I think Winnicott has returned me to Spinoza and perhaps
even to myself. I recall at some point that Spinoza says that the mind is the
invention of the body, I was not exactly clear what Spinoza might have meant,
but my readings in Winnicott have clarified some of this for me. Winnicott
theorizes that psychosomatic disorders are real afflictions that have their
aetiology in psychological factors: but that the patient disassociates the somatic
aspect from the psychological: the hypertension physically experienced (and for
which medicines are taken) isn’t linked to an anxious state. Or a headache may
be managed with medications but could be dissociated from a severe confusion in
the patient of ideas and responsibilities. Any patient will play caregivers off
one another by identifying some who understand (the physical aliment) and those
who don’t understand it in order to maintain the dissociation—the splitting. In
hypochondriacal patients sickness is invented, but in psycho-somatic patients
the sickness is real though the cause remains psychological. Hence, Winnicott
says, in one patient the complaints of belly-symptoms appears to be also a
denial of mind symptoms. Rather pointedly in my case, Winnicott says “chronic
hypertension (from which I suffer) may be the clinical equivalent of a
psycho-neurotic anxiety state or of a long-continued traumatic factor, such as
a parent who is loved but who is a psychiatric casualty. Alas, I have met such
casualties. The mind is the product of the body.
And as for my
immediate thoughts here: Winnicott speaks to the relationship between the
development of intellect and that of the False Self: that psychological component
that develops to defend the True Self. Winnicott argues that when a False Step
develops in an individual with a high intellectual potential (I think to
consider that this might be c’est moi) and
the mind becomes the location of the False Self, there develops dissociation--a
splitting--between the intellectual activity and the psycho-somatic existence.
That is, the mind is used to solve the physical difficulty when in fact the two
realms must be seen as intimately associated. Or the physical activity is
treated withut consideration of the mind. But I think Spinoza might have been
correct: the mind is the idea of the body.
Not that I don’t think I suffer from
physical ailments (my family physician and I refer to my annual physical as the
A”Alan Block Death Watch); or that I do not regularly check the internet for
confirmation of my symptoms: and I understand that these are the products of
hypochondriacal tendencies. But of my real physical ailments thus far I have
dissociated from my psychological existence: I have split off my mind from my body
ignoring the latter by pretending to attend to it, even by my reading of
Spinoza and Winnicott.
I have returned to therapy.
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