I have been thinking about the connection between guilt and anger in twin relationships. A young woman I work with feels tremendous compassion and love for her twin sister. She also has unbearable feelings of guilt about her sister’s difficulties that, in her mind, make it impossible for her to feel separate and fulfilled. My patient worries that her sister’s tendencies toward depression and self-loathing will deepen if she moves away from her sister—either emotionally or physically. Reflecting on the […]

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