I'm intrigued by this concept of patients presenting, as Daniel says, with "two sides of a pole showing up." I often think of this phenomenon as a sliding mechanism across a single Saam organ pair where expression slips back & forth across the Yin & Yang divide between polar opposites. For example, with the Jack Nicholson character (and likely the waitress as well), his behavioral expression slid from PC at first toward GB Excess. Another example is when we see patients present as either extremely bright & outward focused one day but deeply inward & dull-eyed on another.
As far as treatment goes, I'm content to take Toby's suggestion and consider setting it aside until things become more clear. That makes sense if there are more obvious imbalances to treat since we always want to address what we see as the widest gap. But what is happening with these polarities? I've been thinking of these poles as opposite, but really what we seem to be discussing is a continuum. Is that right? Is the PC person truly housing an inner Mike Tyson which will emerge if the conditions are right? Is the HT Excess person actually deeply fearful of being alone at their core?
I've also wondered about this in relation to those who may have grown up without resources and feel impoverished to some extend for their entire life, even though they may be quite financially secure in later years. There seems to be an unresolved agitation along that particular dynamic which remains in tension. Is it the tension which brings Excess pairs to the fore? The constant irritation of some unresolved dynamic? A lack of resolution & integration?
Appreciating any thoughts about how to think about this...
