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1.
Psychoanal Rev ; 111(2): 167-188, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38959074

RESUMO

"Free association" and the "fundamental rule" are bedrock for psychoanalytic therapy and apply to what both patient and analyst should experience in the process. The article traces Sigmund Freud's revolutionary recognition of the importance of free association that began with his tribute to the works of Ludwig Börne and Friedrich Schiller. The author invokes other proposals akin to free association made by artists and scientists, including John Keats, Charles Dickens, Robert Frost, Thomas S. Kuhn, Arthur Koestler, and Albert Einstein. While emphasizing the importance and the liberatory potential of free association as it relates to effective treatment and discovery, the author contends that there is a "moral press" for both the patient and the analyst to permit free associative thoughts, particularly to question assumptions about how things are supposed to be.


Assuntos
Associação Livre , Teoria Freudiana , Terapia Psicanalítica , Humanos , História do Século XX , Teoria Freudiana/história , Psicanálise/história , Teoria Psicanalítica , Relações Profissional-Paciente
2.
J Am Psychoanal Assoc ; : 30651241247222, 2024 May 11.
Artigo em Inglês | MEDLINE | ID: mdl-38733273

RESUMO

Through the literary explorations and poetry of Alice Oswald, and through analysis of detailed clinical material from a Kleinian perspective, the authors expand the bounds of reverie as it is usually construed in psychoanalytic consulting rooms. The authors draw attention to the presence of a relationship to the more-than-human world as an integral aspect of our internal experience, and to the value of consideration of the quality and dynamic meaning of connections to the natural world in ordinary analytic work. The relationship to the primary object heavily influences the form taken by the relationship to the natural world, but once established, this connection has the possibility for a life of its own, that can provide a different kind of containment than the human variety, allow experimentation with new ways of being, and can strengthen the ego. The authors address the clinical implications of listening enhanced by an ear for affiliation to the natural world.

3.
J Am Psychoanal Assoc ; : 30651231224703, 2024 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-38756062

RESUMO

The educational and clinical effects of the process of case writing during analytic training have not been extensively studied, even though the case report, as a product, has prompted attempts to make it a more revealing and accurate document. Countertransference experiences during an analysis can constrain both the candidate's writing and the analytic work, while examining them during the writing process can deepen the candidate's analytic work. Three overlapping resistances to the writing, and their underlying anxieties, are described. These are publication resistances: concerns about the anticipated reception of the candidate's work by potentially critical readers; transference resistances: feelings toward the analytic institute that requires the writing; and countertransference or reimmersion resistances: fears of reawakening reactions from the analysis. These can interfere with finding a safe internal space in which to write. Examples are given of writing through of these resistances during case supervision, resulting in more open writing and in a deepening of the analytic work. As the case writing process can have direct and potentially profound effects on the candidate's current and future analytic work, it is proposed that the process of case writing is a fourth pillar of analytic training, in addition to the candidate's personal analysis, case supervision, and didactic seminars.

4.
Int J Psychoanal ; 105(1): 13-39, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38470284

RESUMO

"Intuition" is probably the most frequently used term in all Bion's writings. However, in order to understand its role in his thought it is essential to give it the clearest possible definition. The thesis of this article is that by intuition Bion means a "specific" psychoanalytic concept. It is thus possible to extract intuition from the vague and mystifying reading of it by some authors, whic runs the risk of falling into an empty "intuitionism". For Bion, intuition is a psychoanalytic function of the analyst, the principal factors of which are the various expressions of dream-thought and insight. Furthermore, within the frame of the post-Bionian theory of the analytic field, the author suggests adding to these factors the use of the "we" vertex (or we-ness), i.e. to regard virtually every fact of analysis as co-created. The aim is to make the very concept of "field" more accessible. Compared with the metaphor of the analytic field, the concept of we-ness has both greater clinical versatility and greater pregnancy on the metapsychological plane. Indeed, it more directly reflects a radically social conception of human subjectivity: what is known in contemporary speculative thought - in J-L. Nancy, for example - as the "ontology of we".


Assuntos
Alcadienos , Intuição , Feminino , Gravidez , Humanos , Metáfora , Polímeros
5.
Psychoanal Q ; 92(4): 641-664, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38095860

RESUMO

When we are confronted with the challenge of trying to fully convey or describe something about human life and emotional experience, we find ourselves up against the very limitations of language. This problem becomes especially relevant as we attempt to expand psychoanalytic theory so as to enable us to "approach a mental life unmapped by the theories elaborated for the understanding of neurosis" (Bion1962, p. 37). This paper seeks to aid in that expansion by revisiting Bion's early writings about the beta screen, extending his conclusions about communication from the psychotic part of the mind to the broad area of the unrepresented (the unstructured unconscious), suggesting that there is often a potentially communicative meaning, a mute plea for intersubjective regulatory assistance (alpha function), embedded in the unconscious evocation of emotions in the object and that this cry for help may be encrypted in even the most seemingly destructive, resistant and oppositional patients.


Assuntos
Transtornos Mentais , Terapia Psicanalítica , Humanos , Sonhos/psicologia , Teoria Psicanalítica , Emoções
6.
Psychoanal Rev ; 110(3): 295-319, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37695798

RESUMO

Bion's notion of the contact-barrier formulates a semipermeable membrane responsible for preserving the distinction between the conscious and the unconscious. However, the question of how a newly established contact-barrier manifests itself in dreams remains unanswered. The author proposes that one such manifestation occurs when a patient sees themself asleep in a dream. A case of a severely traumatized woman who had difficulty thinking and being close to others is used to explore these clinical ideas. The author, in response to his reveries in a session, introduced a playful dream-like dialogue between a playwright and his reader. The nature of the communication, in functioning as a barrier, served to protect the patient from a tyrannizing reality: the therapist's sexuality. This intersubjective barrier helped the patient to contact dissociated and damaged parts of herself, and it also facilitated her ability to dream a sense of her own boundaries, femininity, and sexuality.


Assuntos
Comportamento Sexual , Sexualidade , Feminino , Humanos , Comunicação , Feminilidade
7.
Psychoanal Q ; 92(2): 263-288, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37556779

RESUMO

On the evening of October 5, 1955, Bion presented the paper Differentiation between the psychotic and non-psychotic personalities to the British Society of Psychoanalysis. Two days later, on October seventh, Winnicott commented on Bion's paper in a letter and in particular, discussed its clinical material. The author makes use of this exchange to examine how the transformations that took place in Bion's thought and Winnicott's contributions helped bring about a quantum revolution of the psychoanalytic paradigm. These may have facilitated the transition from an epistemological psychoanalysis (where what matters is what the analyst knows and what the patient comes to know about himself) to an ontological psychoanalysis (where the presence of the analyst becomes crucial-everything that the analyst is and the way in which he manages to become the patient's emotional experience). And what we witness in ontological psychoanalysis is a significant clinical transformation in which a theory of technique that focuses on interpretation can coexist with a theory of technique enriched, in the author's perspective, with new tools that make it possible to treat the most severely ill patients.


Assuntos
Psicanálise , Terapia Psicanalítica , Masculino , Humanos , Teoria Psicanalítica , Terapia Psicanalítica/métodos , Imaginação , Sonhos/psicologia , Emoções
8.
Rev. psicopatol. salud ment. niño adolesc ; (monografico 6): 77-87, Jun. 2023.
Artigo em Espanhol | IBECS | ID: ibc-223879

RESUMO

Apartir de la creación de la plataforma solidaria COVID-2019 de la Asociación Psicoanalítica Argentina (APA) enel comienzo de la pandemia, las experiencias de contacto a distancia con quienes sufrían situaciones extremasde vulnerabilidad transcurrieron ininterrumpidamente hasta hoy. La formación en observación psicoanalítica debebés Método Bick, en su aplicación “con intervención”, sostiene las posibles intervenciones que promueventransformaciones de bebés y madres-padres. Como institución, la Asociación Latinoamericana de Observadoresde Bebés (ALOBB) ofrece la contención idónea para no decaer en las funciones mentales que se activan parallevar a cabo nuestros proyectos clínicos. Se transcriben experiencias clínicas, teorías e investigaciones de base.(AU)


pregnancy-birth-upbringing. Sincethe creation of the COVID-2019 solidarity platform of the Argentine Psychoanalytic Association (APA) at thebeginning of the pandemic, the experiences of long-distance contact with those suffering extreme situationsof vulnerability have continued uninterruptedly until today. The Bick Method psychoanalytic infant observationtraining, in its application “intervention”, supports possible interventions that promote transformations of infantsand mother-parents. As an institution, the Asociación Latinoamericana de Observadores de Bebés (ALOBB)offers the ideal support to avoid losing the mental functions that are activated while carrying out our clinicalprojects. Clinical experiences, theories and basic research are transcribed.(AU)


A partir de lacreació de la plataforma solidària COVID-2019 de l’Associació Psicoanalítica Argentina (APA) al començamentde la pandèmia, les experiències de contacte a distància amb els qui patien situacions extremes de vulnerabilitatvan transcórrer ininterrompudament fins avui. La formació en observació psicoanalítica de nadons Mètode Bick,en la seva aplicació “amb intervenció”, sosté les possibles intervencions que promouen transformacions de na-dons, mares i pares. Com a institució, l’Associació Llatinoamericana d’Observadors de Nadons (ALOBB) ofereixla contenció idònia per no decaure en les funcions mentals que s’activen per dur a terme els nostres projectesclínics. Es transcriuen experiències clíniques, teories i investigacions de base.(AU)


Assuntos
Humanos , Masculino , Feminino , Observação/métodos , Recém-Nascido , Contratransferência , Pobreza , Populações Vulneráveis , Pandemias
9.
Int J Psychoanal ; 104(2): 223-243, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-37139734

RESUMO

The author tries to show how the epiphany of a reverie during a session can become a source of unexpected intuitions about the essence and possible figurability of the emotional experience which is flowing in the here-and-now of the analytic life. Reverie becomes an important analytic source above all when an analyst is in contact with primordial states of the mind, characterized by turbulences of unrepresentable feelings and sensations. In this paper the author outlines a hypothetical kit of functions, technical uses and analytic effects of a reverie in an analytic process, working through the idea of analysis as the transformation in dreaming of the nightmares and terrors which beset and trouble the patient's mind. In particular the author describes: (a) the use of reverie as a criterion of analysability in first consultation meetings; (b) the specificity of two different types of reverie, which the author names reveries polaroid and raw reveries; and (c) the possible disclosure of a reverie in case of a specific kind of reverie that the author calls polaroid reverie. Sketches of analytic life become living portraits of the hypothesis proposed by the author about these different possible uses of a reverie in analytic work, as a probe and resource for beginning and developing a course of analysis that engages with archaic and presymbolic areas of psychic functioning.


Assuntos
Sonhos , Terapia Psicanalítica , Humanos , Sonhos/psicologia , Inconsciente Psicológico , Emoções
10.
Junguiana ; 41(2)2º sem. 2023.
Artigo em Inglês, Português | LILACS | ID: biblio-1524366

RESUMO

Este artigo conceitua a capacidade do analista de reconhecer e captar fenômenos efêmeros no setting analítico como um pilar essencial do engajamento analítico profundo. Propõe que a capacidade do analista de se envolver com o efêmero é uma progressão desenvolvimentista contínua que complementa e aprofunda as outras áreas do conhecimento analítico adquiridas durante o treinamento, como teoria, técnica, padrões arquetípicos, psicopatologia e desenvolvimento. O artigo fornece uma definição funcional do efêmero e se concentra na experiência fenomenológica do efêmero. Também discute o uso do devaneio no engajamento com o efêmero e o uso da poesia para desenvolver a sensibilidade e a capacidade de resposta do analista a momentos efêmeros.


This paper conceptualizes the analyst's capacity to recognize and engage ephemeral phenomena in the analytic setting as an essential pillar of deep analytic engagement. It proposes that the analyst's capacity to engage the ephemeral is an ongoing developmental progression which complements and deepens the other areas of analytic knowledge acquired during analytic training, such as theory, technique, archetypal patterns, psychopathology, and development. The paper provides a working definition of the ephemeral and focuses on the phenomenological experience of the ephemeral. It also discusses the use of reverie in ephemeral engagement and the use of poetry to develop the analyst's sensitivity and responsivity to ephemeral moments.


Este artículo conceptualiza la capacidad del analista para reconocer y participar en fenómenos efímeros en el entorno analítico como un pilar esencial del compromiso analítico profundo. Propone que la capacidad del analista para comprometerse con lo efímero es una progresión de desarrollo continuo que complementa y profundiza las otras áreas del conocimiento analítico adquiridas durante la formación analítica, como la teoría, la técnica, los patrones arquetípicos, la psicopatología y el desarrollo. El artículo proporciona una definición de trabajo de lo efímero y se centra en la experiencia fenomenológica de lo efímero. También analiza el uso de la ensoñación en el compromiso efímero y el uso de la poesía para desarrollar la sensibilidad y la capacidad de respuesta del analista a los momentos efímeros.

11.
J Anal Psychol ; 68(1): 87-108, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36546621

RESUMO

This article focuses on understanding and working with patients who have poorly developed symbolic capacity, or for whom symbolic capacity has been disrupted due to trauma, particularly as it pertains to the use of reverie and interpretation in the analytic process. Many patients who present for Jungian analysis will initially present with deficits in symbolic functioning. This situation results in necessary limitations or modifications in utilizing traditional Jungian techniques such as dream analysis, active imagination, sand tray and other expressive art techniques. The initial phase of analytic work with these patients requires a focus on developing their symbolic capacity before traditional Jungian techniques can be utilized effectively. During the paper Jung's concept of 'the symbolic attitude' will be examined as well as the conceptual models of Wilfred Bion and other post-Bionians who outline theories and method for cultivating symbolic capacity and reflective functioning in patients for whom these capacities are impaired or poorly developed.


Cet article se concentre sur la compréhension et le travail avec des patients dont la capacité symbolique est mal développée, ou pour qui la capacité symbolique a été perturbée par le traumatisme. Ceci concerne tout particulièrement l'utilisation de la rêverie et de l'interprétation dans le processus analytique. Beaucoup de patients qui viennent pour une analyse Jungienne montrent initialement des déficits dans le fonctionnement symbolique. Ceci a pour conséquence des limitations nécessaires ou des modifications dans l'utilisation de techniques traditionnelles Jungiennes telles l'analyse des rêves, l'imagination active, la thérapie par le jeu de sable et autres techniques d'expression par l'art. La phase initiale du travail analytique avec ces patients requiert de mettre l'accent sur le développement de leur capacité symbolique avant que les techniques Jungiennes traditionnelles puissent être utilisée de manière efficace. Dans l'article, le concept Jungien 'd'attitude symbolique' sera étudié ainsi que les modèles conceptuels de Wilfred Bion et d'autres post-Bioniens qui présentent des théories et une méthode pour cultiver la capacité symbolique et le fonctionnement réfléchi chez des patients pour qui ces capacités sont déficientes ou mal développées.


El presente artículo se focaliza en la comprensión y trabajo con pacientes que han tenido un desarrollo limitado de su capacidad simbólica, o para quienes, la capacidad simbólica se ha visto perturbada debido a un trauma, particularmente en lo que se refiere al uso del reverie y de la interpretación en el proceso analítico. Muchos pacientes que se presentan para un análisis Junguiano, presentan inicialmente deficitis en su funcionamiento simbólico. Esta situación tiene como resultado limitaciones necesarias o modificaciones en la utilización de técnicas Junguianas tradicionales como el análisis de sueños, la imaginación activa, la caja de arena y otras técnicas artísticas y expresivas. La fase inicial del trabajo analítico con estos pacientes requiere hacer foco en el desarrollo de su capacidad simbólica antes de que técnicas Junguianas tradicionales puedan utilizarse efectivamente. Durante el escrito se examina el concepto de Jung de `actitud simbólica`, así como los modelos conceptuales de Wilfred Bion y otros post-Bionianos quienes describen teorías y métodos para cultivar la capacidad simbólica y el funcionamiento reflexivo en pacientes para quienes estas capacidades se encuentran perturbadas o poco desarrolladas.


Assuntos
Alcadienos , Terapia Psicanalítica , Humanos , Terapia Psicanalítica/métodos , Imaginação
12.
Psychoanal Q ; 91(4): 709-740, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36576045

RESUMO

The author focuses on the workings of the female analyst-male pair in the consulting room when sexual feelings emerge as part of the adolescent storm. The need for open-bodiedness in relation to the perception of the bodily states of both the analyst and analysand is described and discussed. The author shows how somatic countertransference, reverie, and projective identification are harnessed creatively in the service of transformation. The importance of the third to help provide an analytic space for thought and meaning, rather than enactment and impasse, is discussed. The trajectory from the analyst's wish to silence sexual transference and countertransference in the consulting room, followed by the analyst's initial reluctance to discuss the hot feelings with colleagues, and then the impact of publication anxiety when writing through the experiences and revising this paper is described.


Assuntos
Contratransferência , Terapia Psicanalítica , Humanos , Masculino , Feminino , Adolescente , Transferência Psicológica , Projeção , Emoções
13.
J Am Psychoanal Assoc ; 70(2): 283-305, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35635383

RESUMO

Comparative approaches to psychoanalytic theory are a major source of exposure to different theoretical orientations and clinical technique. However, it is not always clear what the analyst actually does when translating theory into practice. As an attempt at clarification, descriptions are provided of two listening stances or attentional sets that are associated with different modes of analytic listening. These modes reside at a relatively low level of abstraction and are experience-near. The two listening stances are (1) a directed attentional set aimed at the identification of conscious or unconscious repetitious patterns, and (2) a diffuse attentional set receptive to emergent phenomena for the purpose of elaborating unconscious fantasy. These listening modes are combined in everyday practice and usually occur in an oscillating fashion; thus, separation of these listening modes in this discussion is for heuristic purposes. At the same time, these modes are prioritized differently among various theoretical models depending on the analyst's intention and goals. They also can be correlated with different types of transferences, evoking different types of clinical material that correspond to the analyst's goals and/or to phases in treatment. Because these attentional modes are governed by different neurophysiological substrates, it is helpful for analysts to have these modes clearly differentiated in their minds, even though engaging these modes tends to be spontaneous and rapidly oscillating. Two clinical vignettes are provided that illustrate the use of these two modes of listening where one or the other is prioritized.


Assuntos
Terapia Psicanalítica , Humanos , Teoria Psicanalítica , Terapia Psicanalítica/métodos
14.
J Anal Psychol ; 67(1): 160-169, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-35417576

RESUMO

This paper explores the question of assisted dying from both a legal and psychological perspective within the legal parameters in place at the time of writing of this paper. Links are made between Kohut's notion of an acceptance of the finiteness of existence and of transience as one of several indicators of the maturation and transformation of archaic narcissism, and Jung's notion of the readiness and ability to 'die with life' as the goal of the second half of life. The author raises awareness of the importance of the need for clarity with regard to these issues on the part of therapists who may be required to provide an evaluation of a patient's admissibility to a service of assisted dying.


Cet article explore le sujet de l'aide à la mort, à la fois du point de vue légal et psychologique, dans les paramètres légaux en place au moment de son écriture. L'article fait des liens entre la notion de Kohut - l'acceptation de l'aspect fini de l'existence et de son caractère éphémère comme l'un des indicateurs de la maturation et de la transformation du narcissisme archaïque - et l'idée de Jung selon laquelle le but de la seconde moitié de la vie est de développer sa capacité à « mourir avec la vie ¼. L'auteur attire l'attention sur l'importance du besoin de clarté concernant ces questions chez les thérapeutes auxquels on pourrait demander de fournir une évaluation de l'admissibilité d'un patient dans un service d'aide à la mort.


El presente trabajo explora el tema del acompañar el proceso de morir desde una perspectiva legal y psicológica en el marco de los parámetros legales existentes al momento de escribir el trabajo. Se plantean conexiones entre la noción de Kohut, de aceptación de la finitud de la existencia y la de transitoriedad como uno de los muchos indicadores de maduración y transformación del narcisismo primitivo, y la noción de Jung de disponibilidad y habilidad para 'morir con vida' como meta en la segunda mitad de la vida. El autor trae a la consciencia la importancia de la necesidad de claridad con respecto a estas cuestiones por parte de terapeutas quienes pueden ser requeridos para dar una evaluación sobre la admisibilidad de un paciente a un servicio de muerte asistida.


Este artigo explora a questão da morte assistida de uma perspectiva jurídica e psicológica dentro dos parâmetros legais em vigor no momento da redação deste artigo. São feitas ligações entre a noção de Kohut de aceitação da finitude da existência e da transitoriedade como um dos vários indicadores da maturação e transformação do narcisismo arcaico, e a noção de Jung da prontidão e capacidade de "morrer com vida" como o objetivo da segunda metade da vida. O autor conscientiza sobre a importância da necessidade de clareza em relação a essas questões por parte dos terapeutas que podem ser obrigados a fornecer uma avaliação da admissibilidade de um paciente a um serviço de morte assistida.


Assuntos
Suicídio Assistido , Humanos , Narcisismo , Redação
15.
J Anal Psychol ; 67(1): 363-374, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-35417597

RESUMO

This paper conceptualizes the analyst's capacity to recognize and engage ephemeral phenomena in the analytic setting as an essential pillar of deep analytic engagement. It proposes that the analyst's capacity to engage the ephemeral is an ongoing developmental progression which complements and deepens the other areas of analytic knowledge acquired during analytic training such as theory, technique, archetypal patterns, psychopathology and development. The paper provides a working definition of the ephemeral and focuses on the phenomenological experience of the ephemeral. It also discusses the use of reverie in ephemeral engagement and the use of poetry to develop the analyst's sensitivity and responsivity to ephemeral moments.


Cet article conceptualise la capacité de l'analyste à reconnaitre et à collaborer avec les phénomènes éphémères dans le cadre analytique comme un pilier essentiel pour une implication analytique profonde. L'article propose que cette capacité de l'analyste à impliquer l'éphémère est une progression, développementale et continue, qui vient compléter et approfondir les autres domaines de la connaissance analytique, acquis durant la formation analytique comme la théorie, la technique, les schémas archétypaux, la psychopathologie et le développement. L'article fournit une définition basique de l'éphémère et se concentre sur l'expérience phénoménologique de l'éphémère. Il aborde aussi l'utilisation de la rêverie dans la collaboration avec l'éphémère et l'utilisation de la poésie pour développer la sensibilité de l'analyste et sa réceptivité aux moments éphémères.


El presente trabajo conceptualiza la capacidad del analista para reconocer y captar fenómenos efímeros en el espacio analítico como un pilar esencial del compromiso analítico profundo. Propone que la capacidad del analista para captar lo efímero en una progresión continua en desarrollo, complementa y profundiza otras áreas del conocimiento analítico adquiridas durante la formación analítica como teoría, técnica, patrones arquetipales, psicopatología y desarrollo. El trabajo ofrece una definición en progreso de lo efímero y se focaliza en la experiencia fenomenológica de lo efímero. También examina el uso del reverie en la captación de lo efímero y el uso de la poesía para desarrollar la sensibilidad del analista y su receptividad a momentos efímeros.


Este artigo conceitua a capacidade do analista de reconhecer e envolver fenômenos efêmeros no ambiente analítico como um pilar essencial do profundo engajamento analítico. Propõe que a capacidade do analista de envolver o efêmero é uma progressão contínua do desenvolvimento que complementa e aprofunda as outras áreas do conhecimento analítico adquiridas durante o treinamento analítico, como teoria, técnica, padrões arquetípicos, psicopatologia e desenvolvimento. O artigo fornece uma definição funcional do efêmero e se concentra na experiência fenomenológica do efêmero. Também discute o uso do devaneio no engajamento efêmero e o uso da poesia para desenvolver a sensibilidade e a responsividade do analista a momentos efêmeros.

16.
Front Psychiatry ; 13: 1059648, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36756636

RESUMO

Introduction: The critical period of early motherhood when facing serious health problems constitutes a major public health issue. The disease may interfere with, influence, and compound the difficulties experienced over the course of pregnancy and during the parenthood processes. These processes are to be understood as a passage involving so many changes and fraught with difficulties leading to a series of psychological mobilizations. Illness also needs to be considered as a moment of transition, sometimes of severance, marking the lives of the people concerned in a more or less lasting way. Various developments are possible, some of which can be envisaged as leading to more positive outcomes, while others appear as if blocked or doomed to failure. Clinical data and method: This clinical study is the result of twelve analytically oriented psychotherapeutic follow-ups. The sessions took place weekly over periods ranging from 1 to 6 years. Some of the patients we met had become pregnant while they had a declared but not yet chronic nephropathy. The other patients were already on dialysis and had become mother before starting dialysis. There is also one instance of a pregnant patient on dialysis. In the background, there are also many women who talked about giving up fertility and motherhood. After an in-depth study of each follow-up, a cross-sectional study was conducted to identify the main themes. Results and discussion: Main considerations on the psychotherapeutic treatment: We regularly observe people who find it impossible to muster the internal resources that would enable them to deal with the trials they undergo in such situations. For the psychologist, there is a need to listen to archaic remnants. Gradually, in the space of psychotherapeutic work, possibilities of "reanimation" of the psyche emerge, an internal space that renews fantasmatic activity as it begins to be able to project into the external space and into the space of the sessions.

17.
Agora (Rio J.) ; 24(3): 38-45, set.-dez. 2021.
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1355595

RESUMO

RESUMO: Discutiremos os desdobramentos psicopatológicos na zona arcaica da subjetividade quando a identificação projetiva perde sua dimensão de comunicação primitiva, assumindo um caráter radical de evacuação e prejudicando a rêverie materna. Estudaremos as experiências precoces do psiquismo englobadas na parte bebê do self, fundamentais aos processos de simbolização primária. Suas falhas se manifestam na clínica através de intensos sofrimentos capitaneados por angústias primitivas, como as de abandono e de separação, que acarretam respostas radicais, tais como a fragmentação e a despersonalização. Apresentaremos um fragmento clínico para ilustrar a forma de desorganização psíquica própria às falhas na parte bebê do self.


Abstract: We will discuss the psychopathological evolution in the archaic zone of subjectivity when the projective identification loses its primitive communication dimension, assuming a radical role of evacuation and damaging the maternal rêverie. We will study the early experiences of the psyche embedded in the baby part of the self, fundamental to the processes of primary symbolization. Their failures are manifested in the clinic through intense sufferings captained by primitive anxieties, such as abandonment and separation, which lead to severe responses such as fragmentation and depersonalization. We will present a clinical fragment to illustrate the archaic forms of psychic disorganization proper to failures in the baby part of the self.


Assuntos
Psicopatologia , Poder Familiar , Imagens, Psicoterapia
18.
J. psicanal ; 54(101): 253-268, jul.-dez. 2021. ilus
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1351004

RESUMO

O presente trabalho expõe as ideias de Bion sobre transformações em alucinose, sustentadas por uma experiência clínica. Também trabalha as ideias de capacidade negativa, reverie e continente-contido. Traz considerações sobre a construção de significados pela dupla analista-analisando, tendo como pano de fundo manifestações de dor e terror que são experimentadas no campo analítico. A pergunta que o trabalho suscita (mas que não ousa responder) é: Como o analista poderá alcançar um instrumento auxiliar a fim de permitir que a sessão aconteça com atenção relaxada e atitude aberta, contribuindo para a sobrevivência do vínculo analítico, considerando a ocorrência de fatos não digeridos, objetos bizarros, identificação projetiva excessiva, alucinose, inveja e destrutividade?


The present work exposes Bion's ideas about transformations in hallucinosis, supported by a clinical experience. It also works on the ideas of negative capacity, reverie and continent-contained. It brings considerations about the construction of meanings by the analyst-patient duo, against the background of pain and terror manifestations that are experienced in the analytical field. The question that the work raises (but which it does not dare to answer) is: How can the analyst be able to reach an auxiliary instrument in order to allow the session to take place with relaxed attention and an open attitude, contributing to the survival of the analytic bond, considering the occurrence of undigested facts, bizarre objects, excessive projective identification, hallucinosis, envy, and destructiveness?


El presente trabajo expone las ideas de Bion sobre las transformaciones en la alucinosis, respaldadas por una experiencia clínica. También trabaja sobre las ideas de capacidad negativa, ensueño y continente-contenido. Aporta consideraciones sobre la construcción de significados por parte del dúo analista-paciente, en el contexto de las manifestaciones de dolor y terror que se experimentan en el campo analítico. La pregunta que plantea el trabajo (pero que no se atreve a contestar) es: ¿Cómo puede el analista llegar a un instrumento auxiliar para permitir que la sesión se desarrolle con una atención relajada y una actitud abierta, contribuyendo a la supervivencia del vínculo analítico, considerando la ocurrencia de hechos no digeridos, objetos extraños, identificación proyectiva excesiva, alucinosis, envidia y destructividad?


Le présent travail expose les idées de Bion sur les transformations dans l'hallucinose, soutenues par une expérience clinique. Il travaille également sur les idées de capacité négative, de rêverie et de contenu continental. Il apporte des réflexions sur la construction de sens par le duo analyste-analyseur, sur fond de manifestations de douleur et de terreur vécues dans le champ analytique. La question que pose le travail (mais à laquelle il n'ose pas répondre) est : Comment l'analyste peut-il accéder à un instrument auxiliaire afin de permettre à la séance de se dérouler avec une attention détendue et une attitude ouverte, contribuant à la survie de la lien, compte tenu de la survenue de faits non digérés, d'objets bizarres, d'une identification projective excessive, d'hallucinose, d'envie et de destructivité ?


Assuntos
Psicanálise
19.
Rev. bras. psicanál ; 55(4): 91-99, out.-dez. 2021. ilus
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1507896

RESUMO

A autora descreve o trabalho de supervisão como escuta da escuta do analista diante de seu analisando. Sugere que essa escuta supervisiva idealmente opera num espaço semelhante a uma atmosfera oniroide. Menciona uma reverie de outra reverie como parte de um processo de descolamento do senso comum, e discute o papel da teoria analítica durante o atendimento e numa supervisão. A presença da teoria é comparada à presença do sangue no corpo humano: nunca deve pesar na relação intersubjetiva do campo analítico.


The author describes the supervisory work as listening to listening of the analyst to his analysand. She suggests that this supervising Listening ideally operates in a space similar to an oneiroid atmosphere. She then mentions the operation of a reverie of another reverie, as part of a radical detachment of the common sense, and discusses the role of analytic theory during the session and a supervision. The presence of the theory is compared to the presence of blood in the human body: it must never weigh on the intersubjective relationship of the analytic field.


El autor describe el trabajo de supervisión como de escuchar la escucha del analista frente a su analizando. Sugiere que esta escucha supervisora opera idealmente en un espacio similar a una atmósfera oniroide. Luego menciona un reverie de otro reverie como parte de un proceso de desapego del sentido común y discute el papel de la teoría analítica durante la sesión y la supervisión. La presencia de la teoría se compara con la presencia de sangre en el cuerpo humano: nunca debe pesar sobre la relación intersubjetiva del campo analítico.


L'autrice décrit le travail de supervision en tant que l'ecoute de l'écoute de l'analyste face à son analysant. Elle suggère que cette Écoute de supervision idéalement agit dans un espace semblable à une atmosphère presque onirique. La chercheuse mentionne ensuite une rêverie d'une autre rêverie, comme une partie d'un processus de déplacement du sens commun et elle discute du rôle de la théorie analytique pendant la séance et dans une supervision. La présence de la théorie est comparée à présence du sang dans le corps humain : elle ne doit jamais peser sur la relation intersubjective du champ analytique.

20.
Rev. bras. psicanál ; 55(3): 43-57, jul.-set. 2021. ilus
Artigo em Português | LILACS-Express | LILACS, Index Psicologia - Periódicos | ID: biblio-1341196

RESUMO

Em análise, qualquer reverie (potencialmente) abre espaço para entrar em contato com o primeiro estágio do pensamento inconsciente - em que as sequências de elementos alfa são sintetizadas pela função alfa -, de onde então provêm as derivações narrativas do pensamento onírico acordado. Reverie, em outras palavras, é a capacidade de o analista entrar em contato com os pictogramas que adquirem vida durante o trabalho analítico e definem constantemente a posição do paciente e do analista e a qualidade emocional do vínculo entre eles, à maneira de um dispositivo de gps. Reveries não são apenas imagens e ideias, mas também sensações, sentimentos e ações. Neste artigo, o autor concentra-se nesse último tipo de reverie - que pode ser chamado de somático ou, em ressonância com o gestualismo [action painting] na arte, gestual - e apresenta algumas breves ilustrações clínicas. O importante é olhar para tais produções como enraizadas no campo, ou seja, como se estivessem no terceiro inconsciente, que nasce quando dois sujeitos se aproximam o suficiente um do outro. Visto que paciente e analista estão em comunicação constante, não só no nível consciente mas também no inconsciente, não há evento do campo analítico que não possa ser visto como uma cocriação de ambos.


In psychoanalysis any reverie (potentially) opens space for one to be in touch with the first stage of the unconscious thought - when the sequences of alpha elements are synthesized by the alpha function - where narrative derivation from dreamy awakened thoughts come from. Reverie, in other words, is the possibility for the analyst to be in touch with the pictograms that come alive during the analysis and constantly define the patient's position as well as the analyst's, besides the emotional level they have created, as a gps works. Reveries are not only images and ideas, but also sensations, feelings, and actions. This article focuses on this last type of reverie - which we can call "somatic" or, as action painting in art, "action reverie" - and it includes some clinical illustrations. It is important to see such illustrations as embedded in the field, that is, as if they were in the third unconscious (which starts when two people are close enough to each other). Considering that patient and analyst are constantly communicating, consciously and unconsciously, there is no event from the analytical field that may not be seen as both people's co-creation.


En análisis, cualquier reverie (potencialmente) abre espacio para contactar con la primera etapa del pensamiento inconsciente - donde las secuencias de elementos alfa son sintetizadas por la función alfa - de donde proceden las derivaciones narrativas del pensamiento onírico acordado. Reverie, en otras palabras, es la capacidad del analista en contactar con los pictogramas que adquieren vida durante el trabajo analítico y definen constantemente la posición del paciente y del analista y la calidad emocional del vínculo entre ellos, a la manera de un dispositivo gps. Reveries no son solamente imágenes e ideas, sino sensaciones, sentimientos y acciones. Este artículo enfoca ese último tipo de reverie - que podemos llamar de "reverie somático" o, en resonancia con el gestualismo [action painting] en el arte, "reverie gestual" - y presenta algunas breves ilustraciones clínicas. Lo importante es mirar para esas producciones como arraigadas en el campo, o sea, como si estuvieran en el tercer inconsciente (que nace cuando dos sujetos se acercan lo suficiente uno al otro). Ya que paciente y analista están en comunicación constante, no solo en el nivel consciente, como también en el inconsciente, no hay ningún evento del campo analítico que no pueda ser visto como una creación conjunta de ambos.


En analyse, toute reverie ouvre (potentiellement) la voie pour que l'on se mette en contact avec le premier stage de la pensée inconsciente - où les séquences d'éléments alpha sont synthétisées par la fonction alpha - d'où proviennent alors les dérivations narratives de la pensée onirique réveillée. Reverie, en d'autres termes, c'est l'aptitude de l'analyste à se mettre en contact avec les pictogrammes qui deviennent vivants pendant le travail analytique et qui définissent constamment le point de vue du patient et celui de l'analyste, et encore la qualité émotionnelle du lien entre eux, à la façon d'un dispositif de gps. Reveries ne sont pas seulement des images et des idées, mais également des sensations, des sentiments et des actions. Cet article se concentre sur ce dernier genre de reverie - que l'on peut appeler « somatique ¼ ou selon la gestualité (action painting) dans l'art, « reverie gestuelle ¼ - et présente quelques illustrations cliniques brèves. L'important, c'est de regarder telles productions comme si elles étaient enracinées dans le champ, c'est-à-dire, comme si elles étaient dans le tiers inconscient (qui naît lorsque deux sujets s'approchent suffisamment l'un de l'autre). Vu que le patient et l'analyste sont en communication constante, non seulement dans le niveau conscient, mais également dans l'inconscient, il n'y a pas d'évènement analytique qui ne puisse être vu comme une cocréation des deux.

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