Many Selves in One Body: Discussion of “The Entropic Body”

Abstract

The discussion of Wooldridge’s paper (this issue) offers two theoretical ideas to conceptualize the psychodynamics and treatment of individuals with severe eating disorders. Multiple self-states posited by Philip Bromberg and others allows for an understanding of the often contradictory nature of eating disorder symptomatology. Pathological organizations and primitive anxieties, elaborated by Paul Williams, suggests that the deep psychotic layer of the personality must be reckoned with in order to help the patient. Wooldridge’s patient Sara is discussed from these two perspectives, and technical considerations are offered.

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Notes on contributors

Susan Boulware

Susan Boulware, Ph.D., is in private practice in Sacramento, California. Her career has spanned 30 years and includes clinical work, supervision, consultation, and education. She received her analytic training at the National Institute for the Psychotherapies in New York City. She is an Associate Clinical Professor in the Department of Psychiatry and Behavioral Medicine at the University of California at Davis and Adjunct Faculty at Alliant International University. Her clinical practice focuses on the treatment of eating disorders and addictions as well as other problems of living.