Our Sexy Brain; Our Compelling Environment: Interactionism in Female Development

Silverman, Doris K.

doi:10.1521/prev.2010.97.1.1

The Psychoanalytic Review

2010

DOI: 10.1521/prev.2010.97.1.1

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Our Sexy Brain; Our Compelling Environment: Interactionism in Female Development

Doris K. Silverman¹

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Cited by 2 publications

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“…Although it is not my primary focus in this article, it should be mentioned that most neurobiologists now recognize that early experience, especially between mother and infant influence our patterns of brain connections and these patterns contribute to shaping our personality, social interactions, and mental health in general (For an in depth explication of similarities and differences see Fonagy, 2001). Thus, there is a subtle, complicated relationship between the brain and behavior that Freud, the original neurologist, recognized (Silverman, 2010). The attachment system addresses the psychological nature of these early interactions.…”

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A clinical case of an avoidant attachment.

Silverman

2011

Psychoanalytic Psychology

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Whereas there is considerable information on attachment theory and its research, the description of a case of avoidant attachment and its detailed clinical process is rare. The nature of these patients' insistence on independence and self-sufficiency, their lack of admission of distress often linked to dissociation, and their dismissiveness of others, minimize the need to seek treatment. Nonetheless, such patients often are experiencing chronic duress and require assistance because of their incapacity to moderate and stabilize their emotional states. I describe a patient who came to treatment because of his panic attacks. His long-standing belief in his self-reliance and autonomy, a coping mechanism that evolved very early in his life, was an important therapeutic consideration. Early maladaptive interactions between his primary caregiver and him led to an internalized model of avoidant relationships. Because of such extreme insensitivities and misattunements on his mother's part, he developed a reliance on self-regulation. This stratagem masked a need for interactive regulation from a caregiving other when he was stressed. This feature of our therapeutic work was an important focus. Those who demonstrate an avoidant/dismissive interaction are difficult to deal with therapeutically and the theoretical and clinical implications of this attachment are explored. In a lengthy analytic treatment, different psychoanalytic ideas were offered to the patient. Nonetheless, this case highlights the usefulness of attachment theory and its attendant therapeutic interventions.

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A clinical case of an avoidant attachment.

Silverman

2011

Psychoanalytic Psychology

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Otherness and Our Sexuality: Laplanche Clinically

Silverman

2022

Studies in Gender and Sexuality

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Our Sexy Brain; Our Compelling Environment: Interactionism in Female Development

Cited by 2 publications

References 52 publications

A clinical case of an avoidant attachment.

A clinical case of an avoidant attachment.

Otherness and Our Sexuality: Laplanche Clinically

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