The Effort to Drive the Other Person Crazy
Part 1: A review of psychoanalytic work on how we do what we do to each other.
Harold Searles was a brilliant, controversial psychoanalyst who worked with patients at Chestnut Lodge for over 15 years. Chestnut Lodge, a well-known sanatorium in Rockville, Maryland where patients with chronic psychiatric illnesses lived and received intensive treatment, ended its over century-long life, metamorphosing from boarding house to hotel, asylum, and finally proposed high-end condos before succumbing to a fire of unknown origin in 2009.
Many of the patients with whom Dr. Searles worked had been diagnosed with schizophrenia in the 1950s and 60s. While some may have met modern criteria for a psychotic illness, it is likely that a large number were suffering with complex post-traumatic and related dissociative disorders. In retrospect, many of the people with whom he worked had endured significant developmental trauma, abuse, and neglect, evident in the case histories discussed.
Searles’ deep insights are intensely valuable, his writing copious and densely technical. Among his many titles are classics such as The Patient As Therapist to His Analyst, a paper “devoted to the hypothesis that innate among man’s most powerful strivings toward his fellow men, beginning in the earliest…
