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Letter from Buenos Aires by Juan Pinetta

It is very interesting how this conversation is holding us all together, for in this state of affairs, our sense of safety is taxed to the limit. Even children who are the age of my daughter are dying. The situation is worrying. So I wonder: What remains of the thinking apparatus in times of catastrophe when we must make catastrophic changes?

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Letter from Jerusalem by Yehuda Fraenkel

The magnitude of emotional load together with ethical and clinical questions puts us in a total “terra incognita” state. I think that the need for coherence in external chaos is indeed universal, yet to us are both a demand and praxis of psychoanalytic practice engaging intrapsychic chaos.

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Letter from Birmingham by Lee Ascherman

There is much to be disturbed about. We are socially isolated while surrounded by reports of death, risk to life by an invisible assailant, and countless tragedies compounded by mismanagement and blame. We are not sure our hospitals will be available to provide care if we or loved ones need it. Compounding all this is an economic crisis of depth and unclear duration.

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Letter from Genoa by Cosimo Schinaia

Some days ago, I received a phone call from a friend of mine who is a doctor of general medicine. He wrote that he appreciated my essay on coronavirus posted on IPA´s website but that it is not too useful for him. The doctors in the hospital and in the medical offices are at risk of falling into a serious burnout…

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Letter from Toronto by Stefania Baresic

As we do the holding for our clients in this time of confinement, accelerated changes, tragic losses, and fear, someone must hold us as well, being a loving partner who offers a hug at the end of day; or we must have a spiritual practice that calms and grounds our breathing or a community like this one, whom I can imagine silently and attentively listening. It has been a difficult two weeks…

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Letter from New York by Joseph A. Cancelmo

The coronavirus pandemic has rocked our world as we knew it, bringing visceral waves of anxiety and fear and unspeakable, unbearable loss in its wake. For many of us, our way of life, our livelihood, our intimacies, and our social connections have been relegated to the phone and the internet—digital lifelines of virtual contact in which the very medium of connection can accentuate the distance, the loneliness.

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Letter from Birmingham by Elizabeth Trawick

My thinking has been simpler, less developed. Yesterday morning, I did three sessions: one phone, two FaceTime. At the end, I was overwhelmed with emotion, struggling to hold myself together. My last patient had her own version of “I’m not accomplishing anything.” I realized that she is working so hard in unrecognized ways: caring for her ninety-four-year-old father when she just remarried a few months ago, needing to social distance from a beloved daughter who is coming to town, having the strength to do this, her own terror and needs for care, etc. The familiar storms that batter us now. I said to her simply…