Professional Documents
Culture Documents
Cutner, M. (1953) - On The Inclusion of Certain Body Experiments' in Analysis. British Journal of Medical Psychology, 26 (3-4), 262-277.
Cutner, M. (1953) - On The Inclusion of Certain Body Experiments' in Analysis. British Journal of Medical Psychology, 26 (3-4), 262-277.
Cutner, M. (1953) - On The Inclusion of Certain Body Experiments' in Analysis. British Journal of Medical Psychology, 26 (3-4), 262-277.
IN ANALYSIS
BY MARGOT CUTNER*
The following is a first attempt at describing their origin in his infantile psychological
a method of treatment which I have been situation as well as their effect on his present
developing for the last thirteen years. It behaviour, are unconscious and he cannot relax
consists briefly of including in analysis what them without first being made aware of them.
I would tentatively call ‘body experiments’, The purpose of the body experiments is to make
that is, an approach to the patient’s problems the patient aware of such tensions, and to
through his body. The idea from which this interpret with him their psychological signifi-
work started was that a patient’s neurotic cance. When this is done the way is prepared
conflict as a whole, as well as any particular for relaxation to follow automatically.
phase or aspect of it, is reflected, not only in As the emphasis in this kind of work is
the spontaneous symbolic expression of the on the interrelation between a psychological
unconscious such as dreams, pictures or state and its physiological expression, the work
phantasies, but, to the attentive observer, it may proceed from either the psychological or
shows just as well in his body, i.e. in the the physiological side in order to reach the
relationship between tension and relaxation of patient’s problem. I have sometimes called
the smallest muscles and muscle groups which the approach through these body experiments
regulate the habitual as well as the passing ‘physio-analysis’, because the analysis and
expression of the body, whether at rest or in interpretation of the expression of the body is
movement. One can analyse therefore the way used parallel with, and in addition to, the in-
in which a neurosis is reflected in the body, for terpretation of dreams, psychological pictures,
instance in gait, posture, position (i.e. the way free association or symbolism of the Active
of sitting or standing), breathing, inflexion of Imagination. As there exists a practically
voice, and almost any number of other bodily infinite variety of possible interrelations
features, and, by interpreting them, relate between individual neurosis and body expres-
them to the patient’s psychological problem sion it is no easier to lay down rules for this
in general, and to the analytical situation in kind of work than for that of analysis. I shall,
particular. It is, of course, quite natural to however, try to describe as far as possible the
anyone to ‘read’ the emotional state of a ‘technique’ used in the body experiments and
person from his facial expression and, up to the way in which they are correlated with other
a point, from his characteristic movements. aspects of analytical work.
But in order to decipher and retranslate into I owe most of the actual body experiments
psychological terms the ‘language’ of certain to E. Gindler, who, many years ago, in Berlin,
habitual tensions, e.g. in the neck, the arms, had developed this method. However, not
shoulders, abdomen or legs, and theeffect these being an analyst herself she never linked her
tensions have on everyday movements and on experiments on the body with the ideas of any
the general ‘functioning’ of a person, a more analytical school. Yet, many of the assump-
consciously directed observation is necessary. tions underlying my own work were contained
To the patient himself all such tensions, and implicitly in her method. There was analysis
of a kind, which was carried out in groups
* Birmingham and Stoke-on-Trent. but which stopped short of an explicit in-
CERTAIN ‘BODY EXPERIMENTS’ I N ANALYSIS 263
terpretation of personal problems of the In my own practice I was often able to show
unconscious.* how, through body experiments, archetypal
Whereas interpretation of certain expressive symbols, in particular those of the mother-
features of the body, for instance, voice, archetype, appeared to have been activated.
posture, etc., is common practice in analytical There has recently been a discussion in this
work, detailed interpretation as well as a direct Journal of the concepts of the ‘body scheme’
approach to and through the body seems so or the ‘body-image’ by Clifford Scott (1949)
far to have been used only by W. Reich and R. D. Scott (1951) respectively. Perhaps
(1948), with whose work, however, I was not some of the observations made here might be
acquainted when treating the cases described used in attempts to clarify these concepts. It
here. What he calls ‘Vegeto-Therapy’, i.e. seems true to say that whereas R. D. Scott in
the interpretation of the patient’s minute his work watches, observes and relates the
muscular tensions as ‘character-armour ’, changes which the body-image undergoes in
and his technique of dissolving them, seems the course of analysis, I have been trying to
to be very similar to the method used with my work with and through the body-image itself,
own patients and, indeed, goes far beyond it and use it in the process of contacting the
as far as detailed theoretical foundation and unconscious of the patient. For it appears
systematized correlation between body-states that as a result of the interplay between body
and neuroses are concerned. However, im- experiments and response to them a twofold
pressive as his work is, as an analytical development may take place. First, parts of
psychologist one is bound to disagree with the the actual body which before were ‘dead’ will
‘nothing-but’ attitude of his philosophical ‘come alive’. Furthermore, through this
materialism and his rejection of the world of newly-won contact with the body, its arche-
the spirit. The main points of controversy typal symbolism as ‘fertile earth’, as ‘prima
would be Reich’s theory of man’s exclusive materia’, as ‘mother’ will be activated, and
determination by biological and sociological contents of the patient’s unconscious which
factors and the restitution of the patient’s before were split off will be assimilated.
orgastic potency as the one and only aim of It might perhaps be said that Reich‘s work,
analysis and, indeed, as the panacea for all Gindlar’s experiments, and some of the work
human problems. on the body-image, with their common
It might, however, be argued that although interest in helping the patient to enter the
the central conceptions of Reich and Jung- bounds of his own body (as R. D. Scott
the ‘orgone’ and the ‘archetype’-seem to expressesit), have all grown from the awareness
belong to diametrically opposed ways of of the need of modern man to re-relate himself
thinking, yet, in practice and, as it were, against to the ‘earth’. This awareness, as has often
his own theory, Reich seems to achieve been said, has not only dominated many of the
something like an equivalent to what in ideas of modem psychology but has also been
Jungian terms might be called a re-establish- one of the fundamentalproblemsin philosophy
ment of contact with the ‘earth-mother’, and the arts generally,finding its latest, though
experienced not in images of the imagination perverted expression, in the cult of the ‘Blood’
but in the body itself.? of Fascism.
In the first part of this paper it will be shown
* As far as I know Gindler has never published how body experiments were used in analysis
any description of her method. My knowledge of
to help a borderline schizophrenic patient
it is based on several years’ work in her own and
some of her pupils’ groups. with manic-depressive features to rediscover
t ‘Thecloseness to the mother is the same thing it is understood from the point of view of the
as closeness to nature. The identificationof mother vegetative harmony between the individual and
and earth, or universe, has a deeper meaning when the world’ (Reich, 1948, p. 255).
18-2
264 MARGOT CUTNER
her body and thus t o re-establish contact with During these periods she was devoid of any
reality. The second part begins with a somewhat feelings of affection, oblivious of her duties, and
detailed description of a case of migraine and often full of the most violent aggression, particu-
goes on t o some briefly described instances larly if anyone tried to rouse her from her apathy.
from other cases. Hatred of her husband and children, which she
felt only at such times, was openly expressed in
TREATMENT
OF A BORDERLINE
SCHIZOPHRENIC
words, and she was also quite capable of pushing
the children violently around.
History Spells of such moods might last for several
The case was that of a young woman of 33, weeks, although days spent in bed were not
married, with two children, very attractive and usually more than three or four in succession.
intelligent. The marriage was happy, the husband Gradually she would manage to extricate herself
intelligent, good-looking and understanding, and by methods which she had worked out herself,
they were in very comfortable circumstances. They which included enumerating objects, birds, flowers,
lived, however, in a small and rather ‘dead’ etc., to prove her mental capacity to herself;
country town, a fact which added to her difficulties. talking to herself in an encouraging way, ‘Come
The patient had attempted suicide twice before on, you can do it’; or watching herself as another
the beginning of her treatment, and had strong person, thinking of herself as ‘she’.
suicidal tendencies off and on during the early On emerging from those spells of apathy and
stages of analysis. She suffered from spells of disintegration she would often feel very remorseful
almost complete apathy, utter exhaustion, bore- and, as a result, plunge into wild activity, scrubbing
dom and a sense of futility, during which she her house from top to bottom, cooking and baking
retired to bed for days in succession. She would far more than was needed, or throwing herself into
then increasingly lose her sense of individuality social activities. Quite suddenly the crash would
and experience a feeling of disintegration into an come, often foreshadowed in dreams, and she
accumulation of bones, teeth and brittle matter would sink again into apathy, with, in addition,
(parched skin and dried-up eye sockets), some- resentment at having to ‘slave away’ in her house,
times with a sensation that a kind of beetle was and being a ‘social failure’, etc. These latter
ticking away in her chestbone or in some part of her reactions indicate an overlaying hysteria.
head. In those states she would find herself staring A third phase which quite frequently followed
at objects, e.g. a picture, the ceiling or a passing that of apathy was marked by a mood of intense
lorry, and identifying herself with them in such yearning for being ‘more alive’, a phase in which
a way that she could not detach her ego from them. she would also produce poetic writings of beauty
In her own words she ‘got stuck’ in the ceiling, and originality. In such moods she became more
‘glued’ to the picture or she ‘merged’ into the and more conscious of a need for a genuine
lorry. The clock and its ‘ticking the time away’ religious experience.
held a frightening fascination for her. Familiar She had been brought up in the Church of
objects would appear strange and bewildering, and England, but orthodox religion had long ceased
she would find herself disorientated in her own to mean anything to her. She was a highly
home and bewildered by the strangeness of doing sensitive, intuitive introvert, with a gift for poetic
such a thing as cooking or even walking about, and writing which in the course of her treatment
would question the reality of her own existence. developed more and more towards the mystical.
At times she had fantasies such as being Her father, for whom she had a strong and largely
buried in a cave under layers of stone and unconscious love, appears to have been a very
gradually turning into stone herself, or floating in matter-of-fact business man, of the ‘hunting,
water and gradually dissolving. Her dreams shooting, and fishing’ type, generous and super-
included: looking at her hands, which suddenly ficial. He was on very good terms with her elder
turned into mice; opening a face powder compact sister who, like the father, seems to have been an
and finding the back of it teeming with worms; extravert. The mother was, in the words of the
watching a fly caught in a jelly struggling to get out, patient’s husband, ‘most unbelievably cold and
while she herself waited fascinated for the walls of morbid’, obviously an introvert like the patient,
the jelly to fall in and bury the fly. but probably a thinking type. She had no say in
CERTAIN ‘BODY EXPERIMENTS’ I N ANALYSIS 265
the family and lived in a world of her own, never patient began to occupy herself with meta-
risking her feelings, being retiring, observant and
physical, religious and even scientific problems,
inefficient,taking in a plaintive Voice, but Oftenwith considerably more than her usual very
making surprisinglywise remarks. These, however, small amount of endurance. this I en-
appeared to the children Out Of
couraged her, as it appeared to me that this
place and generally embarrassing. The patient
patient’s illness was caused largely by un-
seems always to have felt a similarity between
herself and her mother and, as she hated her recognized and unassimilated
mother, this aggravated her self-hatred which and religious questions. Thismeant that instead
originally was engendered through her father’s Of the Of libido Of
lack of interest in her. She grew up with the ideathe schizophrenic exclusively as a result
of being ‘no good at anything’ and, therefore, of regression and the patient’s symptoms
increasingly shunned effort of any kind. Instead as nothing but the result of this, I regarded
she withdrew into a world of dreams and phan- them, over and above that, as an expression of
tasies, one of her childhood phantasies being a genuine need to face certain fundamental
‘letting herself out of the window on a silver metaphysical problems, amongst them that
thread’. At puberty her father’s rather crude of the relationship of and matter as
attitude towards women, coupled with her
problems sui generis. * Thus, by acquainting
mother’s morbid prudishness, caused the patient
herself with philosophical, religious and
to develop deep-seated sexual guilt, which at !%st
sight seemed to have been dissolved through her scientific problems she began to her
happy marital relationship. This proved, however,Own painful experiences regarding mind
to have been only a surface adaptation, shame of and matter, etc-3 as closely related to those
her own body had greatlyaggravatedher early habit states of ‘~ U V C . L ~ ~ E L(fundamental
V’ wonder)
of automatically and unconsciously withdrawing which have been the starting point for all
her libido from the physical world, including metaphysical questioning throughout the ages.
her O w n body, as Soon as She came U P against As she found in this way how her own personal
the The Physical
problems were related to general problems of
world, therefore, came back on her with a mankind, they began partly to lose their
vengeance; for instance, in her fantasies of beingfrightening appearance. Previously they had
stuck in matter, consisting of nothing but matter,
set her apart from her own family and social
or dreams like the one of the fly, the living ‘airy’
thing, being caught in Being obsessed bycircle in which everyone, with the exception of
the overwhelming power of matter means at the her mother, took the world at face value in
same time being obsessed by the mother-archetype,a Particularly shallow and conventional way.
an aspect of her problem which will be referred NOW,through her new relatedness, her feeling
to below.* of isolation was counteracted and her need
for finding a n individual answer to the
,
REFERENCES
BAYNES,H. G. (1950). Analytical Psychology and REICH, W. (1948). The Function of the Orgasm.
the English Mind. London: Methuen. New York: Orgone Institute Press.
CUSTANCE, J. (1951). Wisdom, Madness and Folly. SCOTT,R. D. (1951). The psychology of the body
London: Gollancz. image. Brit. J. Med. Psychol. 24,254-66.
JUNG, C. G. (1945). Betiehungen zwischen dem . SCOTT,W. C. M. (1949). The ‘body scheme’ in
Ich und dem Unbewussten. psychotherapy. Brit. J. Med. Psychol. 22,
PETERS,F. (1 949). The WorldNext Door. London : 139-5 1.
Gollancz.