners H
and students, while non-specialist readers will fi nd the text informative and accessible. A
F
R
Cora Smith is an Adjunct Professor in the Division of Psychiatry, Faculty of Health Sciences, University of I
C
the Witwatersrand, Johannesburg. She is also the Chief Clinical Psychologist of the Child, Adolescent and
A
Family Unit at the Charlotte Maxeke Johannesburg Academic Hospital.
Glenys Lobban is a graduate of the New York University Postdoctoral Program in Psychoanalysis and
aCE
Psychotherapy and an Adjunct Clinical Supervisor, Clinical Psychology Doctoral Program, City University of noD
New York. d Mra SITE
Michael O’Loughlin is a Professor at the Adelphi University, New York. He is on the faculty of the Derner icmD
Institure of Advanced Psychological Studies and in the School of Education. hael Oith, G BY
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EDITED BY Cora Smith, Glenys Lobban and Michael O’Loughlin
Psychodynamic
Psychotherapy
in South AfricA
Psychodynamic
Psychotherapy
in South AfricA
contexts, theories and applications
EDITED BY Cora Smith, Glenys Lobban and Michael O’Loughlin
Published in South Africa by:
Wits University Press
I Jan Smuts Avenue
Johannesburg
www. witspress.co.za
Published edition© Wits University Press 2013
Compilation© Edition editors 2013
Chapters© Individual contributors 2013
First published 2013
ISBN 978-1-86814-603-1 (print)
ISBN 978-1-86814-604-8 (digital)
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system,
or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or
otherwise, without the written permission of the publisher, except in accordance with the provisions
of the Copyright Act, Act 98 of 1978.
Edited by Lee Smith
Cover design and layout by Hothouse South Africa
Printed and bound by Interpak Books
v
Contents
Editors vii
Contributors viii
Acknowledgements x
Acronyms xi
Introduction Cora Smith 1
Section i: Subjectivity and identity
ChAptEr 1 Naming and otherness: South African intersubjective 13
psychoanalytic psychotherapy and the negotiation of
racialised histories
Sally Swartz
ChAptEr 2 raising the colour bar: Exploring issues of race, racism 31
and racialised identities in the South African therapeutic
context
Yvette Esprey
ChAptEr 3 Subjectivity and identity in South Africa today 54
Glenys Lobban
Section ii: traumatic StreSS
ChAptEr 4 psychotherapy and disrupted attachment in the 77
aftermath
Cora Smith
ChAptEr 5 traumatic stress, internal and external: What do 109
psychodynamic perspectives have to contribute?
Gill Eagle
vi Psychodynamic PsychotheraPy in south africa
Section iii: Social iSSueS
ChAptEr 6 Unconscious meaning and magic: Comparing 141
psychoanalysis and African indigenous healing
Gavin Ivey
ChAptEr 7 Intimate partner violence in post-apartheid South Africa: 169
psychoanalytic insights and dilemmas
Tina Sideris
ChAptEr 8 Serial murder and psychoanalysis in South Africa: 194
teasing out contextual issues amid intrapsychic
phenomena in two case studies
Giada Del Fabbro
ChAptEr 9 Some psychoanalytic reflections on a project working 218
with hIV orphans and their caregivers
Vanessa Hemp
ChAptEr 10 reclaiming genealogy, memory and history: 242
the psychodynamic potential for reparative therapy
in contemporary South Africa
Michael O’Loughlin
Afterword Glenys Lobban and Michael O’Loughlin 273
Index 277
Psychodynamic PsychotheraPy in south africa vii
Editors
cora Smith Phd is an Adjunct Professor in the Division of Psychiatry, Department
of Neurosciences, School of Clinical Medicine and Faculty of Health Sciences,
University of the Witwatersrand, Johannesburg. She is also the Chief Clinical
Psychologist of the Child, Adolescent and Family Unit at the Charlotte Maxeke
Johannesburg Academic Hospital. She has extensive clinical experience in state
hospitals and community clinics. She is responsible for the psychological training
of Masters Clinical Psychology Interns, Psychiatry Registrars and Child Psychiatry
Fellows. She has published a number of articles in journals and chapter collections
and has presented many papers in South Africa and at international conferences.
GlenyS lobban Phd is in full-time private practice in New York City. She is a
graduate of the New York University Postdoctoral Program in Psychoanalysis and
Psychotherapy and an Adjunct Clinical Supervisor, Clinical Psychology Doctoral
Program, City University of New York. She was born in South Africa and also
holds a Master’s degree in Psychology from the University of the Witwatersrand,
Johannesburg. She has published a number of articles in psychoanalytic jour-
nals and collections in the United States and has presented many papers in the
United States and internationally. She wrote three chapters for With Culture in
Mind: Psychoanalytic Stories, edited by Muriel Dimen and published by Routledge
in 2011.
michael o’louGhlin Phd, Professor at Adelphi University, New York, is on the
faculty of Derner Institute of Advanced Psychological Studies and in the School of
Education. He is a clinical and research supervisor in the PhD programme in Clinical
Psychology and on the faculty of the Postgraduate Programs in Psychoanalysis
and Psychotherapy at Adelphi. He published The Subject of Childhood in 2009
and edited Imagining Children Otherwise: Theoretical and Critical Perspectives on
Childhood Subjectivity with Richard Johnson in 2010. He is editor of two volumes,
Psychodynamic Perspectives on Working with Children, Families and Schools and The
Uses of Psychoanalysis in Working with Children’s Emotional Lives, both of which
will be published in 2013 by Jason Aronson. His interests include the working
through of intergenerational and collective trauma, the social origins of psychosis
and schizophrenia, and the emotional lives of children. He is currently Co-Chair of
the Association for the Psychoanalysis of Culture and Society and Treasurer of the
Joint Psychoanalytic Conference. He is a research affiliate at Austen Riggs Center,
where he conducts research on psychosis in collaboration with Marilyn Charles.
viii Contributors
Contributors
Giada del Fabbro Phd is the Senior Clinical Psychologist at the Child,
Adolescent and Family Unit, Department of Neurosciences, University of the
Witwatersrand, Johannesburg. She also holds an MSc in Forensic Psychology from
the University of Kent at Canterbury, United Kingdom. She has several publica-
tions in the field of forensic psychology as well as in the area of clinical psychology.
Gill eaGle Phd is a Full Professor at the University of the Witwatersrand,
Johannesburg, and previous Head of the Department of Psychology. She sits on
several university committees. She has focused her academic and research work
in the two fields of trauma studies and masculinity studies and has published
numerous journal articles and book chapters in these areas. She co-edited
Psychopathology and Social Prejudice (2002) and co-authored Traumatic Stress in
South Africa (2010). She is particularly interested in the application of psycho-
analytic ideas to socio-political issues in South Africa.
yvette eSPrey is a Clinical Psychologist in private practice in Johannesburg,
South Africa. She holds Master’s degrees in Industrial and Clinical Psychology
from the University of the Witwatersrand, Johannesburg. She previously held the
position of Head Psychologist at Tara H Moross Psychiatric Hospital, and has
worked as a lecturer at the Universities of Cape Town and the Witwatersrand.
She has specific interests in psychoanalytic theory, borderline personality
disorders, trauma, and the intersection of race and psychotherapy. She teaches
both locally and overseas, and has presented numerous papers at local and inter-
national conferences.
