Many people seek help because they feel dragged down by a sense of inner deadness that persists in an otherwise full and meaningful life. These individuals somehow remain untouched by their own inner experiences; a deadness persists that can cripple their entire life or part of it. This book shows what is involved in enduring and working with psychic deadness in a day-to-day, session-by-session basis.
This books reminds me why I love psychoanalysis. Because only a psychoanalyst could say to an obese woman (as Eigen does) 'You are starving', and have the audacity to imagine this might do her some good.
Not all analysts are like Eigen, unfortunately. He's as much at home with the theory as he is using his 'psychoanalytic imagination' to unlock the frozen psyches of his patients. The first part of the book is a tour through the writings of Freud, Klein, Winnicott and Bion on the topic of 'deadness'. I found the chapter on Bion the most dazzling. Especially the material on how 'nothing', for Bion, was a notion essential for psychical fexibility and enlivenment -- contrary to how it might appear. Indeed, it is often resistance to or denial of nothing that leads to psychic deadness. Embracing nothingness is probably a sign of mental health.
It soon becomes apparent that psychic deadness can take a huge variety of forms, from an inability almost to function, to wild over-achievement that is nevertheless haunted by a sense of failing to connect with life. The second part of the book is devoted to case histories that explore a vast array of different symptomatologies and therapeutic gambits. Case histories usually make me groan, but these are pretty succinct and -- in fact -- quite edgy, here and there. Especially the one that Eigen addresses directly at a patient who left him; and another in which he openly mentions his sexual attraction to a patient who stayed. Eigen cuts a figure so bold and dashing, he's not even scared to mention the word 'God' on the odd occasion, and to use it as if it meant something.
My initial criticism was that the case histories seemed a total bag of allsorts, and didn't bear much relation to the theoretical offerings of the first part. But on reflection, I think that's not correct. Psychical deadness has infinite hiding-places. If a patient cannot find a solution to their own deadness, sometimes the therapist has to be alive for them, to show the patient how to grow back into life. It's the antidotes to deadness as much as deadness itself that are being explored in the second part of this dense, invigorating and stimulating book. I enjoyed it, and am left wondering if all Eigen's previous works can be as good as this.