https://doi.org/10.4081/ripppo.2020.487
Living under lockdown in the shadow of the COVID-19 pandemic in South Africa: anxious voices from the unplanned shift to online therapy
Submitted: August 4, 2020
Accepted: October 13, 2020
Published: January 14, 2021
Accepted: October 13, 2020
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
This paper is a narrative, phenomenological description of the themes of experiences of some of my South African patients that collectively elicit anxious voices from the unplanned shift to online therapy while living under the world’s longest lockdown in the shadow of the coronavirus 2019 (COVID-19) pandemic. This paper thus presents a thematic description of moments in therapy, which illustrate the influence of lockdown on their sense of self, and the emergence of new anxieties not encountered before. Such themes are: i) new anxieties about death and dying; ii) new anxieties about loss of contact with friends and family and the emergence of existential anxiety; iii) new anxieties about current household relationships and the emergence of object loss; iv) new anxieties about the unplanned shift to online therapy and the threat of internet dis-connection, and finally; v) new anxieties about missing body parts of online therapy: Part-body-on-the-screen relating versus what-was-once-whole-body relating. As this paper is based on psychoanalytic theory, and the notion of intersubjectivity, my own experiences and thoughts are included in the therapeutic engagement. The core contribution of this paper is that it adds a voice to the other voices of other patients around the world who are also living under lockdown. Without this kind of narrative documentation, the world-wide therapeutic community may not know the extent of the anxieties of living under lockdown in the shadow of the COVID-19 pandemic.
Cipolletta, S., Frassoni, E., & Faccio, E. (2018). Construing a therapeutic relationship online: An analysis of videoconference sessions. Clinical Psychologist 22(2), 220-229.
DOI: https://doi.org/10.1111/cp.12117
Frankl, V. (1963). Man’s search for meaning. Boston: Beacon Press.
Freud, S. (1920). Beyond the pleasure principle. Standard edition of the complete psychological works of Sigmund Freud (vol. 18, pp. 1-64). London, UK: Hogarth Press.
Freud, S. (1923). The ego and the id. Standard edition of the complete psychological works of Sigmund Freud, (vol. 19, 1-66). London, UK: Hogarth Press.
Frommer, M. S. (2005). Living in the liminal spaces of mortality. Psychoanalytic Dialogues, 15(4), 479-498.
DOI: https://doi.org/10.1080/10481881509348845
Frommer, M. S. (2016). Death is nothing at all: on contemplating non-existence. A relational psychoanalytic engagement of the fear of death. Psychoanalytic Dialogues, 26(4), 373-390.
Gerson, S. (2009). When the third is dead: memory, mourning, and witnessing in the aftermath of the Holocaust. The International Journal of Psychoanalysis, 90(6), 1341-1357.
DOI: https://doi.org/10.1111/j.1745-8315.2009.00214.x
Hoffman, I. (2013). Response to Slavin: Considering the evolutionary and existential contexts of dialectical constructivism. Psychoanalytic Dialogues, 23(3), 315-323.
DOI: https://doi.org/10.1080/10481885.2013.794645
Klein, M. (1957). Envy and gratitude. In M. Klein (Ed.), Envy and gratitude (pp. 176-235). New York: Dell.
Klein. M. (1958). On the development of mental functioning. In M. Klein (Ed.), Envy and gratitude (pp. 236-246). New York: Dell.
Knight, Z. G. (2019). I am surrounded by death: death as a defining psychic issue within a relational psychoanalytic engagement and the impact of the therapist’s relationship with death. Journal of Research in Psychotherapy: Psychopathology, Process and Outcome, 22(2), 308-316.
DOI: https://doi.org/10.4081/ripppo.2019.385
Manfrida, G., Albertini, V., & Eisenberg, E. (2017). Connected: Recommendations and techniques in order to employ internet tools for the enhancement of online therapeutic relationships. Experiences from Italy. Contemporary Family Therapy, 39, 314-328.
DOI: https://doi.org/10.1007/s10591-017-9439-5
Mitchell, S. (2002). Can love last: The fate of romance over time. New York, NY: W.W. Norton.
Piven, J. (2003). Introduction. The Psychoanalytic Review, 90(4), 395-402.
DOI: https://doi.org/10.1521/prev.90.4.395.23918
Razinsky, L. (2013). Freud, psychoanalysis and death. London, UK: Cambridge University Press.
Slavin, M. O. (2011). Lullaby on the dark side: Existential anxiety, making meaning and the dialectic of self and other. In L. Aron & A. Harris (Eds.), Relational psychoanalysis: Vol. 4: Expansion of theory (pp. 391-413). Hillsdale, NJ: The Analytic Press.
Slavin, M. O. (2013). Meaning, mortality, and the search for realness and reciprocity: An evolutionary/existential perspective on Hoffman’s dialectical constructivism. Psychoanalytic Dialogues, 23(3), 296-314.
DOI: https://doi.org/10.1080/10481885.2013.794643
Slavin, M. O. (2016). Relational psychoanalysis and the tragic existential aspect of the human condition. Psychoanalytic Dialogues, 26(5), 537-548.
DOI: https://doi.org/10.1080/10481885.2016.1214465
Tillich, P. (1952). The courage to be. New Haven, CT: Yale University Press.
Winnicott, D. (1951). Transitional objects and transitional phenomena. In D. Winnicott, Through pediatrics to psychoanalysis (pp. 229-242). New York, NY: Basic Books.
Winnicott, D. (1960). The theory of the parent-infant relationship. In D. Winnicott, The maturational processes and the facilitating environment (pp. 37-55). New York, NY: International Universities Press.
Winnicott, D. (1971). Playing and reality. London, UK: Routledge. Yalom, I. (2008). Staring at the sun: Overcoming the terror of death. San Francisco, CA: Jossey-Bass.
How to Cite
Knight, Z. G. (2021). Living under lockdown in the shadow of the COVID-19 pandemic in South Africa: anxious voices from the unplanned shift to online therapy. Research in Psychotherapy: Psychopathology, Process and Outcome, 23(3). https://doi.org/10.4081/ripppo.2020.487
Copyright (c) 2020 Zelda Gillian Knight
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