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The psychology of face masks: what happens to society if we all wear a covering?

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They’re going to become a key part of the new normal. But what will life look like when all our faces are hidden behind a mask?

By Susie Orbach

I’ve always been intrigued by young women on the morning commute putting on their make-up. It’s not just the steady hand I admire, or the number of products that astound me. It’s the matter-of-factness of the artifice being exposed. The recognition that this is what you need to do before you get to work. The dual face, the one you awake with and the one you make.

I seem to be the only one intrigued. Perhaps it so commonplace as to become unremarkable. I wonder whether, we, in time will adjust to the Asian custom of wearing masks to protect oneself and others from illness.

For sure, it is odd right now. But on Thursday, Transport Secretary Grant Shapps announced that wearing a face covering will be mandatory on public transport in England from June 15.

Before Covid-19, we liked to see as much of the face as possible. Growing up, I’d be told to take the hair out of my face. We used to tell groups of people to remove their hoodies or burkahs and niqabs. They were designated as menacing, as a conscious act of concealing, almost as though they are an assault on the onlooker rather than cultural or religious expression.

The full face is how we recognise one another and we aren’t yet practised in reading the other just from their eyes. We will learn to focus on eyes certainly as more of us wear masks, but faces haven’t been just the sculpted dermis around our eyes, nose, mouth and jaws. Faces interest us so because they reveal something about the inside too; the experience of living, from ageing, to our activities, to our emotional temperature. We know that if a smile is a carapace for not quite being comfortable with what one feels, that face can reveal what it endeavours to hide.

Faces are transparent. We see anger, confusion, hurt flit across the face of a lover or a child when we get something wrong for them. We register when we are being listened to and when our listeners attention has drifted. We show our disapproval or interest in and to others and they pick that up just as we too pick up their facial expression and interpret it within milliseconds, without either of us being conscious of doing so.

In recent weeks, some of the most recognisable faces in the world – from Gwyneth Paltrow and Naomi Campbell to Meghan Markle and Donald Trump – have all been photographed in their masks. So how much more difficult will it be to manage faces concealed behind a protective covering?

The masks we are encouraged to wear to prevent the spread of coronavirus have none of the pleasure of concealment of the carnival or fancy dress mask, where our ersatz menace or our sexiness is tantalising. Masks for fun are explicitly designed to invite pleasure and intrigue. They do. In exaggerating the look, whether clown, ghost, prince, Cinderella, Hallowe’en or Disney character, we can be charmed and only a kind of pretend scared.

Ritualised masquerades, though, are no preparation for a mask on the Underground or street or at work. The mask today signifies fear and illness and protection. We are already suffering from flattened faces and bodies on Zoom calls; now we are to accustom ourselves to faces mostly blanked out.

The psychological thing to get one’s head around is that we were told initially we are wearing a mask primarily to protect the other person, and that they are wearing their mask to protect us. When New Yorkers get het up about people who are out in full face, they have well understood that. There are handwritten signs in street level apartment windows saying: “Wear your mask. Respect the right of others to be protected.”

But, when one puts a mask on, it paradoxically seems like an act of self-protection.

The physical strangeness and discomfort of doing so feels as though we are putting ourselves in a psychological twist, turning an impulse of disagreeable self-care into a statement of altruism. What’s interesting is that the current guidance seems to blur the message by stating how the mask will protect the wearer. In a discussion on the merits of masks for the general public on BBC Radio 4’s Inside Science last month, the evidence for personal masks was shown to be scanty, just like the actual suggestion for the common-sense evidence for handwashing. We intuitively bought into handwashing. We know the sanitising properties of soap and water and we were schooled in learning about public health initiatives from the 19th century to provide clean water and do away with sewage in the streets.

But masks are something different. When we are in the street, we are not being bombarded with the likes of the serious viral load occurring in hospitals and for carers and supermarket workers who all need PPE. Obviously close up, in public transport or in a factory or office, viral load is a considerable factor and so it makes obvious sense and the discomfort lessens. The craving for a personal boundary in a crowded train or bus has long been familiar, and the mask maybe a way of gently protecting us in those environments.

It was fascinating that the Government underestimated our capacity for obedience when it ordered the lockdown. Wondering why this was, beyond the hackneyed notions of our exceptionalism and eccentricity, I thought how very far from consideration by behavioural sciences are understandings from psychoanalysis, depth psychology and attachment theory. These theories show how the human psyche is at once complex and extremely simple.

When we are excluded, misunderstood, deprived, unhappy, disregarded, insulted, isolated, discriminated against and so on, we develop (both as groups and as individuals) a range of unpleasant behaviours. We can be mean, aggressive, withdrawn, uncooperative, viciously competitive, belligerent. We can be anti-social and ever more so if disregard continues. But, if and when we feel included, when we feel we belong, our attachment system kicks in and expresses altruistic caring behaviours.

The society lockdown was successful because we were, for a while, in it together. Selflessness and considerable hardship for many were tolerated because people felt valued as individuals able to contribute to the public good. The fractures in society temporarily abated. Psychological and behavioural is both personal and social.

Now, in being encouraged to wear a mask, we are asked to do something off-putting and potentially divisive because of its intrinsic difficulties. Will we witness the divide that is sweeping the United States, where the mask can be a symbol of one’s politics? Alt-Right folk refuse to ‘mask’, while democrats mask up. Last month, when Donald Trump finally agreed to appear in public in a mask, under duress while touring the Ford car plant in Michigan where it is now strict company policy. Pointedly, he removed it before addressing the awaiting media.

The psychotherapist is trained to see the masked persona in the consulting room. Not in a “gotcha!” way, but by understanding the necessity of protecting the private selves that we inhabit. As we find a way to adapt to the reality of masks, it will remind us that the world we have created is not one that can be sanitised. Like our personal selves, it is complicated.

It is wonderful to experience parks and streets with reduced pollution, to see spring in its especial glory this year, but this sits aside the anguishing knowledge that to really yield respite from the poison we have wrought, we will need to unmask ourselves and not shy away from what needs doing to make a sustainable home planet for all of us.

© Susie Orbach 2020. Susie Orbach is author of Bodies (Profile, £9.99)

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Brett Kahr’s Top Ten Books of 2019

Brett Kahr’s Top Ten Books of 2019

Professor Brett Kahr has recently published his “Top Ten Books” list of 2019 on the Confer website, which tends to be read by 80,000 to 100,00 people per annum. To learn which books made it onto Professor Kahr’s list, please visit Confer.

https://web.archive.org/web/20230602024632/https://www.confer.uk.com/brett-kahrs-books-of-2019.html


Image Source: Confer

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Recently Written By Susie Orbach

Foreword in Frances Aviva Blane FAB., Starmount Publishing London 2019

“And Then There is Oedipus” in Contemporary Psychoanalysis Vol 54, No 4,  2019

“Climate Sorrow” in This Is Not A Drill, Penguin Random House, 2019

Foreword in Intellectual Disability and Psychotherapy: The Theories, Practice and Influence of Valerie Sinason. Ed. Alan Corbett, Routledge Oxford and New York, 2019

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November, 2019, Update From Professor Brett Kahr

November, 2019, Update From Professor Brett Kahr

BrettKahr Podium

            During the last two months, Professor Brett Kahr has published two new books, Bombs in the Consulting Room:  Surviving Psychological Shrapnel (Routledge, 2020) and, also, Celebrity Mad:  Why Otherwise Intelligent People Worship Fame (Routledge, 2020), with a third one, On Practising Therapy at 1.45 A.M.:  Adventures of a Clinician (Routledge, 2020), scheduled for publication on 6th December, 2019.

Additionally, five of his previously published books have been re-released in new hardback editions:  Forensic Psychotherapy and Psychopathology:  Winnicottian Perspectives; The Legacy of Winnicott:  Essays on Infant and Child Mental Health; Tea with Winnicott; Coffee with Freud; and New Horizons in Forensic Psychotherapy: Exploring the Work of Estela V. Welldon.

Kahr has also published a number of papers, including:

Kahr Brett (2019).  ‘Slashing the Teddy Bear’s Tummy with a Carving Knife’:  The Infanticidal Roots of Schizophrenia.  British Journal of Psychotherapy, 35, 399-416.

Kahr, Brett (2019).  Promiscuous Virgins and Celibate Whores:  Traumatic Origins of the Erotic Tumour.  Journal of Psychological Therapies, 4, 105-119.

Kahr, Brett (2019).  The First Mrs Winnicott and the Second Mrs Winnicott:  Does Psychoanalysis Facilitate Healthy Marital Choice?  Couple and Family Psychoanalysis, 9, 105-131.

Kahr, Brett (2019).  On Winnicott’s Marriages:  A Response.  Couple and Family Psychoanalysis, 9, 151-153.

Kahr, Brett (2019).  A Neglected Work of Genius:  John Bowlby on “Hysteria in Children.  Attachment:  New Directions in Psychotherapy and Relational Psychoanalysis, 13, 144-151.

Kahr, Brett (2019).  John Bowlby and the Birth of Child Mental Health. Attachment:  New Directions in Psychotherapy and Relational Psychoanalysis, 13, 164-180.

Kahr, Brett (2019).  Penile Trauma and Genital Exhibitionism:  From Castration Anxiety to Verbal Potency.  International Journal of Forensic Psychotherapy, 1.

(Currently in press, due for publication in December, 2019).

Shorter pieces include a “Book Clinic”, which appeared in The New Review magazine of The Observer newspaper, as well as a brief essay on Sigmund Freud’s death bed, published in Athene, the magazine of the Freud Museum London, and archived on the museum’s website:

Kahr, Brett (2019).  Book Clinic:  A Weekly Series Answering Readers’ Questions.  The New ReviewThe Observer.  20th October, p. 51.  [https://www.theguardian.com/books/2019/oct/19/book-clinic-which-books-for-ethnically-diverse-family].

Kahr, Brett (2019).  Freud’s Death Bed:  Notes on the ‘Invalid Couch’ at Maresfield Gardens.  Athene:  Magazine 2019, pp. 6-9.  [https://www.freud.org.uk/2019/09/10/freuds-death-bed/].

In addition to these publications, Kahr has presented a number of talks, which include lectures on the history of psychiatry, on schizophrenia, and on hysterical and obsessive-compulsive neuroses for the newly-inaugurated “Diploma in Psychopathology:  Theory and Practice”, sponsored by the continuing professional development organisation Confer, for which Kahr serves as Senior Course Director.  Additionally, he has delivered keynote addresses to the Severnside Institute for Psychotherapy in Bristol and to the West Midlands Institute for Psychotherapy in Birmingham on the psychotogenic impact of unconscious parental death wishes.  He also spoke at J.W.3 in North London with colleague Dr. Valerie Sinason as part of a special event on “How Freud Fled the Nazis”.  Most recently, he has delivered the first two lectures of a new course on “Understanding Psychotherapy:  A Social History of the Mind”, at Imperial College in the University of London, co-sponsored by the United Kingdom Council for Psychotherapy and chaired by its Chief Executive, Professor Sarah Niblock.  Additionally, he facilitated a day-long workshop with live webcast for Confer, at Foyle’s bookshop in Central London, on “The Pleasures and Perils of a Psychotherapeutic Career:  How to Flourish in the Impossible Profession”.

Other activities have included a radio interview for Men’s Radio Station on the psychological implications of climate change as well as an interview for Radio Perth in Australia about the psychology of celebrity.  Kahr has also become Consultant Editor to the newly founded periodical The International Journal of Forensic Psychotherapy, the official publication of the International Association for Forensic Psychotherapy, supervised by the Editors-in-Chief, Jessica Collier and Dr. Carine Minne – two distinguished forensic mental health practitioners.

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Professor Brett Kahr Recommends Some Books For Blended Families

Professor Brett Kahr Recommends Some Books For Blended Families

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For The Guardian newspaper’s “Book Clinic” Professor Brett Kahr considered the following question:

“My partner and I have been dating for some time and are committed to each other in the long term. We are about to introduce our respective children to one another. There are four of them aged between six and 11. What books could we read to set us up for success with our blended families?”

You can learn which books Professor Kahr warmly recommends by reading the full article at https://www.theguardian.com/books/2019/oct/19/book-clinic-which-books-for-ethnically-diverse-family

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TWO NEW BOOKS FROM PROFESSOR BRETT KAHR

TWO NEW BOOKS FROM PROFESSOR BRETT KAHR

Celebrity
BombsImage

During the last month, Professor Brett Kahr has published two new books, Bombs in the Consulting Room: Surviving Psychological Shrapnel (Routledge, 2020) and, also, Celebrity Mad: Why Otherwise Intelligent People Worship Fame (Routledge, 2020).

The first book, Bombs in the Consulting Room, describes Kahr’s work with challenging and dangerous patients and explores some of the complex situations that often emerge in clinical psychotherapeutic practice (https://www.routledge.com/Bombs-in-the-Consulting-Room-Surviving-Psychological-Shrapnel/Kahr/p/book/9781782206606).

The second book, Celebrity Mad, derives from the talk that he delivered some years previously at St. Thomas’s Hospital, London, as the Lionel Monteith Memorial Lecture, in honour of one of the founders of the British psychotherapy movement. This book explores not the psychology of the celebrity, but, rather, the psychology of the crowd, and what infantile factors propel us to become so preoccupied with the intimate lives of others (https://www.routledge.com/Celebrity-Mad-Why-Otherwise-Intelligent-People-Worship-Fame/Kahr/p/book/9781782206675).

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Brett Kahr’s Top Ten Psychotherapy Books – 2018

Brett Kahr’s Top Ten Psychotherapy Books – 2018

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Professor Brett Kahr certainly knows something about the art of authoring books. Over the years he has written or edited twelve volumes, and has served as series editor of some fifty further titles. Earlier this year, he published New Horizons in Forensic Psychotherapy: Exploring the Work of Estela V. Welldon (Karnac Books, 2018), and, most recently, How to Flourish as a Psychotherapist (Phoenix Publishing House, 2019), a “cradle to grave” portrait of the working life of the everyday psychotherapy practitioner.

Please visit the Confer website to see Professor Kahr’s recommendations of the ten best psychotherapy books of 2018.

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In Therapy: The Unfolding Story

Susie_Orbach_In_Therapy_Expanded_Cover

This latest book from Susie Orbach, published in January 2018, is a comprehensive and expanded edition of her bestselling, In Therapy: How Conversations with Psychotherapists Really Work.

From the back cover of In Therapy: The Unfolding Story.

Worldwide, an increasingly diverse and growing number of people are seeking therapy.  We go to address traumas, to break patterns of behaviour, to confront eating disorders or addiction, to talk about relationships, or simply because we want to find out more about ourselves.

Susie Orbach has been a psychotherapist for over forty years.  Also a million-copy bestselling author, The New York Times called her the ‘most famous psychotherapist to have set up couch in Britain since Sigmund Freud’.  Here, she explores what goes on in the process of therapy through a series of dramatised case studies.

Insightful and honest about a process often necessarily shrouded in secrecy, In Therapy: The Unfolding Story is an essential read for those curiouis about, or considering entering, therapy. This complete edition takes us deeper into the world of therapy, with 13 further sessions and a new introduction.


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Susie_Orbach_In_Therapy_Mother

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Recent Publications

Recent Publications

Brett Kahr has published Coffee with Freud, part of the Karnac Books “Interviews with Icons” series, in which he resurrects Sigmund Freud for a “posthumous interview” in which he discusses his life and work.  The book contains a great deal of unpublished or little-known historical material about Freud derived from Brett’s interviews with some of the last surviving Freud students and associates and from archival information contained in the Sigmund Freud Papers at the Library of Congress in Washington, D.C.

http://www.karnacbooks.com/blog/post/coffee-with-brett-a-conversation-with-brett-kahr-about-his-new-book-on-freud/210

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His earlier book in this same series, Tea with Winnicott, has now appeared in Spanish translation as Tomando el Té con Winnicott.

Brett’s essay on “Sexual Cruelty in the Marital Bed:  Unconscious Sadism in Non-Forensic Couples” has appeared in French translation in the psychoanalytical journal Dialogue.  The English version will appear in the forthcoming book on Sadism:  Psychoanalytic Developmental Perspectives, edited by Balint colleague, Amita Sehgal.

Brett has also written an historical essay for the Oxford University Press website on “Winnicott’s Banquet of 1966”, to mark the publication of The Collected Works of D.W. Winnicott in twelve volumes, edited by Lesley Caldwell and Helen Taylor Robinson on behalf of the Winnicott Trust (http://blog.oup.com/2017/01/winnicotts-banquet-of-1966/).

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Susie Orbach’s Books of the Year

Susie Orbach’s Books of the Year

Susie Orbach’s books of the year for The Guardian.

Human Acts

“It is hard not to put Han Kang’s Human Acts (translated by Deborah Smith, Portobello) at the top of the list. Her way of telling about the events of a 10-day insurgency in Gwangju, South Korea, in 1980 and its psychological, spiritual and political aftermath opened my eyes to the cruelty and viciousness perpetrated on the youth of that city. Her writing is spare and yet clotted with emotion. I had to stop, and then I had to carry on.

tea-with-winnicott

Looking at human acts from another perspective, I greatly enjoyed Brett Kahr’s Tea with Winnicott(Karnac), an imagined encounter with the psychoanalyst and paediatrician Donald Winnicott, after his death. Formal yet playful with beautiful drawings by Alison Bechdel – a brilliant present for anyone interested in the life and work of this great clinician and thinker.

In light of the US election, a read of Andrew Samuels’ A New Therapy for Politics? (Karnac) wouldn’t go amiss.”

https://www.theguardian.com/books/2016/nov/26/best-books-of-2016-part-one