Utilizing Jean Baker Miller's ideas that the need to serve and the need to affiliate are the two most significant aspects of the psychic structure of women, the author argues that Miller's formulation can help the practitioner to reframe women's psychiatric symptoms and thus to understand the difficulty women have in moving from other-directed to self-enhancing activities.Lorna, an Eskimo woman of a coastal Arctic village in Alaska, who was interviewed by Coles and Coles (1978, p. 218), captures the distinctive issues-psychological and political-facing women today : 2, I am not the kind of woman my mother is, or Fred's mother is. Ĩ , am a different woman. There are days-an entire season, evenwhen I wonder whether I am a woman at all! But I'm not a man either! Make no mistake about that! My grandfather says that sometimes he looks at me, and he thinks I'm not a man and not a woman, but a spirit that doesn't like being either a man or a . woman. I asked him why he thinks that. He says I'm too much by myself, and I don't join the women, but I'm not a man. He says I may have an Eskimo woman spirit locked up in my body, and the spirit wants to be let loose, but I'm still alive. I don't t think that's the only reason I want to leave. Sometimes there may be a spirit in me, pushing or pulling, but I have my eyes and my ears and they get me going. I'll see a woman in our village talking one way-like a child-to the men, and another way to her own children, and I want to go shake her. It's not my business to shake her, I know. Maybe she wants to shake me! I know that some women in the village think I once had a high fever or got a bad chill and that's why I act so funny. That's what their children tell my children, that I am &dquo;funny&dquo; in the way I do things.