The class that would not read: utilizing Bion's affect theory in group.

While Bion's group theory continues to inspire contemporary group psychotherapists, his theory of human emotion is not as well known. Bion also introduced a system of alphabetical and mathematic symbols to offer a shorthand for his epistemology in order to make his ideas accessible, flexible, and practical for the working clinician. This article presents aspects of Bion's theory and metapsychological shorthand to conceptualize effectual dimensions of group process, thinking operations, and countertransference. The constructs considered include Klein's paranoid-schizoid and depressive positions; manic defenses; basic assumptions; "proto-mental" and "pre-monitory" emotions; instinctive drives L, H, and K (plus or minus); beta elements; and alpha functioning. With these ideas, the author was able to work through aspects of a group experience in which, as leader, he unknowingly found himself at an opposite affective pole from the members.     

On holding and containing, being and dreaming

Winnicott's concept of holding and Bion's idea of the container-contained are for each of these analysts among his most important contributions to psychoanalytic thought. In this light, it is ironic that the two sets of ideas are so frequently misunderstood and confused with one another. In this paper, the author delineates what he believes to be the critical aspects of each of these concepts and illustrates the way in which he uses these ideas in his clinical work. Winnicott's holding is seen as an ontological concept that is primarily concerned with being and its relationship to time. Initially the mother safeguards the infant's continuity of being, in part by insulating him from the 'not-me' aspect of time. Maturation entails the infant's gradually internalizing the mother's holding of the continuity of his being over time and emotional fl ux. By contrast, Bion's container-contained is centrally concerned with the processing (dreaming) of thoughts derived from lived emotional experience. The idea of the container-contained addresses the dynamic interaction of predominantly unconscious thoughts (the contained) and the capacity for dreaming and thinking those thoughts (the container).     

Perverse thought

Based on Bion's work on the 'psychotic and non-psychotic parts of the personality', the author hypothesises the existence of a special type of thought disorder known as 'perverse thought'. First the author presents an overview of the major contributions to the concept of perversion that have a bearing on 'perverse thought'. These include Freud's splitting and disavowal concepts, Klein's projective identification concept, Bion's - K link and Meltzer's transference perversion. Then, by means of a case study and some vignettes, the author illustrates how this thought disorder is configured within the analytic process. The author focuses on three main aspects of this pathology: the specific modality of projective identification in a perverse scheme, the lie and some important clinical events that reveal an attack against knowledge through the formation of the - K link. Perverse thought is an important resistance mechanism in the analytic process. Its clarification is essential, given that its main objective is to attack the knowledge process, and therefore truth, in order to pervert the analytic relationship.     

Learning from experience: Bion's concept of reverie and Buddhist meditation: A comparative study

The author argues for a common denominator between Bion's view and the Buddhist view of mental development. In both thought systems, mental growth is synonymous to learning from experience. The author closely examines Bion's concept of attention and compares it to mindfulness, a major factor in Buddhist meditation. In both doctrines, attention must be isolated from other mental processes in order to attain learning from experience. The author compares reverie to the state of mind of equanimity. She argues that enhancement of the ability of reverie, or improving the inner container such that it can hold any content while unmoved by desire, is the purpose of Buddhist practice. Both view the mind as capable of transcending its own restrictions and 'the capacity to know anything' as attainable through disciplined practice.     

Substantive unconscious and adjective unconscious: the contribution of Wilfred Bion

The author first provides her readers with a brief summary of some of Freud's ideas, as found throughout his work, on the notion of 'unconscious'. The notion of unconscious as noun is contrasted to the idea of unconscious as adjective, this latter being proposed as a quality, or a state, ever temporary, dynamic, and subject to the constant changes going on in the individual's internal psychic world, as well as to external conditions. After presenting some considerations, the author then contrasts the Kleinian model of the mind to the Freudian, and Wilfred Bion's contribution is discussed at some length. Within Bion's conception of psychic functioning, the model of 'dream' is highlighted and, in this regard, clarifications are sought regarding Bion's view of the unconscious. To conclude, a brief and superficial approximation to the work of Carl Jung is touched upon, although the author admits to knowing little of Jung's positions.     

The embodied mind

Abstract :  This paper considers Fonagy et al's concept of mentalization and contrasts aspects of this with aspects of Bion's model of the mind. The author argues that although mentalization adds to our understanding of mind it has limitations; that it may tend to over-emphasize certain types of external interaction between infant and carer and under-emphasize internal psychobiological processes. What is at issue here is the way in which an infant's carers facilitate the development of meaning out of experience. Bion's concept supposes a relatively 'interior' model in which, in important ways, the carer enables the infant to derive the meaning of his or her experience, whilst on the other hand Fonagy et al tend to talk more in terms of the ways in which the carer endows the infant's experience with meaning. Reference is made to Fordham's concept of states of 'Identity'. Fordham has pointed out that Freud's model is one in which mind is conceived of as evolving out of an infant's complex identifications with his or her carer(s); Jung's model envisages developmentally early states of identity as the means by which inherent capacities are realized.     

Sanity and madness

The author sets out a schema with some underlying principles aimed at illuminating the nature of madness, how it sabotages our freedom and the deepest reasons why patients want to be sane. He claims that this is not possible without revising Freud's pleasure principle and determinism and replacing it with desire for freedom as the dominant motivating principle.     

An introduction to the reading of Bion

The author suggests that a good deal of the confusion that arises in the course of reading Bion derives from the fact that Bion's analytic writing is comprised of two periods of work that involve markedly different conceptions of psychoanalysis. These two periods require of the reader very different ways of reading and generate contrasting experiences in reading. Bion, in passages in Learning from experience (1962) and Attention and interpretation (1970), offers advice to the reader regarding how he would like his 'early' and 'late' work to be read. The author treats the experience of reading these passages as ports of entry into the fundamental tenets underlying Bion's widely differing conceptions of the psychoanalytic enterprise. The experience of reading early Bion generates a sense of psychoanalysis as a never completed process of clarifying obscurities and obscuring clarifications, which enterprise moves in the direction of a convergence of disparate meanings. Incontrast, the experience of reading Bion's later work conveys a sense of psychoanalysis as a process involving a movement toward infinite expansion of meaning. The author offers a detailed account of an analytic experience which he discusses from a point of view informed by Bion's work, particularly his late work.     

'IT SEEMED TO HAVE TO DO WITH SOMETHING ELSE …': HENRY JAMES'S WHAT MAISIE KNEW AND BION'S THEORY OF THINKING

This article argues that what Maisie knew, as conveyed to readers of James's novel, can fruitfully be considered and interpreted in terms of Bion's theory of thinking, and especially his concepts of K and -K and the container/contained relationship. It is shown that James describes a containing relationship that Maisie, the child protagonist, has with her nurse, and the gradual growth of such a relationship in Maisie's own psyche, leading to her capacity to learn from experience. James's text is shown to contain striking instances of the creation and the destruction of meaning (K and -K) by the adults close to Maisie. It is argued that Maisie's own choice to make links and to desire knowledge is made through her complex experience of the oedipal situation, which gives her opportunities to see herself in 'the third position' (Britton, 1998). Maisie's eventual decision about her life, made by herself in the absence of any adequate parent, is based on the unconscious knowledge that destruction of meaning poisons the mind, and she must do her best to avoid it.     

Art and emotion in psychoanalysis

Freud's view that art satisfi es psychic needs has been taken to mean that art has its source in the unconscious and that it unifi es pleasure and reality. The author argues that there is a third point that Freud repeatedly emphasizes, which should not be overlooked, that art infl uences our emotions. The author examines what Freud means by this claim, in particular, his reading of Michelangelo's Moses. Freud's focus here on emotions as fundamental to subjective experience, as subject to regulation and as potentially healthy forms of communication serves to supplement and even challenge what he says in his theory of affect. The author concludes by making inferences about a contemporary psychoanalytic theory of affects: that it ought to be inclusive of science (more receptive to neurobiology and less bound to Freud) as well as art (preserving the focus on subjective experience, especially the processing of complex emotions), which is illustrated with the concept of mentalized affectivity.     

对情感教学心理研究的思考与探索

本文梳理了作者及其团队近30年来在情感教学心理学领域的开拓和发展中的一些思考和探索概况,主要涉及四方面的内容:一是结合研究者自己的教学经历和教学领域中对情感的忽视以及心理领域中对情感研究的薄弱之现状,谈对情感教学心理学研究的起因;二是探索情感的分类、功能和发生机制,为情感教学心理研究打下必要的基础;三是从基础性和应用性两个方面,推进情感教学心理的一系列研究;四是从社会-心理的宏观层面和生理-心理的微观层面,拓展情感教学心理研究。     

Marcella: the transition from explosive sensoriality to the ability to think

The author discusses an analytic case in which it was necessary to first address the patient's need for containment of her protoemotions--her sensoriality--before the analysis could proceed along more standard lines, with interpretation of the transference, work on displacement and aspects of her childhood history, and so forth. Prior to treatment, the patient had resorted to a sort of affective autism in order not to experience dangerously overwhelming emotions, and her emotional lethargy in sessions at first engendered similar feelings in the analyst, making progress impossible until a container was established for her projective identifications.     

Freud's prehistoric matrix-Owing 'nature' a death

This paper is informed by contemporary literature in two fields-neonatal research, on the one hand, and the burgeoning interdisciplinary interest in Moses and monotheism, on the other. The author postulates that a cluster of traumatic events during the first two years of Freud's life compelled him to repeat what could not be remembered. Embedded in charged implicit schema, these affects remained unprocessed in Freud, who alone of all psychoanalysts did not have an analysis, manifesting in an uncanny dread/allure of the 'prehistoric' as a dark and dangerous era relating to the archaic feminine/maternal matrix and fratricidal murderousness. Furthermore, she cites evidence to suggest that for Freud this unconsciously excluded subtext of the preoedipal era became associated with ancient Egyptian and Minoan-Mycenaean cultures, a passionate fascination actualized in his collection of antiquities yet incongruously absent in his theoretical work, with three exceptions-Egyptian allusions in Leonardo's unconscious attachment to his archaic mother; the 'Minoan-Mycenaean' analogy on discovering the pre-oedipal mother shortly after the death of Freud's own mother; and Egypt as cradle of humanity in his uncharacteristically rambling, troubled text of Moses and monotheism. The author sees Freud's conceptual avoidance yet compulsive reworking of the prehistoric matrix as a symptomatic attempt to expose early unformulated representations that 'return to exert a powerful effect.'     

Organizing Patterns in a Dyad and in a Group: Theoretical and Clinical Implications

This paper describes the importance of group experience in relation to affect regulation for the individual and the group. After surveying work that has significantly influenced the psychoanalytic perspective on the group, the author illustrates how group experience can be a key affect regulator during some developmental phases and can have an important role in development of a person's identity. From an inter-subjective perspective, the author emphasizes how group identity is attained through shared and repeated expectations that regulate the affective life of the group—what he calls group organizing principles. Last, using clinical examples, the author emphasizes the importance of affect regulation and the creation of expectations and group organizing principles in the therapeutic arena.     

Nameless Desire: Alexithymia and the Anorexic Patient

In this article, the author attempts to provide a psychoanalytic understanding of the anorexic patient who is disconnected from her affective experience and is considered to be alexithymic. Through her restrictive food ritual, this type of patient may organize her internal states by repeatedly creating an illusion of what it is that she needs and desires. The author asserts that the task of the therapist working with the anorexic patient with alexithymia is to be aware of his own sensation-based reverie as lived within the intersubjective arena. This will enable the therapist to assist the patient in building an affective vocabulary to accurately identify, differentiate, and label the internal signals of her body. It is suggested that the subjective emotional experience of the patient will continue to be reorganized, expanded, and enriched as the therapist and patient mutually influence one another in this unique relational matrix. A clinical vignette is provided to illustrate intersubjective treatment interventions with a difficult-to-reach anorexic patient.     

Reflections on Bion's 'elements of psychoanalysis' Experience, thought and growth

This paper aims to follow, in Bion's conception of analytic work, an axis of refl ection organized around three preoccupations: favoring emergence of emotional experience, symbolic elaboration of that experience and resuming growth through symbolic thought. The overarching issue and condition of all three is the capacity to contain the largest possible range of transferential and countertransferential facts in analytic sessions. This range is likely to be reduced if the analyst listens to the experience of a session with too great a number of theoretical elements in mind. Hence the dictum 'To listen without memory and desire', which will be commented upon here in parallel with the process of abstraction, a process serving in Bion's writings the purpose of dealing both with the epistemological problem of communication among analysts and with the clinical problem of receptiveness to the unknown.     

Trauma, reverie, and the field

The author uses a clinical vignette to demonstrate complex concepts at work--concepts such as those derived from a productive grafting of Bion's thinking onto the concept of the psychoanalytic field. The underlying theory is narrated by the use of images, which the author finds to be the most appropriate way to demonstrate this theory at work--a theory of the mind based on the concept of digestibility of emotions, as well as the progressive introjection of instruments to render such an operation possible. Key points include the waking dream thought, the analyst's reverie, unsaturated interpretations, continual re-dreaming on the content of the session as permitted by the field, and the development of the ability to metabolize emotional contents.     

"THE DUNGEON OF THYSELF": The Claustrum as Pathological Container

The author discusses the claustrum as an aspect of pathological containment within inner space and its relation to Bion's (1962a, b) container—contained concept. Having outlined the early psychoanalytic conceptual foundations of claustrophobia and the claustrum, the author charts the term from its introduction by Erikson in 1937 through its divergent developmental trajectories within the conceptual vocabulary of the classical, Independent and Kleinian schools up to Meltzer's (1992) contemporary reworking. The vicissitudes of the transmission of ideas within and between these groups is stressed, Esther Bick's work being particularly highlighted as an example of a nodal intellectual influence. The claustral space within the physical or internal object body, its internal structuralisation, and the impairments in quality of psychic life of the selves that seek to inhabit such spaces, entered through intrusive projective identification, are highlighted. Developmental and psychopathological claustrum manifestations are discussed, particularly fear, separation, problems mourning and claustrophobia. A reciprocal and hierarchical avatar relation between the claustrum and the container is proposed.     

Power at Work: Navigating Hierarchies,Teamwork and Webs

I explore tensions between the dynamics observed during a shadowing experience in a clinic and a hospital and theories of power and organizations. Commenting on what the tensions reveal about power at work (in the dual sense of how power works and power in the workplace), I suggest that some of the most gratifying experiences of workplace collaboration for healthcare professionals may occur as a result of their having successfully navigated complex coalitions of hierarchies, teams and webs rather than dutifully adhering to any single organizational structure.