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Psychology for me
I just can’t get over it. Healing from hurt.
Louise Malan (Clinical Psychologist)   
We all experience events in relationships and in our lives that are very painful.  How do we resolve these hurtful experiences and move on?  Why do some people struggle much more than others to recover from certain events?

Disappointment, loss, death, abandonment, betrayal, accidents and rejection.  These experiences and many more are part of people’s daily lives.  How do we resolve these painful experiences and find the ability to move on?  All these experiences need a level of mourning, because they all involve some loss.  Perhaps the loss of the bond with and dreams for a baby that died, perhaps the loss of trust and security in a relationship where your partner had an affair, perhaps the loss of your dreams of being a mommy after an early hysterectomy.  Many know the loss and pain when you feel rejected or replaced by someone else.
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Mourning and failure to mourn
Louise Malan (Clinical Psychologist)   
So many of us have been confronted by the enormous loss and pain caused by the death of a loved one.  How can we continue living a meaningful life after loss?  What does it mean to mourn and what interferes with healthy mourning?

Patrick Casements believes that “ How well, or how poorly, people cope with bereavement  may mark all of the life that remains to them.  Some, if they have had no help, may never quite recover.”
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Are all antisocial people criminals and murderers?
Louise Malan (Clinical Psychologist)   
Are people with antisocial (psychopathic) personalities only the criminals and murderers of society, or can the successful politicians or businessmen, who consciously manipulates  others and lack true empathy for them as human beings, also have an essentially psychopathic personality structure?    When understood this way it is clear that an antisocial personality is not only about overt criminal behaviour, but about the way that the person’s internal world operates.   These people can be very charming and fool others by seeming to be normal.  The so-called con-men often have an essentially antisocial personality structure, they are extremely manipulative and can talk others into participating in schemes that eventually cause financial ruin or social embarrassment to the trusting individual.
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Tantrums and behavior problems in young children
Louise Malan (Clinical Psychologist)   
Behaviour problems at home or at school are often reason for concern in young children.  These children are often described as delightful at times and at other times they turn into little monsters.  As parents and caregivers of these children it is important that we think about the causes and meanings of these intense and uncontrollable emotional states that children experience at times.  Young children do not have the ability to think about and understand the meaning of their emotional states.   Parents need to survive the young child’s emotions without the parent becoming as overwhelmed and destructive as the child.  Parents and caregivers also need to think about the meaning and causes of the child’s behaviour.  Cathy Urwin wrote a lovely article (“Where the wild things are”) about this. 
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Walking on egg shells: Borderline Personality Disorder
Louise Malan (Clinical Psychologist)   
Are you exceptionally sensitive and respond with intense anger when you feel disappointed, criticized, rejected or let down?  Do you tend to feel empty and bored a lot of the time and find that your relationships are intense and unstable?  Do you feel unsure of who you really are and do not have a constant picture of your values and passions? Are you impulsive and put yourself at risk through engaging in potentially self-damaging acts like spending, impulsive sexual encounters, substance abuse, reckless driving or binge eating?
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Impulse to infidelity: psychodynamics of love triangles
Louise Malan (Clinical Psychologist)   
Stories of love triangles have a universal appeal.  In these stories dramas of seductions and betrayals unfold.  Can infidelity be seen as indication of developmental problems?  Can a long-term monogamous relationship that integrates love and lust be seen as an indication of emotional health? What story is enacted during infidelity?  What can the underlying dynamics be?
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Attention Deficit Hyperactivity Disorder
Louise Malan (Clinical Psychologist)   
Life can be very hard for children with Attention Deficit Hyperactivity Disorder  (ADHD).  They are the ones who do not get their work done and who often get in trouble in class for being disruptive.  They often struggle with friendships because of their impulsivity.  It can be very difficult for these children and their parents to deal with these frustrations.  Some of these children release their frustration by becoming destructive or causing fights.  Others may turn their struggles into bodily symptoms, like the child who gets a stomach ache every morning before school.  Some children keep their anxieties and frustrations inside and try and deal with it on their own.
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Understanding Clingy and Detached People
Louise Malan (Clinical Psychologist)   
Understanding people who are clingy and overly dependent and others who are emotionally detached and cold.

We all know people who are excessively clingy and dependent and others who may be detached and even cold.  It is interesting to note that both these styles of functioning often originate from the same problem in early childhood. 
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Christmas holiday – time to confront emotional turmoil?
Louise Malan (Clinical Psychologist)   
We are nearing the Christmas holiday and although it is a time that many look forward to in order to rest, have more time available and see loved ones, it can also be an emotionally difficult time.  More time spent with the people closest to you and with family (and in-laws) can also confront you with the difficulties of unresolved issues and dynamics in these relationships.  This is also a time when losses can be particularly painfully felt, even if they were suffered many years ago.
 
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Why do people hurt themselves?
Louise Malan (Clinical Psychologist)   
Understanding self-mutilation

Have you seen the scars of a loved on who hurts herself/himself?  Have you witnessed someone sitting with a razor blade cutting themselves?   These acts are enormously disturbing and distressing for those who witness them or are aware of them.  These acts are sometimes superficial scratches on the skin, but can be more serious and dangerous when people burn or cut themselves.  In extreme cases people can even remove a body part.  This behavior is devastating to witness and is a great risk. Why do people do this to themselves?  These people will often report that they experience a compulsion.  They experience a buildup of tension that leads to an irresistible urge to discharge the tension with the act of self-mutilation.
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How committed is he (or she) really?
Louise Malan (Clinical Psychologist)   
We as humans long for secure relationships.  Many humans long for someone to who you are very special and who will never leave you or prefer another person.  How realistic are these expectations really and how do you know when you are wasting your time in a relationship?

Some people seek the answer to these questions in books that give guidelines on how to judge if someone is really serious about you.  It makes me wonder why people need books to decide about their relationship and why people cannot trust their own instincts.

Why do some people end up in committed relationships where they are loved and treated with respect while others end up being used and hurt?  Then it also happens that some people are in a good relationship, but do not realize it and interpret normal events as painful or rejecting.
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Does adoption really matter?
Louise Malan (Clinical Psychologist)   
When a baby is adopted very early (minutes, hours, days or weeks) after birth - does it really impact on his/her psychological wellbeing?  After all, a baby won’t remember the events. 

Yet, it is important to note that adopted children are at greater risk for later behavioral and emotional problems.  Why would that be?  Is it the issues of the adoptive parents that cause this?

Adoptive parents, like all other parents, have their own issues that can impact on their children.  These issues should be taken seriously, yet it is very important to know that the adoption itself has a profound impact on children.
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The tragedy of loss of the true self.
Louise Malan (Clinical Psychologist)   
Narcissistic Personalities: The tragedy of loss of the true self.

The self-respect of the narcissist is dependent on his achievements and admiration of others.  When this suddenly fails he is left feeling worthless and depressed.  They cannot show remorse, because acknowledging a failure exposes them to be seen as not perfect.  They do not acknowledge their need for others because dependency needs feel like a failure to them.
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Louise Malan

Louise Malan

Louise has been practicing as a Clinical Psychologist for the past 15 years. She believes that internal views of the self, others and the world are formed during an individual’s developmental years.  Even when the external circumstances and relationships change it is often difficult to see the world and others in a more realistic way and individuals continue living in terms of their internal worlds. Contact her on: 041 366 1116

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