Gianna - Omega Function
Gianna - Omega Function
Psychoanalytic Inquiry: A
Topical Journal for Mental
Health Professionals
Publication details, including instructions for
authors and subscription information:
http://www.tandfonline.com/loi/hpsi20
On different introjective
processes and the hypothesis
of an “omega function”
a b
Gianna Williams
a
Consultant Child and Adolescent
Psychotherapist, Adolescent Department ,
Tavistock Clinic , 120 Belsize Lane, London, NW3
5BA
b
Eating Disorders Workshop
Published online: 20 Oct 2009.
To cite this article: Gianna Williams (1999) On different introjective processes and
the hypothesis of an “omega function”, Psychoanalytic Inquiry: A Topical Journal
for Mental Health Professionals, 19:2, 243-253, DOI: 10.1080/07351699909534245
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On Different Introjective Processes and
the Hypothesis of an "Omega Function"
GIANNA WILLIAMS
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243
244 GIANNA WILLIAMS
Julie
Julie had had a massive tantrum because her mother had prevented her
from playing with a fragile object. She had become red in the face,
had stamped her feet, and had been, even if briefly, very intensively
angry and upset. Mother took her on her lap, and initially, Julie pushed
her away saying, "Go away, go away." Julie had calmed down little
by little while her mother held her lovingly and spoke with a soft
voice. She told her that she could play with something that would not
break so easily. She offered her some plastic stacking beakers. At first
Julie threw the beakers away, and her mother picked them up and
assembled them each inside the other. Then Julie, sitting on the floor,
started a game with the beakers. She built a tower by putting them one
on top of the other, knocked the tower off, built it again, and finally
began to assemble them each inside the other. Mother kept talking
with her, saying that Julie had knocked the tower off but the beakers
were not broken. Julie smiled, repeating, "Not broken." Then she got
up and picked up a doll called Poppy; it was one of her favorites from
the time when she was very little. (I had seen her using it in previous
246 GIANNA WILLIAMS
games as a sort of alter-ego.) Julie took Poppy by the arm and shook
her, making an angry sound. In fact, the image of the doll having a
tantrum was extremely realistic. Julie then put the doll on her mother's
lap, conveying very clearly the message that she wished for her
mother to make her better. Mother talked to the doll and then gave it
back to Julie, who started the sequence again, shaking the doll and
then putting it on her mother's lap. On the third occasion, Julie
consoled the doll herself, repeating some fragments of her mother's
words. This sequence was repeated many times during this observa-
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I said at the beginning of the paper that I was going to talk about lights
and shadows. I have spoken of "the play of lights," but now I would
like to describe introjective processes that are much more in the area
of shadows, which not only do not facilitate development, but hinder
it. Wilfred Bion (Bion, 1962) described the process that takes place
when the object is impervious and not open to receiving projections.
Projections that have not been accepted return to the infant, as he says,
as "nameless dread."
In my work with patients suffering from eating disorders, I have
developed an interest in the quality of introjective processes and, in
DIFFERENT INTROJECTIVE PROCESSES 247
Faruk was the child of Somali refugee parents; in the families of both
parents, relatives had died because of war or famine. It was impossible
to contact the surviving members because they were moving from one
place to another in order to find food. There was no news from
Somalia at the time when the child was referred to the pediatric
department of a London hospital because of serious feeding difficul-
ties, including food refusal and persistent vomiting. Fouzia, the
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mother, was almost certain that her father had died, but this was a loss
of which she had no certainty therefore, she could not begin to mourn.
Faruk's symptoms were particularly meaningful because he was
rejecting food in a family where many relatives had died of starvation.
It increased the mother's anxieties about the baby's possible death
even more. The fear that the child could die brought about frequent
force-feeding; alternatively, Faruk was fed with the bottle while
asleep. The family was followed with a "participant observation" by a
Tavistock/University of East London student, Mariangela Pinheiro
(Pinheiro, 1993). From her observations we can see a number of
elements supporting the hypothesis that a great deal of anxiety about
death might have overflowed from the parents into the baby and that,
at least to an extent, Faruk's rejection of food might have had the
meaning of warding off the introjection of an overflowing object,
which could have a disorganizing effect on his internal world.
In spite of this warding off of this literal rejection, there is evidence
that some introjections of disruptive and disturbing elements had
taken place. For instance, Faruk is described by the observer at the age
of 1 year and 2 months as incapable of keeping his attention focused
on a task for any length of time, as easily distractable, and as being in
a state of mindlessness and rather clumsy in the coordination needed
to hold an object firmly. Fortunately, these less organized or even
disorganized moments alternated with others where the child was
more coordinated and had better cohesion.
An even more alarming case was described by the same participant
observer (Pinheiro, 1993). Patrick, a 4-month-old baby, was originally
referred to the pediatric department of a London hospital because of
food refusal and spitting out both solid and liquid food. He had
acquired minimum weight since birth, and in this case too, very heavy
DIFFERENT INTROJECTIVE PROCESSES 249
through the help of the hospital where the child was admitted, as well
as the help of the participant observer, but it was very difficult indeed
to help the parents to deal with their panicky force-feeding of the
child.
The image of the kitchen as a battlefield littered with food thrown
or spat on the furniture or on the floor by Patrick, described by the
observer from a visit when Patrick was 7 months old, provides a
graphic image of a function that is disruptive, rather than integrative
in the internal world. If we look at the vivid description of the kitchen
in the observation of Patrick in the same way as we would look at a
drawing in a child psychotherapy session, we see that an important
contributory factor in the fragmentation of the internal world is
because of the explosive rage experienced by the child who is not
being offered containment but is used instead as the receptacle of
projections he cannot deal with.
I have used the term omega function instead of minus alpha func-
tion because I did not want to make a reference to Bion's negative
grid. The projection of anxiety into an infant does not, in itself, imply
the presence of those elements of perversion of links, or false links,
which characterize the negative grid. It creates an undesirable link,
even a dangerous one, but not necessarily a perverse link. Indeed, I
doubt that there was anything perverse in projections of anxiety about
death into Faruk or Patrick.
Daniel
that at birth he was the smallest baby in the county where his family
lived. He had been in an incubator for over 2 months, and according to
his mother, the doctor had given him up for lost. When Daniel was
still in the incubator, his mother became pregnant with a "replacement
baby" who was born only 11 months after Daniel; had Daniel been
born full-term, there would have been only 8 months between them.
The lack of a containing space that could hold Daniel was very
concrete insofar as he lost the space in the mother's womb he would
have still been entitled to. Additionally, his mother, a woman who had
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herself been very severely deprived in her early infancy and suffered
from severe psychotic symptoms, could not provide a receptive space
for her children. During her frequent admissions to a psychiatric
hospital (the first one followed her attempt to set fire to the house), her
children spent long periods in foster care. Daniel's father was an alco-
holic who was addicted to hard drugs, and he could not look after the
children either. Daniel had become anorexic like his mother at the age
of 15, and bulimic like her when he was 18.
I never met Daniel's mother, although I have some information
about her because she was seen by a colleague at the Tavistock Clinic.
She certainly suffers from severe psychopathology, and this signifi-
cantly differentiates Daniel's case from the infants to whom I referred
earlier. Daniel appears to have introjected, mainly through the rela-
tionship with his mother, an object that spills out chaos, disruption,
and anxiety into his internal world. This was very much in evidence at
the time I started seeing him and when he was attempting to get rid of
this disruptive agent through his bulimic symptoms. At the time when
we started therapy, he binged and vomited up to six times a day, and
the sessions often made me feel flooded by material that was full of
confusion and I had to struggle to make links.
My countertransference experience was, however, very different
from the one I had with patients who were determined to attack links.
Daniel was very frightened that his projections could be lethal and
that I would return them to him. I remember a letter he wrote to me
after a Thursday session.
I've only seen you today and I am already here writing. I am sure
that you are sick of me. I have read almost every minute since
our meeting. I have started reading Plato for my essay, then I
DIFFERENT INTROJECTTVE PROCESSES 251
remembered that I had not finished the Joyce book I was reading,
so I left Plato and I started reading Joyce. It is now 11.00 at night.
I have read a little bit of Plato, a little bit of Joyce, I have almost
finished Wilde's amazing Portrait of Dorian Gray, but I can't
remember very much about it. Then I started reading Plato again
but I cannot stay with anything. If I could come to a session
tomorrow, you could help me to find some rhyme or reason in
what is happening.
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REFERENCES
Abraham, K. (1924), A short study of the development of the libido, viewed in the
light of mental disorders. Selected Papers on Psycho-Analysis. London: Hogarth
Press, pp. 418-501.
DIFFERENT INTROJECTIVE PROCESSES 253
Tavistock Clinic
120 Belsize Lane
London NW3 5BA