THE STUDY AND TREATMENT OF MOTHERS AND INFANTS,THEN AND NOW: MELANIE KLEIN'S “NOTES ON BABY” IN A CONTEMPORARY PSYCHOANALYTIC CONTEXT

This paper draws on Melanie Klein's (unpublished) observational notes of her infant grandson, written primarily in 1938 and 1939. Apart from moving glimpses into a young family's life, the notes contain astute observations of an infant's behavior and emotions. Compared with Klein's published writings, the style is less theoretical and polemical. Later, in his latency years, Klein's grandson was in analysis with Marion Milner, who in 1952 published a paper drawing on the treatment. The present paper focuses on (1) how observations and treatment of the same child and his family by clinicians in close relationships with each other (Klein, Milner, and Winnicott) fertilized reciprocal influence but also brought into question the validity of Klein's observations, and (2) the relative merits and contributions of various modalities in understanding the infant's psyche, including experimental research, direct observation, parent–infant psychotherapy, and reconstructions from older patients—as occurs, for example, in psychoanalysis.     

Interpretation as Freud's specific action,and Bion's container‐contained

This is a paper showing how a concept central to the work of Wilfred Bion, and one of Klein's important recommendations concerning the practice of analysis with adults and small children, can both be seen in the light of Freud's earliest formulation of the origin of anxiety and the mother's first responses to her infant in distress. In the paper I suggest that these clinically influential concepts of Klein and Bion show an underlying consistency and affinity with Freud's early ideas about the management of anxiety in the mother‐infant relationship, described in two of his pre‐psychoanalytic writings, How Anxiety Originates (1894b), and The Project for a Scientific Psychology (1950 [1895]). The specific mode of operation of psychoanalytic interpretation is clarified by the comparisons made, with no attempt to suggest that Klein or Bion based their concepts upon these particular early formulations of Freud's.     

FROM EXTENSION TO REVOLUTIONARY CHANGE IN CLINICAL PSYCHOANALYSIS: THE RADICAL INFLUENCE OF BION AND WINNICOTT

This paper addresses the radical departure of late Bion's and Winnicott's clinical ideas and practices from traditional psychoanalytic work, introducing a revolutionary change in clinical psychoanalysis. The profound significance and implications of their thinking are explored, and in particular Bion's conception of transformation in O and Winnicott's clinical‐technical revision of analytic work, with its emphasis on regression in the treatment of more disturbed patients. The author specifically connects the unknown and unknowable emotional reality‐O with unthinkable breakdown (Winnicott) and catastrophe (Bion). The author suggests that the revolutionary approach introduced by the clinical thinking of late Bion and Winnicott be termed quantum psychoanalysis. She thinks that this approach can coexist with classical psychoanalysis in the same way that classical physics coexists with quantum physics.     

Learning and teaching the theories of Melanie Klein

I shall attempt to bring together here thoughts of experienced clinicians and teachers who have taught Melanie Klein's theories to child psychotherapists. However, most of the contributors have also taught Klein to clinical trainees in adult psychoanalytic work and to different groups abroad and, in some cases, to already trained psychotherapists or psychoanalysts. Klein's theories are introduced at different stages in the different child psychotherapy programmes in London. For instance, the students at the Tavistock are introduced to Klein's theories before they are necessarily in their own psychoanalysis, while other trainings introduce her theories in the introductory years of the clinical training.

William Halton is one of the longest-running teachers of Klein in the Tavistock Child Psychotherapy Training and brings his 'framework' culled from many years of experience. Maria Rhode has taught the Narrative to students at the Tavistock for many years. Elizabeth Spillius, psychoanalyst, writer and teacher, brings her experiences teaching Klein to non-Kleinians. Karen Proner teaches at the Tavistock, in Italy and the United States.

TEACHING MELANIE KLEIN William Halton 10 Lincoln Road London N2 9DL     

Pichon Rivière's psychoanalytic contributions: Some comparisons with object relations and modern developments in psychoanalysis

Enrique Pichon Rivière's work, fundamental to Latin American and European psychoanalytic development, is largely unknown in English‐language psychoanalysis. Pichon's central contribution, the link (el vinculo), describes relational bonds in all dimensions. People are born into, live in, and relate through links. Psychic structure is built of links that then influence external interaction. Links, expressed in mind, body and external action, continuously join internal and external worlds. Links have two axes: vertical axis links connect generations through unconscious transgenerational transmission; horizontal axis links connect persons to life partners, family, community and society. For Pichon, treatment constitutes a spiral process through which interpretation disrupts existent structures, promoting new emergent organizations at successively deeper levels. Psychic and link structures evolve over time unless repetitive cycles stunt growth. For Pichon, transference is constituted in the here‐and‐now‐with‐me because of the analytic link. Pichon also undertook family and group psychoanalysis where individuals become spokespersons for unconscious links and family secrets. He developed operative groups that apply psychoanalysis to both analytic and non‐analytic tasks. After describing Pichon's major contributions, the paper compares Pichon Rivière's ideas with those of Klein, Fairbairn, Bion, Winnicott and Bowlby, and contemporary writers including Ogden, Kaës, and Ferro whose works echo Pichon Rivière's thought.     

Splitting,fragmenting, and mental agony: the clinical thinking of Sándor Ferenczi

Following a thorough study of the Clinical Diary (1932), the author aims to put forward Sándor Ferenczi's theoretical discoveries, which allow him to settle a very advanced clinical consideration. The main parameters of this consideration foreshadow those that, in the following decades, were to be at the centre of some of the most significant developments in psychoanalysis, in particular those of M. Klein, W. R. Bion and D. W. Winnicott.     

THE “AS‐YET SITUATION” IN WINNICOTT'S “FRAGMENT OF AN ANALYSIS”: YOUR FATHER “NEVER DID YOU THE HONOR OF”… YET

The author proposes a new hypothesis in relation to Winnicott's “Fragment of an Analysis”: that as early as 1955, in the case described in this text, Winnicott is creating the paternal function in his patient's psychic functioning by implicitly linking his interpretations regarding the father to the Freudian concept of Nachträglichkeit. The author introduces an original clinical concept, the as‐yet situation, which she has observed in her own clinical work, as well as in Winnicott's analysis of the patient described in “Fragment of an Analysis” (1955).     

On ‘the fear of death’ as the primary anxiety: How and why Klein differs from Freud

It is well known that Melanie Klein held the view that ‘fear of death’ is the primary source of anxiety and that her position is explicitly opposed to that of Sigmund Freud, who maintained that that fear cannot in any way or form be a source of anxiety. In a previous article on Freud's Inhibitions, Symptoms and Anxiety (Blass, 2013), the author argued that, counter to what is commonly portrayed in the literature, Freud's considerations for rejecting the fear of death as a source of anxiety were based on relational and experiential factors that are usually associated with Kleinian psychoanalysis. In light of this affinity of Freud with Klein a question arises as to the actual source of their differences in this context. The present paper offers an answer to this question. The author first presents some of her earlier findings on what led Freud to reject the fear of death as a source of anxiety and then turns to investigate Klein's considerations for accepting it. This takes us beyond her explicit statements on this matter and sheds new light on the relationship of her views regarding death and anxiety and those of Freud. In turn this deepens the understanding of the relationship of Freud and Klein's conceptualizations of the psyche and its internal object relations, pointing to both surprising common ground and foundational differences.     

„Ich möchte an Sie glauben können!“

During daily psychoanalytic treatment something happens that can be described with a term from the Old Testament: “to know”, giving psychoanalytic praxis a religious dimension. The author illustrates this thesis with a case report. First he tries to show how an interpretation of the casuistic material appears in the scope of the well-known concept of religion as an expression of dissoluble narcissistic conflicts. Then he applies Winnicott’s idea of “potential space” as a new scope for interpretation of the case. The conception of the “destruction of the object” according to Winnicott will be related exemplarily to the history of Jesus’ death on the cross and the miracle of his survival. By heeding the world of ideas of Klein and Bion, the author comes to the conclusion that religiosity is an anthropological constant, which cannot be reduced to a pathologic narcissistic event.     

Melanie Klein and Envy: A Static Totalitarian Script or a Sample of our Protean Theories? Commentary on Paper by Joye Weisel-Barth

I agree with Joye Weisel-Barth's main point. But I regret her impression that Klein “monopolized” envy. In the world of ideas, a concept cannot be appropriated as if it has been bought. We acknowledge the originator, but the concept belongs to our collective heritage. It is open at all hours and there is no entry fee. Quite apart from this, Klein's concept is not simple. I have discussed elsewhere the conflicting currents in her paper on envy and questioned traditional views. But even for Klein herself, envy is never isolated. It is always in a dynamic conflict with love. To my mind, Klein's envy was loaded with a further responsibility: to remind us of the worst in our nature. If we accept the full humanity of our patients, we must remain receptive to their cruelty as well as their love. In my own thinking, envy has a subtle relationship with admiration and is ever shifting on a spectrum, from a point of positive emulation to a point of destructive attack. Lastly, I enjoyed Joye's clinical work. But I expressed deep concern about the paedophilic activities disclosed by the patient.     

‘Though he slay me,yet will I trust in him’: a critical reconstruction of Winnicott's theory of value

This paper extrapolates an outline for a theory of value from Winnicott's reflections on war in ‘Discussion of war aims’ (1940). The author treats Winnicott's discussion as an occasion for a critical reconstruction of his theory of life‐values. He discerns an implicit set of distinctions in Winnicott's reflections on war, including different orders of value (existential, ethical, and psychosocial); a distinction between maturity and necessity; and a yet more fundamental distinction between violence and brutality. The paper argues, on the basis of these distinctions, that Winnicott allows for an understanding of one's encounter with the enemy as an ethical relation. The main argument of the paper is that the ethical attitude underpins recognition of the enemy's humanity. On a more critical note, the author argues that Winnicott doesn't adhere consistently to the ethical attitude he presupposes, that in certain passages he privileges the maturity of combatants over the humanity of the enemy.     

On Peter Klein's Concept of Arbitrariness

According to Peter Klein, foundationalism fails because it allows a vicious form of arbitrariness. The present article critically discusses his concept of arbitrariness. It argues that the condition Klein takes to be necessary and sufficient for an epistemic item to be arbitrary is neither necessary nor sufficient. It also argues that Klein's concept of arbitrariness is not a concept of something that is obviously vicious. Even if Klein succeeds in establishing that foundationalism allows what he regards as arbitrariness, this does not yet mean that he confronts it with a sound objection.     

Bion's Notes on memory and desire – its initial clinical reception in the United States: A note on archival material

While Bion's 1967 memory and desire paper reflected a crucial episode in his clinical thinking during his epistemological period, it was also central to his evolution as a Kleinian psychoanalyst who worked with seriously disturbed adult patients. The author explicates and contextualizes these claims with a new archival document, the Los Angeles Seminars delivered by Bion in April 1967, and the full‐length version of Notes on memory and desire. Bion here instigated a radical departure from years of theory‐laden work when he made his clinical work and ideas accessible to a new audience of American Freudian analysts. While this new group was keenly interested to hear about Bion's clinical technique with both borderline and psychotic patients, there were varied reactions to Bion's ideas on the technical implications of the analyst's abandonment of memory and desire. Both the Los Angeles Seminars and Notes elicited responses ranging from bewilderment, admiration to skepticism amongst his audience of listeners and readers. These materials also however allow for a more complete and systematic presentation of important ideas about analytic technique – and while his ideas in this domain have been long valued and known by many psychoanalysts, this contribution stresses the crucial aspect of the reception of his ideas about technique in a particular American context. American analysts gained a much more explicit idea of how Bion worked analytically, how he listened, formulated interpretations and factored in the analyst's listening receptivity in the here‐and‐now. The author concludes with a consideration of the importance of Bion's American reception in 1967.     

Jung's psychoid concept and Bion's proto‐mental concept: a comparison

Jung and Bion both developed theoretical concepts propounding a deeply unknowable area of the psyche in which body and mind are undifferentiated and the individual has no distinct identity, from which a differentiated consciousness arises. In Jung's case, this is enshrined in his psychoid concept and the associated notion of synchronicity and, in Bion's case, in his proto‐mental concept and his ideas on group dynamics. It is by means of these two concepts that Jung and Bion approach and locate a combined body‐mind, a monism, in which body and mind are seen as different aspects of the same thing. This paper reviews the claim that although the two concepts are associated clinically with very different situations, their commonality may arise from a similar intellectual basis: both men appear to have been influenced by the same source of vitalist ideas in philosophy including Henri Bergson, and Jung's ideas also exerted a direct influence on Bion.     

BION'S “EVIDENCE” AND HIS THEORETICAL STYLE

The author discusses “Evidence” (1976), a brief but very intense and fascinating paper in which Bion provides a unique opportunity to see him at work in his clinical practice. In the story of a patient, Bion reconstructs two sessions that are all the more true for being imaginary—i.e., narrated (“dreamed”). The matter of language and style in psychoanalysis is of the utmost importance, according to Bion—one could say, literally, a matter of life or death. In Bion's discourse, writing, reading, and analysis converge in the same place, the author notes; all are significant if they involve an experience of truth and the ability to learn from experience.     

Traversing Narcissistic Pathways: From Freud to Present Times

This article begins with Freud’s struggles in dealing with the concept of transference. His struggles were particularly acute with certain types of narcissistic patients. The view presented is that Freud, in some ways, was prototypic of the type of struggles that contemporary analysts have in allowing transference manifestations to effloresce. Kohut is seen as advancing the struggle and setting a new boundary for analyzability that allowed analysts to begin to move into the patient’s world. Bach, Winnicott, Bion, and Klein are then pictured as moving the boundary in a manner that allowed for a greater range of patients to survive in the analytic situation. The difficulties in allowing the transference, and particularly narcissistic and fragmentary transferences, to unfold are discussed in the light of several clinical examples.     

‘The newspaper reader’: On the meaning of concrete objects in a psychoanalytic treatment1

The author investigates the meaning of concrete objects in the psychoanalytic treatment of a severely disturbed patient for the development of his inner world and the analytic process. She includes a survey of relevant theoretical concepts with an emphasis on Winnicott and Bion. It is shown that the objects served basic defensive functions both within the analytic relationship and for the precarious intrapsychic state of the patient. The author describes the technical dealing that led to a structural change. From the comparison of the initial dream and a later dream, Mr N's inner development from total inclusion in the object to triadic reality of separated, repaired objects becomes discernible. The author shows how this progress was facilitated by his use of concrete objects as links between his psychotic and non‐psychotic parts, as well as by the specifi c way the analyst handled the paradoxical transference‐ countertransference. She also illustrates the thesis that the developmental steps described are crucial for the capability to digest psychic pain by symbolization instead of discharging it in a destructive‐violent way.