{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T19:57:26Z","timestamp":1778011046946,"version":"3.51.4"},"reference-count":49,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,8,16]],"date-time":"2016-08-16T00:00:00Z","timestamp":1471305600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Analytical Psychology"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This second of two papers focuses on the shame which emerged in the first 14\u00a0years of analysis of a woman who was bulimic, self\u2010harmed, and repeatedly described herself as \u2018feeling like a piece of shit\u2019. To explore this intense and pervasive shame I draw on Jung's and Laplanche's emphasis on experiences of unresolvable, non\u2010pathological \u2018foreignness\u2019 or \u2018otherness\u2019 at the heart of the psyche. Images, metaphors, elements of clinical experience, and working hypotheses from a number of analytic traditions are used to flesh out this exploration. These include Kilborne's use of Pirandello's image of shame as like a \u2018hole in the paper sky\u2019 which, I suggest, points to a crack in subjectivity, and reveals our belief in the efficacy of the self to be illusory. Hultberg's observations on shame as having an existential mode (function) are also explored, as is the nature of analytic truth. Using these ideas I describe my patient's process of finding some small but freeing space in relation to her shame and self\u2010hatred. Through enduring and learning from her shame in analysis she realized that it was part of a desperate unconscious attempt to draw close to her troubled father and so to \u2018love him better\u2019.<\/jats:p>","DOI":"10.1111\/1468-5922.12241","type":"journal-article","created":{"date-parts":[[2016,8,17]],"date-time":"2016-08-17T00:55:36Z","timestamp":1471395336000},"page":"411-433","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Working with chronic and relentless self\u2010hatred, self\u2010harm, and existential shame: a clinical study and reflections (Paper 2 of 2)"],"prefix":"10.1111","volume":"61","author":[{"given":"Sue","family":"Austin","sequence":"first","affiliation":[{"name":"Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,8,16]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203098059"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1468-5922.12193"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/00107530.1996.10746334"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-5922.2011.01913_1.x"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-5922.2009.01770.x"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1353\/aim.2002.0025"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1521\/prev.90.6.771.28786"},{"key":"e_1_2_13_9_1","unstructured":"Hartman G.(1994). \u2018The Franco\u2010Prussian war or Jung as a dissociationist\u2019. InThe Jung Page:http:\/\/www.cgjungpage.org\/learn\/articles\/analytical\u2010psychology\/139\u2010the\u2010franco\u2010prussian\u2010war\u2010or\u2010jung\u2010as\u2010dissociationist"},{"key":"e_1_2_13_10_1","volume-title":"Destruction and Creation: Personal and Cultural Transformations. Proceedings of The Fourteenth International Congress for Analytical Psychology, Florence","author":"Hinton L.","year":"1998"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-5922.2009.01811.x"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781315203683-2"},{"key":"e_1_2_13_13_1","volume-title":"The Archetype of Shadow in a Split World. Proceedings of The Tenth International Congress for Analytical Psychology, Berlin","author":"Hultberg P.","year":"1987"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1465-5922.1988.00109.x"},{"key":"e_1_2_13_15_1","volume-title":"The psychology of Dementia Praecox","author":"Jung C. 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