title: A body with chronic fatigue syndrome as a battleground for the fight to separate from the mother.
abstract: I describe the therapy of a 20-year-old women who believed that her difficulties in concentrating and remembering were caused by her "ME' (Myalgic encephalomyelitis, Chronic fatigue syndrome, or CFS). She had been fathered by a man who never left his own wife. Work with her dreams revealed a within-body drama in which she was locked in an unspeakable fight to the death with her mother. Her symptoms improved after parallels between a dream and an accident showed her own self-destructive hand in her story. Another dream, reflecting her first 'incestuous' affair, showed her search for her original father-self as someone separate from mother, and a later affair provided a between-body drama, helping her to own the arrogant and abject traits she had before seen only as her mother's. I show how we worked in the area of Winnicott's first 'primitive agony' as experienced by a somatizing patient, stuck in a too-close destructive relationship with her mother-body. I discuss how analytical work can be done with the primitive affects and conflicts against which the ME symptoms may be defending.
authors.forename: M
authors.initials: M
authors.lastname: Simpson
mesh_terms: D000328:Adult; D004325:Dreams; D005219:Father-Child Relations; D015673:Fatigue Syndrome, Chronic / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D007086:Illegitimacy / Q000523:psychology; D007207:Individuation; D008297:Male; D009034:Mother-Child Relations; D011573:Psychoanalytic Interpretation; D011574:Psychoanalytic Theory; D011575:Psychoanalytic Therapy