Solitude. Anthony Storr

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СКАЧАТЬ is, after all, unique. No ordinary social meeting allows detailed study of the way in which one party reacts to the other. In no other situation in life can anyone count on a devoted listener who is prepared to give so much time and skilled attention to the problems of a single individual without asking for any reciprocal return, other than professional remuneration. The patient may never have encountered anyone in his life who has paid him such attention or even been prepared to listen to his problems. It is not surprising that the analyst becomes important to him. Recognizing the reality of such feelings is as necessary as recognizing the irrational and distorted elements of the transference which date from the analysand’s childhood experience.

      This concentration upon interpersonal relationships and upon transference is not characteristic of all forms of analytical practice; but it does link together a number of psycho-analysts and psychotherapists who may originally have been trained in different schools, but who share two fundamental convictions. The first is that neurotic problems are something to do with early failures in the relation between the child and its parents: the second, that health and happiness entirely depend upon the maintenance of intimate personal relationships.

      No two children are exactly alike, and it must be recognized that genetic differences may contribute powerfully to problems in childhood development. The same parent may be perceived quite differently by different children. Nevertheless, I share the conviction that many neurotic difficulties in later life can be related to the individual’s early emotional experience within the family.

      I am less convinced that intimate personal relationships are the only source of health and happiness. In the present climate, there is a danger that love is being idealized as the only path to salvation. When Freud was asked what constituted psychological health, he gave as his answer the ability to love and work. We have over-emphasized the former, and paid too little attention to the latter. In many varieties of analysis, exclusive concentration upon interpersonal relationships has led to failure to consider other ways of finding personal fulfilment, and also to neglecting the study of shifting dynamics within the psyche of the isolated individual.

      A number of psycho-analysts contributed to the rise of ‘object-relations theory’ as opposed to Freud’s ‘instinct theory’. Amongst these analysts were Melanie Klein, Donald Winnicott, and Ronald Fairbairn. But the most important work in this field has been that of John Bowlby, whose three volumes Attachment and Loss are deservedly influential, have inspired a great deal of research, and are widely regarded as having made a major contribution to our understanding of human nature.

      Bowlby assumes that the primary need of human beings, from infancy onward, is for supportive and rewarding relationships with other human beings, and that this need for attachment extends far beyond the need for sexual fulfilment. The ideas which Bowlby is expressing derive from a welcome synthesis between ethology and psycho-analysis. By emphasizing attachment, which is distinct from sexual involvement, although often associated with it, Bowlby has widened the psycho-analytic view of man and human relationships, bringing it more into line with the findings of workers in other disciplines:

      Bowlby’s Attachment and Loss originated in his work for the World Health Organization on the mental health of homeless children. This led to subsequent study of the effects upon young children of the temporary loss of the mother and to a far greater appreciation of the distress suffered by young children when, for example, they or their mothers have to be admitted to hospital.

      Human infants begin to develop specific attachments to particular people around the third quarter of their first year of life. This is the time at which the infant begins to protest if handed to a stranger and tends to cling to the mother or other adults with whom he is familiar. The mother usually provides a secure base to which the infant can return, and, when she is present, the infant is bolder in both exploration and play than when she is absent. If the attachment figure removes herself, even briefly, the infant usually protests. Longer separations, as when children have been admitted to hospital, cause a regular sequence of responses first described by Bowlby. Angry protest is succeeded by a period of despair in which the infant is quietly miserable and apathetic. After a further period, the infant becomes detached and appears no longer to care about the absent attachment figure. This sequence of protest, despair, and detachment seems to be the standard response of the small child whose mother is removed.

      The evidence is sufficiently strong for Bowlby to consider that an adult’s capacity for making good relationships with other adults depends upon the individual’s experience of attachment figures when a child. A child who from its earliest years is certain that his attachment figures will be available when he needs them, will develop a sense of security and inner confidence. In adult life, this confidence will make it possible for him to trust and love other human beings. In relationships between the sexes in which love and trust has been established, sexual fulfilment follows as a natural consequence.

      However, attachment varies in quality and intensity, partly depending upon the mother’s reaction to, and treatment of, her infant; and partly, no doubt, upon innate genetic differences. Although the overt response of an infant to the mother’s departure may appear to be similar in different instances, the consequences of her prolonged absence may vary considerably from case to case. Research indicates that children brought up in institutions are more disruptive and demanding than children reared in nuclear families. It is likely, though not absolutely proven, that such children are less able to make intimate relationships when grown-up than those who have had the advantage of a close-knit, loving family. Experiments with separating infant monkeys from their mothers indicate that it is not difficult to produce an adult monkey which is incapable of normal social and sexual relationships. However, human beings are extraordinarily resilient, and even children who have been persistently isolated and ill-treated may be able to compensate for this if their environment changes for the better.

      In Chapter 12 of the first volume of Attachment and Loss, Bowlby discusses the nature and function of attachment from the biological point of view. From his extensive knowledge of attachment behaviour in other species as well as in man, he concludes that the original function of attachment behaviour was protection from predators. First, he points out that isolated animals are more likely to be attacked by predators than animals which stay together in a group. Second, he draws attention to the fact that, in both man and other animals, attachment behaviour is particularly likely to be elicited when the individual is young, sick, or pregnant. These states all make the individual more vulnerable to attack. Third, situations which cause alarm invariably cause people to look around for others with whom to share the danger. In the case of modern man, the danger from predators has receded, but his response to other forms of threat remains the same.

      This biological interpretation makes good sense. Modern man seems pre-programmed to respond to a number of stimuli in ways which were more appropriate to the life of a tribal hunter-gatherer than they are to urban Western man at the end of the twentieth century. This is notably so in the case of our aggressive responses to what we consider threat, and also in the case of our paranoid suspicion of strangers. Both kinds of response may have been appropriate for our tribal ancestors, but are dangerous in times when we are menaced by the possibility of a nuclear holocaust.

      Bowlby makes the important point that attachment is not the same as dependence. It is true that it takes human beings a very long time to grow up. The period from birth to sexual maturity constitutes nearly a quarter of the total lifespan, which itself is longer than that of any other mammal. Our early helplessness and extended childhood provide opportunity for learning from our elders, which is generally supposed to be the biological reason for the prolongation of immaturity in the human species. Man’s adaptation to the world is dependent upon learning and the transmission of culture from one generation to the next. Dependence is at its maximum at birth, when the human infant is most helpless. In contrast, attachment is not evident until the infant is about six months old. Dependence gradually diminishes until maturity is reached: attachment behaviour persists throughout life. If we call an adult dependent, we imply that he is immature. But if he has СКАЧАТЬ