The missing tombstone: reflections on mourning and creativity

Professional and Personal Development After Psychoanalytic Training: Interviews with Early Career Analysts

After analytic training, graduates position their newly acquired identity as "psychoanalyst" in the context of their broader career, contemplating whether to start new analytic cases, adapting their new knowledge base to psychotherapy practice, and deciding how to focus their professional and personal interests going forward. Using questionnaires and interviews, the Columbia Postgraduate Analytic Practice Study (CPAPS) has prospectively tracked the career trajectory of 69 of 76 graduates (91%) from the Columbia University Center for Psychoanalytic Training and Research since 2003. In this paper grounded theory is used to identify developmental themes in interviews with analysts who have been followed for at least ten years. Recent graduates are negotiating the following challenges: developing a sense of competence, navigating relationships with colleagues and former supervisors as situations change and roles shift, transitioning into becoming mentors, and balancing the competing responsibilities of professional and personal life. Disillusionment about aspects of training, analytic practice, analysis as a treatment, institute politics, and the field in general emerges as a stark reality, despite a high level of career satisfaction. Educational recommendations include making career development opportunities available and providing a realistic view of both practice realities and expectations of analytic treatment outcome.

Commemoration of disruptive events: a scoping review about posttraumatic stress reactions and related factors

Collective commemoration in response to war or disaster is widespread across time and cultures. It is assumed to support those affected by the disruptive event to cope with their experiences. However, the actual relationship between commemoration and mental health outcomes is complicated and evidence of healing effects remains elusive. By applying a scoping review approach, this article maps empirical studies that focus on commemoration from a psychological perspective. Within five electronic databases, 415 unique articles were identified, of which 26 met the predetermined inclusion criteria, i.e. presenting empirical data on the subject of war or large-scale violence and commemoration in relation to posttraumatic stress (PTS) and grief reactions. The data were extracted and analysed according to the five steps of a systematic scoping review. Results varied, with both negative and positive effects of commemoration on PTS and grief reactions being reported. Based on these findings we propose an evidence-informed model that distinguishes different aspects influencing the linkage between commemoration and PTS and grief reactions. The following aspects are distinguished: contextual factors, including political and cultural context, individual characteristics and facilitating mechanism, including expression, recognition, support, meaning-making and personal memories. The proposed model needs to be tested and validated by further quantitative research. This will allow social workers and policy makers to make well-informed decisions about commemorative events that may benefit fractured communities as well as individuals.

On Heavy Metal: Existential Rage and the Neurotic Artist

Many artists are seen as neurotic and some believe this occurs because of their underpinning struggle to ameliorate the existential angst that often arises from living out an embodied human life. An art piece can be a means to channel the artist’s neuroticism and potentially alleviate exasperation due to conflicted thoughts about existence. At its extreme, what the author labels as existential rage occurs as a railing against the meaninglessness and disparity of life’s circumstances. Art, especially the heavy metal musical genre, is a dynamic medium that encapsulates and communicates existential rage, a version of existential injury categorized by extreme embitterment toward one’s being in the world. In this way, thoughts can be experienced as coming from outside of the artist as opposed to within the metaphorical inner cracks of their psyche. Heavy metal as a sonic medium of expression is intensely engrossed in existential concerns about existence. Laypersons and mental health practitioners alike stand to benefit from an expanded understanding of heavy metal in discourse on universal concerns within existential philosophy and psychology.

Enacting remembrance: turning toward memorializing September 11th

The memorial at the site of the former World Trade Center will open on the tenth anniversary of 9/11 to help us commemorate, honor, educate, and mourn. Memorializing is an act that involves shared memory and collective grieving-aiming also to restore severed communal bonds and dismantled cultural ideals. As such, it is a form of cultural renewal that can transform traumatized mourners into an ethical community of memory. The active rituals of memorial activity utilize both inscribed and non-inscribed practices to help survivors of mass trauma manage fear, disorganization, and helplessness as well as sorrow. To bear witness to horrific events and the suffering they induced is a moral act. To do so together with people who may have seen the events of 9/11 from other perspectives, while also remembering one's own vision of what mattered, may mean learning to tolerate multiple conflicting narratives about the events' meanings. It is time to turn our attention from the memorial to memorializing.