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In the First Section of her Paper, Dr. Judy Pickles Describes the opening process of her work with Ann. In response to Ann's self-presentation as bad and disgusting, Judy offered the distinction that Ann feels bad and disgusting because she was treated as if she were bad and disgusting by her abusive father and her critical paternal grandmother. While Ann at first responded positively to this alternative view, soon she began to protest, and Judy came to understand that her challenging Ann's view represented for Ann a repetition of the original trauma of having her reality denied.
Several of the discussants responded to this extended interchange. Jeffrey Trop conceptualizes the problem for Ann as being caught between two subjective worlds, that of her father's and that of her therapist's. Dr. Trop then makes a connection between the enmeshed perspective that Ann struggled with and continues to struggle with and her inevitable surrender of herself to the other in a pathological accommodation to that other's point of view. Along the way, Trop makes a distinction between such pathological accommodation and a healthy accommodation generated in the service of one's own values and ideals. Trop notes that Ann, in the historical context of having had to surrender herself so extensively, would justifiably confuse these two discrete ways of joining with another.
Harold Sampson delineates two sets of responses that Ann makes to Judy's initial interpretive stance. Initially, Ann understood that Judy would